Doctor of Medicine

Permanent URI for this collection

https://hdl.handle.net/20.500.11888/15063

Browse

Browsing Doctor of Medicine by Title

Now showing 1 - 20 of 246
  • Thumbnail Image
    Item
    Adherence to Stress Ulcer Prophylaxis Guidelines in Intensive Care and Internal / Units: A Retrospective Study from Palestine
    (2018-05-20) Ola, Wasef Omarya; Mohammad, Ismail Smerat; Dr. Rowa Al-Ramahi , Dr. Qusay Abdoh
  • Thumbnail Image
    Item
    Adherence to Stress Ulcer Prophylaxis Guidelines in Intensive Care and Internal / Units: A Retrospective Study from Palestine
    (2017-05-26) Mohammad Ismail Smerat; Ola Wasef Omarya; Dr. Rowa Al-Ramahi Dr. Qusay Abdoh
  • Thumbnail Image
    Item
    Adherence, attitude and Knowledge about influenza vaccination among medical personnel in Palestine
    (2019-05-10) رامي أنور منير مسك; ثائر ابراهيم أحمد صويلح
  • Thumbnail Image
    Item
    Alloimmunization among dialysis patients in Palestine
    (2019-05-11) مرح صالح ابراهيم شلبي; وفاء عباس سليمان بني عودة
  • Thumbnail Image
    Item
    Allowing organ donation status among An-Najah National University students: a cross sectional study
    (2019-05-13) نوف أحمد أنيس أبو حسين; رواء عاص سرحان أطرش
  • Thumbnail Image
    Item
    Anatomic variations of the biliary tree in Palestine
    (2019-05-14) هبة مهند محمود عبد الكريم; مكرم لطفي "عبد الحميد" جبريني; رولا علي أمين علي
  • Thumbnail Image
    Item
    Antenatal corticosteroids and fetal lung immaturity in preterm birth
    (2017-05-09) ريته عماد فارس بطه; ريم محمود عوض ياسين
  • Thumbnail Image
    Item
    Aspects of vision-related quality of life among patients with keratoconus in Nablus, Palestine
    (2019-05-10) لبنى ماهر أحمد عمرو; ندين ناصر صالح غطاس
  • Thumbnail Image
    Item
  • Thumbnail Image
    Item
    Assessing iron levels in the breast milk samples for nursing mothers: a cross sectional study in the West Bank of Palestine
    (2021-07-29) Khaled Ihab Abdo; Diana Hosam Atili; Ola Samer Baarah
    Background: Iron is an important micronutrient for both mother and baby and it is found in many sources in environment, although iron milk concentrations is not highly affected by mothers nutritional status or pregnancy supplements, either high or low iron concentrations can affect the recipient baby. Objective: The primary aim of this study was to assess iron concentration in breast milk in 5 main regions of the West Bank of Palestine to investigate the effect of some sociodemographic and nutritional variables on iron concentration. Methods: Breast milk samples were collected from 160 lactating mother from Nablus, Jenin, Tubas, Qalqelia and Hebron, then analyzed for iron concentrations using graphic furnace atomic absorption spectrophotometry. When collecting the data each mother answered a questionnaire about sociodemographic, nutritional and environmental variables. Results: The median iron concentration was 0.5766 ranging from 0.4752 to 0.6819. Breast milk iron concentration in most of participants was more than normal concentrations found in literature which was up to 04 mg/L . Breast milk iron levels was significantly higher in women who live in urban (P value =0.003) , who lactate their babies less than 6 month (p value = 0.001) , women who consume fish weekly (p value =0.031) , who had never took (minerals, vit D) during lactation ( p value = 0.008, 0.009) respectively , who consumes eggs ( p value =0.047) , who consumes red meat (p value = 0.031). Conclusion: Breast milk iron levels were higher than normal limit, and there is no relation between high iron concentrations and nutritional status or mineral supplementation of the mother.
  • Thumbnail Image
    Item
    Assessing Lithium levels in breast milk of Lactating women: A cross-sectional study in the West Bank of Palestine
    (2021-07-29) Haya Shreem; Muna Matar; Shifa Ghanem
    Background: All organs and tissues contain lithium. Grain and vegetables, as well as animal-derived foods, are the primary dietary sources of lithium. Lithium can be found in drinking water in some areas. Breast milk contaminated with lithium poses a risk of exposing the recipient infant to lithium, which has been linked to significant growth, developmental, and psychopathological issues. Objectives: The primary goals of this study were to assess the level of lithium in lactating mothers' breast milk in the West Bank of Palestine, as well as the associations between various sociodemographic, occupational, supplementary, medical, and dietary variables of the lactating mothers and lithium levels in their breast milk. Methods: 160 breast-feeding mothers from various regions of the West Bank donated breast milk samples, which were then tested for lithium levels using graphite furnace atomic absorption spectrophotometry. Breastfeeding mothers agreed to participate after providing informed consent and were then interviewed to complete a questionnaire. Results: The median breast milk lithium level was 0.006 mEq/L, ranging from 0.0053 to 0.0064 mEq/L. Breast milk lithium levels were associated with a significant increase in breastfeeding women whose nature of husband’s job is white collar (p-value = 0.004), consume fish frequently (p-value = 0.005) and consume canned food (p-value = 0.001). Conclusion: Lithium is a non-essential and potentially toxic metal, so a multidisciplinary actions and policies have to establish measures to eliminate or reduce lithium exposure by measuring water quality and lithium levels in it, reducing water pollution, testing animal’s food for a potential contamination with lithium, and educating the public about health risk of canned food and to use vitamin C supplements with caution.
  • Thumbnail Image
    Item
    Assessment of Aluminum levels in the breast milk of breastfeeding women from different regions of the West Bank of Palestine
    (2021-08-29) Ala’a Younis Alawneh; Hanen Hasan Imwas
    Background: Breast milk is a bio-fluid that can easily be obtained and used for bio-monitoring aluminum levels in environmentally exposed individuals. Objective: The goal of this study is to find out how much aluminum is in women's breast milk in different parts of Palestine's West Bank to look at the link between a mother's sociodemographic variables and the amount of aluminum in her breast milk. Method: Breast-feeding women's milk samples were collected in metal-free polyethylene tubes from five distinct areas of the West Bank (Nablus, Jenin, Hebron, Tubas, and Qalqilya). The aluminum content of the samples was determined using a pre-validated inductively coupled plasma-mass spectrometric technique, there were 160 aluminum samples examined in all. Result: The median breast milk aluminum level was 0.0212 μg/mL, ranging from 0.016 μg/mL to 0.035 μg/mL, we found that all samples, which were analyzed, are within normal safety range between 0.0092 μg/mL to 0.049 μg/mL according to Agency For Toxic Substances and Disease Registry. Aluminum levels in breast milk were considerably greater in women who consumed multivitamins (p-value = 0.006), ate green leafy vegetables (p-value = 0.009), ate eggs regularly (p= 0.047), mother who had history of general weakness and concentration issue (p-value=0. 027). Conclusion: breast milk aluminum level was in safety limit in lactating women in different areas of west bank, Palestine. However, the level of breast milk aluminum was higher in women who consumed white meats.
  • Thumbnail Image
    Item
    Assessment of calcium levels in the serum of breastfeeding women among different regions of the West Bank of Palestine
    (2021-08-29) Aya Abdi; Diana Bani Odeh
    Background: Calcium is the most abundant mineral in the body. it's necessary for fetal skeleton formation and to protect women from osteoporosis. Objectives: our main aims were to evaluate the serum calcium levels among lactating women in different 5 main regions of the West Bank of Palestine and to explore the impacts of some sociodemographic variables on calcium serum level. Methods: We collected serum calcium samples from 160 lactating women from Nablus, Jenin, Hebron, Qalqelia, and Tubas cities and analyzed them for their using graphite furnace atomic absorption spectrophotometry. Lactating women were interviewed and responded to a sociodemographic questionnaire. Results: The median was 93.28 mg/L, the range was 86.65 -100.63 mg/L. The comparison between the sociodemographic variables showed the calcium levels were higher in women with a history of constipation (P-value =0.016), history of skin dryness (p-value = 0.035), history of muscle spasm (p-value =0.036), women using hair dyes (p-value =0.043), and women having wood oven ( p-value = 0.025). However, There were no statistically significant correlations with age, residency, number of children, smoking, lactation period, employment, income, education, history of teeth decay, use of metal soap, consumption of eggs, history of general weakness, consumption of green leafy vegetables and feeling active during menses (p-values > 0.05). Conclusion: Calcium levels were within the normal range for the majority of the breastfeeding women. Levels were influenced by some socidemographic anc clinical variables.
  • Thumbnail Image
    Item
    Assessment of Data Quality for Maternal and Child Health Department at Primary Health Care DirectorateTulkarm
    (2015-05-30) Tamara Sameer; Rafiq Awwad; Dr. Zaher Nazzal
    Introduction: The information associated to maternal and child health (MCH) is an important pointer for health communities and outlines the situation of the health of generations. Perhaps more importantly, this information must be accurate, timely, and consistent for enabling communities in managing their health systems effectively. Objectives: The study aimed to provide an assessment for the quality of MCH information at Primary Health Care (PHC) Directorate in Tulkarm, Palestine. This was achieved by observing the performance of PHC staff (nurses and midwives) for MCH data collection protocol in PHC, checking completeness of protocol components in MCH files and assessing the completeness, timeliness and accuracy of monthly MCH reports for 2014. Methods: This assessment was carried out from December 2014 to January 2015 at 10Antenatal care (ANC) and child care clinics in the Tulkarm district: Northern, Shwiekeh, Anabta, Beet Lied, Ateel, Sida, Baqa Sharqia, Nazlet Esa, Kofr Jammal and Kofr Sour. A cross-sectional study was conducted within a health facility context. We observed the performance of 25 nurses within the data collection process for 476 cases (mothers and children) in 40 days. We compiled a systematic random sample of MCH files in 2014 and assessed it for their completeness and documentations (338 files). Also all MCH monthly reports (240) in 2014 were assessed for their completeness, accuracy and timeliness. Data was collected using checklists. A pilot study was conducted in October 2014 in Beet Foreek clinic at Nablus Health Directorate. Results: Data was collected using manually filled formats. Overall performance for nurses’ tasks was very good, ranging from 91% to 99% in ANC and child care clinics, except filling III III registration book; only 23% of ANC clinics, and 89% of child care clinics were found complete) and daily statistic book (DSB) where 35% of ANC clinics and 86% of child care clinics were found complete. The level of privacy in MCH and ANC clinics was unacceptable (31%, 54% respectively). Some of those low percentages significantly associated with workload (p value ≤0.001 or =0.01), also with the total number of nurses and clients in the observation days (p value < 0.001, 0.003, or 0.043). A good level of documentations (98% to100%) was achieved for ANC and child files in 2014, except some items like general data (66%) and doctors’ note (87%) in ANC files, as well as hemoglobin level (49%) and supplements given (67%) in children files. Some of those items are significantly associated with some of clinics characteristics that we have studied; doctor attendance, midwives existence, nurse attendance per month, days of nurse attendance in 2014 and number of clients in 2014(p value 0.01, 0.029, 0.002 or <0.001). For ANC clinics, only Baqa Sharqiya clinic had one incomplete report. Baqa Sharqiya and Kofr Jammal clinics have one unmatched reports. At Anabta clinic, DSB for the year of 2014 wasn’t found so we couldn’t assess their reports. In contrast, there were one to five uncompleted and unmatched reports per every child clinic. Unfortunately, we were unable to assess the timeliness of all reports. Conclusion: This assessment gives us an obvious idea about the MCH information system in Tulkarm, which reinforces the need for improvements and additional monitoring. Applying routinely assessment for MCH information in PHC clinics with MOH direct supervision is recommended so as to make an effective and evidence based decisionmaking
  • Thumbnail Image
    Item
    Assessment of medical and nursing students ’ proficiency in diagnosis and management of snake bite: A cross sectional study from Palestine.
    (2019-05-11) اسراء خالد خميس خروشه; سهى صلاح نايف سليمان
  • Thumbnail Image
    Item
    Assessment of respiratory health indicator and some blood indices among gas station workers: a cross sectional study in Palestine
    (2019-05-16) انوار جهاد عادل حنني; دانا محمد عبد عليات
  • Thumbnail Image
    Item
    Assessment of solubility and permeability of celecoxib in pediatric gastric and intestinal biorelevant media
    (2019-05-12) أسيل جهاد يوسف حاج يحيى; رحيق سليم عارف تايه
  • Thumbnail Image
    Item
    Association between parathyroid hormone level and bone density using DEXA scan in patients with end stage renal disease
    (2019-05-16) شهد ناصر لطفي تلالوه; هبه منير جميل زاوياني
  • Thumbnail Image
    Item
    Association between the clinical manifestations of Systemic Lupus Erythematosus and HLA-typing
    (2019-05-11) اسامه اياد عبدالسلام سلامه; هديل مروان محمد طربيه; أريج نور علي جمعة; حنا رمزي شمعون كربوراني; نور حسام الدين خالد العمري
  • Thumbnail Image
    Item
    The attitude of patients towards the presence of medical students during consultations
    (2017-05-07) عائدة شعار سلام العكر