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The region of the Middle East and North Africa (MENA) is diverse and retains a superior growth potential. It benefits from a privileged geographical location with big markets, a young and growing educated population, and competitive advantages in several industries. Regardless of their differences, countries face shared concerns, most notably in health. In response to the COVID-19 pandemic, MENA countries enact reforms to create a more robust and inclusive digital health systems to increase growth, development, and integrity. Throughout the coordinated containment and mitigation efforts, most of the countries have integrated digital technologies into the health systems. These procedures include digital government initiatives, the introduction of digital health training courses, live video surgeries and virtual patient monitoring, rural and remote telemedicine programs, and the development of a national electronic health records (EHR) system. Each country took necessary actions to address equity, literacy, and development of resilient health systems. The nine featured countries in this report illustrate the diversity among the MENA region and account for major opportunities and achievements as well as promises and challenges that digital health presents for its populations. © 2022 IMIA and Georg Thieme Verlag KG.
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Background: Evidence suggests that vaccines efficacy lies on the prevention of severe symptomatic disease. We aim to describe the clinical characteristics of COVID-19 infection among healthcare professionals (HCPs) after vaccination, during periods of transmission of SARS CoV-2 variants in a COVID-19 dedicated facility. Methods: A retrospective observational study of HCPs confirmed with COVID-19 during the period March 2021 to Jan 2022 was conducted. Delta period (March-August 2021), and Omicron period (Dec 2021-Jan 2022) were defined. Clinical, laboratory, radiology and vaccination history was collected from electronic medical records. Results: COVID-19 infection was reported in 16 and 138 HCPs during the Delta and Omicron period respectively. By category the nurses predominate, and a significant contribution of the healthcare related transmission against the community-related one. Higher frequency of loss of taste (37.5% vs 4.3%), and loss of smell (43.8% vs 3.6%) was observed during Delta period. Myalgia (12.5% vs 37.7%), and sore throat (6.3% vs 55.8%) predominated in Omicron period. Bilateral ground-glass appearance of the lung was observed in 28.6% and 7.1% in the Delta and Omicron period, respectively. Higher cycle threshold values of the polymerase chain reaction test during Omicron period, in comparison with Delta period, was observed (22.98 vs 25.98). Time from previous vaccine dose to positive laboratory test was longer during the Delta period (131 vs 98.26 days). Conclusion: SARS CoV-2 viral variants infections in HCPs were associated to selected clinical and epidemiological characteristics, with less severe disease for Omicron variant, and potential shorter duration of the immune response to vaccination. © 2020 The author (s)..
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Telepsychiatry has been established for many years with evidence of efficacy as well as challenges. In the Middle East, it remains underutilized. This is despite the high stigma associated with mental illness being a major barrier to access to specialized mental health care. With the onset of the COVID-19 pandemic, there was a worldwide urgent need to establish services that provided the care needed without direct contact. Qatar, like other countries in the region, had to provide telemedicine, including telepsychiatry, within a very short period to address the growing demand for mental health during a time when face-to-face clinical care was minimized. In this brief communication, we describe the experience in Qatar, and the outcome of a survey of strengths and challenges reported by service users. [ FROM AUTHOR] Copyright of Arab Journal of Psychiatry is the property of Arab Federation of Psychiatrists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Widespread vaccination programs have been implemented in many countries to curtail the COVID-19 pandemic, with varying success and challenges. To better understand the successes and challenges of the global COVID-19 response in the face of emerging new variants and epidemiologic data, we discuss how Qatar engaged the healthcare sector, governmental bodies, and the populace to combat COVID-19, with a focus on the country's vaccination strategy. This narrative provides the history and timeline of the Qatar COVID-19 vaccination campaign; factors that helped the vaccination campaign and the transferable lessons learned are discussed. Details regarding how Qatar responded to challenges, such as vaccine hesitancy and mitigation of misinformation, are highlighted. Qatar was one of the first countries to procure the BNT162b2 (Comirnaty®; Pfizer-BioNTech, Pfizer Inc., New York, NY, USA) and mRNA-1273 (Spikevax®; Moderna, Cambridge, MA, USA) COVID-19 vaccines. A relatively high vaccination rate and low case mortality rate (0.14% as of 4 January 2023) was observed in Qatar compared with other countries (global case mortality rate, 1.02%). Learnings will be carried forward as a basis for addressing this evolving pandemic and any future national emergencies in Qatar.
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Background: The One Health concept (OHC) seeks to improve the health of plants, animals, and humans because improving animal and plant health will increase the capacity for improving human health. Many risks such as plant and animal biotechnology applications have the potential to generate new diseases that can be transmitted to humans. In this way, the health of humans, animals, and plants is interrelated and depends on one another. However, it has been difficult to apply the OHC in some countries, such as those in the Middle East. The absence of financial support in the region is a major hindrance to applying this concept in the region. The application of the OHC requires the support of specialists who can advocate the government for support in launching OHC-related projects. Here, we discuss the OHC in the context of antimicrobial resistance, zoonotic diseases, and biosafety/biosecurity, which are important public health issues. Furthermore, we describe the current status of the OHC in the Middle East and recent research conducted related to this concept. There has been recent international solidarity in the application of the OHC to reduce risks that threaten the health of organisms. Several countries jointly launched the Global Health Security Agenda in 2014 with the aim of realizing a world that is free of infectious disease-related health risks. However, no previous review articles have examined the applications of the OHC in the Middle East region. This article discusses the OHC in terms of its needs and current applications in the Middle East. Methodology: The following keywords were used in the search: "One Health," "Middle East," "medicinal plants," "viruses," "rabies," "MERS," and "antimicrobial resistance." Related papers were obtained by searching for these keywords using available search engines, such as PubMed, Google Scholar, and Google search, as well as international organization websites. Conclusion(s): The concept of One Health is relatively new and has not been applied in most countries, possibly because the value of this concept for improving human health is not well understood. The key principle defining this concept and its importance is the interdependency of plants, animals, and human health. By applying the OHC, humans can benefit from healthy plants and animals by enhancing their growing conditions, medications, and environments. This would in turn improve general human health by allowing the safe extraction of therapeutics and food resources.Copyright © 2023
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Introduction: Mass gatherings (MGs) are usually pre-planned large events that are known to amplify the risk of infectious disease (1). Although, the risk and pattern of diseases at mass gatherings vary depending on the features of the event such as crowding, shared accommodation, possibilities of the participants to prolonged exposure and close contact with infectious individuals, type of activities, and also the characteristics of the participants including their age & immunity to infectious agents, many of these can be prevented by appropriate vaccinations (2, 3). The aim of this article is to present a summary of the risk of vaccine-preventable diseases in MGs. Method(s): The method used to develop this article weas based on a litterature review. A summaryzing process of the documented risk of vaccine-preventable diseases in MGs was conducted to extract the most useful knowledge on this topic. It explored also available evidence on the effectiveness of vaccination policies for reducing disease transmission associated with these events and also the outstanding questions that need to be addressed for future consideration of some new and promising vaccines. Pubmed- Medline, Scopus, web of science and google Scholar were used to search over the published litterature. Result(s): The current Hajj vaccination policy includes mandatory vaccination for all pilgrims against meningococcal disease. This is in addition to mandatory vaccination against yellow fever, polio and Sarscov2 for pilgrims coming from endemic region. The Saudi Ministry of Health also strongly recommends seasonal influenza vaccination for all pilgrims, particularly those at high risk of infection complications. Data on the vaccination requirements for other mass gathering events such as Kumbh Mela and other religious, sports and entertainment events are still clearly lacking. Travelers to the FIFA 2022, Qatar, were advised to remain up-to-date with routine vaccines. Apart from the hajj settings, no data are available on the possible impact of the current vaccination policy on the control of infectious disease transmission in mass gatherings. The available data demonstrate that the current vaccination policy and health requirement for hajj is effectively contributing towards controlling the transmission of infectious diseases associated with Hajj pilgrimage (37), however evidence on effectiveness is clearly lacking. Moreover, there is no vaccination policy as part of health requirements for attendance in Kumbh Melain India. Conclusion(s): While taking into account local immunization policies of countries of origin and countries of travel, for diseases with known effective prequalified vaccines, WHO recommends that travelers at risk of developing complications, or at increased risk of acquiring and spreading infection such as those attending mass events, should consider vaccination as a preventive measure. Such policies are effective when these are driven by evidence and its effectiveness are measured through large scale studies. Mots cles: Mass Gatherings, Vaccines, Vaccination, Prevention Declaration de liens d'interets: Les auteurs n'ont pas precise leurs eventuels liens d'interets.Copyright © 2023
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The COVID-19 pandemic has severely affected public health system and surveillance of other communicable diseases across the globe. The lockdown, travel constraints and COVID phobia turned down the number of people with illness visiting to the clinics or hospitals. Besides this, the heavy workload of SARS-CoV-2 diagnosis has led to the reduction in differential diagnosis of other diseases. Consequently, it added to the underlying burden of many diseases which remained under-diagnosed. Amidst the pandemic, the rise of emerging and re-emerging infectious diseases was observed worldwide and reported to the World Health Organization i.e., Crimean Congo Hemorrhagic Fever (2022, Iraq;2021 India), Nipah virus (2021, India), Zika virus (2021, India), and H5N1 influenza (2021, India), Monkeypox (2022, multicountry outbreak), Ebola virus disease (2022, DRC, Uganda;2021, DRC, Guinea;2020, DRC), Marburg (2022, Ghana;2021, Guinea), Yellow fever (2022, Uganda, Kenya, West and Central Africa;2021, Ghana, Venezuela, Nigeria;2020, Senegal, Guinea, Nigeria, Gabon;2020, Ethiopia, Sudan, Uganda), Dengue (2022, Nepal, Pakistan, Sao Tome, Temor-Leste;2021, Pakistan), Middle east respiratory syndrome coronavirus (2022, Oman, Qatar;2021, Saudi Arabia, UAE;2020, Saudi Arabia, UAE), Rift valley fever (2021, Kenya;2020, Mauritania), wild poliovirus type 1 (2022, Mozambique), Lassa fever (2022, Guinea, Togo, Nigeria;2020, Nigeria), Avian Influenza (H3N8) (2022, China), Avian Influenza (H5N1) (2022, USA), H10N3 influenza (2021, China), Hepatitis E virus (2022, Sudan), Measles (2022, Malawi, Afghanistan;2020, Burundi, Mexico), Mayaro virus disease (2020, French Guiana), Oropouche virus disease (2020, French Guiana). All these diseases were associated with high morbidity and burdened the public health system during the COVID-19 pandemic. During this critical public health menace, majority of the laboratory workforce was mobilized to the SARS-CoV-2 diagnosis. This has limited the surveillance efforts that likely led to under diagnosis and under-detection of many infectious pathogens. Lockdowns and travel limitations also put a hold on human and animal surveillance studies to assess the prevalence of these zoonotic viruses. In addition, lack of supplies and laboratory personnel and an overburdened workforce negatively impacted differential diagnosis of the diseases. This is especially critical given the common symptoms between COVID-19 and other pathogens causing respiratory illnesses. Additionally, the vaccination programs against various vaccine preventable diseases were also hampered which might have added to the disease burden. Despite these challenges, the world is better prepared to detect and respond to emerging/re-emerging pathogens. India now has more than 3000 COVID-19 diagnostic laboratories and an enhanced hospital infrastructure. In addition, mobile BSL-3 facilities are being validated for onsite sampling and testing in remote areas during outbreak situations and surveillance activities. This will undoubtedly be valuable as the COVID-19 pandemic evolves as well as during future outbreaks and epidemics. In conclusion, an increase in the emergence and re-emergence of viruses demonstrates that other infectious diseases have been neglected during the COVID-19 pandemic. Lessons learned from the infrastructure strengthening, collaborations with multiple stakeholders, increased laboratory and manufacturing capacity, large-scale COVID-19 surveillance, extensive network for laboratory diagnosis, and intervention strategies can be implemented to provide quick, concerted responses against the future threats associated with other zoonotic pathogens.
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Background: Long-term effectiveness of COVID-19 mRNA boosters in populations with different prior infection histories and clinical vulnerability profiles is inadequately understood. Method(s): A national, matched, retrospective, target trial cohort study was conducted in Qatar to investigate effectiveness of a third mRNA (booster) dose, relative to a primary series of two doses, against SARS-CoV-2 omicron infection and against severe COVID-19. Associations were estimated using Cox proportional-hazards regression models. Result(s): Booster effectiveness relative to primary series was 41.1% (95% CI: 40.0-42.1%) against infection and 80.5% (95% CI: 55.7-91.4%) against severe, critical, or fatal COVID-19, over one-year follow-up after the booster. Among persons clinically vulnerable to severe COVID-19, effectiveness was 49.7% (95% CI: 47.8-51.6%) against infection and 84.2% (95% CI: 58.8-93.9%) against severe, critical, or fatal COVID-19. Effectiveness against infection was highest at 57.1% (95% CI: 55.9-58.3%) in the first month after the booster but waned thereafter and was modest at only 14.4% (95% CI: 7.3-20.9%) by the sixth month. In the seventh month and thereafter, coincident with BA.4/BA.5 and BA.2.75* subvariant incidence, effectiveness was progressively negative reaching -20.3% (95% CI: -55.0-29.0%) after one year of follow-up. Similar levels and patterns of protection were observed irrespective of prior infection status, clinical vulnerability, or type of vaccine (BNT162b2 versus mRNA-1273). Conclusion(s): Boosters reduced infection and severe COVID-19, particularly among those clinically vulnerable to severe COVID-19. However, protection against infection waned after the booster, and eventually suggested an imprinting effect of compromised protection relative to the primary series. However, imprinting effects are unlikely to negate the overall public health value of booster vaccinations.
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Background: Coronavirus Disease 2019 (COVID-19) vaccine antigen dosage may affect protection against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, but direct evidence to quantify this effect is lacking. Method(s): A matched, retrospective, cohort study that emulated a randomized control trial was conducted in Qatar between February 3, 2022 and November 8, 2022, to provide a head-to-head, controlled comparison of protection induced by two antigen dosages of the BNT162b2 vaccine. The study compared incidence of omicron infection in the national cohort of adolescents 12 years of age who received the two-dose primary-series of the 30-mug BNT162b2 vaccine to that in the national cohort of adolescents 11 years of age who received the two-dose primary-series of the pediatric 10-mug BNT162b2 vaccine. Associations were estimated using Cox proportional-hazard regression models. Result(s): Among adolescents with no record of prior infection, cumulative incidence of infection was 6.0% (95% CI: 4.9-7.3%) for the 30-mug cohort and 7.2% (95% CI: 6.1-8.5%) for the 10-mug cohort, 210 days after the start of follow-up. Incidence during follow-up was dominated by omicron subvariants including, consecutively, BA.1/BA.2, BA.4/BA.5, BA.2.75*, and XBB. The adjusted hazard ratio comparing incidence of infection in the 30-mug cohort to the 10-mug cohort was 0.77 (95% CI: 0.60-0.98). Corresponding relative effectiveness was 23.4% (95% CI: 1.6-40.4%). Relative effectiveness was -3.3% (95% CI: -68.0- 27.5%) among adolescents with a record of prior infection. Conclusion(s): Three-fold higher BNT162b2 dosage was associated with ~25% higher protection against infection in infection-naive adolescents of similar age. These findings may inform design of future COVID-19 vaccines and boosters for persons of different age groups.
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Background: Accurate determination of the immediate and contributory causes of death in patients with COVID-19 is important for optimal care and instituting mitigation strategies. Method(s): All deaths in Qatar between March 1, 2020 and August 31, 2022 flagged for likely relationship to COVID-19 by were evaluated by two independent reviewers trained to determine and assign the most likely immediate underlying cause of death. Each decedent's electronic medical records was comprehensively reviewed, and the cause of death was assigned based on the most plausible underlying event that triggered the event(s) that led to death based on clinical documentation and a review of laboratory, microbiology, pathology, and radiology data. After cause assignment, each case was categorized into major diagnostic groups by organ system, syndrome, or disease classification. Result(s): Among 749 deaths flagged for likely association with COVID-19, the most common admitting diagnoses were respiratory tract infection (91%) and major adverse cardiac event (MACE, 2.3%). The most common immediate cause of death was COVID pneumonia (66.2%), followed by MACE (7.1%), hospital associated pneumonia (HAP, 6.8%), bacteremia (6.3%), disseminated fungal infection (DFI, 5.2%), and thromboembolism (4.5%). The median length of hospital stay was 23 days (IQR 14,38). COVID pneumonia remained the predominant cause irrespective of the time from admission, though the proportion dropped with increasing length of stay in the hospital. Other than COVID pneumonia, MACE was the predominant cause of death in first two weeks but declined thereafter. No death occurred due to bacteremia, HAP, or DFI in the first week after hospitalization, but became increasing common with increased length of stay in the hospital accounting for 9%, 12%, and 10% of all deaths after 4 weeks in the hospital respectively. The majority of deaths (86%) occurred in the intensive care unit setting. COVID pneumonia accounted for approximately two-thirds of deaths in each setting. MACE and HAP were approximately equally represented in both settings while bacteremia and disseminated fungal infection were more common in the intensive care unit setting. Conclusion(s): Nearly one-third of patients with COVID infection die of non- COVID causes, some of which are preventable. Mitigation strategies should be instituted to reduce the risk of such deaths. (Figure Presented).
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Background: COVID-19 has emerged as a serious pandemic that emerged during since the end of 2019. The dissemination and survival of coronaviruses have been demonstrated to be affected by ambient temperature in epidemiological and laboratory research. The goal of this investigation was to see if temperature plays a role in the infection produced by this novel coronavirus. Methods: Between March 29, 2020, and September 29, 2020, daily confirmed cases and meteoro-logical parameters in many Gulf countries were collected. Using a generalized additive model, we investigated the nonlinear relationship between mean temperature and COVID-19 confirmed cases.. To further investigate the association, we employed a piecewise linear regression. Results: According to the exposure-response curves, the association between mean temperature and COVID-19 cases was nearly linear in the window of 21 - 30C while it is almost flat beyond that window. When the number was below 21C (lag 0-14), each 1C increase was associated with a 4.861 percent (95 percent CI: 3.209 - 6.513) increase in mean temperature (lag 0-14). Our sensitiv-ity analysis confirmed these conclusions. Conclusions: Our findings show a positive linear association between mean temperature and the number of COVID-19 cases with a threshold of 21C. There is little evidence that COVID-19 case numbers would rise as the weather becomes colder, which has important consequences for making health strategy and decision.
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BACKGROUND: Covid-19 related studies report psychological impacts during home isolation and social distancing. Despite that, children and adolescents were able to adopt coping strategies that assisted in lowering severe levels of psychological disorders. This study aims to report on the psychosocial implications of social distancing and isolation on children of different nationalities who reside in Qatar, and to reveal their coping ways. METHODS: This is a cross sectional study with qualitative component at its end. The study is a part of a larger study that reported the results of a national screening for psychological disorders experienced by children and adolescents in Qatar. A bilingual online questionnaire included close-ended and one open-ended question to screen for psychological changes and identify coping strategies practiced by children and adolescents (7-18 years) during home-isolation and social distancing. The quantitative questionnaire had five main sections as follows: the sociodemographic characteristics, Spence Children's Anxiety Scale, Kutcher Adolescent Depression Scale, and Clinical Anger Scale). The last section screened for eight different coping strategies. The summative content analysis was used to analyze the open-ended question "What practices do you do at home that make you happy?". First, open coding was used (for identification), followed by the axial coding (for comparison), and lasted by sorting of coping strategies inductively. RESULTS: Six thousand six hundred and eight (6608) subjects participated between June 23 and July 18, 2020. The clinical outcomes of the study had varying prevalence and levels of severity, which ranged from mild to severe. Higher prevalence was noted for adjustment disorder 66.5% (n = 4396), and generalized anxiety 60% (n = 3858), in comparison to depression 40% (n = 2588). Additionally, participants reported using cognitive, spiritual, social, and physical coping strategies. Eight higher order themes were identified to reflect the coping strategies: playing with siblings or pets, gardening, cooking, practicing arts and crafts, and doing chores. Furthermore, Sociodemographic factors such as ethnicity, religion and family status played a considerable role in choosing the type of coping strategy. CONCLUSION: The uniqueness of the study is bringing the psychosocial implications of social distancing through the voices of children and adolescents, and coping strategies from their perspective. These results are of importance for educational and healthcare systems that are recommended to collaborate even in "normal" times to prepare these age categories for any future crises. The importance of daily lifestyle and family is highlighted as protectors, and crucial factors in emotional management.
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COVID-19 , Humans , Adolescent , Child , COVID-19/epidemiology , COVID-19/prevention & control , Cross-Sectional Studies , Physical Distancing , Patient Isolation , Qatar , Adaptation, PsychologicalABSTRACT
Background: Globally there is uncertainty about the role of severe asthma on COVID-19 outcomes. In contrast to varying observations from initial studies, there is now increasing evidence suggesting that asthma is not associated with an increased risk of acquiring COVID-19 infection or subsequent complications and mortality as initially anticipated. Still, we are learning about the impact of severe asthma and its treatment and associated co-morbidities on COVID-19. Hence, we aimed to identify the risk and severity of COVID-19 disease among patients with severe asthma. Method(s): We conducted a retrospective chart review of subjects following in severe asthma clinic at Hamad Medical Corporation, from March 2020 to November 2021. COVID-19 disease was defined by having a positive RT-PCR. Result(s): We reviewed 99 patients with controlled severe asthma (Table 1), all patients were on regular moderate-high dose inhaled corticosteroids. 60 (60.6%) patients were on different biological medications. 6 (6 %) patients were on regular oral corticosteroids. Only 10 (10.1%) patients had confirmed COVID-19 disease (Table 1), none of them had a severe disease or required ICU admission or died. The presence of co-morbidities like diabetes mellitus, hypertension and obesity were similar between patients who had COVID-19 disease and those with no COVID-19 disease. Although 50% of patients with positive COVID-19 had exposure to oral steroids, 48% of the no infection group also had required oral steroids during the study period. Conclusion(s): Our data showed that patients with stable severe asthma are not at increased risk of getting COVID-19 disease;the infection rate is comparable to the national rate of 8.3%. Patients are also not at risk of severe infection, hospitalization, or death. Most of the patients who developed COVID-19 had mild disease and recovered well, moreover, COVID-19 had minimal impact on the course of asthma. This highlights the importance of continuing asthma medications during the pandemic. We did not observe the effect of co-existing co-morbidities and different treatments on the risk of COVID-19 disease. However, our results were limited by the small sample size and lack of data about suspected patients without confirmatory RT-PCR. Further studies are needed to reinforce this conclusion. (Figure Presented).
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The spread of the Covid-19 pandemic and the interruption of personal communication between the teacher and students in higher education led to the need for finding solutions that enable the continuation of the educational process and ensure access to accurate information that improves the level of human capital in dealing with dynamic environments. Therefore, this research sought to analyse the impact of the application of artificial intelligence in entrepreneurship education in Qatari higher education institutions after the Corona pandemic. The measurement of artificial intelligence was based on dimensions (machine learning, natural language processing, expert sys-tems, and machine vision), while entrepreneurship education was measured by dimensions of (en-trepreneurial cognition, entrepreneurial competence, and innovation spirit). The research followed an experimental quantitative approach based on collecting data from Qatari university students using a questionnaire developed for the research purpose. Hence, the convenience sample used in the research was composed of 402 students from various Qatari universities, which represents a response rate of 67% from the distributed questionnaires. The statistical analysis of the research data was based on the covariance-based structural equation modeling technique (CB-SEM). The results of the research indicated that all dimensions of artificial intelligence had a positive impact on entrepreneurial education, with the highest impact being machine vision and the lowest impact being natural language processing. Accordingly, the results of the research revealed the need to invest in technological capabilities for supporting the educational system aimed at generating in-novative human resources capable of coping with the uncertainty of the work environment. © 2023 by the authors;licensee Growing Science, Canada.
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Objective: To establish the impact of smoking on the severity of COVID-19 infection among adults 18 years and above in Qatar during 2020–2021. Design: Analytical cross-sectional study from May 2020 to 2021. Setting: Health Information System (HIS) of Communicable disease and control center of Hamad Medical Corporation in Qatar. Participant: We randomly selected participants from all COVID-19 confirmed cases (n = 1036). Participants below 18 years old, people with HIV, and those who could not communicate in English and Arabic were excluded. The remaining patients (n = 576) were then allocated into smoking and nonsmoking groups. Result: The prevalence of tobacco smoking was (20.48%) among patients with COVID-19 infection. Age, nationality, employment, and low-to-moderate income were statistically significantly associated with smoking. In addition, the proportion of smokers who required hospitalization was higher compared to nonsmokers (23.7% vs. 17.9%) and were younger (mean age 44.18 years ±18.431) than nonsmokers (mean age 51.6 years ±18.382). The logistic regression revealed that smokers had significantly higher odds of Vitamin D deficiency than nonsmokers [OR: 2.358;CI: 1.017–5.513]. Conclusion: Even with limited statistical significance between smoking history and COVID-19 disease severity and outcome, clinical risk differences were observed among smokers. However, further studies may be required to evaluate the association. © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.
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In light of the high demand for skilled professionals and talents internationally, STEM skills carry special significance in today's competitive economy. Drawing on the Social Cognitive Career Theory (SCCT) and insights gleaned from the extant literature, our study sought to investigate the factors that are likely to predict students' interest in a STEM-related career in Qatar. An online survey was administered online via computer-assisted web interviewing (CAWI) and paper-and-Pencil Interviewing (PAPI) during the Spring term of 2021. Data was gathered from a sample of 1505 secondary school students, including 278 in grade 11 and 764 in grade 12) students in Qatar. Findings concluded from a two-level mixed-effects logistic regression revealed statistically significant differences based on students' age, nationality, and support from the family. Non-Qatari (expatriate) students attending private schools are significantly more likely to display interest in STEM-related careers. Additionally, taking a STEM course and teachers' use of experiments emerged as additional significant factors that affect student interest in a STEM-related career in Qatar. Our results point to the need for instruction to incorporate and emphasize practical activities to encourage students to engage in real-life STEM learning.
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The six Gulf monarchies—Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates (UAE)—are more politically stable than their peers in the Middle East and North Africa. Explanations for governance resilience range from repression to neopatrimonial and instrumental legitimacy, hydrocarbon-based rentierism, and permissive regional and international environments. This paper considers, in view of the proliferation and uptake of renewable energy in the Gulf, how governance resilience may be affected as a result of changes in state-society relations during the energy transition away from a fossil-fuel-based energy system. It offers a qualitative analysis of the impact of renewable energy deployment in the Gulf, supported by a rich array of secondary literature and data. It also offers a deep, if brief, dive to highlight intra-regional nuances. The authors conclude that in the short term, renewable energy deployment has a very modest impact given its limited share of power generation. In the longer term, even assuming that stated ambitions for renewable energy are fulfilled, no negative impact on monarchial resilience is expected thanks to gains in legitimacy and revenue streams, as well as purposeful alignment with an external environment supportive of renewable power in developing countries.
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BACKGROUND: The prevalence of burnout and anxiety is constantly increasing among health profession students worldwide. This study evaluates the prevalence of burnout and its relationship to anxiety and empathy during the COVID-19 pandemic among health profession students in the main governmental institution in Doha, Qatar using validated instruments. METHODS: A cross-sectional survey of health profession students using validated instruments was employed. The Maslach Burnout Inventory-General Students Survey (MBI-GS(S)) to measure burnout; The Generalized Anxiety Disorder (GAD-7) to measure anxiety; and Interpersonal Reactivity Index (IRI) to measure empathy were utilized. Descriptive statistics and multivariable linear regression were used. RESULTS: Of the 1268 eligible students, 272 (21.5%) completed the online survey. Burnout was found to be prevalent amongst the students. The mean scores for the MBI-GS(S) subscales of emotional exhaustion, cynicism, and professional efficacy were 4.07, 2.63, and 3.97, respectively. Anxiety was found to be a strong predictor for burnout and burnout was positively associated with empathy. CONCLUSIONS: Findings from this study demonstrated relationships between health profession students' burnout, anxiety, and empathy. These findings might have an impact on the development of curriculum interventions to enhance student well-being. More burnout awareness and management programs that cater to the specific needs of health profession students are needed. Furthermore, findings of this study may have implications for future educational interventions during times of crisis or how this can be used to improve student experiences in normal times.
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Burnout, Professional , COVID-19 , Students, Medical , Humans , Cross-Sectional Studies , Empathy , Pandemics , Qatar/epidemiology , Universities , Students, Medical/psychology , COVID-19/epidemiology , Burnout, Psychological , Burnout, Professional/epidemiology , Burnout, Professional/psychology , Surveys and Questionnaires , Anxiety/epidemiology , Anxiety Disorders , Health OccupationsABSTRACT
The third COVID-19 pandemic wave in Qatar was simulated with the use of the generalized SIR-model and the accumulated number of cases reported by Johns Hopkins University for the period: April 25 - May 8, 2021. The results were compared with the SIR simulations performed before for the second wave and the number of laboratory-confirmed cases in the first half of 2021. Despite the mass vaccination that began in December 2020, Qatar experienced a new epidemic wave in March-April 2021. As of the end of June 2021, the positive effects of vaccination were still unclear, although the number of fully vaccinated was already approaching half the population. Additional simulations have demonstrated that many COVID-19 cases are not detected. The real accumulated number of cases in Qatar can exceed the laboratory-confirmed one more than 5 times. This fact drastically increases the probability of meeting an infectious person and the epidemic duration.
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Providing online services and assistance to library users has become the standard practice of many libraries worldwide. It has prompted many institutions to develop strategic actions to remain relevant in the absence of physical services. Although there are numerous initiatives among public libraries for teens, there is limited literature about the provision of online services and assistance for teens during the initial months of the COVID-19 pandemic. Thus, this study seeks to highlight the services, efforts, and initiatives of Qatar National Library, specifically its Young Adult (YA) Section, in planning and implementing virtual services to address the information needs of teens during a pandemic. Additionally, this study will present information that might help library professionals design their own library plans and programs to serve young adults virtually. This paper takes a quantitative approach to share the library's experience organizing various online events and reference services for youth development amid limited access to physical services. This case study includes information about user feedback, highlighting the teens' experience with the library's virtual programs. [ABSTRACT FROM AUTHOR] Copyright of Public Library Quarterly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)