{"title":"COVID-19 Pandemic in the Midst of Lebanon’s Worst Financial Crisis Capital Control or Captain Control ?","authors":"R. Sarkis, H. Hassan, A. Lichaa, R. Hachem","doi":"10.12816/0057433","DOIUrl":"https://doi.org/10.12816/0057433","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":"47136294","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}
COVID-19 is a new pandemic crisis with potentially severe complications This paper aims to define available data concerning optimal anesthesia management for patients with COVID-19 and to provide safety recommendations for healthcare professionals
{"title":"Anesthetic Management of Suspected or Confirmed COVID-19 Patients : A Narrative Review","authors":"A. Gergess, C. Dagher, K. Jabbour, S. Madi-Jebara","doi":"10.12816/0057439","DOIUrl":"https://doi.org/10.12816/0057439","url":null,"abstract":"COVID-19 is a new pandemic crisis with potentially severe complications This paper aims to define available data concerning optimal anesthesia management for patients with COVID-19 and to provide safety recommendations for healthcare professionals","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":"41512862","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}
B. Habr, G. Dabar, J. Choucair, F. Haddad, G. Khayat, Z. Aoun-Bacha, Ihab Ibrahim, C. Harmouche, M. Jammal, E. Haddad, G. Saliba, L. Abdo, S. Jebara, E. Nasser, K. Jabbour, M. Fakhoury, M. Khoury, M. Riachy
This article determined four clinical pathways: emergency room,flu clinic, isolation and respiratory infection ward, and critical care, as well as human resources management Different teams were put in place, including doctors from different specialties They volunteered to address different issues besides their clinical duties During a pandemic, a trans-professional cross-functional management is of paramount importance The support of the hospital management and its leadership, the participation of the different medical teams and nursing involvement are of upmost importance to succeed in our endeavor Smooth and transparent communication with the different stakeholders helped us put together a fantastic team still working in synchrony after many weeks of epidemics Many health structures will be exposed to a rising number of patients with COVID-19 and will therefore have to anticipate and prepare
{"title":"Strategies of a Private University Hospital Facing COVID-19 in Lebanon Hôtel-Dieu de France Readiness : How Did We Do It ?","authors":"B. Habr, G. Dabar, J. Choucair, F. Haddad, G. Khayat, Z. Aoun-Bacha, Ihab Ibrahim, C. Harmouche, M. Jammal, E. Haddad, G. Saliba, L. Abdo, S. Jebara, E. Nasser, K. Jabbour, M. Fakhoury, M. Khoury, M. Riachy","doi":"10.12816/0057437","DOIUrl":"https://doi.org/10.12816/0057437","url":null,"abstract":"This article determined four clinical pathways: emergency room,flu clinic, isolation and respiratory infection ward, and critical care, as well as human resources management Different teams were put in place, including doctors from different specialties They volunteered to address different issues besides their clinical duties During a pandemic, a trans-professional cross-functional management is of paramount importance The support of the hospital management and its leadership, the participation of the different medical teams and nursing involvement are of upmost importance to succeed in our endeavor Smooth and transparent communication with the different stakeholders helped us put together a fantastic team still working in synchrony after many weeks of epidemics Many health structures will be exposed to a rising number of patients with COVID-19 and will therefore have to anticipate and prepare","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":"48909398","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}
H. Chami, W. Saleh, Z. Aoun-Bacha, P. B. Khalil, S. Chamandi, K. Diab, G. Juvelekian, P. Yazbeck, S. Kanj
Background: The rapidly spreading COVID-19 pandemic was associated with significant nosocomial transmissions and poses a risk to healthcare workers and hospitalized patients We assessed intensive care units (ICU) resources, COVID-19 preparedness and the availability of personal protective equipment (PPE) to ICU practitioners in Lebanon Methods: Between March 23 and 31, 2020, 250 ICU physicians working in Lebanon were surveyed on COVID-19 preparedness at their local hospitals, the availability of ICU resources, and adequate PPE The survey was developed and administered by the Lebanese Society of Critical Care Medicine in collaboration with the Lebanese Pulmonary Society and the Lebanese Society of Anesthesiologists Results: Eighty-nine ICU physicians working at 51 hospitals in all Lebanese regions completed the survey The recommended PPE for ICU physicians (N95 masks, face shields and impermeable body-gowns) and the needed fitting and doning/doffing training were available to 34% of respondents Dedicated wards and ICU for COVID-19 patients, negative pressure ICU rooms, video-laryngoscopes and COVID-19 testing were available on-site at 17% of respondents' hospitals Conclusions: At the onset of the COVID-19 epidemic in Lebanon, the availability of recommended PPE to the surveyed ICU physicians in Lebanon and the available ICU resources and COVID-19 preparedness at their hospitals were limited
{"title":"Survey of COVID-19 Preparedness among Lebanese ICU Physicians","authors":"H. Chami, W. Saleh, Z. Aoun-Bacha, P. B. Khalil, S. Chamandi, K. Diab, G. Juvelekian, P. Yazbeck, S. Kanj","doi":"10.12816/0057447","DOIUrl":"https://doi.org/10.12816/0057447","url":null,"abstract":"Background: The rapidly spreading COVID-19 pandemic was associated with significant nosocomial transmissions and poses a risk to healthcare workers and hospitalized patients We assessed intensive care units (ICU) resources, COVID-19 preparedness and the availability of personal protective equipment (PPE) to ICU practitioners in Lebanon Methods: Between March 23 and 31, 2020, 250 ICU physicians working in Lebanon were surveyed on COVID-19 preparedness at their local hospitals, the availability of ICU resources, and adequate PPE The survey was developed and administered by the Lebanese Society of Critical Care Medicine in collaboration with the Lebanese Pulmonary Society and the Lebanese Society of Anesthesiologists Results: Eighty-nine ICU physicians working at 51 hospitals in all Lebanese regions completed the survey The recommended PPE for ICU physicians (N95 masks, face shields and impermeable body-gowns) and the needed fitting and doning/doffing training were available to 34% of respondents Dedicated wards and ICU for COVID-19 patients, negative pressure ICU rooms, video-laryngoscopes and COVID-19 testing were available on-site at 17% of respondents' hospitals Conclusions: At the onset of the COVID-19 epidemic in Lebanon, the availability of recommended PPE to the surveyed ICU physicians in Lebanon and the available ICU resources and COVID-19 preparedness at their hospitals were limited","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":"43978810","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":"Teaching Ethics as Part of a Good Clinical Medicine","authors":"M. Daher","doi":"10.12816/0057266","DOIUrl":"https://doi.org/10.12816/0057266","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46262308","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":"De la Mort de Soi à la Mort de l’Autre : Réflexions sur la Fin de Vie Médicalisée","authors":"D. Sicard","doi":"10.12816/0057253","DOIUrl":"https://doi.org/10.12816/0057253","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47200396","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":"La Recherche en Neurosciences : Une Chance ou un Mal Nécessaire ?","authors":"K. Kallab","doi":"10.12816/0057264","DOIUrl":"https://doi.org/10.12816/0057264","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45493184","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":"La Stigmatisation des Malades Mentaux","authors":"Sami Paul Tawil","doi":"10.12816/0057263","DOIUrl":"https://doi.org/10.12816/0057263","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43896301","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":"Le Démenti des Fleurs","authors":"R. Tomb","doi":"10.12816/0057251","DOIUrl":"https://doi.org/10.12816/0057251","url":null,"abstract":"","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44617015","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}
La libéralisation des mœurs induite par la contraception hormonale est due, entre autres, à la possibilité de séparation de la sexualité et de la procréation. Les développements des techniques de procréation médicalement assistée (PMA) sont venus ajouter un changement supplémentaire, celui de séparer la procréation de la filiation. Le tout a entraîné des bouleversements majeurs des notions « traditionnelles » de parentalité et de famille durant les dernières décennies, ce qui a soulevé de sérieuses questions sociétales et éthiques. Et si l’impact de ces bouleversements varie selon les contextes socioculturels spécifiques, la mondialisation outrepasse les frontières et met l’humanité face à des problématiques communes qui dépassent le cadre communautaire ou national et qui interpellent les principes universels de bioéthique et de droits humains.
{"title":"Sexualité et Procréation Médicalement Assistée à l’Épreuve des Cultures, de l’Éthique et des Droits Humains","authors":"Nouzha Guessous","doi":"10.12816/0057255","DOIUrl":"https://doi.org/10.12816/0057255","url":null,"abstract":"La libéralisation des mœurs induite par la contraception hormonale est due, entre autres, à la possibilité de séparation de la sexualité et de la procréation. Les développements des techniques de procréation médicalement assistée (PMA) sont venus ajouter un changement supplémentaire, celui de séparer la procréation de la filiation. Le tout a entraîné des bouleversements majeurs des notions « traditionnelles » de parentalité et de famille durant les dernières décennies, ce qui a soulevé de sérieuses questions sociétales et éthiques. Et si l’impact de ces bouleversements varie selon les contextes socioculturels spécifiques, la mondialisation outrepasse les frontières et met l’humanité face à des problématiques communes qui dépassent le cadre communautaire ou national et qui interpellent les principes universels de bioéthique et de droits humains.","PeriodicalId":39521,"journal":{"name":"Journal Medical Libanais","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49381014","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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