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المجتمعات في دي سبيس

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  • صورة مصغرة
    نوع المادة:المادة,
  • صورة مصغرة
    نوع المادة:المادة,
  • صورة مصغرة
    نوع المادة:المادة,
    THE EFFECTIVENESS OF A COGNITIVE-BEHAVIORAL COUNSELING PROGRAM IN REDUCING THE SYMPTOMS OF SOME MENTAL DISORDERS AMONG THE ELDERLY IN THE CITY OF JERICHO
    (An-Najah National University, 2025-03-10) Saleh, khadija
    Introduction: Studies have indicated an increase in the number of the elderly group in recent times. The elderly are experiencing many new changes and challenges, such as biological frailty, weak family and social relationships, thinking patterns, cognitive distortions, and symptoms of psychological disorders. These may lead to psychological trauma in the elderly or an increase in symptoms of psychological disorders. Therefore, attention to elderly care is extremely important. It is necessary to direct psychologists towards the elderly group to carry out scientific and practical research aimed at developing appropriate and effective treatment programs for the elderly. Aim: The primary objective of this study is to reduce the symptoms of some psychological disorders in the elderly, of the scale, the DASS-21 scale aims to assess the core symptoms of depression, anxiety, and stress in both clinical and non-clinical populations, providing guidance for self-monitoring. Study method: Data were collected using the DASS 21 scale to assess prevalent disorders, namely depression, anxiety, and stress. The study implemented cognitive-behavioral therapy theory, incorporating techniques and treatment models within the counseling program to reduce symptoms. The study population consisted of 56 elderly people in (Bait Al agdad) in Palestine, whose ages ranged from 60 years and above. The study also limited the research Sample: 24 elderly participants were selected and divided into two groups: a control group and an experimental group, each consisting of 12 individuals. Elderly participants with significant physical or mental difficulties were excluded. Participants were then grouped according to demographic characteristics, and those with similar psychological disorders—previously diagnosed—were selected for the study. They were divided into two groups, administered the DASS-21 test, and equivalence results appeared before starting the treatment process. Results: The results of the study showed that there are no statistically significant differences at (p ≤ 0.05) between the mean of scores of pre measurements of the symptoms of some mental disorders among the control group and Experimental, there are statistically differences at (p ≤ 0.05) in the mean of scores of post measurements for the symptoms of some mental disorders between the experimental and control groups, there are statistically significant differences at (p ≤ 0.05) between the mean of scores of pre and post measurements of the symptoms of some mental disorders among the experimental group. The findings indicated that cognitive behavioral therapy contributed to reducing psychological disorder symptoms among the elderly in this study. Moreover, CBT techniques—such as the event model, automatic thought identification, imagery, and relaxation techniques—proved to be more effective in alleviating symptoms than other approaches Recommendations: Allocate a team in psychological treatment, train workers in institutions concerned with the elderly on how to properly deal with them, and integrate them into outdoor activities. In addition, it is preferable to hold counseling sessions explaining cognitive-behavioral therapy. More scientific studies should also be conducted to understand the new life requirements of the elderly.
  • صورة مصغرة
    نوع المادة:المادة,
    ASSESSMENT OF ICU-ACQUIRED WEAKNESS IN NABLUS HOSPITALS: NURSE RECOGNITION, INTERVENTIONS, AND OUTCOMES COMPARED TO INTERNATIONAL STANDARDS – A DESCRIPTIVE CROSS-SECTIONAL AND PROSPECTIVE STUDY
    (An Najah National University, 2026-07-22) Eshtaya, Ahmad
    Background: Intensive care unit-acquired weakness (ICU-AW) is associated with delayed recovery, prolonged mechanical ventilation and ICU stay, persistent functional impairment, and reduced quality of life. ICU nurses are central to early recognition and prevention, yet evidence regarding their knowledge and bedside practice in Palestine is limited. This study assessed ICU nurses’ knowledge, recognition and assessment practices, preventive interventions, and perceived barriers related to ICU-AW in Nablus hospitals. Methodology: A descriptive cross-sectional study with a prospective observational component was conducted. All 150 eligible ICU nurses were invited; 140 completed the researcher-developed questionnaire (response rate = 93.3%), and 47 were included in direct observation. The questionnaire assessed demographics, knowledge, recognition and assessment, preventive interventions, and perceived barriers. The observational checklist assessed routine bedside practices. Content and face validity were established through expert review, and internal consistency was acceptable (Cronbach’s α = 0.749). Data were analyzed using SPSS, with p < 0.05 considered statistically significant. Results: Nurses demonstrated moderate overall knowledge (M = 14.14/24, SD = 3.99). Knowledge was strongest for general concepts and risk factors and weakest for diagnosis and recognition. Although 86.4% correctly identified the definition of ICU-AW, only 34.3% identified the MRC-SS as the principal bedside assessment tool and 12.9% identified its diagnostic threshold. None had received previous ICU-AW training. In the observational subsample, direct adherence averaged 4.66/12 (38.8%), whereas the self-reported practice score was 6.44/11 (58.5%). Higher education and longer ICU experience were significantly associated with greater knowledge. The most frequently reported barriers were workload, staff shortage, lack of training, limited diagnostic resources, restricted access to physiotherapy, and absence of standardized protocols. Conclusions: ICU nurses had moderate ICU-AW knowledge but important gaps in diagnostic recognition, standardized assessment, and bedside implementation. The difference between reported and observed practice indicates a knowledge-to-practice gap. Structured education, standardized ICU-AW protocols, multidisciplinary collaboration, and stronger institutional support are recommended.
  • صورة مصغرة
    نوع المادة:المادة,
    REDICTORS OF OUTCOMES, SURVIVAL, AND MORTALITY AFTER CEREBRAL CATHETERIZATION: A RETROSPECTIVE STUDY IN THE PALESTINIAN PRACTICE
    (An-Najah National University, 2026-07-05) Marabah, Nebal Ahmad
    Abstract Background: Cerebral catheterization is essential for the diagnosis and treatment of various cerebrovascular diseases, including stroke, arteriovenous malformations, aneurysms, and stenosis. This procedure is commonly performed through the femoral or radial artery. Objective: This study aims to explore the complications that arise after cerebral catheterization, along with mortality rates and survival outcomes. Moreover, in Palestine, there is a lack of research on cerebral catheterization, its significance, the outcomes, and the associated death rates, making this study particularly important for filling this gap. Methods: This retrospective cohort study was conducted at An-Najah National University Hospital and included patients who underwent diagnostic or interventional cerebral catheterization between 2020 and 2024. Data were retrospectively collected from medical records to evaluate demographic, clinical, radiological, and outcome variables, including post-procedural complications, mortality, and survival. The data collection process took approximately six months. Results: The study included 214 patients who underwent diagnostic or interventional cerebral catheterization. The overall survival rate was 78.5%, while the in-hospital mortality rate was 21.5%. Post-procedural complications varied according to patient characteristics and procedure type. Kaplan–Meier analysis showed significantly lower survival among patients with comorbidities (p < .001). Cox regression identified comorbidities (HR = 6.94, 95% CI: 2.66–18.15; p < .001) and post-procedural complications (HR = 3.63, 95% CI: 1.30–10.16; p = 0.014) as independent predictors of mortality. Conclusion: Cerebral catheterization includes both diagnostic and therapeutic procedures, with outcomes influenced by patient characteristics and procedure type. Therapeutic catheterization is associated with higher complication rates and longer ICU stays, while neurological complications are relatively uncommon. Keywords: Digital subtraction angiography, cerebral catheterization, intensive care unit, cerebrovascular diseases, post-procedural complications, Palestine.