{"title":"COVID-19 and Pregnancy : Lebanon Preparedness within Global Response","authors":"F. El Kak","doi":"10.12816/0057440","DOIUrl":"https://doi.org/10.12816/0057440","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46360733","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}
E. Ayoub, S. Bahous, D. Chamsy, M. Choukair, N. Yared, Z. Ghorayeb, M. Houry, E. Nemr
Coronavirus disease COVID-19 upended the whole world with everyone needing to practice social distancing, and quarantine These measures affected education in general, and medical education in particular Educators were faced with the dilemma of protecting the students versus fulfilling the mission of preparing qualified future healthcare providers In Lebanon, the seven medical schools had to act quickly to set up distance education in response to the requested closure of universities and social distancing measures, in a way that preserves student education despite the challenging times This paper will focus on the changes introduced to the curricula of the undergraduate medical education programs in Lebanon, involving both the teaching and learning facets and the assessment component at the preclinical and clinical phases
{"title":"The Impact of COVID-19 on Undergraduate Medical Education","authors":"E. Ayoub, S. Bahous, D. Chamsy, M. Choukair, N. Yared, Z. Ghorayeb, M. Houry, E. Nemr","doi":"10.12816/0057443","DOIUrl":"https://doi.org/10.12816/0057443","url":null,"abstract":"Coronavirus disease COVID-19 upended the whole world with everyone needing to practice social distancing, and quarantine These measures affected education in general, and medical education in particular Educators were faced with the dilemma of protecting the students versus fulfilling the mission of preparing qualified future healthcare providers In Lebanon, the seven medical schools had to act quickly to set up distance education in response to the requested closure of universities and social distancing measures, in a way that preserves student education despite the challenging times This paper will focus on the changes introduced to the curricula of the undergraduate medical education programs in Lebanon, involving both the teaching and learning facets and the assessment component at the preclinical and clinical phases","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44792702","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. Daher, G. Rouhana, N. Souaiby, K. Kallab, F. Abou-Mrad, S. Richa
{"title":"Ethical Considerations in Response to the COVID-19 Pandemic","authors":"M. Daher, G. Rouhana, N. Souaiby, K. Kallab, F. Abou-Mrad, S. Richa","doi":"10.12816/0057448","DOIUrl":"https://doi.org/10.12816/0057448","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":"187 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41279530","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":"Much Ado about a Virus : COVID-19 Trigger of Scientific Curiosity and Medical Unity","authors":"G. Dabar","doi":"10.12816/0057453","DOIUrl":"https://doi.org/10.12816/0057453","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49227593","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}
N. Bitar, J. Kattan, H. Kourie, D. Mukherji, N. Saghir, H. Hassan
{"title":"The Lebanese Society of Medical Oncology (LSMO) Recommendations and Perspectives on Oncology Care during COVID-19 Pandemic","authors":"N. Bitar, J. Kattan, H. Kourie, D. Mukherji, N. Saghir, H. Hassan","doi":"10.12816/0057442","DOIUrl":"https://doi.org/10.12816/0057442","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46764505","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}
Background: The first cases of novel coronavirus (2019-ncov) infected patients occurred in Lebanon in February 2020 and March 2020 Rafic Hariri University Hospital was the first hospital in Lebanon that rapidly responded to this crisis through the effective use of scarce resources and the swift arrangement of departments as part of the contingency plan It was able to mitigate the impact of the first COVID-19 wave in Lebanon through active management and proper preparedness We analyzed data on the first 63 confirmed cases of COVID-19 to determine their epidemiological and clinical characteristics
{"title":"Rafic Hariri University Hospital Preparedness : Sharing Initial Experience on COVID-19","authors":"M. Hassoun, Firas Abyad, R. Feghali","doi":"10.12816/0057438","DOIUrl":"https://doi.org/10.12816/0057438","url":null,"abstract":"Background: The first cases of novel coronavirus (2019-ncov) infected patients occurred in Lebanon in February 2020 and March 2020 Rafic Hariri University Hospital was the first hospital in Lebanon that rapidly responded to this crisis through the effective use of scarce resources and the swift arrangement of departments as part of the contingency plan It was able to mitigate the impact of the first COVID-19 wave in Lebanon through active management and proper preparedness We analyzed data on the first 63 confirmed cases of COVID-19 to determine their epidemiological and clinical characteristics","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44063224","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}
W. Saleh, Z. Aoun-Bacha, M. Khalil, P. B. Khalil, R. Boulos, H. Chami, K. Diab, G. Juvelikian, P. Yazbeck
COVID-19 has taken the whole world by surprise and overnight, we found ourselves at war with an invisible yet ruthless adversary In Lebanon, representatives from the major medical societies at the forefront of the battle convened and drafted a document to serve as a roadmap towards tackling this pandemic It involves diagnosis and early recognition of severity as well as potential treatment modalities, emphasizing the protection of healthcare personnel
{"title":"Statement of the Lebanese Pulmonary Society, the Lebanese Society of Critical Care Medicine and the Lebanese Society of Anesthesiology","authors":"W. Saleh, Z. Aoun-Bacha, M. Khalil, P. B. Khalil, R. Boulos, H. Chami, K. Diab, G. Juvelikian, P. Yazbeck","doi":"10.12816/0057445","DOIUrl":"https://doi.org/10.12816/0057445","url":null,"abstract":"COVID-19 has taken the whole world by surprise and overnight, we found ourselves at war with an invisible yet ruthless adversary In Lebanon, representatives from the major medical societies at the forefront of the battle convened and drafted a document to serve as a roadmap towards tackling this pandemic It involves diagnosis and early recognition of severity as well as potential treatment modalities, emphasizing the protection of healthcare personnel","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41753152","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":"Testing for COVID-19 : When, Who and What Test ?","authors":"G. F. Araj, Mona Beaini, N. Bizri","doi":"10.12816/0057435","DOIUrl":"https://doi.org/10.12816/0057435","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42079657","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}
Introduction: It has been proven that COVID- 19 asymptomatic carriers and presymptomatic patients do transmit the virus and potentially infect their contacts and caregivers International medical and scientific societies, as well as governmental and public health bodies, from all over the globe, have issued recommendations about infection prevention and control measures that should be taken, in addition to the general standard precautions measures, while dealing with hospital patients during this pandemic In this article, we did an electronic review of the published and posted recommendations in different medical scenarios Accordingly, we put a position set of recommendations about the precautions that are needed to be taken with all patients when the virus is still circulating in the community from an Infectious Disease specialist perspective Methods: This is a narrative electronic review of the available and latest interim guidelines recommendations, position statements, expert commentaries and opinions issued by international scientific societies, international organizations, governmental bodies and public health authorities from different medical specialties in the United States of America, Canada, United Kingdom, Europe, France, Italy, China, Australia, and Asia Pacific region We searched PubMed and Google Scholar for articles and written material published in English and French between January 1, 2020, and April 25, 2020 Results: Recommendations were retrieved from around 50 documents We endorse the general recommendations that appear in all reviewed specialties From an infectious disease specialist perspective, the following should be applied to all patients in healthcare settings: • Triage based on a checklist with the timely updated case definition at the entrance and admission to any health facility ward or service • Aerosol generating procedures to all patients like tracheal intubation for medical reasons or anesthesia, gastrointestinal endoscopy is preferably done under airborne/contact precautions • Areas of the hospital where patients potentially would undergo aerosol generating procedures should be adequately ventilated and with negative pressure • All staff should be trained for donning and doffing personal protective equipment, and well trained regarding infection prevention measures in their respective departments • Face-to-face consultations especially in the vulnerable at risk population, like immunocompromised patients and pregnant women, should be reasonably minimized along with prioritization and deferral of care as much as possible •Workforce and personal protective equipment management should become a priority in the planning of care Conclusion: The COVID pandemic has become a turning point in the standard of care in healthcare settings At least, until the availability of universal vaccination or mortality-reducing therapies, healthcare settings will have to apply additional measures to the classical standard precautions,
{"title":"Escalation of Standard Precautions during COVID-19 Pandemic : Review of Electronic Literature and Position Paper","authors":"R. Moghnieh, A. Bizri","doi":"10.12816/0057436","DOIUrl":"https://doi.org/10.12816/0057436","url":null,"abstract":"Introduction: It has been proven that COVID- 19 asymptomatic carriers and presymptomatic patients do transmit the virus and potentially infect their contacts and caregivers International medical and scientific societies, as well as governmental and public health bodies, from all over the globe, have issued recommendations about infection prevention and control measures that should be taken, in addition to the general standard precautions measures, while dealing with hospital patients during this pandemic In this article, we did an electronic review of the published and posted recommendations in different medical scenarios Accordingly, we put a position set of recommendations about the precautions that are needed to be taken with all patients when the virus is still circulating in the community from an Infectious Disease specialist perspective Methods: This is a narrative electronic review of the available and latest interim guidelines recommendations, position statements, expert commentaries and opinions issued by international scientific societies, international organizations, governmental bodies and public health authorities from different medical specialties in the United States of America, Canada, United Kingdom, Europe, France, Italy, China, Australia, and Asia Pacific region We searched PubMed and Google Scholar for articles and written material published in English and French between January 1, 2020, and April 25, 2020 Results: Recommendations were retrieved from around 50 documents We endorse the general recommendations that appear in all reviewed specialties From an infectious disease specialist perspective, the following should be applied to all patients in healthcare settings: • Triage based on a checklist with the timely updated case definition at the entrance and admission to any health facility ward or service • Aerosol generating procedures to all patients like tracheal intubation for medical reasons or anesthesia, gastrointestinal endoscopy is preferably done under airborne/contact precautions • Areas of the hospital where patients potentially would undergo aerosol generating procedures should be adequately ventilated and with negative pressure • All staff should be trained for donning and doffing personal protective equipment, and well trained regarding infection prevention measures in their respective departments • Face-to-face consultations especially in the vulnerable at risk population, like immunocompromised patients and pregnant women, should be reasonably minimized along with prioritization and deferral of care as much as possible •Workforce and personal protective equipment management should become a priority in the planning of care Conclusion: The COVID pandemic has become a turning point in the standard of care in healthcare settings At least, until the availability of universal vaccination or mortality-reducing therapies, healthcare settings will have to apply additional measures to the classical standard precautions, ","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48439743","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":"Residencyand Fellowship Training during the Lebanese Financial Crisis and the COVID-19 Pandemic : Navigating Unprecedented Challenges","authors":"F. Mirza, E. Ayoub, Z. Hubayter, S. Malas","doi":"10.12816/0057444","DOIUrl":"https://doi.org/10.12816/0057444","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48062462","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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