Telepsychiatry in the Arab world: A viewpoint before and during COVID-19

Purpose: Telepsychiatry, a subset of telemedicine, has been increasingly studied to meet the growing demands for psychiatric care. The utility of telepsychiatry is relevant now more than ever as the world endures the COVID-19 global pandemic. This paper describes the prior state and the changes that the COVID-19 outbreak brought to telepsychiatry in a selected group of Arab countries of the Middle East and North Africa (MENA) region. Patients and Methods: We invited twelve early-career psychiatrists from different Arab nations to share information related to telepsychiatry in their respective countries before and during the COVID-19 pandemic. The information was collected using a semi-structured guide. This was complemented by a search for relevant articles in five search engines using terms such as "COVID-19," "telepsychiatry," and "Arab world". Results: Before the pandemic, digital mental health services were provided in several Arab countries, mainly through hotlines and messaging services. The COVID-19 pandemic has marked a major shift in digital psychiatric services in the Arab MENA world, through the transformation of many clinics and some hospitals into digital mental health systems. Many non-governmental organizations also started remote initiatives for psychological support and psychiatric counseling. Three main barriers of patient-related, healthcare-related, and system-related hurdles of using telepsychiatry emanated from the analysis. Conclusion: The use of digital mental health services varies between different Arab countries. Even though some nations have laws that regulate the provision of such services, most struggle with multifactorial barriers. As affordable and attainable solutions cannot only rely on training and recruiting more psychiatrists, telepsychiatry would help meet the exceeding demands in the Arab world, particularly after the COVID-19 outbreak. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Smart waste management perspective of COVID-19 healthy personal protective materials in concrete for decorative landscape pavements and artificial rocks.

This paper presents a new method for determining the effect of healthy personal protective material (HPPM) stripes, such as surgical masks, protective suits, and overhead and foot covers, on the durability and physicomechanical characteristics of concrete for use in architectural forms. Because of the current global epidemic caused by coronavirus (COVID-19), the use of HPPM, such as surgical masks, protective suits, and overhead and foot covers, has increased considerably. COVID-19's second and third waves are currently affecting various countries, necessitating the use of facemasks (FM). Consequently, millions of single FM have been discharged into the wild, washing up on beaches, floating beneath the seas, and ending up in hazardous locations. The effect of stripe fibers on the physicomechanical characteristics of concrete, such as the workability, Uniaxial Compressive Strength UCS, flexural strength, impact strength, spalling resistance, abrasion resistance, sorptivity, Water absorption Sw, porosity (ηe), water penetration, permeability, and economic and eco-friendly aspects, need to be determined. With a focus on HPPM, especially single-use facemasks, this study investigated an innovative way to incorporate pandemic waste into concrete structures. Scanning electron microscope and X-ray diffraction patterns were employed to analyze the microstructures and interfacial transition zones and to identify the elemental composition. The HPPM had a pore-blocking effect, which reduced the permeability and capillary porosity. Additionally, the best concentrations of HPPM, particularly of masks, were applied by volume at 0, 1, 1.5, 2.0, and 2.5%. The use of mixed fibers from different HPPMs increased the strength and overall performance of concrete samples. The tendency of growing strength began to disappear at approximately 2%. The results of this investigation showed that the stripe content had no effect on the compressive strength. However, the stripe is critical for determining the flexural strength of concrete. The UCS increased steadily between 1 and 1.5% before falling marginally at 2.5%, which indicates that incorporating HPPM into concrete had a significant impact on the UCS of the mixture. The addition of HPPM to the mixtures considerably modified the failure mode of concrete from brittle to ductile. Water absorption in hardened concrete is reduced when HPPM stripes and fibers were added separately in low-volume fractions to the concrete mixture. The concrete containing 2% HPPM fibers had the lowest water absorption and porosity percentage. The HPPM fibers were found to act as bridges across cracks, enhancing the transfer capability of the matrices. From a technological and environmental standpoint, this study found that using HPPM fibers in the production of concrete is viable.

Progressive Review of Functional Nanomaterials-Based Polymer Nanocomposites for Efficient EMI Shielding

Nanomaterials have assumed an imperative part in the advancement of human evolution and are more intertwined in our thinking and application. Contrary to the conventional micron-filled composites, the unique nanofillers often modify the properties of the polymer matrix at the same time, bestowing new functionality because of their chemical composition and their nano dimensions. The unprecedented technological revolution is driving people to adapt to miniaturized electronic gadgets. The sources of electromagnetic fields are ubiquitous in a tech-driven society. The COVID-19 pandemic has escalated the proliferation of electromagnetic interference as the world embraced remote working and content delivery over mobile communication devices. While EMI shielding is performed using the combination of reflection, absorption, and electrical and magnetic properties, under certain considerations, the dominant nature of any one of the properties may be required. The miniaturization of electronic gadgets coupled with wireless technologies is driving us to search for alternate lightweight EMI shielding materials with improved functionalities relative to conventional metals. Polymer nanocomposites have emerged as functional materials with versatile properties for EMI shielding. This paper reviews nanomaterials-based polymer nanocomposites for EMI shielding applications.

Telepsychiatry in the Arab world: A viewpoint before and during COVID-19

Purpose: Telepsychiatry, a subset of telemedicine, has been increasingly studied to meet the growing demands for psychiatric care. The utility of telepsychiatry is relevant now more than ever as the world endures the COVID-19 global pandemic. This paper describes the prior state and the changes that the COVID-19 outbreak brought to telepsychiatry in a selected group of Arab countries of the Middle East and North Africa (MENA) region. Patients and Methods: We invited twelve early-career psychiatrists from different Arab nations to share information related to telepsychiatry in their respective countries before and during the COVID-19 pandemic. The information was collected using a semi-structured guide. This was complemented by a search for relevant articles in five search engines using terms such as "COVID-19," "telepsychiatry," and "Arab world". Results: Before the pandemic, digital mental health services were provided in several Arab countries, mainly through hotlines and messaging services. The COVID-19 pandemic has marked a major shift in digital psychiatric services in the Arab MENA world, through the transformation of many clinics and some hospitals into digital mental health systems. Many non-governmental organizations also started remote initiatives for psychological support and psychiatric counseling. Three main barriers of patient-related, healthcare-related, and system-related hurdles of using telepsychiatry emanated from the analysis. Conclusion: The use of digital mental health services varies between different Arab countries. Even though some nations have laws that regulate the provision of such services, most struggle with multifactorial barriers. As affordable and attainable solutions cannot only rely on training and recruiting more psychiatrists, telepsychiatry would help meet the exceeding demands in the Arab world, particularly after the COVID-19 outbreak. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Rheumatology university faculty opinion on coronavirus disease-19 (COVID-19) vaccines: the vaXurvey study from Egypt.

OBJECTIVES: The aim of the present work was to explore the perspectives of Egyptian Rheumatology staff members as regards the coronavirus disease-19 (COVID-19) vaccine. METHODS: The survey is composed of 25 questions. Some questions were adapted from the global rheumatology alliance COVID-19 survey for patients. RESULTS: 187 rheumatology staff members across Egypt from 18 universities and authorizations actively participated with a valid response. The mean time needed to complete the survey was 17.7 ± 13 min. Participants were 159 (85%) females (F:M 5.7:1). One-third agreed that they will be vaccinated once available, 24.6% have already received at least one dose, 29.4% are unsure while 16% will not take it. Furthermore, 70.1% agreed that they will recommend it to the rheumatic diseases (RD) patients once available, 24.1% are not sure while 5.9% will not recommend it. RD priority to be vaccinated against COVID-19 in descending order include SLE (82.9%), RA (55.1%), vasculitis (51.3%), systemic sclerosis (39.6%), MCTD (31.6%), Behcet's disease (28.3%). The most common drugs to be avoided before vaccination included biologics (71.7%), DMARDs (44.4%), biosimilars (26.7%), IVIg (17.1%) and NSAIDs (9.1%). CONCLUSIONS: The results of the study and specifically the low rate of acceptability are alarming to Egyptian health authorities and should stir further interventions to reduce the levels of vaccine hesitancy. As rheumatic disease patients in Egypt were not systematically provided with the vaccine till present, making the vaccine available could as well enhance vaccine acceptance. Further studies to investigate any possible side effects, on a large scale of RD patients are warranted.

Government Communication Strategies during Coronavirus Pandemic: United Arab Emirates Lessons

Government communication introduced important lessons during the worldwide experience with the COVID-19 pandemic. It is important to apply known efficacious principles of risk and health communication strategies. The purpose of the study is to depict and explore the United Arab Emirates government communication scenario in tackling the COVID-19 pandemic as well as look at the types of strategies, information and messages delivered via digital mediums to handle challenges that are raised based on the Crisis and Emergency Risk Communication model. The study includes a qualitative analysis of two government bodies? digital platforms: ?The Ministry of Health and Prevention? (mohap) and ?Crisis and Disasters Management Authority?. Results indicated that the UAE government used different communication aims and strategies to face the pandemic according to the risk management scenario. In the quarantine phase, communication focused on giving people information about the disease, raising awareness about the disease, motivating health and behaviour change, informing people about government decisions and procedures. In the coexistence phase communication focused on emphasising the necessity of adherence the health measures, providing information on re-work in institutions and commercial centres, involving people in the health and social initiatives, confronting non-compliance with health precautions. Government communication also focused on facing rumours and false information. UAE government communication used digital platforms and social media to address more than 200 nationalities living in the state for ensuring that they adhere to the precautionary measures and coordinate with the authorities. Government communication was committed to a set of values including equality between citizens of the state and residents, societal and individual responsibility, recognising the frontline medical staff and acknowledging their sacrifices. UAE implemented an integrated, coherent and effective scenario to deal with the crisis. It developed risk communication strategies in health communication to manage the COVID-19 crisis by following international standards and also took into account its own political, economic, social and cultural features. The UAE government used many strategies to inform and convince people including clarification of measures strategy, reassurance strategy, ambiguity reduction strategy, behaviour efficacy strategy, correcting misinformation and rumours, advising strategy.

FPGA Realizations of Chaotic Epidemic and Disease Models Including Covid-19.

The spread of epidemics and diseases is known to exhibit chaotic dynamics; a fact confirmed by many developed mathematical models. However, to the best of our knowledge, no attempt to realize any of these chaotic models in analog or digital electronic form has been reported in the literature. In this work, we report on the efficient FPGA implementations of three different virus spreading models and one disease progress model. In particular, the Ebola, Influenza, and COVID-19 virus spreading models in addition to a Cancer disease progress model are first numerically analyzed for parameter sensitivity via bifurcation diagrams. Subsequently and despite the large number of parameters and large number of multiplication (or division) operations, these models are efficiently implemented on FPGA platforms using fixed-point architectures. Detailed FPGA design process, hardware architecture and timing analysis are provided for three of the studied models (Ebola, Influenza, and Cancer) on an Altera Cyclone IV EP4CE115F29C7 FPGA chip. All models are also implemented on a high performance Xilinx Artix-7 XC7A100TCSG324 FPGA for comparison of the needed hardware resources. Experimental results showing real-time control of the chaotic dynamics are presented.

Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.

During the coronavirus disease-2019 (COVID-19) pandemic there were several barriers to treatment access and medication adherence in rheumatoid arthritis (RA) patients. There is no information regarding the RA patient health status in Egypt during the COVID-19. Thus,the aim of this work was to study the impact of the pandemic on RA patients through a patient-reported questionnaire and to determine the influence of gender, geographic regions. This multi-centre study initiated by the Egyptian College of Rheumatology (ECR) was conducted on 1037 RA patients attending rheumatology clinics from 10 governorates. The questionnaire provided covered socio-demographic data, health/disease status, information/knowledge about COVID-19 and medical/family history of the infection. Patients mean age was 44.2 ± 12.3 years;855 females and 182 males; 539(52%) from rural and 497(48%) from urban areas. 41.8% reported a striking difficulty to obtain hydroxychloroquine during the pandemic. The majority (70%) considered maintaining a regular visit to the rheumatologist in addition to remote contact mainly by phone (44.4%) or via WhatsApp (33.1%), in particular among male and urban patients. Urban patients were more likely to be infected by COVID-19 (12.9% vs 6.2%; p < 0.0001) than rural. Northern cities had more patients with suspected COVID-19 (13.9% vs 6.1%; p < 0.0001); was significantly associated with more disease flares (30.8% vs 5.8%) with subsequent change in the RA treatment (20.9% vs 6.4%; p < 0.0001). Patients with RA faced remarkable difficulty to obtain their medications with subsequent change in their disease status. The challenges of the pandemic have hastened changes in the way we deliver health care.

Telepsychiatry in the Arab World: A Viewpoint Before and During COVID-19.

PURPOSE: Telepsychiatry, a subset of telemedicine, has been increasingly studied to meet the growing demands for psychiatric care. The utility of telepsychiatry is relevant now more than ever as the world endures the COVID-19 global pandemic. This paper describes the prior state and the changes that the COVID-19 outbreak brought to telepsychiatry in a selected group of Arab countries of the Middle East and North Africa (MENA) region. PATIENTS AND METHODS: We invited twelve early-career psychiatrists from different Arab nations to share information related to telepsychiatry in their respective countries before and during the COVID-19 pandemic. The information was collected using a semi-structured guide. This was complemented by a search for relevant articles in five search engines using terms such as "COVID-19," "telepsychiatry," and "Arab world". RESULTS: Before the pandemic, digital mental health services were provided in several Arab countries, mainly through hotlines and messaging services. The COVID-19 pandemic has marked a major shift in digital psychiatric services in the Arab MENA world, through the transformation of many clinics and some hospitals into digital mental health systems. Many non-governmental organizations also started remote initiatives for psychological support and psychiatric counseling. Three main barriers of patient-related, healthcare-related, and system-related hurdles of using telepsychiatry emanated from the analysis. CONCLUSION: The use of digital mental health services varies between different Arab countries. Even though some nations have laws that regulate the provision of such services, most struggle with multifactorial barriers. As affordable and attainable solutions cannot only rely on training and recruiting more psychiatrists, telepsychiatry would help meet the exceeding demands in the Arab world, particularly after the COVID-19 outbreak.