- OBJECTIVES : Brucellosis remains one of the major zoonotic infections creating significant multidimensional medical, public health, social and economic problems to more than 120 countries, especially the developing ones, throughout the world. Moreover, most Brucellaspp. are listed as biosecurity/ bioterror pathogen by the CDC.Among the 13 identified species, B.melitensisposes the highest risk for humans in most countries.This is due to contact with sick livestock or ingestion of raw milk, cream, and soft cheese from infected sheep and goats, which constitute the main reservoir of infection. Facing this zoo-nosis challenge imparts major attention on national authorities to shoulder responsibility towards building successful prevention and control programs. In any country or geographical zone, the effective establishment and implementation of such programs require tackling several factors including:1) Awareness and public health education about the disease; 2) Diagnostic capacity and facilities for adequate and reliable identification of cases, avoiding misdiagnosis and underreporting in both public and animal health sectors; 3) Vaccination strategies and programs; 4) Intersectoral and interagency coordination; 5) Intersectoral epidemiological surveillance systems; 6) Political commitment and financial support and 7) Liaison with international organizations such as FAO, WHO and WOAH (OIE), that can provide valuable technical support, expertise sharing, capacity building and funds mobilization. These factors were encountered and addressed through an important technical level’s contribution led by the WHO-Mediterranean Zoonoses Control Centre during the implementation of two “Pilot Brucellosis Epidemiological Surveillance Projects in the Public Health and Animal Health Sectors in Syria and Jordan”.These endeavors revealed a dire need for making available information adapted to reality and addressing appropriate approaches for Brucellaprevention and control. The present document is based on the long experience of the authors in this field and has been warranted to address the aforementioned issues and factors in a clear, concise, well cross-checked, practical and “easy-to-handle” guidance, applicable before and during brucellosis control activities.
{"title":"Brucellosis Prevention and Control in the Mediterranean and Middle East Regions : A Guidance towards Approaching the Targets","authors":"Seimenis , Aristarchos, Araj , George F., Moriyon , Ignacio, Tabbaa , Darem","doi":"10.12816/0053749","DOIUrl":"https://doi.org/10.12816/0053749","url":null,"abstract":"- OBJECTIVES : Brucellosis remains one of the major zoonotic infections creating significant multidimensional medical, public health, social and economic problems to more than 120 countries, especially the developing ones, throughout the world. Moreover, most Brucellaspp. are listed as biosecurity/ bioterror pathogen by the CDC.Among the 13 identified species, B.melitensisposes the highest risk for humans in most countries.This is due to contact with sick livestock or ingestion of raw milk, cream, and soft cheese from infected sheep and goats, which constitute the main reservoir of infection. Facing this zoo-nosis challenge imparts major attention on national authorities to shoulder responsibility towards building successful prevention and control programs. In any country or geographical zone, the effective establishment and implementation of such programs require tackling several factors including:1) Awareness and public health education about the disease; 2) Diagnostic capacity and facilities for adequate and reliable identification of cases, avoiding misdiagnosis and underreporting in both public and animal health sectors; 3) Vaccination strategies and programs; 4) Intersectoral and interagency coordination; 5) Intersectoral epidemiological surveillance systems; 6) Political commitment and financial support and 7) Liaison with international organizations such as FAO, WHO and WOAH (OIE), that can provide valuable technical support, expertise sharing, capacity building and funds mobilization. These factors were encountered and addressed through an important technical level’s contribution led by the WHO-Mediterranean Zoonoses Control Centre during the implementation of two “Pilot Brucellosis Epidemiological Surveillance Projects in the Public Health and Animal Health Sectors in Syria and Jordan”.These endeavors revealed a dire need for making available information adapted to reality and addressing appropriate approaches for Brucellaprevention and control. The present document is based on the long experience of the authors in this field and has been warranted to address the aforementioned issues and factors in a clear, concise, well cross-checked, practical and “easy-to-handle” guidance, applicable before and during brucellosis control activities.","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45828778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Refaat , Marwan M., Sabra , Mohammad, Khatib , Malek, Njeim , Mario
{"title":"Status of Ablation of Cardiac Arrhythmias in Lebanon","authors":"Refaat , Marwan M., Sabra , Mohammad, Khatib , Malek, Njeim , Mario","doi":"10.12816/0053736","DOIUrl":"https://doi.org/10.12816/0053736","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47654260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph Kattan, Hampig Raphael Kourie, Gaelle Rached, Charbel Hobeika, Elias Karam
{"title":"Advantages and Challenges of Publishing in Medical School","authors":"Joseph Kattan, Hampig Raphael Kourie, Gaelle Rached, Charbel Hobeika, Elias Karam","doi":"10.12816/0054414","DOIUrl":"https://doi.org/10.12816/0054414","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45151883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Refaat, M. Sabra, Assaad Abdel Ahad, M. Khatib, M. Njeim, Maurice Khoury, C. Jazra, J. Abboud, Abdel Ahad
Objectives: The 2017 European Heart Rhythm Association (EHRA) White Book was published with cardiac implantable electronic device (CIED) data on European Society of Cardiology (ESC) member countries. Three countries (Lebanon, Libya and Syria) of the 56 ESC member countries did not have data. Hence, there was an unmet need to have CIED data estimate in Lebanon. Methods: Data from companies providing CIEDs in Lebanon was collected to have trends on CIED implants in Lebanon from the beginning of 2013 till the end of 2017. Results: In 2017, the total number of CIED implants was 1656: 983 (59.4%) were pacemakers and 673 (40.6%) were ICDs. Most CIED implants are dual chamber pacemakers. There has been a rise in the implantation of ICDs in Lebanon from 2013 till 2017. For instance, in 2013 the prevalence of CRT-D, dual chamber ICD, and single chamber ICD were 214, 64, and 268. In 2017, the prevalence of the different types of ICD became 243, 75, and 355. Conclusion: CIED implants have increased over the last several years in Lebanon in parallel with the number of cardiac electrophysiologists. It is important to have a national registry of CIED implants in Lebanon which will require financial support for its maintenance.
{"title":"Cardiac Implantable Electronic Devices in Lebanon","authors":"M. Refaat, M. Sabra, Assaad Abdel Ahad, M. Khatib, M. Njeim, Maurice Khoury, C. Jazra, J. Abboud, Abdel Ahad","doi":"10.12816/0053735","DOIUrl":"https://doi.org/10.12816/0053735","url":null,"abstract":"Objectives: The 2017 European Heart Rhythm Association (EHRA) White Book was published with cardiac implantable electronic device (CIED) data on European Society of Cardiology (ESC) member countries. Three countries (Lebanon, Libya and Syria) of the 56 ESC member countries did not have data. Hence, there was an unmet need to have CIED data estimate in Lebanon. Methods: Data from companies providing CIEDs in Lebanon was collected to have trends on CIED implants in Lebanon from the beginning of 2013 till the end of 2017. Results: In 2017, the total number of CIED implants was 1656: 983 (59.4%) were pacemakers and 673 (40.6%) were ICDs. Most CIED implants are dual chamber pacemakers. There has been a rise in the implantation of ICDs in Lebanon from 2013 till 2017. For instance, in 2013 the prevalence of CRT-D, dual chamber ICD, and single chamber ICD were 214, 64, and 268. In 2017, the prevalence of the different types of ICD became 243, 75, and 355. Conclusion: CIED implants have increased over the last several years in Lebanon in parallel with the number of cardiac electrophysiologists. It is important to have a national registry of CIED implants in Lebanon which will require financial support for its maintenance.","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43358246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Refaat , Marwan M., Sabra , Mohammad, Khoury , Maurice, Abi-Saleh , Bernard, Harbieh , Bernard
{"title":"Epidemiology of Atrial Fibrillation from a Developing Country Data from Lebanon AUBMC AF Registry","authors":"Refaat , Marwan M., Sabra , Mohammad, Khoury , Maurice, Abi-Saleh , Bernard, Harbieh , Bernard","doi":"10.12816/0053737","DOIUrl":"https://doi.org/10.12816/0053737","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45984260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’Avenir de la Médecine Est entre Nos Mains","authors":"Joseph Kattan","doi":"10.12816/0054412","DOIUrl":"https://doi.org/10.12816/0054412","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44936712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of Burnout in Lebanese Practicing Physicians : Experience of a Developing Country","authors":"Umayya Musharrafieh, Khalil Ashkar, Maya Romani, Rana Bachir","doi":"10.12816/0053910","DOIUrl":"https://doi.org/10.12816/0053910","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45577015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ghina Berjawi, Lena Naffaa, Charbel Saade, Maria El Homsi, Pascale Jarjoura
{"title":"Abnormal Subplate T2 Hyperintensity Involving the Fetal Brain in the Second Trimester : A Heralding Sign of Polymicrogyria","authors":"Ghina Berjawi, Lena Naffaa, Charbel Saade, Maria El Homsi, Pascale Jarjoura","doi":"10.12816/0053915","DOIUrl":"https://doi.org/10.12816/0053915","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46702125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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