Health-related Quality of life of medical students during the COVID-19 pandemic: A cross-sectional study in Lebanon

Objectives: This study aims to assess (i) the health-related Quality of Life (QoL) of medical students in Lebanon, (ii) its association with their general characteristics, and (iii) to investigate the combined effects of the predictors affecting the quality of life of students. Methods: An observational cross-sectional study was performed over three months, targeting 401 medical students from six universities. The 36-item Short Form survey was used to quantify the different QoL scores. Results: The physical component (PC) domains had higher scores than the mental component (MC) ones (70.2 vs. 55.9). Students aged 30 years or less had higher scores in all the PC domains than older students (70.9 vs. 59.3;p<0.010) but comparable scores in the MC domains (55.6 vs. 59.8;p>0.050). Single students had a significantly higher role-emotional score (63.5 vs. 49.0;p<0.050), and those studying in public universities had greater general health scores (57.7 vs. 53.7;p<0.050). Younger age significantly increased most of the health-related PC scores, and having chronic diseases decreased all the QoL scores except the mental health score. Conclusion: The QoL of medical students was negatively affected during the pandemic, particularly their mental health. Informed educational and health decisions are required to minimize this impact on their academic performance.

A Rare Case of COVID-19 Infection Leading to Colonic Stricture: Case Report and Review of Literature.

Coronavirus disease 2019 (COVID-19) predominantly targets the respiratory tract; despite gastrointestinal (GI) symptoms that may present in many patients, colonic strictures in coronavirus disease (COVID-19) patients are extremely rare and, to our knowledge, have never been reported. We, herein, present a case of a 59-year-old lady who developed intestinal obstruction due to colonic strictures shortly after recovering from complicated COVID-19 pneumonia. Ultimately, she underwent laparoscopic subtotal colectomy with ileorectal anastomosis. After a long recovery period, she was discharged in good status. It has been more than two years since COVID-19 was declared as a pandemic by the World Health Organization. Infected individuals have highly variable clinical manifestations, yet the pathogenesis, diagnosis and ideal management of each of these complications is not well described in literature.

A Rare Case of COVID-19 Infection Leading to Colonic Stricture: Case Report and Review of Literature

Coronavirus disease 2019 (COVID-19) predominantly targets the respiratory tract;despite gastrointestinal (GI) symptoms that may present in many patients, colonic strictures in coronavirus disease (COVID-19) patients are extremely rare and, to our knowledge, have never been reported. We, herein, present a case of a 59-year-old lady who developed intestinal obstruction due to colonic strictures shortly after recovering from complicated COVID-19 pneumonia. Ultimately, she underwent laparoscopic subtotal colectomy with ileorectal anastomosis. After a long recovery period, she was discharged in good status. It has been more than two years since COVID-19 was declared as a pandemic by the World Health Organization. Infected individuals have highly variable clinical manifestations, yet the pathogenesis, diagnosis and ideal management of each of these complications is not well described in literature. 

Adaptive Ephemeral Interiority: Upcycling Site Specific Interiors

Adaptive reuse in architecture refers to the process of redesigning, converting, and reappropriating existing spaces for functions different from the ones they were originally designed for. This research is a case study showing an alternative to this concept, re-purposing aviation parts and finding new programmatic functions in the design learning studio. The pedagogy approach, adopted by a design studio in the United Arab Emirates (UAE), presents the fluidity of adaptive interiority against rigidity and site specificity. The research results in the creation of adaptive modular spaces and ephemeral interiority through upcycling design, flexibility, materiality, reusability, recyclability, and connectivity while simultaneously showcasing the rigorous interplay of innovation, research, science, and technology. The case study design studio was based at Zayed University and partnered with Etihad Airways, the national carrier of the UAE, highlighting the importance of industry and education as interdisciplinary collaborations. The paper looks at the pedagogical approach and examines the conducted process and evaluates the outcomes and shortcomings, including those inflicted by the COVID-19 world health pandemic. It argues for ‘adaptive interiority,’ inclusion in the adaptive reuse framework and a further reflection on the large vision and possible future impact within the UAE’s social and architectural context. © 2022, Faculty of Engineering, Universitas Indonesia. All rights reserved.

Impact of gargling on respiratory infections

Respiratory infection is one of the leading causes of death in the world. The outbreaks of influenza and the Middle East respiratory syndrome have added to the miseries of human beings. Interventions such as the use of masks, social distancing, hand washing, and the use of personal protective equipment by health care professionals have minimized the transmission of pathogens from infected to healthy individuals. Another intervention is gargling which is most commonly performed by the Japanese to avoid respiratory infections. PubMed was used to search articles on gargling in respiratory infections published in the last three decades. Gargling is effective in upper respiratory infections (URTIs). URTI precedes lower respiratory tract infection;early intervention could prevent complications. The gargling agents in this review are classified as synthetic and natural gargling agents. The mouthwashes or gargling agents reviewed in this article have proven efficacy in reducing either bacterial or viral (or both) respiratory infections. The mouthwashes available over the counter may also have side effects. The use of mouthwash should be based on the potential benefit of oral and systemic conditions.

Immune-boosting effect of natural remedies and supplements on progress of, and recovery from COVID-19 infection

Purpose: To investigate the effect of natural remedies and supplements on the progress of and recovery from COVID-19 infection, and the role of safety precautions in controlling the spread of its causative pathogen. Methods: A questionnaire was designed and electronically distributed among previously infected individuals across countries. The survey included questions about the participants' demographic information, medical history, how they were infected, symptoms they have experienced, where they were isolated, the degree of precautions taken against the virus, and their consumption of natural remedies or supplements before and during the infection period. Results: The results showed that natural remedies and supplements are widely consumed among COVID-19 patients both before and during infection, either as a single remedy or in combination with other remedies. As the age of the participants increased, the incidence of their hospitalization increased. Significant results were observed when comparing the severity of infection with the number of natural remedies and supplements taken before (P 0.000) and during the infection (P 0.003). Conclusion: Increasing the intake of natural remedies and/or supplements before and during COVID-19 infection lowers the severity of the infection. Vitamin C, honey, and citrus fruits such as orange and lemon were the major remedies consumed before and during infection. A large number of the participants that experienced severe COVID-19 conditions, did not consume any natural remedies or supplements. © Pharmacotherapy Group, Faculty of Pharmacy, University of Benin, Benin City, 300001 Nigeria. © 2022 The authors

Determining response time factors of emergency medical services during the COVID-19 pandemic

Purpose The lack of studies about the response time of emergency medical service during the coronavirus disease 2019 (COVID-19) pandemic in a dense city of a developing country has triggered this study to explore the factors contributing to a high response time of ambulance service to reach patients in need. An evaluation of contributing factors to the response time is necessary to guide decision-makers in keeping a high service level of emergency medical service. Design/methodology/approach This research employed an agent-based modeling approach with input parameters from interviews with emergency medical service staff in Bandung city, Indonesia. The agent-based model is established to evaluate the relevant contribution of the factors to response time reduction using several scenarios. Findings According to agent-based simulation, four factors contribute to the response time: the process of preparing crew and ambulance during the pandemic, coverage area, traffic density and crew responsiveness. Among these factors, the preparation process during the pandemic and coverage area significantly contributed to the response time, while the traffic density and crew responsiveness were less significant. The preparation process is closely related to the safety procedure in handling patients during the COVID-19 pandemic and normal time. The recommended coverage area for maintaining a low response time is 5 km, equivalent to six local subdistricts. Research limitations/implications This study has explored the factors contributing to emergency medical response time. The insignificant contribution of the traffic density showed that citizens, in general, have high awareness and compliance to traffic priority regulation, so crew responsiveness in handling ambulances is an irrelevant factor. This study might have different contributing factors for less dense population areas and focuses on public emergency medical services provided by the local government. Practical implications The local government must provide additional funding to cover additional investment for ambulance, crew and administration for the new emergency service deployment point. Exercising an efficient process in ambulance and crew preparation is mandatory for each emergency deployment point. Originality/value This study evaluates the contributing factors of emergency medical response time in the pandemic and normal situation by qualitative analysis and agent-based simulation. The performance comparison in terms of medical response time before and after COVID-19 through agent-based simulation is valuable for decision-makers to reduce the impact of COVID-19.