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Sample records for record yammouneh lebanon

  1. Hydrological variability in the Northern Levant: a 250 ka multiproxy record from the Yammoûneh (Lebanon sedimentary sequence

    Directory of Open Access Journals (Sweden)

    F. Gasse

    2011-11-01

    Full Text Available The Levant is a key region in terms of both long-term hydroclimate dynamics and human cultural evolution. Our understanding of the regional response to glacial-interglacial boundary conditions is limited by uncertainties in proxy-data interpretation and the lack of long-term records from different geographical settings.

    The present paper provides a 250 ka paleoenvironmental reconstruction based on a multi-proxy approach from northern Levant, derived from a 36 m lacustrine-palustrine sequence cored in the small intra-mountainous karstic Yammoûneh basin from northern Lebanon. We combined time series of sediment properties, paleovegetation, and carbonate oxygen isotopes (δc, to yield a comprehensive view of paleohydrologic-paleoclimatic fluctuations in the basin over the two last glacial-interglacial cycles. Integration of all available proxies shows that Interglacial maxima (early-mid MIS 7, MIS 5.5 and early MIS 1 experienced relatively high effective moisture, evidenced by the dominance of forested landscapes (although with different forest types associated with authigenic carbonate sedimentation in a productive waterbody. Synchronous and steep δc increases can be reconciled with enhanced mean annual moisture when changes in seasonality are taken into account. During Glacials periods (MIS 2 and MIS 6, open vegetation tends to replace the forests, favouring local erosion and detrital sedimentation. However, all proxy data reveal an overall wetting during MIS 6, while a drying trend took place during MIS4-2, leading to extremely harsh LGM conditions possibly linked to water storage as ice in the surrounding highlands. Over the past 250 ka, the Yammoûneh record shows an overall decrease in local effective water, coincident with a weakening of seasonal insolation contrasts linked to the decreasing amplitude of the eccentricity cycle.

    The Yammoûneh record is roughly consistent with long-term climatic

  2. Climatic variability during the penultimate interglacial (MIS 7) and glacial (MIS 6) periods recorded in a speleothem from Kanaan cave, Lebanon (Central Levant)

    Science.gov (United States)

    Nehme, Carole; Verheyden, Sophie; Breitenbach, Sebastian F. M.; Gillikin, David P.; Verheyden, Anouk; Cheng, Hai; Edwards, Laurence; Hellstrom, John; Noble, Stephen R.; Farrant, Andrew R.; Sahy, Diana; Goovaerts, Thomas; Salem, Ghada; Claeys, Philippe

    2017-04-01

    Little is known about terrestrial climate dynamics of the Levant during the penultimate interglacial-glacial period. A well-dated stalagmite ( 194 to 154 ka) from Kanaan cave, located near the Mediterranean in Lebanon, is examined for its petrography, growth history, and stable isotope geochemistry to answer the climate instability pattern of the glacial MIS 6 and possible wet phases. A highly resolved continental climate record from the northern Levant has been recovered from this precisely U-Th-dated speleothem, spanning the late penultimate interglacial (equivalent of the MIS 7) to the mid-penultimate glacial period ( MIS 6). The stalagmite grew slowly and discontinuously with an unstable isotopic pattern from 194 and at least up to 178 ka. Subsequently, the stalagmite ceased growing from 169.5 to 163.1 ka (interpolated ages) with a hiatus of ca. 6.24 ka according to the model age. However, low δ 18O and δ 13C values indicate generally cold, but overall more humid climate compared to the last glacial (MIS 3). Higher growth rates during the mid-penultimate glacial period ( 163-154 ka) are most probably linked to increased water recharge in the vadose zone. A short More distinct layering in the upper section compared to the basal part of the stalagmite suggests stronger seasonality from 163 ka to 154 ka. Negative oxygen and carbon isotope excursions were found at ˜155.5 ka, ˜156 ka, between ˜159.6 and ˜160.1 ka and at ˜162.6 ka. The inferred Kanaan cave humid intervals during the mid-penultimate period follow variations of pollen records in the Eastern and Western Mediterranean basins and correlate well with the synthetic Greenland records and East Asian Summer Monsoon Interstadials, indicating short warm/wet periods similar to the D-O events during MIS 4-3 in the Eastern Mediterranean region.

  3. Holocene environmental changes in northern Lebanon as inferred from a multiproxy study on lacustrine-palustrine sediment

    Science.gov (United States)

    Vidal, Laurence; Jenna, Hage-Hassen; Demory, François; Develle, Anne-Lise; van Campo, Elise; Elias, Ata

    2016-04-01

    The reconstruction of the Levantine post-glacial environmental evolution is essential to understand the interactions between variability of regional water cycle, dynamics of the global climate, and cultural evolution. We present a paleolacustrine record from the karstic Yammouneh basin (34.06N-34.09N; 36.0E-36.03E, 1360 m a.s.l.), located on the eastern flank of Mount Lebanon (northern Levant). Holocene sediments (retrieved from gully and a trenbch) (1.5 to 3.6 m thick) consist of pale lacustrine chalk interrupted by an ash layer and remarkable centimetric beds of ocher to dark brown silty clays used, in addition to 14C ages, as stratigraphical markers. Lacustrine biogenic remains are diversified and abundant (ostracods, gastropods, charophytes, chlorophyceae, plant debris…) all reflecting a freswater, generally shallow waterbody. We analysed the sediment mineralogy and geochemistry, TOM contents, magnetic properties, pollen and calcite oxygen isotope composition derived from ostracod shells. These sequences are compared to former data from 2 trenches and 1 core collected in different points of the basin (Daeron et al., 2007; Develle et al., 2009, 2010). A total of 42 AMS 14C dating (partly carbonized wood) provide a solid chronology from the YD to present. Results reveal the following main features : 1- intervals dominated by authigenic calcite suggest that the major water supply was the karstic springs, which still deliver Ca-rich water and low surface runoff; 2- the lake oxygen isotope composition has been impacted by the source isotope composition throughout the Holocene and by increased inland rainfall during the early Holocene; 3- a decideous oak forest, implying much more soil water availability than today, was developed around the lake from ca. 11.5 to 9.5 kyr (the very bad pollen preservation after 8.3 kyr reflects oxidation or frequent oscillations of the water level); 4- four paleosols evidenced from lithofacies and magnetic properties are identified

  4. Salmonella burden in Lebanon.

    Science.gov (United States)

    Malaeb, M; Bizri, A R; Ghosn, N; Berry, A; Musharrafieh, U

    2016-06-01

    Salmonellosis is a disease that represents a major public health concern in both developing and developed countries. The aim of this article is to evaluate the public health burden of Salmonella illness in Lebanon. The current scope of the Salmonella infection problem was assessed in relation to disease incidence and distribution with respect to age, gender and district. Factors that provide a better understanding of the magnitude of the problem were explored and highlighted. Data reported to the Epidemiologic Surveillance Department at the Lebanese Ministry of Public Health between 2001 and 2013 was reviewed. Information obtained was compared to information reported regionally and globally. The estimated true incidence was derived using multipliers from the CDC and Jordan. A literature review of all published data from Lebanon about Salmonella susceptibility/resistance patterns and its serious clinical complications was conducted. The estimated incidence was 13·34 cases/100 000 individuals, most cases occurred in the 20-39 years age group with no significant gender variation. Poor and less developed districts of Lebanon had the highest number of cases and the peak incidence was in summer. Reflecting on the projected incidence derived from the use of multipliers indicates a major discrepancy between what is reported and what is estimated. We conclude that data about Salmonella infection in Lebanon and many Middle Eastern and developing countries lack crucial information and are not necessarily representative of the true incidence, prevalence and burden of illness.

  5. Bluetongue virus in Lebanon.

    Science.gov (United States)

    El Hage, J; Lorusso, A; Carmine, I; Di Gennaro, A; Portanti, O; Olivieri, S; Casaccia, C; Pisciella, M; Teodori, L; Sghaier, S; Savini, G

    2013-10-01

    Since 2000, several incursions of bluetongue virus (BTV) occurred in the Mediterranean Basin involving European and surrounding Countries. The Middle East represents one of the most important gateways for the access of BTV in Europe. Limited data on the BTV situation in this area are available. In this perspective, an epidemiological survey on the presence of BTV in Lebanon was conducted. Of the 181 serum samples tested, 97 (mean = 53.6%; 95% CI: 46.3-60.7) resulted positive when tested for the presence of BTV antibodies by c-ELISA, of these 42 (mean = 42%; 95% CI: 32.8-51.8) serum samples were from sheep and 55 (mean = 67.9%; 95% CI: 57.1-77.1) serum samples were from goats. Fourteen blood samples (14/110; mean = 12.7%; 95% CI: 7.8-20.3), 6 (6/66; mean = 9.1%; 95% CI: 4.4-18.5) from sheep and 8 (8/44; mean = 18.2%; 95% CI: 9.6-32.0) from goats, were positive by qRT-PCR. The results with serum-neutralization assay and typing performed by RT-PCR confirmed that six BTV serotypes are currently circulating in Lebanon, and these serotypes are as follows: 1, 4, 6, 8, 16 and 24. This study is the first report that confirms the presence and circulation of BTV in Lebanon. © 2013 Blackwell Verlag GmbH.

  6. Jurassic Amber in Lebanon

    Institute of Scientific and Technical Information of China (English)

    Dany AZAR; Raymond G(E)ZE; Antoine EL-SAMRANI; Jacqueline MAALOULY; André NEL

    2010-01-01

    Reports of amber predating the Lower Cretaceous are unusual and scarce; they mostly refer to amber pieces of millimetric dimension.In the present study,we report the discovery of 10 new outcrops of Jurassic amber in Lebanon.Some of these had large centimetric-sized pieces of amber.The new localities are described,amber is characterized,and its infrared spectra given.Although the new Jurassic amber yielded to date no more than fungal inclusions,this material is significant and promising.The discovery of several Jurassic outcrops provides crucial information on the prevailing paleoenvironment of that time.

  7. Investigating the coastal paleo-seismic and paleo-tsunami records using vermetid benches in the Eastern Mediterranean: case of the Palm Islands reserve -Lebanon.

    Science.gov (United States)

    Elias, A.

    2014-12-01

    The vermetid benches or reefs are thick bio-constructions of marine shells of the Vermetidae group that thrive at sea-level and are used as proxy for crustal tectonic deformation, sea-level changes, paleoclimate reconstruction or paleo-Tsunami markers in different regions especially around the Mediterranean Sea. The Palm Islands Reserve located 5km offshore northern Lebanon in the Eastern Mediterranean, on the hanging wall of a submarine, active thrust fault - the Rankine-Abdeh fault - hold abundant vermetid bio-constructions that are still relatively well preserved. It is an exceptional site for testing and investigating hypothesis on the use of the vermetid benches. We surveyed the surface and shorelines of the Palm Island, the largest of the Islands. The fossil vermetid bio-constructions are present as uplifted benches on its northern side. Also, many of the large boulders mostly found on the south-western shore of the islands still hold vermetid bio-constructions originally from the intertidal position before the boulders were uplifted and thrown over the surface of the island away from the shoreline by powerful waves. Two continuous vertical sections of these bio-constructions, 7 and 13cm thick were sampled for radiocarbon dating. Of the 21 large boulders we surveyed 10 had their vermetid crusts sampled for 14C dating. Their measured radiocarbon ages are spread over many centuries and do not cluster around any single date that could correspond with that of a tsunami or storm event responsible for their transport. On another hand the radiocarbon ages from the uplifted benches show that the last co-seismic rupture of the underlying and offshore Rankine-Abdeh thrust took place after the 9th century AD and resulted in the tectonic uplift of the Palm Islands shoreline, by around 80cm. Interpretation of the morphology and ages of the vermetid bio-constructions found on the overthrown boulders suggest that another such co-seismic event happened towards the end of the

  8. Lebanon's Refugee Crisis Is a Time Bomb

    National Research Council Canada - National Science Library

    Delinda C Hanley

    2014-01-01

      Samar El Yassir, Lebanon's country director for American Near East Refugee Aid spoke to the Washington Report on October 20, a few days after ANERA's annual fund-raising dinner and just prior to her return to Lebanon...

  9. Regional Impact of Evolving Developments in Lebanon

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Lebanon is situated in a sensitive area in the Middle East and has been locked in prolonged turmoil. Its domestic problems have been interwoven with the region’s underlying contradictions for decades. The situation in Lebanon has undergone significant changes since Syria pulled out its troops from Southern Lebanon. The United States has got itself more proactively involved in the

  10. The Qartaba Structure: An Active Backthrust In Central Mt-Lebanon.

    Science.gov (United States)

    Elias, Ata Richard

    2016-04-01

    The Qartaba structure in central Mt-Lebanon is a 15x5km box fold running parallel to the restraining bend of the sinsitral Yammouneh Fault, the main fault of the central segment of the Dead Sea Transform. The Qartaba structure has long been described as a "horst" and associated with Mesozoic normal faulting. However, the Qartaba anticline is suitably oriented with the direction of maximum compression along the restraining bend. Jurassic carbonate rocks form the core of this anticline culminating at ~1953m asl to the east, of the highest structural elevation of the Mt-Lebanon range indicating important tectonic uplift rate. The fold is asymmetric. The western limb is steep and bordered by the Lebanese Flexure, a prominent continuous monocline of Upper Jurassic to Mid Cretaceous rocks, running along the western flank of Mt-Lebanon. The eastern limb of the anticline has a very steep dip, and forms a 200m high cliff well marked in the topography. Its Jurassic layers are almost vertical and end up overhanging Lower Cretaceous beds. Our study suggest that the Qartaba structure is a growing anticline, built by active thrusting over a west dipping thrust fault that cuts the surface at the base of the eastern limb of the anticline. The fault plane can be seen dipping 30-35 degrees to the west. At depth, this thrust is likely to connect with the blind thrust ramp of the Mt-Lebanon Flexure. The Qartaba backthrust with a dip to the west, is opposite to the general vergence of similar structures in the area. On some of the segments of the steep cliff forming the faulted eastern limb, a fresh scarp with smooth and polished surfaces bearing vertical slickensides can be followed over ~700m along the base of the cliff. It corresponds with the location of the thrust fault tip. Talus accumulation over the steep eastern limb covers most of the cliff base, and may be masking further extent of this scarp. We interpret this scarp as the freeface of a co-seismic rupture on the underlying

  11. Renewable Energy Resources in Lebanon

    Science.gov (United States)

    Hamdy, R.

    2010-12-01

    The energy sector in Lebanon plays an important role in the overall development of the country, especially that it suffers from many serious problems. The fact that Lebanon is among the few countries that are not endowed with fossil fuels in the Middle East made this sector cause one third of the national debt in Lebanon. Despite the large government investments in the power sector, demand still exceeds supply and Lebanon frequently goes through black out in peak demand times or has to resort to importing electricity from Syria. The Energy production sector has dramatic environmental and economical impacts in the form of emitted gasses and environment sabotage, accordingly, it is imperative that renewable energy (RE) be looked at as an alternative energy source. Officials at the Ministry of Energy and Water (MEW) and Lebanese Electricity (EDL) have repeatedly expressed their support to renewable energy utilization. So far, only very few renewable energy applications can be observed over the country. Major efforts are still needed to overcome this situation and promote the use of renewable energy. These efforts are the shared responsibility of the government, EDL, NGO's and educational and research centers. Additionally, some efforts are being made by some international organizations such as UNDP, ESCWA, EC and other donor agencies operating in Lebanon. This work reviews the status of Energy in Lebanon, the installed RE projects, and the potential projects. It also reviews the stakeholders in the field of RE in Lebanon Conclusion In considering the best R.E. alternative, it is important to consider all potential R.E. sources, their costs, market availability, suitability for the selected location, significance of the energy produced and return on investment. Several RE resources in Lebanon have been investigated; Tides and waves energy is limited and not suitable two tentative sites for geothermal energy are available but not used. Biomass resources badly affect the

  12. War and Memory in Lebanon

    DEFF Research Database (Denmark)

    Haugbølle, Sune

    and cultural renewal. Through an analysis of different cultural productions - media, art, literature, film, posters and architecture - the author shows how the recollection and reconstruction of political and sectarian violence that took place during the war have helped in Lebanon's healing process. He also......From 1975 to 1990, Lebanon endured one of the most protracted and bloody civil wars of the twentieth century. Sune Haugbolle's timely and poignant book chronicles the battle over ideas that emerged from the wreckage of that war. While the Lebanese state encouraged forgetfulness and political...

  13. Lebanon: Background and U.S. Relations

    Science.gov (United States)

    2010-08-03

    more than five years since the assassination of Prime Minister Rafiq Hariri, the Special Tribunal for Lebanon (STL) at The Hague, Netherlands has yet to...reacted strongly to the assassination of the former Prime Minister Rafiq Hariri in February 2005, criticized the Syrian presence in Lebanon, and...power in Lebanon. Syrian Withdrawal and Parliamentary Elections of 2005 In 2004, tensions mounted between then-Prime Minister Rafiq Hariri, who favored

  14. Salafism in Lebanon: Local and Transnational Resources

    NARCIS (Netherlands)

    Pall, Z.

    2014-01-01

    In my dissertation I look at the anatomy and dynamics of the Salafi da‛wa in North Lebanon. My analysis is based on an eighteen months long ethnographic fieldwork in Lebanon, Kuwait, Qatar and Europe. The study seeks answers how and why Salafism emerged as a key player on the Lebanese Sunni

  15. Salafism in Lebanon: Local and Transnational Resources

    NARCIS (Netherlands)

    Pall, Z.

    2014-01-01

    In my dissertation I look at the anatomy and dynamics of the Salafi da‛wa in North Lebanon. My analysis is based on an eighteen months long ethnographic fieldwork in Lebanon, Kuwait, Qatar and Europe. The study seeks answers how and why Salafism emerged as a key player on the Lebanese Sunni sociopol

  16. 76 FR 59503 - Establishment of Class E Airspace; Lebanon, PA

    Science.gov (United States)

    2011-09-27

    ... TRANSPORTATION Federal Aviation Administration 14 CFR Part 71 Establishment of Class E Airspace; Lebanon, PA... Class E airspace at Lebanon, PA, to accommodate new Standard Instrument Approach Procedures that have... proposed rulemaking to amend Class E airspace 700 feet above the surface, at Lebanon, PA (76 FR 39038...

  17. Lebanon: A Case of History Education in a Sectarian Society

    Science.gov (United States)

    Yoder, Paul J.

    2015-01-01

    This paper synthesizes the extant literature on history education in Lebanon. The sectarian nature of the country and the recent civil war make the case of Lebanon a unique and compelling one. Three emerging understandings underscore the complexity of history education in Lebanon and demonstrate the ways in which history is used to undercut…

  18. Maternal mortality ratio in Lebanon in 2008: a hospital-based reproductive age mortality study (RAMOS).

    Science.gov (United States)

    Hobeika, Elie; Abi Chaker, Samer; Harb, Hilda; Rahbany Saad, Rita; Ammar, Walid; Adib, Salim

    2014-01-01

    International agencies have recently assigned Lebanon to the group H of countries with "no national data on maternal mortality," and estimated a corresponding maternal mortality ratio (MMR) of 150 per 100,000 live births. The Ministry of Public Health addressed the discrepancy perceived between the reality of the maternal mortality ratio experience in Lebanon and the international report by facilitating a hospital-based reproductive age mortality study, sponsored by the World Health Organization Representative Office in Lebanon, aiming at providing an accurate estimate of a maternal mortality ratio for 2008. The survey allowed a detailed analysis of maternal causes of deaths. Reproductive age deaths (15-49 years) were initially identified through hospital records. A trained MD traveled to each hospital to ascertain whether recorded deaths were in fact maternal deaths or not. ICD10 codes were provided by the medical controller for each confirmed maternal deaths. There were 384 RA death cases, of which 13 were confirmed maternal deaths (339%) (numerator). In 2008, there were 84823 live births in Lebanon (denominator). The MMR in Lebanon in 2008 was thus officially estimated at 23/100,000 live births, with an "uncertainty range" from 153 to 30.6. Hemorrhage was the leading cause of death, with double the frequency of all other causes (pregnancy-induced hypertension, eclampsia, infection, and embolism). This specific enquiry responded to a punctual need to correct a clearly inadequate report, and it should be relayed by an on-going valid surveillance system. Results indicate that special attention has to be devoted to the management of peri-partum hemorrhage cases. Arab, postpartum hemorrhage, development, pregnancy management, verbal autopsy

  19. The Challenges of Inclusive Education in Lebanon

    Science.gov (United States)

    Wehbi, Samantha

    2006-01-01

    This article reports on a study conducted in Lebanon by four non-governmental organizations, primarily on the topic of inclusion of people with disabilities in education, with a secondary focus on inclusion in employment. This article reports on some of the findings of the assessment process that was four months in duration and aimed, through…

  20. Educational Disparities and Conflict: Evidence from Lebanon

    Science.gov (United States)

    Tfaily, Rania; Diab, Hassan; Kulczycki, Andrzej

    2013-01-01

    This article examines the impact of Lebanon's civil war (1975-1991) on disparities in education among the country's main religious sects and across various regions. District of registration is adopted as a proxy for religious affiliation through a novel, detailed classification to assess sectarian differentials by region and regional differentials…

  1. School-Parent Relations in Lebanon

    Science.gov (United States)

    El Majzoub, Nada

    2013-01-01

    Lebanon is a nation whose history may be depicted as continuous social, political, and sectarian conflict due to European political meddling and a protracted civil war. Although finding common ground in this complex milieu over the past several decades has been challenging, political and educational reforms have been enacted. The role of parents…

  2. Aging in Lebanon: Challenges and Opportunities.

    Science.gov (United States)

    Abdulrahim, Sawsan; Ajrouch, Kristine J; Antonucci, Toni C

    2015-08-01

    This spotlight offers a unique window into factors affecting aging in Lebanon. As a bridge between east and west, both geographically and culturally, Lebanon has the fastest growing older adult population in the Arab region, but few societal resources to address its needs. In a country with a history of political instability and war, but also a culture with strong family values, aging adults in Lebanon are vulnerable in some ways and advantaged in others. Outmigration of youth is an important determinant of the wellbeing of the elderly. While often advantaged by remittances sent by their children, older Lebanese adults have less access to instrumental social and personal support previously provided by young adults in the family. How Lebanon manages these challenges is likely to foreshadow the future aging experience for much of the Arab region. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Lebanon: Strategic and Political Challenges and Opportunities

    Science.gov (United States)

    2008-03-31

    power struggle between its religious communities, and political factions. Marina Ottoway, in writing about Iraq, explains that “the protection of...in the region. Nizar Abdel-Kader writes that the 1958 deployment of U.S. Marine Corps units in Lebanon constituted the first American military...Zuhur, The Middle East: Politics, History, And Neonationalism (Carlisle, PA: Institute of Middle Eastern Islamic and Diasporic Studies, 2005), Chapters

  4. Cooperation challenges for the Special Tribunal for Lebanon

    NARCIS (Netherlands)

    Swart, B.

    2007-01-01

    While the Agreement between the United Nations and Lebanon provides a solid framework for cooperation between the Special Tribunal and Lebanon, Security Council Resolution 1757 (2007) is silent on the duty of third states to assist the Tribunal. As a result, the Special Tribunal will be confronted

  5. Attitudes toward Students with Disabilities at Notre Dame University, Lebanon

    Science.gov (United States)

    Van Loan, Amira

    2013-01-01

    Disability issues in Lebanon are not being addressed on a national scale. Among the myriad of underrepresented groups, individuals with disabilities in Lebanon continue to be marginalized in education, employment, health care, politics, and all aspects of society. The focus of this project investigation was to identify the attitudes of faculty…

  6. The plant macroremains from PPNB Tell Labwe (Lebanon)

    DEFF Research Database (Denmark)

    Gyurova, Dobrina; Otaegui, Amaia Arranz; Richter, Tobias

    Tell Labwe constitutes the oldest Neolithic settlement in the Beqaa Valley (Lebanon). This site was excavated by D. Kirkbride in 1966 and revealed a sequence dated from the Late PPNB to the Pottery Neolithic. In 2011, a Lebanese-Spanish team carried out a fieldwork season in order to complete...... the Neolithic in Lebanon....

  7. 76 FR 50535 - Waiver of Restriction on Assistance to Lebanon

    Science.gov (United States)

    2011-08-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to Lebanon Pursuant to Section 7086(c)(2) of the Department of State... respect to Lebanon and I hereby waive such restriction. This determination shall be reported to the...

  8. School Counseling in Lebanon: Past, Present, and Future

    Science.gov (United States)

    Ayyash-Abdo, Huda; Alamuddin, Rayane; Mukallid, Samar

    2010-01-01

    This article examines the status of school counseling in Lebanon. An overview that points out some weakness in the educational system, such as high dropout and repetition rates, is presented. Calls for counseling have been voiced partly because of the psychological consequences of social change, such as political instability in Lebanon. A sample…

  9. School Counseling in Lebanon: Past, Present, and Future

    Science.gov (United States)

    Ayyash-Abdo, Huda; Alamuddin, Rayane; Mukallid, Samar

    2010-01-01

    This article examines the status of school counseling in Lebanon. An overview that points out some weakness in the educational system, such as high dropout and repetition rates, is presented. Calls for counseling have been voiced partly because of the psychological consequences of social change, such as political instability in Lebanon. A sample…

  10. Electricity consumption and economic growth, the case of Lebanon

    Energy Technology Data Exchange (ETDEWEB)

    Abosedra, Salah; Dah, Abdallah [Lebanese American University, Beirut Campus, P.O. Box: 13-5053 Chouran, Beirut 1102 2801 (Lebanon); Ghosh, Sajal [Management Development Institute, Gurgaon (India)

    2009-04-15

    In this paper we investigate the causal relationship between electricity consumption and economic growth for Lebanon, using monthly data for Lebanon covering the period January 1995 to December 2005. Empirical results of the study confirm the absence of a long-term equilibrium relationship between electricity consumption and economic growth in Lebanon but the existence of unidirectional causality running from electricity consumption to economic growth when examined in a bivariate vector autoregression framework with change in temperature and relative humidity as exogenous variables. Thus, the policy makers in Lebanon should place priority in early stages of reconstruction on building capacity additions and infrastructure development of the electric power sector of Lebanon, as this would propel the economic growth of the country. (author)

  11. Lebanon and Syria: between dissociation and spillover

    Directory of Open Access Journals (Sweden)

    Javier Lion Bustillo

    2014-12-01

    Full Text Available The risk of Syrian civil war violence spreading towards Lebanon is high. This can be explained by various factors deriving as much from the neighbouring conflict as from other existing factors in Lebanese politics, which have led to the significant collaboration of Lebanon’s Future Movement and Hezbollah with their respective allies in Syria, and to undermining Najib Mikati’s dissociation policies. However, the leaders of those parties tend to balance their will to preserve their confessional leadership with an image of being the defender of national interests. This limits the possibility of an openly sectarian conflict, but it does not totally eliminate it.

  12. Re-evaluation and updating of the seismic hazard of Lebanon

    Science.gov (United States)

    Huijer, Carla; Harajli, Mohamed; Sadek, Salah

    2016-01-01

    This paper presents the results of a study undertaken to evaluate the implications of the newly mapped offshore Mount Lebanon Thrust (MLT) fault system on the seismic hazard of Lebanon and the current seismic zoning and design parameters used by the local engineering community. This re-evaluation is critical, given that the MLT is located at close proximity to the major cities and economic centers of the country. The updated seismic hazard was assessed using probabilistic methods of analysis. The potential sources of seismic activities that affect Lebanon were integrated along with any/all newly established characteristics within an updated database which includes the newly mapped fault system. The earthquake recurrence relationships of these sources were developed from instrumental seismology data, historical records, and earlier studies undertaken to evaluate the seismic hazard of neighboring countries. Maps of peak ground acceleration contours, based on 10 % probability of exceedance in 50 years (as per Uniform Building Code (UBC) 1997), as well as 0.2 and 1 s peak spectral acceleration contours, based on 2 % probability of exceedance in 50 years (as per International Building Code (IBC) 2012), were also developed. Finally, spectral charts for the main coastal cities of Beirut, Tripoli, Jounieh, Byblos, Saida, and Tyre are provided for use by designers.

  13. Banking Efficiency in Lebanon: An Empirical Investigation

    Directory of Open Access Journals (Sweden)

    Mouataz Zreika

    2011-01-01

    Full Text Available Problem statement: The main goal behind this study is to identify whether banks are working at full efficiency or not and spot the changes in efficiency for banks operating in Lebanon after 2007 financial crisis. Approach: This study was conducted to examine the technical efficiency of 40 banks operating in Lebanon over the two sub-periods 2002-2006 and 2006-2009 using Data Envelopment Analysis (DEA. Results: The results from DEA show that the extent of technical efficiency varies across the banks. Citibank, HSBC, BBAC, IBL and FBL are found to be working at fully technical efficiency, while RBA, HBA, BCN, SGBL, BLA and SLCB are found to be prominently inefficient. Technical efficiency is the highest in large banks and lowest in small banks. Conclusion: After 2007 financial crisis, foreign banks have suffered more with technical efficiency decreasing in foreign banks, while local banks had a significant increase in technical efficiency. Small and medium banks are found to be working at increasing returns to scale, while large banks are working at decreasing returns to scale.

  14. Attitudes Toward Placebo Use in Lebanon.

    Science.gov (United States)

    Abou-Mrad, Fadi; Tarabey, Lubna

    2015-05-01

    Placebo use, both in clinical trials and patient care, is a problematic ethical issue surrounded by opposing arguments from those who advocate its use versus those who do not. This problematic aspect of placebo is more challenging in Lebanon where religious ideologies dominate people's beliefs, and where laws that guide medical care are vague. This paper aims to highlight the cultural ideologies that dominate medical care and the perspectives of people associated with the field. The method relied on semi-structured interviews with religious leaders, representatives of society and healthcare professionals. Panel discussions incorporating healthcare professionals, academics, scientists and medical researchers were also organized. The legal environment in Lebanon is characterized by lack of an appropriate legislative guideline that categorically clarifies the value of the human person in medical care. There is a lack of a common ethical standard within a society characterized by social and political dissent. The culturally upheld principles and actual application of the principles of ethics surrounding patient autonomy were overviewed. Medical practitioners failed to agree to a general outline that should guide the use of placebo where it became evident that each practitioner adopted a subjective framework which ultimately undermines patient autonomy. The paper proposes that until a new legislative code that clarifies ethical principles properly guiding medical care is coined, the process of placebo use will continue to be subject to the paternalistic assessments of medical professionals. Copyright © 2015 Elsevier HS Journals, Inc. All rights reserved.

  15. Prevalence, awareness, treatment, and control of hypertension in Lebanon.

    Science.gov (United States)

    Matar, Dany; Frangieh, Antonio H; Abouassi, Samah; Bteich, Fernand; Saleh, Aline; Salame, Elie; Kassab, Roland; Azar, Rabih R

    2015-05-01

    The prevalence and factors related to hypertension (HTN) treatment and control are well investigated in the Western world but remain poorly understood in the Middle East and in middle-income countries such as Lebanon. In order to measure the prevalence, awareness, treatment, and control rates of HTN in Lebanon, the authors measured blood pressure (BP) in 1697 adults. The prevalence of optimal BP (Lebanon and its overall control is low. Improving awareness is the most important target for intervention. ©2015 Wiley Periodicals, Inc.

  16. FATHI YAKAN THE PIONEER OF ISLAMIC ACTIVISM IN LEBANON

    Directory of Open Access Journals (Sweden)

    Robert G. Rabil

    2013-05-01

    Full Text Available This article explores the ideology of Fathi Yakan, the pioneer of Sunni Islamism in Lebanon and a principal founder of the Islamist party al-­‐Jama'a al-­‐Islamiya.  It also traces the establishment of  al_Jama'a as the first organized Islamist party in Lebanon.  As Secretary General of al-­‐Jama'a, Fathi Yakan blazed the ideological trail for Islamism's participation in Lebanon's political realm.  Significantly, Yakan's political activism, in much the same vein as that of Druze "Socialist" Kamal Jumblat, was also more about removing Maronite hegemony over the state.

  17. Journeys of a secular organisation in south Lebanon

    Directory of Open Access Journals (Sweden)

    Jason Squire

    2014-11-01

    Full Text Available A secular NGO’s experiences in south Lebanon demonstrate that it is possible for non-faith-based organisations to develop productive relationships with faith-based actors without compromising their secular identities.

  18. Health equity in Lebanon: a microeconomic analysis

    Directory of Open Access Journals (Sweden)

    Raad Firas

    2010-04-01

    Full Text Available Abstract Background The health sector in Lebanon suffers from high levels of spending and is acknowledged to be a source of fiscal waste. Lebanon initiated a series of health sector reforms which aim at containing the fiscal waste caused by high and inefficient public health expenditures. Yet these reforms do not address the issues of health equity in use and coverage of healthcare services, which appear to be acute. This paper takes a closer look at the micro-level inequities in the use of healthcare, in access, in ability to pay, and in some health outcomes. Methods We use data from the 2004/2005 Multi Purpose Survey of Households in Lebanon to conduct health equity analysis, including equity in need, access and outcomes. We briefly describe the data and explain some of its limitations. We examine, in turn, and using standardization techniques, the equity in health care utilization, the impact of catastrophic health payments on household wellbeing, the effect of health payment on household impoverishment, the equity implications of existing health financing methods, and health characteristics by geographical region. Results We find that the incidence of disability decreases steadily across expenditure quintiles, whereas the incidence of chronic disease shows the opposite pattern, which may be an indication of better diagnostics for higher quintiles. The presence of any health-related expenditure is regressive while the magnitude of out-of-pocket expenditures on health is progressive. Spending on health is found to be "normal" and income-elastic. Catastrophic health payments are likelier among disadvantaged groups (in terms of income, geography and gender. However, the cash amounts of catastrophic payments are progressive. Poverty is associated with lower insurance coverage for both private and public insurance. While the insured seem to spend an average of almost LL93,000 ($62 on health a year in excess of the uninsured, they devote a smaller

  19. Neurosurgery in Lebanon: History, Development, and Future Challenges.

    Science.gov (United States)

    Fares, Youssef; Fares, Jawad

    2017-03-01

    Lebanon stands out as the one of the first countries in the Middle East and the Arab world to practice the medical specialty of neurosurgery. In addition, Lebanon has one of the best reputations for neurosurgery in this region. This article documents the history and current status of Lebanese neurosurgery. Residency and fellowship trainings are also highlighted, and political, socioeconomic, and academic challenges for the future of the profession are presented. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. The Syrian refugees in Lebanon and the EU-Lebanon Partnership Compact – new strategies, old agendas

    DEFF Research Database (Denmark)

    Seeberg, Peter

    2017-01-01

    and Lebanon aiming at securing the stabilization of Lebanon in general, but also measures attempting to “provide an appropriate and safe environment for refugees and displaced persons from Syria during their temporary stay in Lebanon.”2 An important discussion in connection with that is the question of easing...... the refugees’ controlled access to the Lebanese labour market – obviously a controversial issue. The article concludes that the main EU interests are twofold. Firstly, it is about avoiding destabilization of Lebanon by supporting the integration of refugees in the Lebanese society. Secondly, the reputation...... of the EU institutions is at stake: it is important to demonstrate to the EU member states that something is done, which contributes to keeping the Syrian refugees in third countries far away from the European borders....

  1. Organic Food Market Segmentation in Lebanon

    Science.gov (United States)

    Tleis, Malak; Roma, Rocco; Callieris, Roberta

    2015-04-01

    Organic farming in Lebanon is not a new concept. It started with the efforts of the private sector more than a decade ago and is still present even with the limited agricultural production. The local market is quite developed in comparison to neighboring countries, depending mainly on imports. Few studies were addressed to organic consumption in Lebanon, were none of them dealt with organic consumers analysis. Therefore, our objectives were to identify the profiles of Lebanese organic consumer and non organic consumer and to propose appropriate marketing strategies for each segment of consumer with the final aim of developing the Lebanese organic market. A survey, based on the use of closed-ended questionnaire, was addressed to 400 consumers in the capital, Beirut, from the end of February till the end of March 2014. Data underwent descriptive analyses, principal component analyses (PCA) and cluster analyses (k-means method) through the statistical software SPSS. Four cluster were obtained based on psychographic characteristics and willingness to pay (WTP) for the principal organic products purchased. "Localists" and "Health conscious" clusters constituted the largest proportion of the selected sample, thus were the most critical to be addressed by specific marketing strategies emphasizing the combination of local and organic food and the healthy properties of organic products. "Rational" and "Irregular" cluster were relatively small groups, addressed by pricing and promotional strategies. This study showed a positive attitude among Lebanese consumer towards organic food, where egoistic motives are prevailing over altruistic motives. High prices of organic commodities and low trust in organic farming, remain a constraint to levitating organic consumption. The combined efforts of the public and the private sector are required to spread the knowledge about positive environmental payback of organic agriculture and for the promotion of locally produced organic goods.

  2. Adoption of Mobile Banking Applications in Lebanon

    Directory of Open Access Journals (Sweden)

    Marc F Audi

    2016-04-01

    Full Text Available This research studied the impact of mobile banking adaptation in Lebanon. A brief overview of the Lebanese banking sector has shown how it is very dynamic and large. The overview also shows that the Lebanese banking sector is very competitive and changing with the development of new technologies and the availability of new services. To explain mobile banking applications in Lebanon two models were studied in the literature. The first is the innovation diffusion theory which has 5 different constructs: relative advantage, compatibility, communicability, trailability and complexity. The innovation diffusion theory talks about the path innovations take to reach final adopters. The technology acceptance model on the other hand relates the effects of it main components, perceived ease of use and perceived usefulness, on consumer attitude and intention to adopt. Our model is based on both theories and has 8 constructs. It shows the effect of the 5 constructs of the innovation diffusion theory merging perceived usefulness to relative advantage and replacing complexity with perceived ease of use. We have developed 8 hypotheses based on the construct of the model and to study the user-none user effect. A personal administered survey done using convenient sampling managed to gather 315 respondents from 5 different locations in Beirut after administering pilot testing. All variables were tested for validity and reliability using different tests. A biverate linear regression analysis was used to test the hypotheses and establish the relations between the different variables. We also did an independent t-test to analyze the user none-user effects. It is concluded that this paper with a discussion of the tests and recommending the best way to market mobile banking applications and designing a good version of mobile banking that looks appealing to consumers.

  3. Observations of seismic activity in Southern Lebanon

    Science.gov (United States)

    Meirova, T.; Hofstetter, R.

    2013-04-01

    Recent seismic activity in southern Lebanon is of particular interest since the tectonic framework of this region is poorly understood. In addition, seismicity in this region is very infrequent compared with the Roum fault to the east, which is seismically active. Between early 2008 and the end of 2010, intense seismic activity occurred in the area. This was manifested by several swarm-like sequences and continuous trickling seismicity over many days, amounting in total to more than 900 earthquakes in the magnitude range of 0.5 ≤ M d ≤ 5.2. The region of activity extended in a 40-km long zone mainly in a N-S direction and was located about 10 km west of the Roum fault. The largest earthquake, with a duration magnitude of M d = 5.2, occurred on February 15, 2008, and was located at 33.327° N, 35.406° E at a depth of 3 km. The mean-horizontal peak ground acceleration observed at two nearby accelerometers exceeded 0.05 g, where the strongest peak horizontal acceleration was 55 cm/s2 at about 20 km SE of the epicenter. Application of the HypoDD algorithm yielded a pronounced N-S zone, parallel to the Roum fault, which was not known to be seismically active. Focal mechanism, based on full waveform inversion and the directivity effect of the strongest earthquake, suggests left-lateral strike-slip NNW-SSE faulting that crosses the NE-SW traverse faults in southern Lebanon.

  4. 78 FR 46487 - Continuation of the National Emergency With Respect to Lebanon

    Science.gov (United States)

    2013-07-31

    ... With Respect to Lebanon #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register / Vol. 78, No... ] Notice of July 29, 2013 Continuation of the National Emergency With Respect to Lebanon On August 1, 2007, by Executive Order 13441, the President declared a national emergency with respect to Lebanon...

  5. Financing and Political Economy of Higher Education: The Case of Lebanon

    Science.gov (United States)

    Nahas, Charbel

    2011-01-01

    This paper assesses the adequacy, efficiency, and equity of higher education in Lebanon in both the public and private sectors, while highlighting challenges that are specific to Lebanon. It concludes by discussing various approaches and strategies to remedy the challenges facing higher education in Lebanon.

  6. 76 FR 39038 - Proposed Establishment of Class E Airspace; Lebanon, PA

    Science.gov (United States)

    2011-07-05

    ... Federal Aviation Administration 14 CFR Part 71 Proposed Establishment of Class E Airspace; Lebanon, PA...: This action proposes to establish Class E Airspace at Lebanon, PA, to accommodate new Standard... amendment to Title 14, Code of Federal Regulations (14 CFR) part 71 to establish Class E airspace at Lebanon...

  7. Dementia prevalence, care arrangement, and access to care in Lebanon

    DEFF Research Database (Denmark)

    Phung, Thien Kieu Thi; Chaaya, Monique; Prince, Martin

    2017-01-01

    INTRODUCTION: In North Africa and the Middle East, studies about dementia prevalence are scarce. A pilot study was conducted in Lebanon to assess dementia prevalence, using the Arabic-validated 10/66 Dementia Research Group (DRG) diagnostic assessment for case ascertainment. The study also examined...... care arrangement and access to care. METHODS: A random sample of 502 persons older than 65 years and their informant were recruited from Beirut and Mount Lebanon governorates through multistage cluster sampling. RESULTS: The crude and age-standardized dementia prevalences were 7.4% and 9.......0%, respectively. People with dementia were mainly cared for by relatives at home. Access to formal care was very limited. DISCUSSION: Dementia prevalence in Lebanon ranks high within the global range of estimates. These first evidence-based data about disease burden and barriers to care serve to raise awareness...

  8. Skin disease in United Nations peacekeepers in Lebanon.

    Science.gov (United States)

    Zhou, Zhou; Liu, T; Zhang, Z

    2017-02-01

    Skin disease is one of the major components of health problems for soldiers either during war or peacetime. Despite increased numbers and scale of military missions, dermatological survey is limited. The aim of this study was to outline the dermatological profile in international peacekeepers in Lebanon and to explore the features of disease pattern. The dermatological records of peacekeepers visiting a Chinese Level 2 hospital during a 7-year period were retrospectively assessed. Comparisons with previous reports of skin disease in military personnel were performed. A total of 1658 patients (91% men, with a mean age of 32 years) were included. More than half of them were Asian (62%). Dermatitis and eczema (27%) was the leading category. Tinea pedis (13%), lichen simplex chronicus (9%), unspecified dermatitis (8%), verruca vulgaris (7%) and alopecia areata (5%) were the top five complaints. Dermatitis and eczematous eruptions appeared to be the most common condition in troops deployed in the Middle East, whereas fungal infection was highly prevalent in tropical regions. Additionally, a remarkably high rate of alopecia areata was noted in two studies including ours. Environment, group living, occupational activities and work-related stress act as initiating and/or aggravating factors in the development and/or spread of some conditions. The knowledge of disease profile empowers doctors to enforce preventive measures and prepare for treatment modalities. In particular, the underlying psychological component in lichen simplex chronicus and alopecia areata should be addressed appropriately. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  9. Extrahuman Epidemiology of Acinetobacter baumannii in Lebanon

    Science.gov (United States)

    Rafei, Rayane; Hamze, Monzer; Pailhoriès, Hélène; Eveillard, Matthieu; Marsollier, Laurent; Joly-Guillou, Marie-Laure; Dabboussi, Fouad

    2015-01-01

    The presence of Acinetobacter baumannii outside hospitals is still a controversial issue. The objective of our study was to explore the extrahospital epidemiology of A. baumannii in Lebanon. From February 2012 to October 2013, a total of 73 water samples, 51 soil samples, 37 raw cow milk samples, 50 cow meat samples, 7 raw cheese samples, and 379 animal samples were analyzed by cultural methods for the presence of A. baumannii. Species identification was performed by rpoB gene sequencing. Antibiotic susceptibility was investigated, and the A. baumannii population was studied by two genotyping approaches: multilocus sequence typing (MLST) and blaOXA-51 sequence-based typing (SBT). A. baumannii was detected in 6.9% of water samples, 2.7% of milk samples, 8.0% of meat samples, 14.3% of cheese samples, and 7.7% of animal samples. All isolates showed a susceptible phenotype against most of the antibiotics tested and lacked carbapenemase-encoding genes, except one that harbored a blaOXA-143 gene. MLST analysis revealed the presence of 36 sequence types (STs), among which 24 were novel STs reported for the first time in this study. blaOXA-51 SBT showed the presence of 34 variants, among which 21 were novel and all were isolated from animal origins. Finally, 30 isolates had new partial rpoB sequences and were considered putative new Acinetobacter species. In conclusion, animals can be a potential reservoir for A. baumannii and the dissemination of new emerging carbapenemases. The roles of the novel animal clones identified in community-acquired infections should be investigated. PMID:25616788

  10. Lebanon: A Convergence of Political Islam and Criminality

    Science.gov (United States)

    2012-09-01

    initiated to push the Palestinian guerrillas north of the Litani River , led to a two decade long Israeli occupation of southern Lebanon, displaced...455–475. 242 Luis Alberto Villamarin Pulido, El Cartel de las FARC, ( Bogota : Ediciones el Faraon, 1996), cited in Gregory E. Phillips, " Liberty

  11. Multilingual Education in Lebanon: "Arabinglizi" and Other Challenges of Multilingualism.

    Science.gov (United States)

    Thonhauser, Ingo

    2001-01-01

    Describes various aspects of multilingualism in Lebanon and its impact on education, reviewing research on urban multilingualism, presenting case studies of the language and literacy practices of multilingual Lebanese people, and examining educational implications of multilingualism (i.e., students' attitudes toward reading, writing, and their…

  12. First report of Oxa-72-producing Acinetobacter calcoaceticus in Lebanon

    Directory of Open Access Journals (Sweden)

    A. Al Atrouni

    2016-01-01

    Full Text Available Emergence of carbapenem-resistant Acinetobacter spp. has been increasingly reported worldwide. We report here the first detection of an Acinetobacter calcoaceticus isolate from vegetables in Lebanon carrying the blaOxa-72 gene. These findings show that the Lebanese environment may constitute a potential reservoir for this antibiotic resistance gene.

  13. Attitudes of Teachers and Headteachers towards Inclusion in Lebanon

    Science.gov (United States)

    Khochen, Maha; Radford, Julie

    2012-01-01

    In the Arabic region, the drive towards inclusive practices in mainstream schools is at a relatively early stage, although, in Lebanon, the recent initiative of the National Inclusion Project (NIP), a project managed by a consortium of four organisations aimed at addressing the exclusion experienced by people with a disability, has the potential…

  14. A Model for the Education of Gifted Learners in Lebanon

    Science.gov (United States)

    Sarouphim, Ketty M.

    2010-01-01

    The purpose of this paper is to present a model for developing a comprehensive system of education for gifted learners in Lebanon. The model consists of three phases and includes key elements for establishing gifted education in the country, such as raising community awareness, adopting valid identification measures, and developing effective…

  15. Trust and cooperation relations in environmental management of Lebanon

    NARCIS (Netherlands)

    Abbas, Nivine; van der Molen, Peterdina; Nader, M.R.; Lovett, Jonathan Cranidge

    2014-01-01

    This paper examines the spatial variation in vulnerability between different geographical areas of the northern coastal region of Lebanon within the context of armed conflict. The study is based on the ‘vulnerability of space’ approach and will be positioned in the academic debate on vulnerability

  16. Spatial variation of vulnerability in geographic areas of North Lebanon

    NARCIS (Netherlands)

    Issa, Sahar; van der Molen, Peterdina; Nader, M.R.; Lovett, Jonathan Cranidge

    2014-01-01

    This paper examines the spatial variation in vulnerability between different geographical areas of the northern coastal region of Lebanon within the context of armed conflict. The study is based on the ‘vulnerability of space’ approach and will be positioned in the academic debate on vulnerability

  17. The Legacy of the Special Tribunal for Lebanon

    NARCIS (Netherlands)

    van der Wilt, H.; Alamuddin, A.; Jurdi, N.N.; Tolbert, D.

    2014-01-01

    This chapter discusses the long-term contributions and drawbacks of the Special Tribunal for Lebanon (STL). It considers whether the STL will contribute to the development of Lebanese criminal law, looking particularly at the infusion of international law concepts into Lebanese domestic law in the

  18. Attitudes of Teachers and Headteachers towards Inclusion in Lebanon

    Science.gov (United States)

    Khochen, Maha; Radford, Julie

    2012-01-01

    In the Arabic region, the drive towards inclusive practices in mainstream schools is at a relatively early stage, although, in Lebanon, the recent initiative of the National Inclusion Project (NIP), a project managed by a consortium of four organisations aimed at addressing the exclusion experienced by people with a disability, has the potential…

  19. Refugee activists’ involvement in relief effort in Lebanon

    Directory of Open Access Journals (Sweden)

    Frances Topham Smallwood

    2014-09-01

    Full Text Available A cadre of educated middle-class Syrian refugees dedicated to improving conditions for Syrians at home and in Lebanon are building a civil society in exile but face obstacles to consolidating their presence and becoming more effective.

  20. Cybertechnology Ethics of University Students in Lebanon: Assessing University Students' Activities and Perceptions of Cybertechnology Ethics in Lebanon

    Science.gov (United States)

    Jabbour, Khayrazad Kari

    2011-01-01

    Use of internet technologies is widespread in Lebanon. Technology has a revolutionary impact on our lives, behavior, and in particular a strong impact on our students. Part of our students every day routine is to use the computer and the Internet to play, learn, and communicate. Although most students use the computer and the Internet on a daily…

  1. LEBANON AFTER THE CEDAR REVOLUTION/ARE KNUDSEN AND MICHAEL KERR (eds; LEBANON: A HISTORY, 600--2011/by WILLIAM HARRIS

    Directory of Open Access Journals (Sweden)

    Franck Salameh

    2013-05-01

    Full Text Available LEBANON AFTER THE CEDAR REVOLUTION, ARE KNUDSEN AND MICHAEL KERR (eds; London: C. Hurst & Company, 2012. 323 pp. $29.95. LEBANON: A HISTORY, 600--2011, WILLIAM HARRIS; Oxford, New York: Oxford University Press, 2012. 360 pp. $34.95.

  2. First Miocene rodent from Lebanon provides the 'missing link' between Asian and African gundis (Rodentia: Ctenodactylidae).

    Science.gov (United States)

    López-Antoñanzas, Raquel; Knoll, Fabien; Maksoud, Sibelle; Azar, Dany

    2015-08-07

    Ctenodactylinae (gundis) is a clade of rodents that experienced, in Miocene time, their greatest diversification and widest distribution. They expanded from the Far East, their area of origin, to Africa, which they entered from what would become the Arabian Peninsula. Questions concerning the origin of African Ctenodactylinae persist essentially because of a poor fossil record from the Miocene of Afro-Arabia. However, recent excavations in the Late Miocene of Lebanon have yielded a key taxon for our understanding of these issues. Proafricanomys libanensis nov. gen. nov. sp. shares a variety of dental characters with both the most primitive and derived members of the subfamily. A cladistic analysis demonstrates that this species is the sister taxon to a clade encompassing all but one of the African ctenodactylines, plus a southern European species of obvious African extraction. As such, Proafricanomys provides the 'missing link' between the Asian and African gundis.

  3. First Miocene rodent from Lebanon provides the 'missing link' between Asian and African gundis (Rodentia: Ctenodactylidae)

    Science.gov (United States)

    López-Antoñanzas, Raquel; Knoll, Fabien; Maksoud, Sibelle; Azar, Dany

    2015-01-01

    Ctenodactylinae (gundis) is a clade of rodents that experienced, in Miocene time, their greatest diversification and widest distribution. They expanded from the Far East, their area of origin, to Africa, which they entered from what would become the Arabian Peninsula. Questions concerning the origin of African Ctenodactylinae persist essentially because of a poor fossil record from the Miocene of Afro-Arabia. However, recent excavations in the Late Miocene of Lebanon have yielded a key taxon for our understanding of these issues. Proafricanomys libanensis nov. gen. nov. sp. shares a variety of dental characters with both the most primitive and derived members of the subfamily. A cladistic analysis demonstrates that this species is the sister taxon to a clade encompassing all but one of the African ctenodactylines, plus a southern European species of obvious African extraction. As such, Proafricanomys provides the 'missing link' between the Asian and African gundis. PMID:26250050

  4. Barriers to breastfeeding in Lebanon: A policy analysis.

    Science.gov (United States)

    Akik, Chaza; Ghattas, Hala; Filteau, Suzanne; Knai, Cecile

    2017-08-01

    Although the issue of breastfeeding in Lebanon has risen on the political agenda, the country does not meet international recommendations for early breastfeeding practices. This study analysed barriers to dissemination, implementation, and enforcement of key policies to improve early breastfeeding practices. We conducted interviews with stakeholders in breastfeeding policy in Lebanon and used a framework approach for analysing data. We found a disconnect between policy endorsement and translation on the ground, weak engagement of professional associations and governmental institutions, undue influence by the breast milk substitute industry, and competing priorities-most notably the current refugee crisis. This study highlights the potential policy opportunities to counter these barriers and points to the role of international organisations and grassroots advocacy in pushing, monitoring, and implementing policies that protect breastfeeding, where government capacity is limited, and the private sector is strong.

  5. HIZB UT TAHRIR IN LEBANON: ITS CONTRIBUTIONS TO POLITICAL ISLAM

    Directory of Open Access Journals (Sweden)

    Antonio Alonso Marcos

    2011-04-01

    Full Text Available Hizb ut Tahrir al Islami, the Islamic Liberation Party, is a social movement that is highly active in Europe, Central Asia and the Near East. In Lebanon, one of the few countries in the Arab world where it’s legal (together with Yemen and the United Arab Emirates, this party has refused to take part in elections, but continues to participate actively in the country’s political life through its social movement, which they call a “party”. The party’s vicissitudes in this country, going from illegality to operating freely (though recently it has been placed under suspicion, enables us to draw a series of useful conclusions for the evolution of political Islam in the public life of the Republic of Lebanon in the eastern Mediterranean.

  6. Sleep patterns and disorders among university students in Lebanon.

    Science.gov (United States)

    Assaad, Shafika; Costanian, Christy; Haddad, Georges; Tannous, Fida

    2014-01-01

    Insufficient sleep is a significant public health issue with adverse medical consequences. Sleep disturbances are common among university students and have an effect on this group's overall health and functioning. The aim of this study was to investigate sleep habits and disorders in a population of university students across Lebanon. This was a cross-sectional study carried out in 2012 among 735 students aged 18-25 yrs. old, enrolled at six universities across Lebanon. The Pittsburg Sleep Quality Index (PSQI) was used to assess sleep quality and habits. Less than half of the total study population (47.3%) were good sleepers (PSQILebanon. This study suggests that sleep problems among Lebanese college students were common and such problems may interfere with daily performance. Findings from this study have important implications for programs intended to improve academic performance by targeting sleep habits of students.

  7. sponsorship ban in Lebanon: a baseline cross-sectional study

    Directory of Open Access Journals (Sweden)

    Monique Chaaya

    2016-05-01

    This study provided information about compliance to the smoking ban in Beirut. The advertising sector's compliance would hopefully decrease the tobacco industry’s influence on the public. Further studies aiming at understanding the underlying factors behind the lack of compliance to the indoor smoking ban and finding effective solutions in a politically unstable country with weak rule of law like Lebanon are crucial and can serve as an example for similar developing countries.

  8. President Reagan’s commitment of Peacekeepers in Lebanon, 1983

    Science.gov (United States)

    2015-05-21

    over the spoils of office.”26 Lebanon also enjoyed a peaceful transitions of power and civic empowerment as shown when President Bishara Khoury was...the Reagan administration looked at while mentally conflating the Lebanese anti-aircraft missile crisis in 1981 with the larger U.S. – Soviet...misgivings about the mission in a memorandum to CJCS Vessey on August 9, 1982. Among his concerns were the “vague and ill -defined mission” that did not

  9. Epidemiology and clinical characteristics of traumatic brain injury in Lebanon

    Science.gov (United States)

    Abou-Abbass, Hussein; Bahmad, Hisham; Ghandour, Hiba; Fares, Jawad; Wazzi-Mkahal, Rayyan; Yacoub, Basel; Darwish, Hala; Mondello, Stefania; Harati, Hayat; El Sayed, Mazen J.; Tamim, Hani; Kobeissy, Firas

    2016-01-01

    Abstract Background: Traumatic brain injury (TBI) is a debilitating medical and emerging public health problem that is affecting people worldwide due to a multitude of factors including both domestic and war-related acts. The objective of this paper is to systematically review the status of TBI in Lebanon – a Middle Eastern country with a weak health system that was chartered by several wars and intermittent outbursts of violence - in order to identify the present gaps in knowledge, direct future research initiatives and to assist policy makers in planning progressive and rehabilitative policies. Methods: OVID/Medline, PubMed, Scopus databases and Google Scholar were lastly searched on April 15th, 2016 to identify all published research studies on TBI in Lebanon. Studies published in English, Arabic or French that assessed Lebanese patients afflicted by TBI in Lebanon were warranting inclusion in this review. Case reports, reviews, biographies and abstracts were excluded. Throughout the whole review process, reviewers worked independently and in duplicate during study selection, data abstraction and methodological assessment using the Downs and Black Checklist. Results: In total, 11 studies were recognized eligible as they assessed Lebanese patients afflicted by TBI on Lebanese soils. Considerable methodological variation was found among the identified studies. All studies, except for two that evaluated domestic causes such as falls, reported TBI due to war-related injuries. Age distribution of TBI victims revealed two peaks, young adults between 18 and 40 years, and older adults aged 60 years and above, where males constituted the majority. Only three studies reported rates of mild TBI. Mortality, rehabilitation and systemic injury rates were rarely reported and so were the complications involved; infections were an exception. Conclusion: Apparently, status of TBI in Lebanon suffers from several gaps which need to be bridged through implementing more basic

  10. The Specter of Sunni Military Mobilization in Lebanon

    Science.gov (United States)

    2013-11-01

    2013. 41 Syria Regional Refugee Response, UNHCR , accessed November 12, 2013, http://data.unhcr.org/syrianrefugees/regional.php. 16 increasingly...categories of Sunni militants in Lebanon: those with roots in the refugee Palestinian communities, and those with roots in the international Salafi...of civil war in 1975. The roughly 300,000 Palestinians living in refugee camps are overwhelmingly Sunni.3 Since the heyday of the Palestinian

  11. Promoting women entrepreneurs in Lebanon: the experience of UNIFEM.

    Science.gov (United States)

    Husseini, R

    1997-02-01

    The work of the United Nations Development Fund for Women (UNIFEM) in West Asia began in 1994 with a regional program to strengthen women-owned enterprises in Jordan, Syria, and Lebanon. In Lebanon, a survey of 100 women entrepreneurs, as well as nontraditional credit programs and banks, was conducted prior to program design. A second survey assessed micro-entrepreneurs' demands for financial and other services. Since gender analysis was a new concept in Lebanon, UNIFEM organized a gender awareness workshop for representatives of government, nongovernmental organizations, and the banking sector, followed by a strategic planning workshop. The surveys confirmed that women were concentrated mainly in the less profitable economic sectors, producing handicrafts and food products or running small service or trading companies. Women were less likely than men to get bank loans or to register their businesses. Women's problems accessing credit--the main obstacle limiting their ability to develop their businesses--were compounded by their lack of information, male-oriented collateral requirements, and discriminatory banking regulations. UNIFEM decided to channel counseling of women entrepreneurs on legal matters, marketing, and credit sources through the Ministry of Social Affairs. It is expected that knowledge of gender-related employment issues and the use of gender-specific analysis will become integral to the Ministry's program as a result.

  12. Responding to a Refugee Influx: Lessons from Lebanon

    Directory of Open Access Journals (Sweden)

    Ninette Kelley

    2017-02-01

    Full Text Available Between 2011 and 2015, Lebanon received over one million Syrian refugees. There is no country in the world that has taken in as many refugees in proportion to its size: by 2015, one in four of its residents was a refugee from Syria. Already beset, prior to the Syrian crisis, by political divisions, insecure borders, severely strained infrastructure, and over-stretched public services, the mass influx of refugees further taxed the country. That Lebanon withstood what is often characterized as an existential threat is primarily due to the remarkable resilience of the Lebanese people. It is also due to the unprecedented levels of humanitarian funding that the international community provided to support refugees and the communities that hosted them. UN, international, and national partners scaled up more than a hundred-fold to meet ever-burgeoning needs and creatively endeavored to meet challenges on the ground. And while the refugee response was not perfect, and funding fell well below needs, thousands of lives were saved, protection was extended, essential services were provided, and efforts were made to improve through education the future prospects of the close to half-a-million refugee children residing in Lebanon. This paper examines what worked well and where the refugee response stumbled, focusing on areas where improved efforts in planning, delivery, coordination, innovation, funding, and partnerships can enhance future emergency responses.

  13. Hashish in Morocco and Lebanon: A comparative study.

    Science.gov (United States)

    Afsahi, Kenza; Darwich, Salem

    2016-05-01

    In the 1960s and the 1970s, Morocco and Lebanon became major producers of hashish for export to markets in West and Central Europe, Africa and the Middle East. By using a comparative approach, this paper aims to evaluate changes in production in the traditional areas of cannabis cultivation in the Rif (Morocco) and the Beqaa (Lebanon) and to better understand the role that these countries play in current trends in the global cultivation and consumption of cannabis. The comparative approach takes in account the historical and institutionnal context, and the perception of cannabis in those two country. We rely on primary field research done in the Rif (from 2002) and in the Beqaa (from 1995) in the form of interviews and observations with farmers and intermediaries. Acreage and production estimates of hashish for both countries have been triangulated from different sources. Maghreb and Middle East have a long history of consumption, production and marketing of cannabis. Over the past 12 centuries, migration, trade and different spiritual practices and trends have led to the expansion of cannabis markets. This long period is marked by stages and rifts caused by foreign interference, a worldwide prohibition of cannabis at the beginning of the 20th century and increased global demand in the 1960s and the 1970s. Morocco and Lebanon are among the most important producers of hashish to be exported for trade for the last fifty years. The global prohibition of cannabis and the global sustained demand have created opportunities for poor farmers in the Rif and the Beqaa regions to survive and get wealthy. It is difficult to understand the reasons why areas producing cannabis are steadily increasing. If the Rif and the Beqaa share some features (such are marginalized areas of production, repressive legislation, huge international demand, range of comparable tasks and Mediterranean climate suitable for growing cannabis, etc.) then a comparison between the two countries makes it

  14. Climate change since the last glacial period in Lebanon and the persistence of Mediterranean species

    Science.gov (United States)

    Cheddadi, R.; Khater, C.

    2016-10-01

    In this study, we quantified the mean January temperature (Tjan) and both winter (Pw) and summer (Ps) precipitation from three fossil pollen records from Lebanon. Tjan showed a strong correlation with the global temperature changes retrieved in the NGRIP Greenland ice core. The amplitude of ca. 8 °C between the Younger Dryas (YD) period and the Holocene is coherent with climate reconstructions from the Eastern Mediterranean. The overall amount of precipitation was also lower during the YD than during the Holocene but the contrast between Pw and Ps was much more reduced (less than 2 times) during the YD than during the Holocene (up to 8 times). Such different seasonal contrast compare to the present day is coherent with some climate proxies from the Levant that tend to indicate the presence of moisture during the last glacial period. In effect, the low Pw during the YD reflects the replacement of the forest ecosystem by a more shrubby or herbaceous vegetation. Concomitantly, the occurrence of an amount of precipitation higher than the current one during the summer season, along with a reduced evaporation, due to lower temperature, may have contributed to some local observed high lake levels in the area. During the last glacial period, Lebanon was not under a typical Mediterranean climate such as the one we know today, i.e. with a strong precipitation and temperature contrast between summer and winter seasons, but rather under a less contrasted climate. Mediterranean species persisted in this area due to the low amplitude of temperature change between the last glacial period and the Holocene as well as to an availability of moisture throughout the year instead of an occurrence mainly during the winter season as is the case today.

  15. War Memories and the Refusal of Male Dominance in Shakir's "Oh, Lebanon"

    Science.gov (United States)

    Al-Momani, Hassan Ali Abdullah

    2017-01-01

    This study investigates the role of the war memories in the construction of the female gender identity in Evelyin Shakir's "Oh, Lebanon," in which the female protagonist refuses to belong to her Arab identity when she lives in the United States because of the brutal war memories she witnesses in Lebanon. Such memories make the…

  16. Slowly but Surely: Small Steps toward Establishing Gifted Education Programs in Lebanon

    Science.gov (United States)

    Sarouphim, Ketty M.

    2015-01-01

    The purpose of this article is to shed light on the state of gifted education in Lebanon and to describe the efforts underway to establish programs for gifted learners in the country. The article starts with a description of the Lebanese system of education followed by research conducted in Lebanon on an instrument called Discovering Intellectual…

  17. Health Knowledge, Attitudes, Practices, and Beliefs of Lebanese and Palestinian School Children in Lebanon

    Science.gov (United States)

    Fuddah, Hanin; Zeitoun, Samar

    2017-01-01

    The indicators for health risk factors among school children in Lebanon associated with increased mortality and morbidity were higher than the global percentage based on WHO (2014) statistics. Knowing that the Ministry of Education in Lebanon has been trying to include health education in the national school curriculum since the last reform in…

  18. 78 FR 23625 - Waiver of Restriction on Assistance to the Central Government of Lebanon

    Science.gov (United States)

    2013-04-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Lebanon Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act with respect to Lebanon and I hereby waive this restriction. This...

  19. Teaching for Citizenship in Lebanon: Teachers Talk about the Civics Classroom

    Science.gov (United States)

    Akar, Bassel

    2012-01-01

    "National and Civic Education" is a program of study compulsory across all grade levels in Lebanon aimed at promoting social cohesion and active citizenship. A sample of 19 civics teachers in Lebanon across four of the six governorates participated in semi-structured interviews. The conversations delved into their conceptions of…

  20. A National Peace Education Program in Lebanon: Exploring the Possibilities from the Leaders' Perspectives

    Science.gov (United States)

    Tannous, Joseph M.; Oueijan, Harvey N.

    2011-01-01

    This document reports the findings of a doctoral project regarding peace education in Lebanon. The emergence of Lebanon from a long civil war necessitates the existence of a peace program that will educate the new generations for a culture of peace. In this study, we tried to explore the potential of the development of a unified peace program…

  1. 78 FR 56767 - Waiver of Restriction on Assistance to the Central Government of Lebanon

    Science.gov (United States)

    2013-09-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Lebanon Pursuant to Section 7031(b)(3) of... 7031(b)(1) of the Act with respect to Lebanon, and I hereby waive this restriction. This determination...

  2. Why are breastfeeding rates low in Lebanon? a qualitative study

    Directory of Open Access Journals (Sweden)

    Nabulsi Mona

    2011-08-01

    Full Text Available Abstract Background Breastfeeding is a cost-effective public health intervention that reduces infant morbidity and mortality in developing countries. In Lebanon, breastfeeding exclusivity and continuation rates are disappointingly low. This qualitative study aims at identifying barriers and promoters of breastfeeding in the Lebanese context by exploring mothers' perceptions and experiences in breastfeeding over a one year period. Methods We conducted focus group discussions in three hospitals in Beirut, Lebanon, and followed up 36 breastfeeding mothers with serial in-depth interviews for one year post-partum or until breastfeeding discontinuation. Results Themes generated from baseline interviews revealed several positive and negative perceptions of breastfeeding. Longitudinal follow up identified insufficient milk, fear of weight gain or breast sagging, pain, sleep deprivation, exhaustion, or maternal employment, as reasons for early breastfeeding discontinuation. Women who continued breastfeeding for one year were more determined to succeed and overcome any barrier, relying mostly on family support and proper time management. Conclusions Increasing awareness of future mothers about breast feeding difficulties, its benefits to children, mothers, and society at large may further promote breastfeeding, and improve exclusivity and continuation rates in Lebanon. A national strategy for early intervention during school years to increase young women's awareness may improve their self-confidence and determination to succeed in breastfeeding later. Moreover, prolonging maternity leave, having day-care facilities at work, creation of lactation peer support groups and hotlines, and training of doctors and nurses in proper lactation support may positively impact breastfeeding exclusivity and continuation rates. Further research is needed to assess the effectiveness of proposed interventions in the Lebanese context.

  3. [A case of Brucella spondylodiscitis after a visit to Lebanon].

    Science.gov (United States)

    Nielsen, Stig Lønberg; Johansen, Isik Somuncu

    2012-02-13

    Brucellosis is a widespread endemic zoonotic infection affecting more than 500,000 people per year. The disease is very uncommon in Denmark and almost always imported. We present a case of a 57 year-old male with blood culture and magnetic resonance imaging verified brucella spondylodiscitis. Prior to debut of symptoms the patient had visited Lebanon where he had ingested unpasteurized goat milk. The patient was initially treated with an antimicrobial chemotherapy regimen for 12 weeks, which was prolonged due to inadequate radiological response.

  4. Physicochemical evaluation of the Upper Litani River watershed, Lebanon.

    Science.gov (United States)

    Saadeh, Mark; Semerjian, Lucy; Amacha, Nabil

    2012-01-01

    This study aims to determine the extent of groundwater damage in the Upper Litani River Basin (ULRB) after years of water mismanagement and overfertilization in what is considered to be Lebanon's largest fertile area. Physical and chemical samples were collected between 2005 and 2010 and analyzed using "The Standard Methods for the Examination of Water and Wastewater" (APHA, AWWA) in order to determine the extent of this pollution. The parameters included pH, ammonia, nitrate, nitrite, sulfate, phosphate, dissolved oxygen, and total dissolved solids.

  5. Surveys of potato-growing areas and surface water in Lebanon for potato brown and ring rot pathogens

    Directory of Open Access Journals (Sweden)

    Elia CHOUEIRI

    2017-05-01

    Full Text Available Field surveys were carried out over three growing seasons (2013–2015, in the main potato growing areas of Lebanon, to assess the occurrence of potato brown rot caused by Ralstonia solanacearum and potato ring rot caused by Clavibacter michiganensis subsp. sepedonicus. A total of 232 potato samples were collected from Bekaa valley and 145 samples from Akkar plain, which are the largest Lebanese areas cropped with potatoes. Composite samples of 200 potato tubers were randomly collected from each field, following procedures laid down in EU legislation. Twelve potato demonstration fields were established in Akkar plain and designed for potato export to European markets: these were also surveyed using the same strategy. Furthermore, a network of 40 sampling sites in Bekaa and 19 sites in Akkar was established to collect surface water. GPS coordinates of potato fields and water sampling sites were recorded to map specific sampling points using Geographic Information System. All samples gave negative results for R. solanacearum and C. michiganensis subsp. sepedonicus in potatoes and R. solanacearum in water, as indicated using the official EU methods for detection and diagnosis for these pathogens. A monitoring system for R. solanacearum and C. michiganensis subsp. michiganensis has been set up in Lebanon. This will increase the phytosanitary quality of potatoes and provide access to broader international markets.

  6. Incorporating geriatrics into undergraduate medical education in Lebanon.

    Science.gov (United States)

    Tohme, Rania A; Hajjar, Ramzi R

    2015-01-01

    Although the proportion of older adults in Lebanon is expected to increase rapidly over the next few decades, the current healthcare workforce is unprepared to address the needs of this population. Currently, emphasis on geriatrics is lacking in medical education curricula of most universities in Lebanon, and there is a shortage of geriatricians in the country. In this paper we present specific methods of integrating geriatrics into the undergraduate medical curriculum based on the experience of medical schools in the United States. Incorporating geriatrics into the medical curriculum requires support from deans and faculty members at medical schools, as well as training of non-geriatricians to teach geriatrics within their specialty. Geriatrics training can be gradually incorporated into existing courses throughout the four years of medical school, and should consist of a holistic approach that teaches students how to diagnose, treat, and interact with older adults and their caregivers while being mindful of their psychological, physical and social wellbeing. Increasing exposure to geriatric education during medical school promises to increase interest in geriatrics, and ultimately help address the shortage of geriatricians in the country.

  7. Suicide risk factors among trans feminine individuals in Lebanon.

    Science.gov (United States)

    Kaplan, Rachel L; Nehme, Simon; Aunon, Frances; de Vries, David; Wagner, Glenn

    Transgender women are disproportionately affected by high rates of depression and suicide attempts. It is therefore important to identify factors that influence suicidal risk, particularly in the Middle East where little research has examined the mental health of transgender women. We examined risk factors associated with suicide attempts among 54 trans feminine individuals in Beirut, Lebanon. Data were collected using interviewer-administered questionnaires and analyzed using bivariate statistics. Twenty-five (46%) participants reported having ever attempted suicide. Among them, only one participant received some kind of counseling in response to the attempted suicide. Low general social support, low social integration, and low support from peers were significantly associated with a history of attempted suicide, as were being more open about transgender identity in public and any hormone use (past or current). These findings suggest that progression in gender transition can have unintended consequences related to mental health and suicide risk, while social support systems can mitigate the impact of mental health problems. Some of these findings mirror other contexts around the globe and can inform mental health services for trans feminine individuals in Lebanon, the greater Middle East region, and other international settings.

  8. Reducing Reforestation Costs in Lebanon: Adaptive Field Trials

    Directory of Open Access Journals (Sweden)

    Garabet (Garo Haroutunian

    2017-05-01

    Full Text Available Lebanon’s Ministry of Environment initiated a project in 2009 to determine low-cost reforestation techniques for stone pine (Pinus pinea and Lebanon cedar (Cedrus libani for large-scale land rehabilitation activities in the arid Middle East. Irrigation (several techniques vs. no water, planting (8- to 18-month-old seedlings, seeding, and soil preparation methods were evaluated in three sets of adaptive management field trials. The aim was to reduce reforestation costs while still achieving sufficient regeneration. A key result for management was that non-irrigated seed planting of stone pine and possibly of Lebanon cedar showed promise for cost-effective reforestation and could be competitive with seedlings, given correct seed source and planting conditions. Stone pine seeds collected from nearby mother trees and planted without irrigation on sandy soil showed 35% survival for <600 USD/ha; seedlings planted without irrigation cost about 2500 USD/ha and achieved 50–70% survival (costs based on 800 seedlings/ha. Water supplements increased establishment costs over 2 years without concomitant improvements to survival. Future studies should evaluate how soil texture and soil preparation interact with other factors to affect seed germination and survival for each species.

  9. [Enterobacterial susceptibility to antibiotics in northern Lebanon (1998-2001)].

    Science.gov (United States)

    Hamze, Monzer; Dabboussi, Fouad; Izard, Daniel

    2003-01-01

    The purpose of this study was to assess the epidemiology of local enterobacterial susceptibility to antibiotics. Between 1 January, 1998, and 31 December, 2001, we studied the sensitivity of 2,238 Enterobacteria to 26 different antibiotic agents in northern Lebanon, in the Microbiology department and Laboratory of the Islami Hospital, Tripoli, Lebanon. We used the diffusion disk method and complied with the guidelines of the French Microbiology Society antibiogram committee. Urinary samples were the most frequent source (67.5%), followed by blood cultures (12.7%). The dominant species in blood cultures was S. typhi (44.7%). We found 194 strains that produced extended-spectrum beta lactamases (ESBL), with the highest prevalence in Serratia spp. (44.3%), followed by Klebsiella pneumoniae (23.7%), Escherichia coli (20.7%) and Klebsiella oxytoca (11.3%). The global susceptibility of these strains to aminopenicillin was 15%; it reached 30% when combined with clavulanic acid. Susceptibility of the ESBL strains to these agents was 0%. The global susceptibility (and that of the ESBL strains, when greater than 0%) to other antibiotics was as follows: ticarcillin 38.5%, piperacillin 38.5%, piperacillin-tazobactam 88% (64%), imipenem 99.4%, (100%), cefalexin 41%, cefoxitin 65% (40.3%), cefuroxime 75%, amikacin 89%, chloramphenicol 30%, gentamicin 78% (42%), tetracycline 28% (16%), minocycline 30% (18.4%), colistin 67% (75%), nitrofuran 40% (45%), cotrimoxazol 40% (13%), nalidixic acid 53% (5.6%), pefloxacin 63% (23%), ciprofloxacin 71% (39%), and levofloxacin 72% (47%).

  10. Mental health care in the Lebanon War, 1982.

    Science.gov (United States)

    Noy, S; Levy, R; Solomon, Z

    1984-04-01

    Lessons in mental health care learned from the October 1973 War were applied in the Lebanon War 1982. A three-echelon system of management was followed according to the practices prevalent in Western armies. The clinical pictures were essentially similar to those observed in other wars. Combat stress reactions (CSR) comprised 15 to 20% of the total casualties during the active phase of the war; the rate of late reactions was 30 to 40% of the total CSR. Treatment on the battlefield was more effective than treatment following airlift to the rear, in returning soldiers to their units. The role of stress in causing CSR, and the importance of leadership and cohesion in its prevention were evident. The important lessons learned from the Lebanon War are discussed and include: 1) the need for a broad definition of CSR; 2) the importance of forward unit intervention; 3) the necessity of mobility and divisibility of mental health treatment units; 4) fighting units should not be dispersed immediately after combat; and 5) the management of stress reactions to be the responsibility not only of the mental health services, but of all sections of the medical corps, both in treatment and prevention.

  11. An analysis of personality traits of Chinese military medical peacekeepers in Lebanon

    National Research Council Canada - National Science Library

    Yu, Ke; Zhang, Yan; Li, Congyang; Wang, Qingsong; Tan, Yingjun; Shao, Yongcong

    2012-01-01

    In this study the Chinese version of the 16 Personality Factor Questionnaire (16PF; Cattell, Eber, & Tatsuoka, 1970; Dai & Zhu, 1988) was used to investigate the personality traits of 59 Chinese medical peacekeepers in Lebanon...

  12. Prevalence of Sickle Cell Trait in the Southern Suburb of Beirut, Lebanon

    OpenAIRE

    El Ariss, Abdel Badih; Younes, Mohamad; Matar, Jad; Berjaoui, Zeina

    2016-01-01

    Objective The objective of this study was to assess the prevalence, gender differences, and time trends of Sickle Cell Trait in the Southern Suburb of Beirut, Lebanon, as well as to highlight the importance of screening for Sickle Cell Trait carriers in this population. Another objective was to describe a new screening technique for Sickle Cell Trait carriers. Methods This was a retrospective cohort study carried out at a private laboratory in the Southern Suburb of Beirut, Lebanon between 20...

  13. Path dependence and foreign policy a case study of United States policy toward Lebanon

    OpenAIRE

    Reyes, Raymond L.

    2004-01-01

    Approved for public release, distribution unlimited Currently, the US seems to be solely focused on achieving success in the liberation of Iraq and the establishment of a working democracy there. What has been often overlooked is the historical legacy of a tiny nation in the Levant, Lebanon. Many studies show Lebanon as a viable democracy prior to the start of the civil war in 1975. Today, the infrastructure and the institutions for successfully transitioning back to democracy are still pr...

  14. Heart health in Lebanon and considerations for addressing the burden of cardiovascular disease.

    Science.gov (United States)

    Deek, Hiba; Newton, Phillip; Inglis, Sally; Kabbani, Samer; Noureddine, Samar; Macdonald, Peter S; Davidson, Patricia M

    2015-01-01

    Lebanon is a small country located at the western boundary of the Middle East. Approximately 40% of health care in Lebanon is financed by the public sector. Cardiovascular diseases in Lebanon are scarcely addressed in the literature raising the need for baseline data on these health condition to be better treated. To (1) aggregate and define the burden of cardiovascular disease in Lebanon and (2) describe implications for policy, practice and research to improve health outcomes in Lebanon. An integrative review was conducted of both peer-reviewed papers and unpublished reports. CINAHL, Medline, Google Scholar and Academic Search Complete were searched along with the websites of The World Health Organization, Ministry of Public Health Lebanon and Central Intelligence Agency of Lebanon. No year limit was applied to our search. The search yielded 28 peer-reviewed articles and 15 reports. Cardiovascular diseases are the leading cause of morbidity and mortality in Lebanon and is also the primary cause of hospital admission. A range of social, political, economic and cultural factors explain the burden of cardiovascular diseases, some of these risks are culture specific such as the arghile smoking and the high rates of familial hypercholesterolemia. Workforce shortage produced by high rates of migrating nurses also has an implication on the patients' outcomes. Conclusion: Much of the presented data are sourced from the gray literature; more research, using systematic and prospective data collection methods, are needed to inform health services planning, delivery and evaluation. Primary care needs to be enhanced to produce better outcomes for a population with high profile of cardiovascular risk factors.

  15. Defining Terrorism at the Special Tribunal for Lebanon

    Directory of Open Access Journals (Sweden)

    Prakash Puchooa

    2011-11-01

    Full Text Available On 16 February 2011, the Appeals Chamber of the Special Tribunal for Lebanon (STL issued an interlocutory decision regarding the legal definition of terrorism.This decision was in response to a Pre-Trial Chamber (PTC list of questions requesting,' inter alia', an elaboration of the elements of this crime.In exploring this matter, the Appeals Chamber defined the subjective ('mens rea' and objective elements ('actus reus' of terrorism by referring to domestic Lebanese law and international law. It thereby set out the applicable law for the court. The consequence of this decision however is not limited to the law of STL but may be seen as having far-reaching consequences for the conception of terrorism under both international law and International Criminal Law (ICL. Given the significance of the Appeals Chamber judgment, this paper will scrutinise three areas of concern regarding its propriety:

  16. Perspectives on Filial Responsibility Among Uprooted Families From South Lebanon.

    Science.gov (United States)

    Dabbagh, Therese; Roer-Strier, Dorit; Kurman, Jenny

    2017-09-01

    This study focuses on filial responsibilities among uprooted families. Views of 20 mothers and 20 adolescents and young adults from southern Lebanon residing in Israel were compared to identify the roles that adolescent children assume and the perceived effects of these roles. Eight domains of filial responsibilities were agreed upon: language broker, cultural broker, financial supporter and breadwinner, surrogate parent and sibling caretaker, emotional supporter of parents, mediator of family conflicts, heritage transmitter, and role model. The roles had simultaneous positive effects and negative effects. The discussion illustrates the importance of cultural context of country of origin and the host culture. Moreover, it suggests implications of the findings for research and practice. © 2016 The Authors. Journal of Research on Adolescence © 2016 Society for Research on Adolescence.

  17. Study protocol: Mother and Infant Nutritional Assessment (MINA) cohort study in Qatar and Lebanon.

    Science.gov (United States)

    Naja, Farah; Nasreddine, Lara; Al Thani, Al Anoud; Yunis, Khaled; Clinton, Michael; Nassar, Anwar; Farhat Jarrar, Sara; Moghames, Patricia; Ghazeeri, Ghina; Rahman, Sajjad; Al-Chetachi, Walaa; Sadoun, Eman; Lubbad, Nibal; Bashwar, Zelaikha; Bawadi, Hiba; Hwalla, Nahla

    2016-05-04

    The Middle East and North Africa region harbors significant proportions of stunting and wasting coupled with surging rates of non-communicable diseases (NCDs). Recent evidence identified nutrition during the first 1000 days of life as a common denominator not only for optimal growth but also for curbing the risk of NCDs later in life. The main objective of this manuscript is to describe the protocol of the first cohort in the region to investigate the association of nutrition imbalances early in life with birth outcomes, growth patterns, as well as early determinants of non-communicable diseases. More specifically the cohort aims to 1) examine the effects of maternal and early child nutrition and lifestyle characteristics on birth outcomes and growth patterns and 2) develop evidence-based nutrition and lifestyle guidelines for pregnant women and young children. A multidisciplinary team of researchers was established from governmental and private academic and health sectors in Lebanon and Qatar to launch the Mother and Infant Nutritional Assessment 3-year cohort study. Pregnant women (n = 250 from Beirut, n = 250 from Doha) in their first trimester are recruited from healthcare centers in Beirut, Lebanon and Doha, Qatar. Participants are interviewed three times during pregnancy (once every trimester) and seven times at and after delivery (when the child is 4, 6, 9, 12, 18, and 24 months old). Delivery and birth data is obtained from hospital records. Data collection includes maternal socio-demographic and lifestyle characteristics, dietary intake, anthropometric measurements, and household food security data. For biochemical assessment of various indicators of nutritional status, a blood sample is obtained from women during their first trimester. Breastfeeding and complementary feeding practices, dietary intake, as well as anthropometric measurements of children are also examined. The Delphi technique will be used for the development of the nutrition and lifestyle

  18. Ethnopharmacological survey of medicinal plants used in traditional medicine by the communities of Mount Hermon, Lebanon.

    Science.gov (United States)

    Baydoun, Safaa; Chalak, Lamis; Dalleh, Helena; Arnold, Nelly

    2015-09-15

    Medicinal plant species in Lebanon are experiencing severe threats because of various environmental conditions, human expansion footprints and recent growing global demand. Organized research and information on indigenous medicinal plants and knowledge have been very limited and little efforts have been invested to develop a complete inventory for native medicinal plants and associated traditional knowledge in the country. Recognized as a key biodiversity area of the Mediterranean Basin, Mount Hermon hosts important richness of medicinal plants that has been traditionally used in treatment of many illnesses since generations. Novel knowledge gathered by the present investigation is important in preserving indigenous knowledge of Mount Hermon community and revitalizing traditional herbal medicines. Ethnopharmacological information was collected by semi-structured interviews with 53 native informants (herbalists, traditional healers, midwives and local adult villagers) in 13 towns and villages surrounding Mount Hermon. The interviews were conducted through guided field visits and discussion groups whilst collecting plants specimens. Taxonomical identification of plant species was based on the determination keys of the "New Flora of Lebanon and Syria" and specimens were deposited at the herbarium of the Research Center for Environment and Development at Beirut Arab University. The results obtained indicate that 124 plant species of Mount flora are still used in traditional medicine by the local communities as an important source of primary health care and treatment of a wide range of different illnesses. These species belonged to 42 families and 102 genera. Compositae (19 species), Labiatae (18 species), Rosaceae (11) and Umbelliferae (11) formed the dominant families. Informants' Consensus Factor (FIC) analysis revealed that among the 14 illness categories used, respiratory (0.94), gastrointestinal and renal (0.93), genital systems (0.92) had the highest FIC values

  19. Insecticide resistance to organophosphates in Culex pipiens complex from Lebanon

    Directory of Open Access Journals (Sweden)

    Osta Mike A

    2012-07-01

    Full Text Available Abstract Background Analysis of Culex pipiens mosquitoes collected from a single site in Lebanon in 2005, revealed an alarming frequency of ace-1 alleles conferring resistance to organophosphate insecticides. Following this, in 2006 the majority of municipalities switched to pyrethroids after a long history of organophosphate usage in the country; however, since then no studies have assessed the impact of changing insecticide class on the frequency of resistant ace-1 alleles in C. pipiens. Methods C. pipiens mosquitoes were captured indoors from 25 villages across the country and subjected to established methods for the analysis of gene amplification at the Ester locus and target site mutations in ace-1 gene that confer resistance to organophosphates. Results We conducted the first large-scale screen for resistance to organosphosphates in C. pipiens mosquitoes collected from Lebanon. The frequency of carboxylesterase (Ester and ace-1 alleles conferring resistance to organophosphates were assessed among C. pipiens mosquitoes collected from 25 different villages across the country between December 2008 and December 2009. Established enzymatic assay and PCR-based molecular tests, both diagnostic of the major target site mutations in ace-1 revealed the absence of the F290V mutation among sampled mosquitoes and significant reduction in the frequency of G119S mutation compared to that previously reported for mosquitoes collected from Beirut in 2005. We also identified a new duplicated ace-1 allele, named ace-1D13, exhibiting a resistant phenotype by associating a susceptible and a resistant copy of ace-1 in a mosquito line sampled from Beirut in 2005. Fisher’s exact test on ace-1 frequencies in the new sample sites, showed that some populations exhibited a significant excess of heterozygotes, suggesting that the duplicated allele is still present. Starch gel electrophoresis indicated that resistance at the Ester locus was mainly attributed to the

  20. Snow observations in Mount Lebanon (2011-2016)

    Science.gov (United States)

    Fayad, Abbas; Gascoin, Simon; Faour, Ghaleb; Fanise, Pascal; Drapeau, Laurent; Somma, Janine; Fadel, Ali; Bitar, Ahmad Al; Escadafal, Richard

    2017-08-01

    We present a unique meteorological and snow observational dataset in Mount Lebanon, a mountainous region with a Mediterranean climate, where snowmelt is an essential water resource. The study region covers the recharge area of three karstic river basins (total area of 1092 km2 and an elevation up to 3088 m). The dataset consists of (1) continuous meteorological and snow height observations, (2) snowpack field measurements, and (3) medium-resolution satellite snow cover data. The continuous meteorological measurements at three automatic weather stations (MZA, 2296 m; LAQ, 1840 m; and CED, 2834 m a.s.l.) include surface air temperature and humidity, precipitation, wind speed and direction, incoming and reflected shortwave irradiance, and snow height, at 30 min intervals for the snow seasons (November-June) between 2011 and 2016 for MZA and between 2014 and 2016 for CED and LAQ. Precipitation data were filtered and corrected for Geonor undercatch. Observations of snow height (HS), snow water equivalent, and snow density were collected at 30 snow courses located at elevations between 1300 and 2900 m a.s.l. during the two snow seasons of 2014-2016 with an average revisit time of 11 days. Daily gap-free snow cover extent (SCA) and snow cover duration (SCD) maps derived from MODIS snow products are provided for the same period (2011-2016). We used the dataset to characterize mean snow height, snow water equivalent (SWE), and density for the first time in Mount Lebanon. Snow seasonal variability was characterized with high HS and SWE variance and a relatively high snow density mean equal to 467 kg m-3. We find that the relationship between snow depth and snow density is specific to the Mediterranean climate. The current model explained 34 % of the variability in the entire dataset (all regions between 1300 and 2900 m a.s.l.) and 62 % for high mountain regions (elevation 2200-2900 m a.s.l.). The dataset is suitable for the investigation of snow dynamics and for the forcing

  1. Insecticide resistance to organophosphates in Culex pipiens complex from Lebanon

    Science.gov (United States)

    2012-01-01

    Background Analysis of Culex pipiens mosquitoes collected from a single site in Lebanon in 2005, revealed an alarming frequency of ace-1 alleles conferring resistance to organophosphate insecticides. Following this, in 2006 the majority of municipalities switched to pyrethroids after a long history of organophosphate usage in the country; however, since then no studies have assessed the impact of changing insecticide class on the frequency of resistant ace-1 alleles in C. pipiens. Methods C. pipiens mosquitoes were captured indoors from 25 villages across the country and subjected to established methods for the analysis of gene amplification at the Ester locus and target site mutations in ace-1 gene that confer resistance to organophosphates. Results We conducted the first large-scale screen for resistance to organosphosphates in C. pipiens mosquitoes collected from Lebanon. The frequency of carboxylesterase (Ester) and ace-1 alleles conferring resistance to organophosphates were assessed among C. pipiens mosquitoes collected from 25 different villages across the country between December 2008 and December 2009. Established enzymatic assay and PCR-based molecular tests, both diagnostic of the major target site mutations in ace-1 revealed the absence of the F290V mutation among sampled mosquitoes and significant reduction in the frequency of G119S mutation compared to that previously reported for mosquitoes collected from Beirut in 2005. We also identified a new duplicated ace-1 allele, named ace-1D13, exhibiting a resistant phenotype by associating a susceptible and a resistant copy of ace-1 in a mosquito line sampled from Beirut in 2005. Fisher’s exact test on ace-1 frequencies in the new sample sites, showed that some populations exhibited a significant excess of heterozygotes, suggesting that the duplicated allele is still present. Starch gel electrophoresis indicated that resistance at the Ester locus was mainly attributed to the Ester2 allele, which exhibits

  2. Early Admission Call-Up: A Strategy and Marketing Perk for Attracting Better Students to a College in Lebanon

    Science.gov (United States)

    Naimy, Viviane; Nasser, Ramzi

    2009-01-01

    The purpose of this study was to determine whether an early call-up strategy helps in attracting better students to a private university in Lebanon. Early admission call-up was administered to the top 25 percentile-ranked students of main feeder schools at a private university in Lebanon. Admission data was accrued for students who applied for…

  3. Exposure to Violence and Children's Desensitization Attitudes in Lebanon.

    Science.gov (United States)

    Tarabah, Asma; Badr, Lina Kurdahi; Usta, Jinan; Doyle, John

    2016-11-01

    Children exposed to multiple sources of violence may become desensitized, increasing the possibility of them imitating the aggressive behaviors they watch and considering such behavior as normal. The purpose of this article is to assess the association between exposure to various types of violence (including war) and desensitization in Lebanese children. A cross-sectional design with 207 school-aged children assessed exposure to violence using three surveys: (a) violence in the media (the Media Preference survey), (b) exposure to violence (the KID-SAVE survey), and (c) desensitization attitudes (the Attitude Toward Violence-Child Version). Children were between 8 and 12 years old, 56% were males, and 70%were from middle socioeconomic status (SES) backgrounds. Seventy-six percent of children reported being exposed to violence, with more exposure in males and in the lower SES group. Impact, however, was greater on girls. The predictors of attitude toward violence were "Frequency" of exposure, "Impact" of exposure, and the amount of violence viewed on television. Children are massively exposed to violence in Lebanon resulting in desensitization, which may habituate them to accept violence as normal and put them at risk for imitating violent behaviors. © The Author(s) 2015.

  4. Distribution of phytobenthos along the coast of Lebanon

    Directory of Open Access Journals (Sweden)

    S. LAKKIS

    2012-12-01

    Full Text Available A phytosociological study of the phytobenthos was carried out along the coast of Lebanon during 1996-97. Samples were collected seasonally at six sites, some of which showed distinct pollution signature. Quadrates of 0.04 m-2 were taken at selected stations fixed on transects perpendicular to the rocky shore and covering the supralittoral, the mediolittoral and infralittoral zones. The taxonomic composition, the abundance and species diversity of algal community were analysed in relation to environmental factors. A total of 230 taxa were identified during the period of survey. Several sources of pollution, resulted in the reduction of macroalgae biomass and of the taxonomic diversity. Several Indo-Pacific species were found within the different phytocoenoses of the area; most of them were introduced into the Levantine Basin through the Suez Canal. These species, that were introduced into the Eastern Mediterranean, formed permanent populations; some of them were highly spread and dominated over other endemic species or even they replaced them.

  5. Multilingual educational trends and practices in Lebanon: A case study

    Science.gov (United States)

    Bahous, Rima; Bacha, Nahla Nola; Nabhani, Mona

    2011-12-01

    This paper reports on the multilingual background, language education policies and practices in Lebanon. Specifically, it shows how the multilingual make-up in the country is translated into language policies in schools. A survey of 30 private school principals, middle managers and teachers was administered online to obtain their views on school policies, problems, successes, concerns and quality ranking. Results showed that a great deal of work has been done to introduce a language of instruction and a third language as decreed by the Ministry of Education and at the same time keep the national language, Arabic, alive. The main concerns of the participants were the need for teacher training programmes and resources. Although the research implies that the school systems, in keeping up with this multilingual milieu, could be contributing to the death of the national language as well as producing students who are not fluent in any of the languages, there continues to be an attempt to keep alive a quality multilingual educational context which contributes to a cohesive society.

  6. Assessment of domestic water quality: case study, Beirut, Lebanon.

    Science.gov (United States)

    Korfali, Samira Ibrahim; Jurdi, Mey

    2007-12-01

    In urban cities, the environmental services are the responsibility of the public sector, where piped water supply is the norm for urban household. Likewise, in Beirut City (capital of Lebanon) official water authorities are the main supplier of domestic water through a network of piping system that leaks in many areas. Beirut City and its suburbs are overpopulated since it is the residence of 1/3 of the Lebanese citizens. Thus, Beirut suffers deficiency in meeting its water demand. Water rationing, as a remedial action, is firmly established since four decades by the Lebanese Water Authorities. Consumers resorted then to private wells to supplement their domestic water needs. Consequently, household water quality is influenced by external factors relating to well water characteristics and internal factors depending on the types of the pipes of the distribution network and cross connections to sewer pipes. These factors could result in chemical and microbial contamination of drinking water. The objective of this study is to investigate domestic water quality variation in Beirut City emerging form the aforementioned factors. The presented work encircles a typical case study of Beirut City (Ras Beirut). Results showed deterioration pattern in domestic water quality. The predicted metal species and scales within the water pipes of distribution network depended on water pH, hardness, sulfate, chloride, and iron. The corrosion of iron pipes mainly depended on Mg hardness.

  7. The Ottoman Hammam Al-Ward In Saida, Lebanon

    Directory of Open Access Journals (Sweden)

    Howayda al-Harithy

    2016-12-01

    Full Text Available Hammam Al-Ward is an Ottoman monument in Saida. Siada (or Sidon is a coastal city in Lebanon and a hidden treasure with numerous Mamluk and Ottoman monuments. These monuments are of various types, from mosques to hammams to palaces and khans. They remain unstudied and at times undocumented. This is an architectural monograph of Hammam Al-Ward placed within the urban history of the city and the social practices of its inhabitants. Through documentation and comparative analysis, the paper argues that the hammam was built during the early eighteenth century but carries within it an old tradition of building that dates back to the Mamluk period and an old socio-spatial practice that dates back to Roman times. The article investigates and presents the urban condition that unfolds through the hammam patronage, style and location, the architectural interpretation of the hammam type of the Mediterranean Arab World and the socio-spatial practices of bathing and leisure that continue till modern times.

  8. Justice or Peace? The Hariri Assassination and the Special Tribunal for Lebanon

    Directory of Open Access Journals (Sweden)

    Maria-Rita Kassis

    2011-01-01

    Full Text Available The assassination of former Lebanese Prime Minister Rafik Hariri represented a turning point in the modern history of Lebanon. The death of the tycoon, who reshaped Beirut following years of internal strife, has resulted in a major uprising that changed the face of Lebanon and rewrote its history. To many, his death remains a mystery which is expected to be solved by the UN-sponsored International Tribunal in charge of probing the Feb 14, 2005, murder. Lebanon, a country overwhelmed by its ongoing political crises, is in tension again in anticipation of the expected indictment. This article explores the main conspiracy theories regarding the background of the assassination. After presenting a number of uncontested facts, the article explores three scenarios which attribute responsibility respectively to Syria, Hezbollah and Israel. 

  9. [Status of health and oral health of the elderly population in Lebanon].

    Science.gov (United States)

    Osta, N El; Hennequin, M; Osta, L El; Naaman, N Bou Abboud; Geahchan, N; Tubert-Jeannin, S

    2015-08-27

    Lebanon is in demographic transition as more people reach increasingly older age; 10% of the population in Lebanon is elderly. The incidence of chronic diseases and oral diseases increases significantly with age. However, 55% of the elderly have no health insurance and 82% have no dental insurance. Both noncommunicable diseases (NCDs) and oral diseases are a major health burden in the country and share the same risk factors. The WHO strategy for prevention and control of noncommunicable diseases should therefore be a new approach for the prevention and control of dental diseases among Lebanese elderly. This paper aims to increase the awareness of the medical community in Lebanon about the interrelationship between general and oral health in the elderly and concludes with the need for the Ministry of Health to develop policies and national action plans against NCDs to reduce not only mortality from NCDs but also morbidity from oral diseases.

  10. Characterization of influenza outbreaks in Lebanon during the 2013/14 and 2014/15 seasons.

    Science.gov (United States)

    Saito, R; Akinobu, H; Shaker, R A; Akel, I S; Assaf-Casals, A; Lteif, M; Odagiri, T; Inaba, R; Soudani, N; Khafaja, S; Ghanem, S T; Rajab, M; Shobugawa, Y; Dbaibo, G S; Zaraket, H

    2016-10-02

    Despite the significant burden of influenza outbreaks, active disease monitoring has been largely absent in the Middle East, including Lebanon. In this study we characterized influenza virus in 440 nasopharyngeal swabs collected from patients with acute respiratory infections during two influenza seasons in Lebanon. Influenza A(H3N2) was dominant in the 2013/14 season while the A(H1N1)pdm09 and B/Yamagata strains were most prevalent in the 2014/15 season. All tested isolates were susceptible to 4 neuraminidase inhibitors (oseltamivir, zanamivir, peramivir and laninamivir). Genetic analysis of the haemagglutinin gene revealed multiple introductions of influenza viruses into Lebanon from different geographic sources during each season. Additionally, large data gaps were identified in the Middle East region, as indicated by the lack of current influenza sequences in the database from many countries in the region.

  11. 累范特地区的螫蝇(双翅目:蝇科)名录及黎巴嫩、叙利亚、约旦和埃及西奈山的新记录种%An Annotated Checklist of the Stomoxyini (Diptera: Muscidae) of the Levant with new Records from Lebanon, Syria, Jordan and Sinai Egypt

    Institute of Scientific and Technical Information of China (English)

    Günter C.Müller; Jerome A.Hogsette; Edita E.Revay; Vasiliy D.Kravchenko; Yosef Schlein

    2011-01-01

    Eight species of Stomoxyini were collected in the Levant:Stomoxys calcitrans (Linnaeus,1758 ),Stomoxys sitens Rondani,1873,Stomoxys nigra Macquart,1851,Haematobia irritans ( Linnaeus,1758 ),Haematobia minuta (Bezzi,1892),Stygeromyia maculosa Austen,1907,Haematobosca stimulans (Meigen,1824),and Haematobosca atripalpis (Bezzi,1895). Only two species,S.calcitrans and H. irritans,were recovered from all the countries while two species,S.nigra and H.atripalpis,are recorded from the region for the first time.S.sitens,H.minuta and S.maculosa are reported for the first time in the Levant outside of Israel and only one species,H.stimulans,is so far known onlv from Israel.%在累范特地区采集到8种螫蝇亚科种类,包括螫蝇属3种,厩螫蝇Stomoxys calcitrans( Linnaeus,1758),南螫蝇Stomoxys sitens Rondani,1873,黑螫蝇Stomoxys nigra Macquart,1851,角蝇属2种,西方角蝇Haematobia irritans( Linnaeus,1758),微小角蝇Haematobia minuta (Bezzi,1892),袭蝇属1种,斑袭蝇Stygeromyia maculosa Austen,1907,血喙蝇属2种,刺扰血喙蝇Haematobosca stimulans( Meigen,1824)和长毛血喙蝇Haematobosca atripalpis( Bezzi,1895).其中厩螫蝇S.calcitrans和西方角蝇H.irritans为这些国家和地区的广布种,黑螫蝇S.nigra和长毛血喙蝇H.atripalpis为该地区的新记录种.南螫蝇S.sitens,微小角蝇H.minuta和斑袭蝇S.maculosa为以色列外累范特地区的新记录种,刺扰血喙蝇H.stimulans已知仅分布在以色列.

  12. Burden and treatment patterns of invasive fungal infections in hospitalized patients in the Middle East: real-world data from Saudi Arabia and Lebanon

    Directory of Open Access Journals (Sweden)

    Alothman AF

    2017-02-01

    Full Text Available Adel F Alothman,1 Abdulhakeem O Althaqafi,2 Madonna J Matar,3 Rima Moghnieh,4 Thamer H Alenazi,1 Fayssal M Farahat,2 Shelby Corman,5 Caitlyn T Solem,5 Nirvana Raghubir,6 Cynthia Macahilig,7 Claudie Charbonneau,8 Jennifer M Stephens5 1College of Medicine, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2Department of Infection Prevention and Control, King Abdullah International Medical Research Center, King Saud bin AbdulAziz University for Health Sciences, King AbdulAziz Medical City, Jeddah, Saudi Arabia; 3Department of Infectious Disease, Notre Dame de Secours University Hospital, Byblos, Lebanon; 4Department of Internal Medicine, Makassed General Hospital, Beirut, Lebanon; 5Real-world Evidence/Data Analytics Center of Excellence, Pharmerit International, Bethesda, MD, USA; 6Pfizer, New York, NY, 7Medical Data Analytics, Parsippany, NJ, USA; 8Pfizer International Operation, Paris, France Objectives: The objective of this study was to document the burden and treatment patterns associated with invasive fungal infections (IFIs due to Candida and Aspergillus species in Saudi Arabia and Lebanon. Methods: A retrospective chart review study was conducted using data recorded from 2011 to 2012 from hospitals in Saudi Arabia and Lebanon. Patients were included if they had been discharged with a diagnosis of IFI due to Candida or Aspergillus, which was culture proven or suspected based on clinical criteria. Hospital data were abstracted for a random sample of patients to capture demographics, treatment patterns, hospital resource utilization, and clinical outcomes. Descriptive results were reported. Results: Five hospitals participated and provided data on 102 patients with IFI (51 from Lebanon and 51 from Saudi Arabia. The mean age of the patients was 55 years, and 55% were males. Comorbidities included diabetes (41%, coronary artery disease (24%, leukemia (19%, moderate

  13. Design and implementation of a hospital information system for the Palestine Red Crescent Society in Lebanon.

    Science.gov (United States)

    Rossi, L; Materia, E; Hourani, A; Yousef, H; Racalbuto, V; Venier, C; Osman, M

    2009-01-01

    A case-mix hospital information system was designed and implemented in Palestine Red Crescent Society hospitals in order to support the network of Palestinian hospitals in Lebanon and to improve the health of refugees in the country. The system is based on routine collection of essential administrative and clinical data for each episode of hospitalization, relying on internationally accepted diagnostic codes. It is a computerized, user-friendly information system that is a stepping-stone towards better hospital management and evaluation of quality of care. It is also a useful model for the development of hospital information systems in Lebanon and in the Near East.

  14. The psychological attitude of patients toward health practitioners in Lebanon

    Directory of Open Access Journals (Sweden)

    Fouad Ayoub

    2015-01-01

    Full Text Available Background: Patients often complain about their doctor′s attitude toward them. They describe the interaction that they have with some doctors as quick, cold, discourteous, or hardhearted. Although this does not apply to all Lebanese doctors, it does apply to some. Aims: The purpose of this study was to (1 examine the general perception of satisfaction, trust, and openness that Lebanese patients hold toward the work, office, personal, and social characteristics of their doctors - physician or dentist; and (2 identify the aspects on which a Lebanese health practitioner should focus to improve his/her practice. Materials and Methods: A convenient sample of 450 individuals from an area housing nine hospitals and hundreds of private clinics in Greater Beirut were surveyed regarding the qualities of their health practitioners. They were asked to complete a nine-page, 85-item, anonymous, and voluntary questionnaire that dealt with the medical and dental practice in Lebanon. Participants were older than 18 years and mentally competent. None was physicians, dentists, or nurses. The questionnaire was open-ended and initially pretested and piloted among a random sample. Results: Four hundred-fifteen (92% individuals responded. Participants were from different ages, genders, geographical areas, educational backgrounds, and professions. The doctor traits most preferred by the Lebanese public were found to be: Empathy (90%, professionalism (87%, miscellaneous traits (86%, and academics (81%. Conclusion: The results support the conventional wisdom that the idealized perception of a doctor as a care-giving, compassionate, knowledgeable, well-appearing, and healthy role model still holds true within the Lebanese community.

  15. Natural radioactivity measurements in building materials in Southern Lebanon.

    Science.gov (United States)

    Kobeissi, M A; El Samad, O; Zahraman, K; Milky, S; Bahsoun, F; Abumurad, K M

    2008-08-01

    Using gamma-spectroscopy and CR-39 detector, concentration C of naturally occurring radioactive nuclides (226)Ra, (222)Rn, (214)Bi, (228)Ac, (212)Pb, (212)Bi and (40)K, has been measured in sand, cement, gravel, gypsum, and paint, which are used as building materials in Lebanon. Sand samples were collected from 10 different sandbank locations in the southern part of the country. Gravel samples of different types and forms were collected from several quarries. White and gray cement fabricated by Shaka Co. were obtained. gamma-spectroscopy measurements in sand gave Ra concentration ranging from 4.2+/-0.4 to 60.8+/-2.2 Bq kg(-1) and Ra concentration equivalents from 8.8+/-1.0 to 74.3+/-9.2 Bq kg(-1). The highest Ra concentration was in gray and white cement having the values 73.2+/-3.0 and 76.3+/-3.0 Bq kg(-1), respectively. Gravel results showed Ra concentration between 20.2+/-1.0 and 31.7+/-1.4 Bq kg(-1) with an average of 27.5+/-1.3 Bq kg(-1). Radon concentration in paint was determined by CR-39 detector. In sand, the average (222)Rn concentration ranged between 291+/-69 and 1774+/-339 Bq m(-3) among the sandbanks with a total average value of 704+/-139 Bq m(-3). For gravel, the range was found to be from 52+/-9 to 3077+/-370 Bq m(-3) with an average value of 608+/-85 Bq m(-3). Aerial and mass exhalation rates of (222)Rn were also calculated and found to be between 44+/-7 and 2226+/-267 mBq m(-2)h(-1), and between 0.40+/-0.07 and 20.0+/-0.3 mBq kg(-1)h(-1), respectively.

  16. Aedes albopictus in Lebanon, a potential risk of arboviruses outbreak

    Science.gov (United States)

    2012-01-01

    Background The mosquito Aedes albopictus is undergoing a worldwide expansion with potential consequences on transmission of various arboviruses. This species has been first detected in Lebanon in 2003. Methods We performed a phylogenetic study of Lebanese specimens and assessed their host preference by detecting human, cat, dog and chicken immunoglobulins in mosquito blood-meals. Their capacity to transmit arboviruses was investigated by providing infectious blood-meals using an artificial feeding system followed by detection of viral particles in mosquito saliva. Results Our results suggest that Lebanese strains are part of the recent wave of Ae. albopictus expansion and are related to some European, African and North American strains. They exhibited a host preference towards humans and an important capacity to transmit arboviruses. Indeed, we showed that Ae. albopictus was able to transmit chikungunya (CHIKV), dengue (DENV) and West-Nile (WNV) viruses. At day 10 after an infectious blood-meal at a titer of 108 MID50/ml, 30% of mosquitoes delivered an average of 515 ± 781 viral particles of CHIKV in saliva collected using a forced salivation technique and 55% with an average of 245 ± 304 viral particles when infected with WNV. Whereas DENV was not found in saliva at day 10 post-infection (pi), an average of 174 ± 455 viral particles was detected in 38.1% of mosquitoes tested at day 21 after an infectious blood-meal at a higher titer of 109 MID50/ml. Conclusion These observations suggest that Ae. albopictus around Beirut is a potential vector of the three tested arboviruses. PMID:23151056

  17. Exploration of the Dietary and Lifestyle Behaviors and Weight Status and Their Self-Perceptions among Health Sciences University Students in North Lebanon

    Science.gov (United States)

    El-Kassas, Germine; Ziade, Fouad

    2016-01-01

    University students may experience significant environmental changes that exert a negative influence on the quality of their diet and lifestyle. There is scarcity of data concerning the dietary and lifestyle behaviors and weight status of students in the health field in North Lebanon. To investigate these data, a cross-sectional survey was conducted including 369 health sciences students aged 18–25 chosen from four public and private universities in North Lebanon. Data were collected using a standardized interview questionnaire to determine sociodemographic, dietary, and lifestyle behaviors, appetite changes, stress related dietary behaviors, and food cravings, as well as self-perceptions of dietary adequacy, physical activity levels, and weight status. Body mass index was assessed. Results had revealed significant differences in some of the dietary consumption patterns and weight status among seniors compared to juniors. However, the overall prevalence of overweight and obesity recorded 32.2% and the dietary consumption patterns fall below recommended levels. Multivariate regression analysis showed that parental obesity, comfort eating, increased appetite, food cravings, and stressful eating were associated with increased risk of obesity while a healthy diet score was associated with decreased risk. The study's findings call for tailoring culture specific intervention programs which enable students to improve their dietary and lifestyle behaviors and control stress. PMID:27429989

  18. Exploration of the Dietary and Lifestyle Behaviors and Weight Status and Their Self-Perceptions among Health Sciences University Students in North Lebanon

    Directory of Open Access Journals (Sweden)

    Germine El-Kassas

    2016-01-01

    Full Text Available University students may experience significant environmental changes that exert a negative influence on the quality of their diet and lifestyle. There is scarcity of data concerning the dietary and lifestyle behaviors and weight status of students in the health field in North Lebanon. To investigate these data, a cross-sectional survey was conducted including 369 health sciences students aged 18–25 chosen from four public and private universities in North Lebanon. Data were collected using a standardized interview questionnaire to determine sociodemographic, dietary, and lifestyle behaviors, appetite changes, stress related dietary behaviors, and food cravings, as well as self-perceptions of dietary adequacy, physical activity levels, and weight status. Body mass index was assessed. Results had revealed significant differences in some of the dietary consumption patterns and weight status among seniors compared to juniors. However, the overall prevalence of overweight and obesity recorded 32.2% and the dietary consumption patterns fall below recommended levels. Multivariate regression analysis showed that parental obesity, comfort eating, increased appetite, food cravings, and stressful eating were associated with increased risk of obesity while a healthy diet score was associated with decreased risk. The study’s findings call for tailoring culture specific intervention programs which enable students to improve their dietary and lifestyle behaviors and control stress.

  19. Exploration of the Dietary and Lifestyle Behaviors and Weight Status and Their Self-Perceptions among Health Sciences University Students in North Lebanon.

    Science.gov (United States)

    El-Kassas, Germine; Ziade, Fouad

    2016-01-01

    University students may experience significant environmental changes that exert a negative influence on the quality of their diet and lifestyle. There is scarcity of data concerning the dietary and lifestyle behaviors and weight status of students in the health field in North Lebanon. To investigate these data, a cross-sectional survey was conducted including 369 health sciences students aged 18-25 chosen from four public and private universities in North Lebanon. Data were collected using a standardized interview questionnaire to determine sociodemographic, dietary, and lifestyle behaviors, appetite changes, stress related dietary behaviors, and food cravings, as well as self-perceptions of dietary adequacy, physical activity levels, and weight status. Body mass index was assessed. Results had revealed significant differences in some of the dietary consumption patterns and weight status among seniors compared to juniors. However, the overall prevalence of overweight and obesity recorded 32.2% and the dietary consumption patterns fall below recommended levels. Multivariate regression analysis showed that parental obesity, comfort eating, increased appetite, food cravings, and stressful eating were associated with increased risk of obesity while a healthy diet score was associated with decreased risk. The study's findings call for tailoring culture specific intervention programs which enable students to improve their dietary and lifestyle behaviors and control stress.

  20. Nazism in Syria and Lebanon. The ambivalence of the German option, 1933-1945

    DEFF Research Database (Denmark)

    Nordbruch, Götz

    2009-01-01

    The increasingly vibrant political culture emerging in Lebanon and Syria in the 1930s and early 1940s is key to the understanding of local approaches towards the Nazi German regime. For many contemporary observers in Beirut and Damascus, Nazism not only posed a risk to Europe, but threatened...

  1. Formal history education in Lebanon: Crossroads of past conflicts and prospects for peace

    NARCIS (Netherlands)

    Ommering, van E.I.

    2015-01-01

    By promoting inclusive identities among young generations and equipping them with critical attitudes and skills to untangle political claims, formal history education bears the potential to play a constructive role in processes of conflict transformation. Yet, as this ethnographic study of Lebanon s

  2. Localising the Global: Landscape Architecture and Post-War Recovery in South Lebanon

    Directory of Open Access Journals (Sweden)

    Jala Makhzoumi

    2014-08-01

    Full Text Available The scale of devastation following the July 2006 war in Lebanon resulted in a rush of international aid to address immediate needs and secure funding for reconstruction, while nationally, architects, urban designers and planners, among many others, volunteered to reclaim shelter and rebuild settlements. This paper investigates whether and in what ways landscape architecture, an emerging profession in Lebanon, can play a role in post-war recovery. A senior design studio project in the war-devastated village of El Qlaile in South Lebanon serves as a case study to elaborate method and outcome. Landscape architects, the case study demonstrates, are likely to contribute recovery narratives that integrate social, economic and environmental objectives and respond to place and everyday living needs and aspirations of local communities in rural Lebanon. The multifunctional community landscapes proposed prioritise livelihoods, valorise rural heritage and reaffirm village identity and pride in place. This in turn enables the local community to negotiate recovery priorities and offer their own agenda for future development.

  3. Cigarette and Nargileh Smoking Practices among School Students in Beirut, Lebanon

    Science.gov (United States)

    Tamim, Hala; Al-Sahab, Ban; Akkary, Ghassan; Ghanem, Mary; Tamim, Nada; El Roueiheb, Zana; Kanj, Mayada; Afifi, Rima

    2007-01-01

    Objectives: To determine the prevalence and predictors of smoking nargileh and/or cigarettes among school students in Greater Beirut, Lebanon. Methods: A proportionate random sample of 2443 students from 13 public and private schools was selected and asked to complete self-administered anonymous questionnaires. Results: The prevalence of smoking…

  4. Tracking Drop-out Students in Palestinian Refugee Camps in Lebanon

    Science.gov (United States)

    Al-Hroub, Anies

    2015-01-01

    This research paper examines the perceptions of students on the school drop-out problem in Palestinian refugee camps in Lebanon regarding (a) the social and economic causes associated with the phenomenon of school drop-out; (b) the educational policies and practices used in UNRWA schools and their relationship to student drop-out; and (c) the role…

  5. Transforming shortcomings into opportunities: Can market incentives solve Lebanon's energy crisis?

    Energy Technology Data Exchange (ETDEWEB)

    Ruble, Isabella, E-mail: economics.ir@gmail.co [American University of Beirut, Department of Economics, P.O.Box 11-0236, Riad El-Solh/Beirut 1107 2020 (Lebanon); Nader, Pamela [American University of Beirut, Department of Economics, P.O.Box 11-0236, Riad El-Solh/Beirut 1107 2020 (Lebanon)

    2011-05-15

    Over the past decades Lebanon's energy sector has been largely ignored and this has led to high economic and environmental costs. The sector is characterized by electricity poverty, an expanding and mainly unregulated transport sector and a lack of energy savings spanning through all sectors of the economy. Recently, the Government of Lebanon has committed to increase the share of renewable energy to 10% of the total energy supply by 2013 and to 12% by the year 2020; it also aims at reducing energy consumption by 6% by the year 2013. This paper aims at contributing to the formulation of a more comprehensive energy strategy for Lebanon by analyzing the recent changes in policy direction and by recommending legal, regulatory and policy measures in order to transform current shortcomings into opportunities allowing the country to become a regional 'success story' in the deployment of renewable energy and energy efficiency. - Research highlights: {yields} This paper reviews the current situation of Lebanon's energy sector. {yields} We analyze the recent development of the markets for renewable energy and energy efficiency. {yields} Policy recommendations that will allow for a sustainable energy future are made.

  6. A New Thorny Lacewing (Insecta:Neuroptera:Rhachiberothidae) from the Early Cretaceous Amber of Lebanon

    Institute of Scientific and Technical Information of China (English)

    Julian F.PETRULEVI(C)IUS; Dany AZAR; André NEL

    2010-01-01

    A new genus and species of Rhachiberothidae,Raptorapax terribilissima gen.et sp.nov.from the Cretaceous amber of Lebanon is described.The new genus is assigned to the subfamily Paraberothinae.The new material confirms the great diversity of the group in the Cretaceous age and its decrease in diversity in recent times.

  7. Developing Effective Earthquake Risk Reduction Strategies: The Potential Role of Academic Institutions in Lebanon

    Science.gov (United States)

    Baytiyeh, Hoda

    2015-01-01

    Lebanon faces the risk of powerful earthquakes with potentially devastating effects. However, the Lebanese people in general have not yet recognized this risk, as current educational programs and government officials have failed to inform them about it. This article discusses the essential role that Lebanese institutions of higher education should…

  8. Education for Social Cohesion Attempts in Lebanon: Reflections on the 1994 and 2010 Education Reforms

    Science.gov (United States)

    Shuayb, Maha

    2016-01-01

    Following the end of the Lebanese civil war, education was put forward as a major means for rebuilding Lebanon and promoting social cohesion and unity. A huge education development plan was launched in 1994 culminating in a new national curriculum in 1997 and the production of new textbooks. Although the quality of education improved in public…

  9. Students' Perceptions of Higher Education Quality at Notre Dame University-Louaize in Lebanon

    Science.gov (United States)

    Saad, Nada

    2013-01-01

    Understanding how students perceive quality of education and identifying the most important quality factors from their perspectives represent a first stage for quality improvement and customer satisfaction in higher education. The purpose of this project was to investigate how higher education students in Lebanon perceived the concept of quality…

  10. Technologies for adaptation to climate change. Examples from the agricultural and water sectors in Lebanon

    DEFF Research Database (Denmark)

    Trærup, Sara Lærke Meltofte; Stephan, Jean

    2015-01-01

    for integrating adaptation technologies into the planning and implementation of on-going and future projects. Based on local-level data from a technology needs assessment project in Lebanon, this paper presents two examples of the economic feasibility of implementing adaptation technologies in the agricultural...

  11. Developing Effective Earthquake Risk Reduction Strategies: The Potential Role of Academic Institutions in Lebanon

    Science.gov (United States)

    Baytiyeh, Hoda

    2015-01-01

    Lebanon faces the risk of powerful earthquakes with potentially devastating effects. However, the Lebanese people in general have not yet recognized this risk, as current educational programs and government officials have failed to inform them about it. This article discusses the essential role that Lebanese institutions of higher education should…

  12. Students' Perceptions of Higher Education Quality at Notre Dame University-Louaize in Lebanon

    Science.gov (United States)

    Saad, Nada

    2013-01-01

    Understanding how students perceive quality of education and identifying the most important quality factors from their perspectives represent a first stage for quality improvement and customer satisfaction in higher education. The purpose of this project was to investigate how higher education students in Lebanon perceived the concept of quality…

  13. Self-Reported Factors That Influence Choice of College-Bound Students in Lebanon

    Science.gov (United States)

    Abou-Nassif, Samir M.

    2011-01-01

    The number of students entering universities in Lebanon has steadily increased in the past ten years. This trend makes it imperative that the different stakeholders, like students, parents, schools, universities, and education officials, understand what influences the decision of a student to choose a specific college. Understanding these factors…

  14. Articulating Power through the Parochial : The 1956 Armenian Church Election in Lebanon

    NARCIS (Netherlands)

    Nalbantian, T.

    2013-01-01

    A seemingly insular Armenian Church election that took place in Lebanon in February 1956 was simultaneously a site of contestation by Cold War powers and their proxies. Its disproportionately high coverage in the Lebanese press--and ensuing political intervention--provides an alternative view of the

  15. Nationalist Narratives, Boundaries and Social Inclusion/Exclusion in Palestinian Camps in South Lebanon

    Science.gov (United States)

    Fincham, Kathleen

    2012-01-01

    This article explores how in the contexts of exile and statelessness and in the absence of Palestinian institutions, such as schools, Palestinian youth in south Lebanon construct their identities through nationalist narratives of shared history, kinship, culture and religion. Although these narratives help to construct shared notions of…

  16. Assessing Lebanon's wildfire potential in association with current and future climatic conditions

    Science.gov (United States)

    George H. Mitri; Mireille G. Jazi; David McWethy

    2015-01-01

    The increasing occurrence and extent of large-scale wildfires in the Mediterranean have been linked to extended periods of warm and dry weather. We set out to assess Lebanon's wildfire potential in association with current and future climatic conditions. The Keetch-Byram Drought Index (KBDI) was the primary climate variable used in our evaluation of climate/fire...

  17. Has the Educational System in Lebanon Contributed to the Growing Sectarian Divisions?

    Science.gov (United States)

    Baytiyeh, Hoda

    2017-01-01

    The sectarian structure of the Lebanese political system has contributed to periods of sectarian violence and wars over the past four decades. This article highlights the origin of sectarianism in Lebanon and discusses how public and religious schools in the country have reinforced sectarian divisions in the Lebanese society. This is a conceptual…

  18. Dementia and depression among nursing home residents in Lebanon : a pilot study

    NARCIS (Netherlands)

    Chahine, L. M.; Bijlsma, A.; Hospers, A. P. N.; Chemali, Z.

    2007-01-01

    Background The proportion of elderly in the Lebanese population is 7.1% and this is expected to increase to 10.2% by the year 2025. The nursing home (NH) population in Lebanon has not been studied. The aim of this study was to investigate the prevalence of dementia and depression among a portion of

  19. Digital Literacies and Generational Micro-Cultures: Email Feedback in Lebanon

    Science.gov (United States)

    De Coursey, Christina; Dandashly, Nadine

    2015-01-01

    This study reports on the introduction of email feedback, in a private university in Lebanon with marked generational differences and a traditional instructor culture focused on grammar correction. The instructor profile showed insufficient ELT training and a disjuncture between those with low and those with long service. Instructors were trained,…

  20. Y-Chromosomal Diversity in Lebanon Is Structured by Recent Historical Events

    Science.gov (United States)

    Zalloua, Pierre A.; Xue, Yali; Khalife, Jade; Makhoul, Nadine; Debiane, Labib; Platt, Daniel E.; Royyuru, Ajay K.; Herrera, Rene J.; Hernanz, David F. Soria; Blue-Smith, Jason; Wells, R. Spencer; Comas, David; Bertranpetit, Jaume; Tyler-Smith, Chris

    2008-01-01

    Lebanon is an eastern Mediterranean country inhabited by approximately four million people with a wide variety of ethnicities and religions, including Muslim, Christian, and Druze. In the present study, 926 Lebanese men were typed with Y-chromosomal SNP and STR markers, and unusually, male genetic variation within Lebanon was found to be more strongly structured by religious affiliation than by geography. We therefore tested the hypothesis that migrations within historical times could have contributed to this situation. Y-haplogroup J∗(xJ2) was more frequent in the putative Muslim source region (the Arabian Peninsula) than in Lebanon, and it was also more frequent in Lebanese Muslims than in Lebanese non-Muslims. Conversely, haplogroup R1b was more frequent in the putative Christian source region (western Europe) than in Lebanon and was also more frequent in Lebanese Christians than in Lebanese non-Christians. The most common R1b STR-haplotype in Lebanese Christians was otherwise highly specific for western Europe and was unlikely to have reached its current frequency in Lebanese Christians without admixture. We therefore suggest that the Islamic expansion from the Arabian Peninsula beginning in the seventh century CE introduced lineages typical of this area into those who subsequently became Lebanese Muslims, whereas the Crusader activity in the 11th–13th centuries CE introduced western European lineages into Lebanese Christians. PMID:18374297

  1. Cigarette and Nargileh Smoking Practices among School Students in Beirut, Lebanon

    Science.gov (United States)

    Tamim, Hala; Al-Sahab, Ban; Akkary, Ghassan; Ghanem, Mary; Tamim, Nada; El Roueiheb, Zana; Kanj, Mayada; Afifi, Rima

    2007-01-01

    Objectives: To determine the prevalence and predictors of smoking nargileh and/or cigarettes among school students in Greater Beirut, Lebanon. Methods: A proportionate random sample of 2443 students from 13 public and private schools was selected and asked to complete self-administered anonymous questionnaires. Results: The prevalence of smoking…

  2. Maternal Health Care Utilization Among Syrian Refugees in Lebanon and Jordan.

    Science.gov (United States)

    Tappis, Hannah; Lyles, Emily; Burton, Ann; Doocy, Shannon

    2017-07-13

    Purpose The influx of Syrian refugees into Jordan and Lebanon over the last 5 years presents an immense burden to national health systems. This study was undertaken to assess utilization of maternal health services among Syrian refugees in both countries. Description A cross-sectional survey of Syrian refugees living in urban and rural (non-camp) settings was conducted using a two-stage cluster survey design with probability proportional to size sampling in 2014-2015. Eighty-six percent of surveyed households in Lebanon and 88% of surveyed households in Jordan included women with a live birth in the last year. Information from women in this sub-set of households was analyzed to understand antenatal and intrapartum health service utilization. Assessment A majority of respondents reported seeking antenatal care, 82% and 89% in Jordan and Lebanon, respectively. Women had an average of at least six antenatal care visits. Nearly all births (98% in Jordan and 94% in Lebanon) took place in a health facility. Cesarean rates were similar in both countries; approximately one-third of all births were cesarean deliveries. A substantial proportion of women incurred costs for intrapartum care; 33% of Syrian women in Jordan and 94% of Syrian women in Lebanon reported paying out of pocket for their deliveries. The proportion of women incurring costs for intrapartum care was higher in Jordan both countries for women with cesarean deliveries compared to those with vaginal deliveries; however, this difference was not statistically significant in either country (Jordan p-value = 0.203; Lebanon p-value = 0.099). Conclusion Syrian refugees living in Jordan and Lebanon had similar levels of utilization of maternal health services, despite different health systems and humanitarian assistance provisions. As expected, a substantial proportion of households incurred out-of-pocket costs for essential maternal and newborn health services, making cost a major factor in care

  3. Bedouin in Lebanon: Social discrimination, political exclusion, and compromised health care.

    Science.gov (United States)

    Chatty, Dawn; Mansour, Nisrine; Yassin, Nasser

    2013-04-01

    Global inequalities in health have long been associated with disparities between rich and poor nations. The middle-income countries of the Levant (Lebanon, Syria and Jordan) have developed models of health care delivery that mirror the often complex make-up of their states. In Lebanon, which is characterized by political clientelism and sectarian structures, access to health care is more contingent on ethnicity and religious affiliation than on poverty. This case study of the Bedouin of the Middle Bekaa Valley of Lebanon is based on interviews with policymakers, health care providers and the Bedouin as part of a study funded by the European Commission between 2006 and 2010. The study explores the importance of considering social discrimination and political exclusion in understanding compromised health care. Three decades after the Declaration of Alma Ata (1978), which declared that an acceptable level of health care for all should be attained by the year 2000, the Bedouin community of Lebanon remains largely invisible to the government and, thus, invisible to national health care policy and practice. They experience significant social discrimination from health practitioners and policymakers alike. Their unfair treatment under the health system is generally disassociated from issues of wealth or poverty; it is manifested in issues of access and use, discrimination, and resistance and agency. Overcoming their political exclusion and recognizing the social discrimination they face are steps that can be taken to protect and promote equal access to basic reproductive and child health care. This case study of the Bedouin in Lebanon is also relevant to the health needs of other marginalized populations in remote and rural areas.

  4. Chronic obstructive pulmonary disease prevalence in Lebanon: a cross-sectional descriptive study

    Directory of Open Access Journals (Sweden)

    Waked M

    2011-11-01

    Full Text Available Mirna Waked1, George Khayat2, Pascale Salameh31Saint George Hospital University Medical Center, Beirut, Lebanon; 2Faculty of Medicine, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon; 3Faculties of Pharmacy and Public Health, Lebanese University, Beirut, LebanonBackground: Chronic obstructive pulmonary disease (COPD continues to increase worldwide. The objective of this study was to determine the prevalence of COPD in Lebanese adults.Methods: A cross-sectional study was carried out using a multistage cluster sample from all over Lebanon. Residents aged 40 years and over were enrolled. Subjects underwent baseline spirometry and answered a questionnaire. After an albuterol + ipratropium bromide bronchodilator, a posttest was performed.Results: Of 2201 individuals, only 33.3% had never smoked. The prevalence of COPD by the Global Initiative for Chronic Obstructive Lung Disease definition, was 9.7% (95% confidence interval [CI]: 8.5%–10.9%. According to the 5% lower limit of normal definition of COPD, the prevalence was 12.5% (95% CI: 11.2%–13.9%. A total of 20.2% were already diagnosed by a physician. No differences in symptoms across stages of COPD were found, but there was a significant trend for a higher number of visits to the emergency room and to the doctor (P < 0.001, and a higher number of hospitalizations (P < 0.001. Older individuals had an increased risk of COPD (adjusted odds ratio [ORa] = 1.05; so did “ever” cigarette smokers (ORa = 4.88 and water-pipe smokers (ORa = 2.53.Conclusion: This is the first epidemiological study in Lebanon that determined COPD prevalence and the link with water-pipe smoking.Keywords: COPD, prevalence, water-pipe smoking

  5. The providers of health services in Lebanon: a survey of physicians

    Directory of Open Access Journals (Sweden)

    Osseiran Arabia

    2006-02-01

    Full Text Available Abstract Background Emerging from civil distress carries with it major challenges to reforming a health system. One such challenge is to ensure an adequate supply of competent human resources. The objective of this study was to assess the supply of physicians in Lebanon in 1998, with an assessment of their practice patterns and capacity building. Methods Lists of members of physician's associations were examined to determine the number of physicians in Lebanon and their geographical distribution. A self-administered survey targeted 388 physicians (5% randomly stratified by the five regions of Lebanon. Some 377 providers reported information on their demographic profile, practice patterns and development. Further, information on continuing education activities was acquired. Results In Lebanon, the overall physician-to-population ratio was 248 per 100, 000, characterized by an evident maldistribution at the intracountry regional level. Physicians worked 38 hours per week examining on average 21 patients per day, with an average time of 30 minutes spent per visit. They also reported spending 11% of their time waiting for patients. Respondents reported a very wide range of income, with 90% earning less than USD 2,000 per month. Moreover, the continuing education profile revealed a total of 43.7 hours per year, similar to that required for board certification in many developed countries. Conference attendance was the dominant continuing education activity (95% of respondents and consumed most of the time allotted for continuing education, reported at 32 hours per year. Discussion and conclusion Various economic indicators point to an oversupply of physicians in Lebanon and a poor allocation of their time for capacity building. Therefore, it is crucial for decision-makers to closely monitor the increasing supply of providers and institute appropriate intervention strategies, taking into consideration appropriate provision of good-quality services and

  6. Natural radioactivity measurements in building materials in Southern Lebanon

    Energy Technology Data Exchange (ETDEWEB)

    Kobeissi, M.A.; El Samad, O.; Zahraman, K. [Lebanese Atomic Energy Commission, National Council for Scientific Research, P.O. Box 11-8281, Beirut (Lebanon); Milky, S.; Bahsoun, F. [Department of Physics, Lebanese University, Faculty of Sciences (I), Hadeth, Beirut (Lebanon); Abumurad, K.M. [Department of Physics, Yarmouk University, P.O. Box 566, Irbid 21163 (Jordan)], E-mail: abumurad@yu.edu.jo

    2008-08-15

    Using {gamma}-spectroscopy and CR-39 detector, concentration C of naturally occurring radioactive nuclides {sup 226}Ra, {sup 222}Rn, {sup 214}Bi, {sup 228}Ac, {sup 212}Pb, {sup 212}Bi and {sup 40}K, has been measured in sand, cement, gravel, gypsum, and paint, which are used as building materials in Lebanon. Sand samples were collected from 10 different sandbank locations in the southern part of the country. Gravel samples of different types and forms were collected from several quarries. White and gray cement fabricated by Shaka Co. were obtained. {gamma}-Spectroscopy measurements in sand gave Ra concentration ranging from 4.2 {+-} 0.4 to 60.8 {+-} 2.2 Bq kg{sup -1} and Ra concentration equivalents from 8.8 {+-} 1.0 to 74.3 {+-} 9.2 Bq kg{sup -1}. The highest Ra concentration was in gray and white cement having the values 73.2 {+-} 3.0 and 76.3 {+-} 3.0 Bq kg{sup -1}, respectively. Gravel results showed Ra concentration between 20.2 {+-} 1.0 and 31.7 {+-} 1.4 Bq kg{sup -1} with an average of 27.5 {+-} 1.3 Bq kg{sup -1}. Radon concentration in paint was determined by CR-39 detector. In sand, the average {sup 222}Rn concentration ranged between 291 {+-} 69 and 1774 {+-} 339 Bq m{sup -3} among the sandbanks with a total average value of 704 {+-} 139 Bq m{sup -3}. For gravel, the range was found to be from 52 {+-} 9 to 3077 {+-} 370 Bq m{sup -3} with an average value of 608 {+-} 85 Bq m{sup -3}. Aerial and mass exhalation rates of {sup 222}Rn were also calculated and found to be between 44 {+-} 7 and 2226 {+-} 267 mBq m{sup -2} h{sup -1}, and between 0.40 {+-} 0.07 and 20.0 {+-} 0.3 mBq kg{sup -1} h{sup -1}, respectively.

  7. Stakeholders' perspectives on the regulation and integration of complementary and alternative medicine products in Lebanon: a qualitative study

    National Research Council Canada - National Science Library

    Alameddine, Mohamad; Naja, Farah; Abdel-Salam, Sarah; Maalouf, Salwa; Matta, Claudia

    2011-01-01

    ...). We investigate the regulatory frameworks and the barriers for the proper regulation and integration of CAM products in Lebanon, as an example of an EMR country with a weak public infrastructure...

  8. Treatment patterns, resource utilization, and outcomes among hospitalized patients with methicillin-resistant Staphylococcus aureus complicated skin and soft tissue infections in Lebanon and Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Matar MJ

    2017-02-01

    Full Text Available Madonna J Matar,1 Rima Moghnieh,2 Adel F Alothman,3 Abdulhakeem O Althaqafi,4 Thamer H Alenazi,3 Fayssal M Farahat,4 Shelby Corman,5 Caitlyn T Solem,5 Nirvana Raghubir,6 Cynthia Macahilig,7 Seema Haider,8 Jennifer M Stephens5 1Department of Infectious Diseases, Notre Dame des Secours University Hospital, Jbeil, Lebanon; 2Department of Internal Medicine, Makassed General Hospital, Beirut, Lebanon; 3College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; 4King Abdullah International Medical Research Center, Infection Prevention and Control, King AbdulAziz Medical City, King Saud bin AbdulAziz University for Health Sciences, Jeddah, Saudi Arabia; 5Pharmerit International, Real-World Evidence/Data Analytics, Bethesda, MD, 6Pfizer, New York, NY, 7Medical Data Analytics, Parsippany, NJ, 8Pfizer, Groton, CT, USA Objectives: To describe treatment patterns and medical resource use for methicillin-resistant Staphylococcus aureus (MRSA complicated skin and soft tissue infections (cSSTI in Saudi Arabia and Lebanon in terms of drug selection against the infecting pathogen as well as hospital resource utilization and clinical outcomes among patients with these infections. Methods: This retrospective chart review study evaluated 2011–2012 data from five hospitals in Saudi Arabia and Lebanon. Patients were included if they had been discharged with a diagnosis of MRSA cSSTI, which was culture-proven or suspected based on clinical criteria. Hospital data were abstracted for a random sample of patients with each infection type to capture demographics, treatment patterns, hospital resource utilization, and clinical outcomes. Statistical analysis was descriptive. Results: Data were abstracted from medical records of 87 patients with MRSA cSSTI; mean age 52.4±25.9 years and 61% male. Only 64% of patients received an MRSA active initial therapy, with 56% of first

  9. Paleoclimate reconstruction in the Levant region from the petrography and the geochemistry of a MIS 5 stalagmite from the Kanaan Cave, Lebanon

    Directory of Open Access Journals (Sweden)

    C. Nehme

    2015-07-01

    Full Text Available Lying at the transition between the temperate Mediterranean domain and subtropical deserts, the Levant is a key area to study the palaeoclimatic response over glacial-interglacial cycles. This paper presents a precisely dated last interglacial (MIS 5 stalagmite (129–84 ka from the Kanaan Cave, Lebanon. Variations in growth rate and isotopic records indicate a warm humid phase at the onst of the last interglacial at ~129 ka that lasted until ~125 ka. A gradual shift in speleothem isotopic composition (125–122 ka is driven mainly by the δ18O source effect of the Eastern Mediterranean surface waters during Sapropel S5. The onset of glacial inception began after ~122 ka, interrupted by a short wet pulse during Sapropel S4. Low growth rates and enriched oxygen and carbon values until ~84 ka indicate a transition to drier conditions during Northern Hemisphere glaciation.

  10. Paleoclimate reconstruction in the Levant region from the petrography and the geochemistry of a MIS 5 stalagmite from the Kanaan Cave, Lebanon

    Science.gov (United States)

    Nehme, C.; Verheyden, S.; Noble, S. R.; Farrant, A. R.; Delannoy, J. J.; Claeys, P.

    2015-07-01

    Lying at the transition between the temperate Mediterranean domain and subtropical deserts, the Levant is a key area to study the palaeoclimatic response over glacial-interglacial cycles. This paper presents a precisely dated last interglacial (MIS 5) stalagmite (129-84 ka) from the Kanaan Cave, Lebanon. Variations in growth rate and isotopic records indicate a warm humid phase at the onst of the last interglacial at ~129 ka that lasted until ~125 ka. A gradual shift in speleothem isotopic composition (125-122 ka) is driven mainly by the δ18O source effect of the Eastern Mediterranean surface waters during Sapropel S5. The onset of glacial inception began after ~122 ka, interrupted by a short wet pulse during Sapropel S4. Low growth rates and enriched oxygen and carbon values until ~84 ka indicate a transition to drier conditions during Northern Hemisphere glaciation.

  11. Dealing with pollution from conflict: Analysis of discourses around the 2006 Lebanon oil spill.

    Science.gov (United States)

    Takshe, Aseel A; Huby, Meg; Frantzi, Sofia; Lovett, Jon C

    2010-01-01

    In July 2006 a war between Lebanon and Israel resulted in severe environmental damage in Lebanon from Israeli bombing raids. An attack on the Lebanese Jiyyeh Power Plant released 15,000 tons of heavy fuel oil into the Mediterranean Sea. Remarkably, a clean-up operation was effected despite a continued state of war and lack of capacity in the Lebanese government. Civil society environmentalists played a key role in dealing with the pollution and complying with pollution-control legislation. In this study we use Q-methodology to analyse discourses on the effectiveness of pollution legislation during times of conflict using the Jiyyeh oil spill as an example. We interviewed 35 people from eight different stakeholder groups involved in environmental issues. Five distinct discourses were generated covering compensation schemes, need for new legislation, role of stakeholders during wartime and strengthening government ministries.

  12. Supply-demand 3D dynamic model in water resources evaluation: taking Lebanon as an example

    Science.gov (United States)

    Fang, Hong; Hou, Zhimin

    2017-05-01

    In this paper, supply-demand 3D dynamic model is adopted to create a measurement of a region’s capacity to provide available water to meet the needs of its population. First of all, we draw a diagram between supply and demand. Then taking the main dynamic factors into account, we establish an index to evaluate the balance of supply and demand. The three dimension vector reflects the scarcity of industrial, agricultural and residential water. Lebanon is chosen as the object of case study, and we do quantitative analysis of its current situation. After data collecting and processing, we calculate the 3D vector in 2012, which reveals that agriculture is susceptible to water scarcity. Water resources of Lebanon are “physical rich” but “economic scarcity” according to the correlation chart and other statistical analysis.

  13. Are women engineers in Lebanon prepared for the challenges of an engineering profession?

    Science.gov (United States)

    Baytiyeh, Hoda

    2013-08-01

    This study investigates the status of women engineers in the Middle East, considering women engineers in Lebanon as a case study. The author investigated the following questions: What are the influences behind females' decisions to choose engineering as their major course of study? What are the motives behind this decision? What are the perceptions of females regarding the essential skills for a successful engineering career? An online survey consisting of Likert-scale items was completed by 327 female engineers who graduated from universities in Lebanon and now work in various locations around the world. A genuine interest in the field appeared to be the main influence in the participants' decisions to choose engineering profession. The potential for professional growth was the leading motivator for choosing engineering. Although participants reported that they possessed adequate theoretical knowledge and technical skills before graduation, in the actual practice of engineering, they noted weaknesses in creativity and innovation.

  14. Protest, memory, and the production of 'civilized' citizens: two cases from Turkey and Lebanon

    OpenAIRE

    Altan Olcay, Özlem

    2012-01-01

    Abstract This article studies the proliferation of discourses of rationality and responsibility among a particular elite social group in Lebanon and Turkey, as they remember student mobilization of their past. I offer these episodes of student mobilization as acts of citizenship that create and make use of rapturous moments in the histories of their countries and institutions. I extend these acts of citizenship to the contemporary context and study the ways in which they become part of dis...

  15. Burden of methicillin-resistant Staphylococcus aureus pneumonia among hospitalized patients in Lebanon and Saudi Arabia.

    Science.gov (United States)

    Althaqafi, Abdulhakeem O; Matar, Madonna J; Moghnieh, Rima; Alothman, Adel F; Alenazi, Thamer H; Farahat, Fayssal; Corman, Shelby; Solem, Caitlyn T; Raghubir, Nirvana; Macahilig, Cynthia; Haider, Seema; Stephens, Jennifer M

    2017-01-01

    The objective of this study is to describe the real-world treatment patterns and burden of suspected or confirmed methicillin-resistant Staphylococcus aureus (MRSA) pneumonia in Saudi Arabia and Lebanon. A retrospective chart review study evaluated 2011-2012 data from hospitals in Saudi Arabia and Lebanon. Patients were included if they had been discharged with a diagnosis of MRSA pneumonia, which was culture proven or suspected based on clinical criteria. Hospital data were abstracted for a random sample of patients to capture demographics (eg, age and comorbidities), treatment patterns (eg, timing and use of antimicrobials), hospital resource utilization (eg, length of stay), and clinical outcomes (eg, clinical status at discharge and mortality). Descriptive results were reported using frequencies or proportions for categorical variables and mean and standard deviation for continuous variables. Chart-level data were collected for 93 patients with MRSA pneumonia, 50 in Saudi Arabia and 43 in Lebanon. The average age of the patients was 56 years, and 60% were male. The most common comorbidities were diabetes (39%), congestive heart failure (30%), coronary artery disease (29%), and chronic obstructive pulmonary disease (28%). Patients most frequently had positive cultures from pulmonary (87%) and blood (27%) samples. All isolates were sensitive to vancomycin, teicoplanin, and linezolid, and only one-third of the isolates tested were sensitive to ciprofloxacin. Beta-lactams (inactive therapy for MRSA) were prescribed 21% of the time across all lines of therapy, with 42% of patients receiving first-line beta-lactams. Fifteen percent of patients did not receive any antibiotics that were considered to be MRSA active. The mean hospital length of stay was 32 days, and in-hospital mortality was 30%. The treatment for MRSA pneumonia in Saudi Arabia and Lebanon may be suboptimal with inactive therapy prescribed a substantial proportion of the time. The information gathered

  16. Mapping Civil Society in the Middle East: The Cases of Egypt, Lebanon and Turkey

    OpenAIRE

    Altan-Olcay, Özlem; İçduygu, Ahmet

    2012-01-01

    Abstract This article comparatively assesses the meaning of civil society in Egypt, Lebanon and Turkey, by utilising the results of a study conducted among civil society actors. In recent decades, civil society has become integral to discussions of political liberalisation. At the same time, there is a growing rift between international democracy promotion through investment in civil society and the more critical literature on the relationship between the two. This article makes three cont...

  17. Common dermatologic diseases among students at a tertiary care center in Lebanon.

    Science.gov (United States)

    Khattar, Joe A; Hamadeh, Ghassan N; Rahi, Amal C; Musharrafieh, Umayya M

    2010-01-01

    There are few publications on prevalence of skin diseases in Lebanon. To find the prevalence of dermatologic diseases among students seen at the university health services of the American University of Beirut. Medical charts were retrospectively reviewed. Chi-square tests were used to assess any significant difference between male and female prevalence amongst all types of skin diseases met; p-value image in society.

  18. Burden of methicillin-resistant Staphylococcus aureus pneumonia among hospitalized patients in Lebanon and Saudi Arabia

    Science.gov (United States)

    Althaqafi, Abdulhakeem O; Matar, Madonna J; Moghnieh, Rima; Alothman, Adel F; Alenazi, Thamer H; Farahat, Fayssal; Corman, Shelby; Solem, Caitlyn T; Raghubir, Nirvana; Macahilig, Cynthia; Haider, Seema; Stephens, Jennifer M

    2017-01-01

    Objectives The objective of this study is to describe the real-world treatment patterns and burden of suspected or confirmed methicillin-resistant Staphylococcus aureus (MRSA) pneumonia in Saudi Arabia and Lebanon. Methods A retrospective chart review study evaluated 2011–2012 data from hospitals in Saudi Arabia and Lebanon. Patients were included if they had been discharged with a diagnosis of MRSA pneumonia, which was culture proven or suspected based on clinical criteria. Hospital data were abstracted for a random sample of patients to capture demographics (eg, age and comorbidities), treatment patterns (eg, timing and use of antimicrobials), hospital resource utilization (eg, length of stay), and clinical outcomes (eg, clinical status at discharge and mortality). Descriptive results were reported using frequencies or proportions for categorical variables and mean and standard deviation for continuous variables. Results Chart-level data were collected for 93 patients with MRSA pneumonia, 50 in Saudi Arabia and 43 in Lebanon. The average age of the patients was 56 years, and 60% were male. The most common comorbidities were diabetes (39%), congestive heart failure (30%), coronary artery disease (29%), and chronic obstructive pulmonary disease (28%). Patients most frequently had positive cultures from pulmonary (87%) and blood (27%) samples. All isolates were sensitive to vancomycin, teicoplanin, and linezolid, and only one-third of the isolates tested were sensitive to ciprofloxacin. Beta-lactams (inactive therapy for MRSA) were prescribed 21% of the time across all lines of therapy, with 42% of patients receiving first-line beta-lactams. Fifteen percent of patients did not receive any antibiotics that were considered to be MRSA active. The mean hospital length of stay was 32 days, and in-hospital mortality was 30%. Conclusion The treatment for MRSA pneumonia in Saudi Arabia and Lebanon may be suboptimal with inactive therapy prescribed a substantial proportion

  19. Epidemiology and clinical characteristics of traumatic brain injury in Lebanon: A systematic review.

    Science.gov (United States)

    Abou-Abbass, Hussein; Bahmad, Hisham; Ghandour, Hiba; Fares, Jawad; Wazzi-Mkahal, Rayyan; Yacoub, Basel; Darwish, Hala; Mondello, Stefania; Harati, Hayat; El Sayed, Mazen J; Tamim, Hani; Kobeissy, Firas

    2016-11-01

    Traumatic brain injury (TBI) is a debilitating medical and emerging public health problem that is affecting people worldwide due to a multitude of factors including both domestic and war-related acts. The objective of this paper is to systematically review the status of TBI in Lebanon - a Middle Eastern country with a weak health system that was chartered by several wars and intermittent outbursts of violence - in order to identify the present gaps in knowledge, direct future research initiatives and to assist policy makers in planning progressive and rehabilitative policies. OVID/Medline, PubMed, Scopus databases and Google Scholar were lastly searched on April 15, 2016 to identify all published research studies on TBI in Lebanon. Studies published in English, Arabic or French that assessed Lebanese patients afflicted by TBI in Lebanon were warranting inclusion in this review. Case reports, reviews, biographies and abstracts were excluded. Throughout the whole review process, reviewers worked independently and in duplicate during study selection, data abstraction and methodological assessment using the Downs and Black Checklist. In total, 11 studies were recognized eligible as they assessed Lebanese patients afflicted by TBI on Lebanese soils. Considerable methodological variation was found among the identified studies. All studies, except for two that evaluated domestic causes such as falls, reported TBI due to war-related injuries. Age distribution of TBI victims revealed two peaks, young adults between 18 and 40 years, and older adults aged 60 years and above, where males constituted the majority. Only three studies reported rates of mild TBI. Mortality, rehabilitation and systemic injury rates were rarely reported and so were the complications involved; infections were an exception. Apparently, status of TBI in Lebanon suffers from several gaps which need to be bridged through implementing more basic, epidemiological, clinical and translational research in

  20. REPRODUCING VIOLENCE THROUGH RECONSTRUCTING THE HYMEN? Gender-Based Violence Against Women in Lebanon

    OpenAIRE

    Hajali, Majd

    2015-01-01

    Virginity in Lebanon is still a controversial and sensitive issue. Women’s value and honour is linked to the “hymen mystique”, which they fear losing before marriage. Regardless of the reasons for virginity loss, a non-virgin woman is deemed a sinner according to the Lebanese patriarchal social standards. With the existence of three-dimensional function of the hymen: honourable, social and physiological, hymen reconstruction surgeries emerged. Since studies and literature on hymenoplasty are ...

  1. Antiviral drug susceptibilities of seasonal human influenza viruses in Lebanon, 2008-09 season.

    Science.gov (United States)

    Zaraket, Hassan; Saito, Reiko; Wakim, Rima; Tabet, Carelle; Medlej, Fouad; Reda, Mariam; Baranovich, Tatiana; Suzuki, Yasushi; Dapat, Clyde; Caperig-Dapat, Isolde; Dbaibo, Ghassan S; Suzuki, Hiroshi

    2010-07-01

    The emergence of antiviral drug-resistant strains of the influenza virus in addition to the rapid spread of the recent pandemic A(H1N1) 2009 virus highlight the importance of surveillance of influenza in identifying new variants as they appear. In this study, genetic characteristics and antiviral susceptibility patterns of influenza samples collected in Lebanon during the 2008-09 season were investigated. Forty influenza virus samples were isolated from 89 nasopharyngeal swabs obtained from patients with influenza-like illness. Of these samples, 33 (82.5%) were A(H3N2), 3 (7.5%) were A(H1N1), and 4 (10%) were B. All the H3N2 viruses were resistant to amantadine but were sensitive to oseltamivir and zanamivir; while all the H1N1 viruses were resistant to oseltamivir (possessed H275Y mutation, N1 numbering, in their NA) but were sensitive to amantadine and zanamivir. In the case of influenza B, both Victoria and Yamagata lineages were identified (three and one isolates each, respectively) and they showed decreased susceptibility to oseltamivir and zanamivir when compared to influenza A viruses. Influenza circulation patterns in Lebanon were very similar to those in Europe during the same season. Continued surveillance is important to fully elucidate influenza patterns in Lebanon and the Middle East in general, especially in light of the current influenza pandemic.

  2. The use and abuse of female domestic workers from Sri Lanka in Lebanon.

    Science.gov (United States)

    Abu-habib, L

    1998-03-01

    Women who migrate from Sri Lanka to become domestic workers in Lebanon face gender, class, and race discrimination that often results in abuse, yet the predicament of these women is largely ignored by local and international humanitarian and human rights agencies. Public consciousness about the plight of Asian domestic workers in the Persian Gulf region was raised in 1990 when domestic workers were repatriated in the wake of the Gulf War. In Lebanon, nearly half of the work permits granted to foreigners in 1997 were to women from Sri Lanka. This migration began in the 1970s and is sanctioned by the Sri Lanka government because of the economic benefits accruing from wages sent home by these women. Lebanese families procure domestic positions through an employment agency that arranges transportation and entry for the Sri Lankan women. These women, especially minors, often have to bribe Sri Lankan government agents to falsify travel documents. Upon arrival in Lebanon, the women have no support systems or job security. Most employment contracts last 3 years and pay $100/month with no benefits or protection from local labor laws. Domestic workers are made vulnerable by employers who withhold salaries or travel documents. Upon return to Sri Lanka, former domestic workers face social disapproval and marital problems. To redress this situation, the governments of sending and receiving countries must take action to protect female migrant workers, and nongovernmental organizations must publicize the plight of these women and take action to address the abuses they face.

  3. Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon.

    Science.gov (United States)

    Karaky, Nathalie M; Araj, George F; Tokajian, Sima T

    2014-09-01

    Streptococcus pyogenes [Group A Streptococcus (GAS)] is one of the most important human pathogens, responsible for numerous diseases with diverse clinical manifestations. As the epidemiology of GAS infections evolves, a rapid and reliable characterization of the isolates remains essential for epidemiological analysis and infection control. This study investigated the epidemiological patterns and genetic characteristics of 150 GAS isolates from a tertiary hospital in Lebanon by emm typing, superantigens (SAgs) detection, PFGE and antibiotic profiling. The results revealed 41 distinct emm types, the most prevalent of which were emm89 (16 %), emm12 (10 %), emm2 (9 %) and emm1 (8 %). Testing for the presence of superantigens showed that speB (87 %), ssa (36 %) and speG (30 %) were predominant. PFGE detected 39 pulsotypes when a similarity cut-off value of 80 % was implemented. Antibiotic-susceptibility testing against seven different classes of antibiotics showed that 9 % of the isolates were resistant to clindamycin, 23 % were resistant to erythromycin and 4 % showed the macrolide-lincosamide-streptogramin B (MLSB) phenotype. The emergence of tetracycline-resistant strains (37 %) was high when compared with previous reports from Lebanon. This study provided comprehensive evidence of the epidemiology of GAS in Lebanon, highlighting the association between emm types and toxin genes, and providing valuable information about the origin and dissemination of this pathogen.

  4. “What Cultural Policies?” Explicit and Implicit Cultural Policies in Lebanon

    Directory of Open Access Journals (Sweden)

    Nadia von Maltzahn

    2017-01-01

    Full Text Available Cultural policies define a vision for culture, and provide frameworks for institutional practice to translate this vision on the ground. A 1981 study on Lebanese cultural policy reached the conclusion that one cannot speak of cultural policies in Lebanon if one refers to state laws, regulations and plans. However, if cultural policy was understood as the method of a state to give its citizens the space to develop themselves in a way that they could create culture, one could certainly speak of cultural policies in Lebanon (Abou Rizk. In cultural policy research, there is a distinction between explicit and implicit cultural policy (Ahearne. In this article, the concept of explicit and implicit cultural policy is applied to the case of Lebanon. The two terms are extended so that the former does not only include cultural policies designatedas such by the state, but also those created by civil society actors, and that the latter does not only include political strategies, but also practices that in the end determine cultural policies. Drawing on empirical research conducted in the context of a larger study on the role of cultural institutions in the public sphere, the power struggles between different actors involved in cultural policy making cultural policy defined in the Lebanese context, which in turn will be positioned within the regional context.

  5. Influences of history, geography, and religion on genetic structure: the Maronites in Lebanon

    Science.gov (United States)

    Haber, Marc; Platt, Daniel E; Badro, Danielle A; Xue, Yali; El-Sibai, Mirvat; Bonab, Maziar Ashrafian; Youhanna, Sonia C; Saade, Stephanie; Soria-Hernanz, David F; Royyuru, Ajay; Wells, R Spencer; Tyler-Smith, Chris; Zalloua, Pierre A; Adhikarla, Syama; Adler, Christina J; Balanovska, Elena; Balanovsky, Oleg; Bertranpetit, Jaume; Clarke, Andrew C; Comas, David; Cooper, Alan; Der Sarkissian, Clio S I; Dulik, Matthew C; Erasmus, Christoff J; Gaieski, Jill B; GaneshPrasad, ArunKumar; Haak, Wolfgang; Hobbs, Angela; Javed, Asif; Jin, Li; Kaplan, Matthew E; Li, Shilin; Martínez-Cruz, Begoña; Matisoo-Smith, Elizabeth A; Melé, Marta; Merchant, Nirav C; Mitchell, R John; Owings, Amanda C; Parida, Laxmi; Pitchappan, Ramasamy; Quintana-Murci, Lluis; Renfrew, Colin; Lacerda, Daniela R; Santos, Fabrício R; Schurr, Theodore G; Soodyall, Himla; Swamikrishnan, Pandikumar; Valampuri John, Kavitha; Santhakumari, Arun Varatharajan; Vieira, Pedro Paulo; Ziegle, Janet S

    2011-01-01

    Cultural expansions, including of religions, frequently leave genetic traces of differentiation and in-migration. These expansions may be driven by complex doctrinal differentiation, together with major population migrations and gene flow. The aim of this study was to explore the genetic signature of the establishment of religious communities in a region where some of the most influential religions originated, using the Y chromosome as an informative male-lineage marker. A total of 3139 samples were analyzed, including 647 Lebanese and Iranian samples newly genotyped for 28 binary markers and 19 short tandem repeats on the non-recombinant segment of the Y chromosome. Genetic organization was identified by geography and religion across Lebanon in the context of surrounding populations important in the expansions of the major sects of Lebanon, including Italy, Turkey, the Balkans, Syria, and Iran by employing principal component analysis, multidimensional scaling, and AMOVA. Timing of population differentiations was estimated using BATWING, in comparison with dates of historical religious events to determine if these differentiations could be caused by religious conversion, or rather, whether religious conversion was facilitated within already differentiated populations. Our analysis shows that the great religions in Lebanon were adopted within already distinguishable communities. Once religious affiliations were established, subsequent genetic signatures of the older differentiations were reinforced. Post-establishment differentiations are most plausibly explained by migrations of peoples seeking refuge to avoid the turmoil of major historical events. PMID:21119711

  6. Survey of Leafhopper Species in Almond Orchards Infected with Almond Witches'-Broom Phytoplasma in Lebanon

    Science.gov (United States)

    Hammad, Efat Abou-Fakhr; El-Mohtar, Choaa; Abou-Jawdah, Yusuf

    2011-01-01

    Leafhoppers (Hemiptera: Auchenorrhyncha: Cicadellidae) account for more than 80% of all “Auchenorrhynchous” vectors that transmit phytoplasmas. The leafhopper populations in two almond witches'-broom phytoplasma (AlmWB) infected sites: Tanboureet (south of Lebanon) and Bourj El Yahoudieh (north of Lebanon) were surveyed using yellow sticky traps. The survey revealed that the most abundant species was Asymmetrasca decedens, which represented 82.4% of all the leafhoppers sampled. Potential phytoplasma vectors in members of the subfamilies Aphrodinae, Deltocephalinae, and Megophthalminae were present in very low numbers including: Aphrodes makarovi, Cicadulina bipunctella, Euscelidius mundus, Fieberiella macchiae, Allygus theryi, Circulifer haematoceps, Neoaliturus transversalis, and Megophthalmus scabripennis. Allygus theryi (Horváth) (Deltocephalinae) was reported for the first time in Lebanon. Nested PCR analysis and sequencing showed that Asymmetrasca decedens, Empoasca decipiens, Fieberiella macchiae, Euscelidius mundus, Thamnottetix seclusis, Balclutha sp., Lylatina inexpectata, Allygus sp., and Annoplotettix danutae were nine potential carriers of AlmWB phytoplasma. Although the detection of phytoplasmas in an insect does not prove a definite vector relationship, the technique is useful in narrowing the search for potential vectors. The importance of this information for management of AlmWB is discussed. PMID:21864154

  7. Preventing thalassemia in Lebanon: successes and challenges in a developing country.

    Science.gov (United States)

    Abi Saad, Michele; Haddad, Anthony G; Alam, Elie S; Aoun, Sanaa; Maatouk, Pascale; Ajami, Najat; Khairallah, Therese; Koussa, Suzanne; Musallam, Khaled M; Taher, Ali T

    2014-01-01

    Thalassemia continues to be a major health burden. The chronicity of the disease and the high cost of life-long treatment make prevention strategies crucial in the management of this disease. In this article, we revisit different successful prevention strategies, and underline the Lebanese model. The Chronic Care Center (CCC), Beirut, is the only specialized center in Lebanon for the treatment and prevention of thalassemia. The current number of patients registered up to August 2013 was 724, representing cases from all over Lebanon. In 1994, the center launched a national prevention program following the World Health Organization (WHO) recommendations. The major activities of the program include awareness campaigns, screening for thalassemia carriers in the general population and high risk groups, registry of new cases and follow-up on the mandatory premarital law (established at the same time). Screening programs showed a carrier rate of around 2.3% in the general population, and 4.0-41.0% in high risk groups. The major pitfall in the law is that only persons with a mean corpuscular volume (MCV) of >70.0 fL are asked to perform further hemoglobin (Hb) testing. A significant decrease in the number of new cases of thalassemia patients in Lebanon reflects the efforts deployed in the prevention of the disease. However, some limitations are faced in reaching a complete eradication of the disease, mainly due to the fact that abortion is illegal and due to pitfalls and incorrect implementation of the premarital law.

  8. Do personal beliefs and peers affect the practice of alcohol consumption in university students in Lebanon?

    Science.gov (United States)

    Salamé, J; Barbour, B; Salameh, P

    2013-04-01

    Alcohol consumption is frequent among university students in Lebanon as elsewhere in the world. A cross-sectional study was conducted in Lebanon's public and private universities between October 2009 and September 2010 using a standardized questionnaire to assess personal beliefs about alcohol consumption, peers' behaviours and opinions and history of and current drinking practices. Of 1235 students, 199 (16.1%) had an AUDIT score>or=8. Older age, male sex, Christian religion, attending a private university, studying a non-health specialty and residing in Beirut or Mount Lebanon were associated with a higher risk of harmful drinking. Beliefs concerning alcohol consumption and peers' opinions and behaviours were factors significantly associated with harmful drinking, especially: ignoring the dangers of alcohol consumption; higher frequency of consumption with friends; and a higher proportion of friends who drank regularly. University students' alcohol drinking behaviour was mostly influenced by peers' behaviour, and a peer education programme is recommended to decrease the risk of harmful drinking.

  9. High genetic diversity with moderate differentiation in Juniperus excelsa from Lebanon and the eastern Mediterranean region

    Science.gov (United States)

    Douaihy, Bouchra; Vendramin, Giovanni G.; Boratyński, Adam; Machon, Nathalie; Bou Dagher-Kharrat, Magda

    2011-01-01

    Background and aims Juniperus excelsa is an important woody species in the high mountain ecosystems of the eastern Mediterranean Basin where it constitutes the only coniferous species found at the tree line. The genetic diversity within and among J. excelsa populations of the eastern Mediterranean Basin is studied in the light of their historical fragmentation. Methodology Nuclear microsatellites originally developed for Juniperus communis and J. przewalskii were tested on 320 individuals from 12 different populations originating from Lebanon, Turkey, Cyprus, Greece and the Ukraine. Principal results Among the 31 nuclear microsatellite primers tested, only three produced specific amplification products, with orthology confirmed by sequence analysis. They were then used for genetic diversity studies. The mean number of alleles and the expected heterozygosity means were Na=8.78 and He=0.76, respectively. The fixation index showed a significant deviation from Hardy–Weinberg equilibrium and an excess of homozygotes (FIS=0.27–0.56). A moderate level of genetic differentiation was observed among the populations (FST=0.075, P2000 m) in Lebanon. These populations were differentiated from the other populations that are grouped into three sub-clusters. Conclusions High levels of genetic diversity were observed at species and population levels. The high level of differentiation in the high-mountain Lebanese populations reflects a long period of isolation or possibly a different origin. The admixture observed in other populations from Lebanon suggests a more recent separation from the Turkish–southeastern European populations. PMID:22476474

  10. Influences of history, geography, and religion on genetic structure: the Maronites in Lebanon.

    Science.gov (United States)

    Haber, Marc; Platt, Daniel E; Badro, Danielle A; Xue, Yali; El-Sibai, Mirvat; Bonab, Maziar Ashrafian; Youhanna, Sonia C; Saade, Stephanie; Soria-Hernanz, David F; Royyuru, Ajay; Wells, R Spencer; Tyler-Smith, Chris; Zalloua, Pierre A

    2011-03-01

    Cultural expansions, including of religions, frequently leave genetic traces of differentiation and in-migration. These expansions may be driven by complex doctrinal differentiation, together with major population migrations and gene flow. The aim of this study was to explore the genetic signature of the establishment of religious communities in a region where some of the most influential religions originated, using the Y chromosome as an informative male-lineage marker. A total of 3139 samples were analyzed, including 647 Lebanese and Iranian samples newly genotyped for 28 binary markers and 19 short tandem repeats on the non-recombinant segment of the Y chromosome. Genetic organization was identified by geography and religion across Lebanon in the context of surrounding populations important in the expansions of the major sects of Lebanon, including Italy, Turkey, the Balkans, Syria, and Iran by employing principal component analysis, multidimensional scaling, and AMOVA. Timing of population differentiations was estimated using BATWING, in comparison with dates of historical religious events to determine if these differentiations could be caused by religious conversion, or rather, whether religious conversion was facilitated within already differentiated populations. Our analysis shows that the great religions in Lebanon were adopted within already distinguishable communities. Once religious affiliations were established, subsequent genetic signatures of the older differentiations were reinforced. Post-establishment differentiations are most plausibly explained by migrations of peoples seeking refuge to avoid the turmoil of major historical events. © 2011 Macmillan Publishers Limited All rights reserved 1018-4813/11

  11. High genetic diversity with moderate differentiation in Juniperus excelsa from Lebanon and the eastern Mediterranean region.

    Science.gov (United States)

    Douaihy, Bouchra; Vendramin, Giovanni G; Boratyński, Adam; Machon, Nathalie; Bou Dagher-Kharrat, Magda

    2011-01-01

    Juniperus excelsa is an important woody species in the high mountain ecosystems of the eastern Mediterranean Basin where it constitutes the only coniferous species found at the tree line. The genetic diversity within and among J. excelsa populations of the eastern Mediterranean Basin is studied in the light of their historical fragmentation. Nuclear microsatellites originally developed for Juniperus communis and J. przewalskii were tested on 320 individuals from 12 different populations originating from Lebanon, Turkey, Cyprus, Greece and the Ukraine. Among the 31 nuclear microsatellite primers tested, only three produced specific amplification products, with orthology confirmed by sequence analysis. They were then used for genetic diversity studies. The mean number of alleles and the expected heterozygosity means were N(a)=8.78 and H(e)=0.76, respectively. The fixation index showed a significant deviation from Hardy-Weinberg equilibrium and an excess of homozygotes (F(IS)=0.27-0.56). A moderate level of genetic differentiation was observed among the populations (F(ST)=0.075, P2000 m) in Lebanon. These populations were differentiated from the other populations that are grouped into three sub-clusters. High levels of genetic diversity were observed at species and population levels. The high level of differentiation in the high-mountain Lebanese populations reflects a long period of isolation or possibly a different origin. The admixture observed in other populations from Lebanon suggests a more recent separation from the Turkish-southeastern European populations.

  12. Prevalence and correlates of coronary heart disease: first population-based study in Lebanon

    Directory of Open Access Journals (Sweden)

    Zeidan RK

    2016-03-01

    Full Text Available Rouba Karen Zeidan,1 Rita Farah,2 Mirna N Chahine,3 Roland Asmar,3 Hassan Hosseini,4,5 Pascale Salameh,6,7 Atul Pathak8 1Doctoral School of Biology Health and Biotechnologies, Toulouse III University, Toulouse, 2Doctoral School of Life and Health Sciences, Paris-Est University, Creteil, France; 3Foundation-Medical Research Institutes, F-MRI®, Beirut, Lebanon; 4Department of Neurology, Henri Mondor Hospital AP-HP, 5EA 4391, Nerve Excitability and Therapeutics, Université Paris-Est, Creteil, France; 6School of Pharmacy, Lebanese American University, Byblos, 7Laboratory of Clinical and Epidemiology Research, Faculty of Pharmacy, Lebanese University, Hadath, Lebanon; 8Department of Cardiovascular Medicine, Hypertension, Risk Factors and Heart Failure Unit, Clinique Pasteur, Toulouse, France Background: Lebanon is experiencing a growing epidemic of coronary heart diseases (CHDs, as most low- and middle-income countries currently are. However, this growth can be attenuated if effective preventive strategies are adopted. Purpose: To provide the first national population-based prevalence of CHD and to describe the profile of Lebanese adults with prevalent CHD. Methods: We carried out a cross-sectional study using a multistage cluster sample across Lebanon. We interviewed residents aged 40 years and older using a questionnaire that captured the presence of CHDs and their risk factors (RFs. Results: Our study showed that 13.4% of the Lebanese population aged ≥40 years suffer from a prevalent CHD. CHD seemed to appear more prematurely than in developed countries, and males seemed to be more subject to CHD than females until a certain age. CHD was associated with older age, male sex, a lower economic situation, hypercholesterolemia, hypertension, having a family history of premature cardiovascular diseases, and suffering from diabetes. However, smoking and waist circumference did not seem to have an independent effect on CHD, but rather an effect

  13. A roadmap to parity in mental health financing: the case of Lebanon.

    Science.gov (United States)

    Yehia, Farah; Nahas, Ziad; Saleh, Shadi

    2014-09-01

    Inadequate access to mental health (MH) services in Lebanon, where prevalence is noteworthy, is a concern. Although a multitude of factors affects access to services, lack of financial coverage of MH services is one that merits further investigation. This study aims at providing a systematic description of MH financing systems with a special focus on Lebanon, presenting stakeholder viewpoints on best MH financing alternatives/strategies and recommending options for enhancing financial coverage. A comprehensive review of existing literature on MH financing systems was conducted, with a focus on the system in Lebanon. In addition, key stakeholders were interviewed to assess MH organizational and financing arrangements. Finally, a national round table was organized with the aim of discussing findings (from the review and interviews) and developing an action roadmap. Taxation and out-of-pocket payments are the most common MH financing sources worldwide and in the Eastern Mediterranean Region. In Lebanon, all funding entities, except private insurance and mutual funds, cover inpatient and outpatient MH services, albeit with inconsistencies in levels of coverage. The national roundtable recommended two main MH financing enhancements: (i) creating a knowledge-sharing committee between insurers and MH specialists, and (ii) convincing labor unions/representatives to lobby for MH coverage as part of the negotiated benefit package. There are concerns regarding the equity, effectiveness and efficiency of the MH financing system in Lebanon. The fragmented system in Lebanon leads to differences in MH coverage across different financing intermediaries, which is inequitable. The fact that one out of four Lebanese suffer a mental disorder throughout their lives and very low percentages of those obtain treatment signals a problem in effectiveness. As for efficiency, the inefficient fragmentation of MH financing among seven intermediaries is a problematic characteristic of the

  14. Motivation to quit smoking and acceptability of shocking warnings on cigarette packages in Lebanon

    Directory of Open Access Journals (Sweden)

    Layoun N

    2017-02-01

    Full Text Available Nelly Layoun,1,2 Pascal Salameh,2,3 Mirna Waked,4 Z Aoun Bacha,5 Rony M Zeenny,6 Eric El Hitti,4 Isabelle Godin,1 Michèle Dramaix1 1Research Center in Epidemiology, Biostatistics and Clinical Research, School of Public Health, UniversitéLibre de Bruxelles, Brussels, Belgium; 2Doctoral School of Sciences and Technologies, Lebanese University, Beirut, Lebanon; 3Clinical and Epidemiological Research Laboratory, Faculty of Pharmacy, Lebanese University, Beirut, Lebanon; 4Department of Pulmonology, St George Hospital University Medical Center; Faculty of Medicine, Balamand University, Beirut, Lebanon; 5Department of Pulmonary and Critical Care Medicine, Hotel-Dieu de France, Beirut, Lebanon; 6Pharmacy Practice Department, School of Pharmacy, Lebanese American University, Byblos, Lebanon Introduction: Health warnings on tobacco packages have been considered an essential pillar in filling the gap of knowledge and communicating the health risks of tobacco use to consumers. Our primary objective was to report the perception of smokers on the textual health warnings already appearing on tobacco packages in Lebanon versus shocking pictures about the health-related smoking consequences and to evaluate their impact on smoking behaviors and motivation. Methods: A pilot cross-sectional study was undertaken between 2013 and 2015 in five hospitals in Lebanon. Participants answered a questionnaire inquiring about sociodemographic characteristics, chronic respiratory symptoms, smoking behavior and motivation to quit smoking. Only-text warning versus shocking pictures was shown to the smokers during the interview. Results: Exactly 66% of the participants reported that they thought shocking pictorial warnings would hypothetically be more effective tools to reduce/quit tobacco consumption compared to only textual warnings. Also, 31.9% of the smokers who were motivated to stop smoking reported that they actually had stopped smoking for at least 1 month secondary to

  15. Treatment patterns, resource utilization, and outcomes among hospitalized patients with methicillin-resistant Staphylococcus aureus complicated skin and soft tissue infections in Lebanon and Saudi Arabia.

    Science.gov (United States)

    Matar, Madonna J; Moghnieh, Rima; Alothman, Adel F; Althaqafi, Abdulhakeem O; Alenazi, Thamer H; Farahat, Fayssal M; Corman, Shelby; Solem, Caitlyn T; Raghubir, Nirvana; Macahilig, Cynthia; Haider, Seema; Stephens, Jennifer M

    2017-01-01

    To describe treatment patterns and medical resource use for methicillin-resistant Staphylococcus aureus (MRSA) complicated skin and soft tissue infections (cSSTI) in Saudi Arabia and Lebanon in terms of drug selection against the infecting pathogen as well as hospital resource utilization and clinical outcomes among patients with these infections. This retrospective chart review study evaluated 2011-2012 data from five hospitals in Saudi Arabia and Lebanon. Patients were included if they had been discharged with a diagnosis of MRSA cSSTI, which was culture-proven or suspected based on clinical criteria. Hospital data were abstracted for a random sample of patients with each infection type to capture demographics, treatment patterns, hospital resource utilization, and clinical outcomes. Statistical analysis was descriptive. Data were abstracted from medical records of 87 patients with MRSA cSSTI; mean age 52.4±25.9 years and 61% male. Only 64% of patients received an MRSA active initial therapy, with 56% of first-line regimens containing older beta-lactams. The mean total length of stay was 26.3 days, with the majority (19.1 days) spent in general wards. Surgical procedures included incision and drainage (22% of patients), debridement (14%), and amputation (5%). Mechanical ventilation was required by 9% of patients, with a mean duration of 18 days per patient. Hemodialysis was required by four patients (5%), two of whom were reported to have moderate to severe renal disease on admission, for a mean of 5.5 days. Inpatient mortality was 8%. Thirty-nine percent were prescribed at least one antibiotic at discharge, with the most commonly prescribed discharge antibiotics being clindamycin (44%), ciprofloxacin (18%), trimethoprim/sulfamethoxazole (12%), and linezolid (9%). This Middle Eastern real-world study of resource use and treatment patterns in MRSA cSSTI indicates that management of this condition could be further optimized in terms of drug selection and resource

  16. A Cross-Cultural Comparison of Knowledge and Stigma Associated with Autism Spectrum Disorder among College Students in Lebanon and the United States

    Science.gov (United States)

    Obeid, Rita; Daou, Nidal; DeNigris, Danielle; Shane-Simpson, Christina; Brooks, Patricia J.; Gillespie-Lynch, Kristen

    2015-01-01

    Although misconceptions associated with ASD are apparent worldwide, they may differ across cultures. This study compares knowledge and stigma associated with ASD in a country with limited autism resources, Lebanon, and a country with substantial autism resources, the United States (US). College students in the US (N = 346) and Lebanon (N = 329)…

  17. The Links between Energy Consumption, Financial Development, and Economic Growth in Lebanon: Evidence from Cointegration with Unknown Structural Breaks

    Directory of Open Access Journals (Sweden)

    Salah Abosedra

    2015-01-01

    Full Text Available We investigate the relation between financial development, energy consumption, and economic growth in the economy of Lebanon over the period 2000M2–2010M12. Our findings confirm the existence of cointegration among the variables. The results indicate that financial development and energy consumption contribute to economic growth in Lebanon. The impact of energy consumption on economic growth is positive showing the significance of energy as a main stimulant of economic growth. Financial development is also found to play a vital role in enhancing economic growth. Financial development and economic growth also result in further increase in energy consumption. We offer some policy implications specific to Lebanon considering the recent discovery of large oil and gas reserves in the country and the historical importance of its banking sector which remains a center of Lebanon’s service-oriented economy.

  18. Cesarean sections among Syrian refugees in Lebanon from december 2012/january 2013 to june 2013: probable causes and recommendations.

    Science.gov (United States)

    Huster, Karin M J; Patterson, Njogu; Schilperoord, Marian; Spiegel, Paul

    2014-09-01

    There are nearly 3 million Syrian refugees, with more than 1 million in Lebanon. We combined quantitative and qualitative methods to determine cesarean section (CS) rates among Syrian refugees accessing care through United Nations High Commissioner for Refugees (UNHCR)-contracted hospitals in Lebanon and possible driving factors. We analyzed hospital admission data from UNHCR's main partners from December 2012/January 1, 2013, to June 30, 2013. We collected qualitative data in a subset of hospitals through semi-structured informant interviews. Deliveries accounted for almost 50 percent of hospitalizations. The average CS rate was 35 percent of 6,366 deliveries. Women expressed strong preference for female providers. Clinicians observed that refugees had high incidence of birth and health complications diagnosed at delivery time that often required emergent CS. CS rates are high among Syrian refugee women in Lebanon. Limited access and utilization of antenatal care, privatized health care, and male obstetrical providers may be important drivers that need to be addressed.

  19. New Mediterranean Biodiversity Records (October 2015

    Directory of Open Access Journals (Sweden)

    F. CROCETTA

    2015-11-01

    Full Text Available The Collective Article “New Mediterranean Biodiversity Records” of the Mediterranean Marine Science journal offers the means to publish biodiversity records in the Mediterranean Sea. The current article is divided per countries, listed according to a Mediterranean west-east geographic position. New biodiversity data are reported for 7 different countries, although one species hereby reported from Malta is overall new for the entire Mediterranean basin, and is presumably present also in Israel and Lebanon (see below in Malta. Italy: the rare native fish Gobius kolombatovici is first reported from the Ionian Sea, whilst the alien jellyfish Rhopilema nomadica and the alien fish Oplegnathus fasciatus are first reported from the entire country. The presence of O. fasciatus from Trieste is concomitantly the first for the entire Adriatic Sea. Finally, the alien bivalve Arcuatula senhousia is hereby first reported from Campania (Tyrrhenian Sea. Tunisia: a bloom of the alien crab Portunus segnis is first reported from the Gulf of Gabes, from where it was considered as casual. Malta: the alien flatworm Maritigrella fuscopunctata is first recorded from the Mediterranean Sea on the basis of 25 specimens. At the same time, web researches held possible unpublished records from Israel and Lebanon. The alien crab P. segnis, already mentioned above, is first formally reported from Malta based on specimens collected in 1972. Concomitantly, the presence of Callinectes sapidus in Maltese waters is excluded since based on misidentifications. Greece: the Atlantic northern brown shrimp Penaeus atzecus, previously known from the Ionian Sea from sporadic records only, is now well established in Greek and international Ionian waters. The alien sea urchin Diadema setosum is reported from the second time from Greece, and its first record date from the country is backdated to 2010 in Rhodes Island. The alien lionfish Pterois miles is first reported from Greece and

  20. New Mediterranean Biodiversity Records (October 2015

    Directory of Open Access Journals (Sweden)

    F. CROCETTA

    2015-11-01

    Full Text Available The Collective Article “New Mediterranean Biodiversity Records” of the Mediterranean Marine Science journal offers the means to publish biodiversity records in the Mediterranean Sea. The current article is divided per countries, listed according to a Mediterranean west-east geographic position. New biodiversity data are reported for 7 different countries, although one species hereby reported from Malta is overall new for the entire Mediterranean basin, and is presumably present also in Israel and Lebanon (see below in Malta. Italy: the rare native fish Gobius kolombatovici is first reported from the Ionian Sea, whilst the alien jellyfish Rhopilema nomadica and the alien fish Oplegnathus fasciatus are first reported from the entire country. The presence of O. fasciatus from Trieste is concomitantly the first for the entire Adriatic Sea. Finally, the alien bivalve Arcuatula senhousia is hereby first reported from Campania (Tyrrhenian Sea. Tunisia: a bloom of the alien crab Portunus segnis is first reported from the Gulf of Gabes, from where it was considered as casual. Malta: the alien flatworm Maritigrella fuscopunctata is first recorded from the Mediterranean Sea on the basis of 25 specimens. At the same time, web researches held possible unpublished records from Israel and Lebanon. The alien crab P. segnis, already mentioned above, is first formally reported from Malta based on specimens collected in 1972. Concomitantly, the presence of Callinectes sapidus in Maltese waters is excluded since based on misidentifications. Greece: the Atlantic northern brown shrimp Penaeus atzecus, previously known from the Ionian Sea from sporadic records only, is now well established in Greek and international Ionian waters. The alien sea urchin Diadema setosum is reported from the second time from Greece, and its first record date from the country is backdated to 2010 in Rhodes Island. The alien lionfish Pterois miles is first reported from Greece and

  1. Technology priorities for transport in Asia: assessment of economy-wide CO2 emissions reduction for Lebanon

    DEFF Research Database (Denmark)

    Dhar, Subash; Marpaung, Charles O. P.

    2015-01-01

    mitigations actions (NAMA) given their strong contribution for development and therefore a methodology based on in-put out-put decomposition analysis is proposed for analysing economy wide CO2 emissions reductions. The methodology has been applied for the transport sector of Lebanon where alternative fuels......,improvement to cars (private and taxis) and buses for public transport were prioritized by stakeholders. The economy-wide CO2 emission reduce by 2,269 thousand tons by 2020 if the prioritized technologies are implemented in Lebanon. Fuel mix effect and structural effect would reduce CO2 emission by 2,611 thousand...

  2. Assessment of reproductive health and violence against women among displaced Syrians in Lebanon

    Science.gov (United States)

    2014-01-01

    Background The current conflict in Syria continues to displace thousands to neighboring countries, including Lebanon. Information is needed to provide adequate health and related services particularly to women in this displaced population. Methods We conducted a needs assessment in Lebanon (June-August 2012), administering a cross-sectional survey in six health clinics. Information was collected on reproductive and general health status, conflict violence, stress, and help-seeking behaviors of displaced Syrian women. Bivariate and multivariate analyses were conducted to examine associations between exposure to conflict violence, stress, and reproductive health outcomes. Results We interviewed 452 Syrian refugee women ages 18–45 who had been in Lebanon for an average of 5.1 (± 3.7) months. Reported gynecologic conditions were common, including: menstrual irregularity, 53.5%; severe pelvic pain, 51.6%; and reproductive tract infections, 53.3%. Among the pregnancy subset (n = 74), 39.5% of currently pregnant women experienced complications and 36.8% of those who completed pregnancies experienced delivery/abortion complications. Adverse birth outcomes included: low birthweight, 10.5%; preterm delivery, 26.5%; and infant mortality, 2.9%. Of women who experienced conflict-related violence (30.8%) and non-partner sexual violence (3.1%), the majority did not seek medical care (64.6%). Conflict violence and stress score was significantly associated with reported gynecologic conditions, and stress score was found to mediate the relationship between exposure to conflict violence and self-rated health. Conclusions This study contributes to the understanding of experience of conflict violence among women, stress, and reproductive health needs. Findings demonstrate the need for better targeting of reproductive health services in refugee settings, as well as referral to psychosocial services for survivors of violence. PMID:24552142

  3. Sociological Transition and Breast Cancer in the Arab World: the Experience of Lebanon

    Science.gov (United States)

    Lakkis, Najla A; Adib, Salim M; Hamadeh, Ghassan; Jarrah, Rana El; Osman, Mona H

    2017-01-01

    Background: Breast cancer is the leading cause of cancer death among females in Lebanon. This study aimed at analyzing its epidemiology in the country over time. Methods: Data were extracted from the Lebanese National Cancer Registry (NCR) for the years 2004 through 2010. Age-standardized and age-specific incidence rates for cancers per 100,000 population were calculated. Results: Breast cancer ranked first, accounting for an average of 37.6% of all new female cancer cases in Lebanon during the period of 2004-2010. Breast cancer was found to have been increasing faster than other hormone-related women’s cancers (i.e. of the ovaries and corpus uteri). The breast cancer age-standardized incidence rates (world population) (ASRw) increased steadily from 2004 (71.0) to 2010 (105.9), making the burden comparable to that in developed countries, reflecting the influence of sociological and reproductive patterns transitioning from regional norms to global trends. The age-specific incidence rates for breast cancer rose steeply from around age 35-39 years, to reach a first peak in the age group 45-49 years, and then dropped slightly between 50 and 64 years to rise again thereafter and reach a second peak in the 75+ age group. Five-year age-specific rates among Lebanese women between 35 and 49 years were among the highest observed worldwide in 2008. Conclusion: Breast cancer is continuously on the rise in Lebanon. The findings of this study support the national screening recommendation of starting breast cancer screening at the age of 40 years. It is mandatory to conduct an in-depth analysis of contributing factors and develop consequently a comprehensive National Breast Cancer Control strategy. PMID:28612586

  4. Characterization of the time dynamics of monthly satellite snow cover data on Mountain Chains in Lebanon

    Science.gov (United States)

    Telesca, Luciano; Shaban, Amin; Gascoin, Simon; Darwich, Talal; Drapeau, Laurent; Hage, Mhamad El; Faour, Ghaleb

    2014-11-01

    In this study, the time dynamics of the monthly means of the snow cover have been on Lebanese Mountain Chains from 2000 to 2012, derived from the MODIS Aqua/Terra satellite snow products was analyzed. This represents the longest satellite-based snow cover time series produced for Lebanon so far. Field survey was also carried out over the last three years in order to measure the in-situ snow/water equivalent and depth in different localities. Analyzing the regime of the snow cover in Mount-Lebanon (Western Mountain Chains) region, it was found that: (i) snowmelt accounts for about 31% of the rivers and springs discharge in Lebanon; (ii) consecutive peaks in the snow cover time series, representing the change-point between accumulation phase and ablation phase are present in three different patterns (edged, non-edged and double peaked); (iii) the areal snow coverage has big diversity between different years; (iv) the annual periodicity represents the most statistically significant and predominant frequency of the series contributing for about the 40% of the total variance of the snow cover series; (v) the long-term trend, totally hidden by the more powerful yearly component and detected by using the singular spectrum analysis (SSA), accounts for about the 33% of the total variance of the series; (vi) the long-term trend shows an apparent cyclic behavior with an estimated period (interval between the two minima) of about nine years; (vii) the comparison of the long-term trend with the North Atlantic Oscillation (NAO) monthly index reveals that the minima in 2009-2010 of the SSA long-term component coincides with a persistent negative phase in the NAO Index.

  5. Candida profiles and antifungal resistance evolution over a decade in Lebanon.

    Science.gov (United States)

    Araj, George Farah; Asmar, Rima George; Avedissian, Aline Zakaria

    2015-09-27

    Infection with and antifungal resistance of Candida species have been on the rise globally. Relevant data on these pathogens are relatively few in our region, including Lebanon, thus warranting this study. This retrospective study of Candida spp. profiles and their in vitro antifungal susceptibility was based on analysis requests for 186 Candida non-albicans and 61 C. albicans during three periods (2005-2007, 2009-2011, and 2012-2014) over the span of the last 10 years at the American University of Beirut Medical Center (AUBMC), a major tertiary care center in Lebanon. Identification of Candida was done using the API 20C AUX system, and the E-test was used to determine the minimum inhibitory concentrations (MICs) of antifungal agents. Among the 1,300-1,500 Candida isolates recovered yearly, C. albicans rates decreased from 86% in 2005 to around 60% in 2014. Simultaneously, the non-albicans rates increased from 14% in 2005 to around 40% in 2014, revealing 11 species, the most frequent of which were C. tropicalis, C. glabrata, and C. parapsilosis. All these demonstrated high resistance (35%-79%) against itraconazole, but remained uniformly susceptible (100%) to amphotericin B. Though C. albicans and the other species maintained high susceptibility against fluconazole and voriconazole, their MIC90 showed an elevated trend over time, and C. glabrata had the highest resistance rates. The observed rise in resistance among Candida spp. in Lebanon mandates the need for close surveillance and monitoring of antifungal drug resistance for both epidemiologic and treatment purposes.

  6. The workforce trends of nurses in Lebanon (2009–2014): A registration database analysis

    Science.gov (United States)

    Chamoun, Nariman; Btaiche, Rachel; El Arnaout, Nour; Richa, Nathalie; Samaha-Nuwayhid, Helen

    2017-01-01

    Background Analysis of the nursing registration databases is a highly informative approach that provides accurate and reliable information supporting evidence based decisions relevant to the nursing workforce planning, management and development. This study presents the first systematic analysis of the nursing registration database in Lebanon. It Reports on the workforce distribution and trends using an updated version of the Order of Nurses in Lebanon (ONL) databases. Methods This study presents a secondary data analysis of a de-identified subset of the updated ONL registration database. The workforce participation status of ONL registered nurses was categorized as active and eligible. For active nurses sectors and sub-sectors of employment were defined. Eligible nurses were categorized as unemployed, working outside nursing and working abroad. SPSS was used to conduct descriptive analysis to present workforce trends of Lebanese nurses for year 2009–2014 as frequencies, percentages and percentage changes. Results Increases in the size of the Active (35%) and Eligible (86%) nurses were observed over the past six years. The majority of nurses fell in the below 35 years age group (60% in 2014). The hospital sector remained the principle employer, with 87% of Lebanese nurses working in hospitals in 2014. A 173% increases was reported for nurses working abroad. Discussion Despite the growth of the Active nursing workforce, the skewed distribution of nurses in the below 35 age group and the growth in the Eligible category, especially for nurses living abroad, raise concerns on the longevity of nurses in the profession and the reasons for their attrition from the workforce. Conclusion There is a need to investigate the push and pull factors that are affecting nurses and the design of policies and interventions that would encourage nurses to remain active in Lebanon. Furthermore, policies and interventions that would create employment opportunities outside hospitals

  7. The effect of taxation on tobacco consumption and public revenues in Lebanon.

    Science.gov (United States)

    Salti, Nisreen; Chaaban, Jad; Nakkash, Rima; Alaouie, Hala

    2015-01-01

    Tobacco consumption rates in Lebanon are among the highest worldwide. The country ratified the Framework Convention on Tobacco Control in 2005. A law was passed in 2011 which regulates smoking in closed public spaces, bans advertising, and stipulates larger warnings. Despite international evidence confirming that increasing taxation on tobacco products lowers tobacco consumption, no such policy has yet been adopted: a cigarette pack costs on average US$1.50. To date no studies in Lebanon have addressed the welfare and public finance effects of increasing taxes on tobacco products. Using the 2005 national survey of household living conditions, we estimate an almost ideal demand system to generate price elasticities of demand for tobacco. Using estimated elasticities and a conservative scenario for expected smuggling, we simulate the consumption and tax revenue effects of a change in the price of tobacco under various tax schemes. Increasing taxes on all tobacco products so as to double the price of imported cigarettes would lower their consumption by 7% and consumption of domestically produced cigarettes by over 90%. Young adults (ages 15-30) are more sensitive: consumption would drop by 9% for imported cigarettes and by 100% for domestic cigarettes. Government revenues would increase by approximately 52%. The estimated elasticities indicate that an increase in taxes on all tobacco products would lead to a reduction in consumption and an increase in government revenue. Evidence from Lebanon on the effectiveness of increased taxation may help initiate national debate on the need to raise taxes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  8. ATTITUDES TOWARDS AND PRACTICE OF SEXUALITY AMONG UNIVERSITY STUDENTS IN LEBANON.

    Science.gov (United States)

    Salameh, P; Zeenny, R; Salamé, J; Waked, M; Barbour, B; Zeidan, N; Baldi, I

    2016-03-01

    Sexuality is still a taboo in Middle Eastern countries, and Lebanon is no exception. This study's objective was to evaluate attitudes towards sexuality and its practice among university students in Lebanon and assess their respective correlates. The cross-sectional study was carried out among students selected from seventeen universities across Lebanon. The participants received a self-administered standardized questionnaire that assessed their attitudes towards sexuality. It included questions on socio-demographic factors, risk-taking, risky behaviours and sexuality-related questions. Among 3384 students, 2700 (79.8%) answered the questions on sexuality. Around 15% had engaged in sexual activity, while 20% were regularly sexually active. Among males, 34.8% had never had sexual activity, 29.9% had tried it and 35.3% were regularly sexually active. Among females the results were respectively 85.1%, 5.3% and 9.6% (p<0.001). Only 36% regularly used condoms during their relationships. A liberal attitude towards sex, male sex, motives for risky behaviours, current cigarette smoking and problematic alcohol consumption were associated with sexual activity. Realizing that risky behaviours are dangerous, health concerns related to sexual relationships and a liberal attitude towards sex were associated with regular condom use. However, being bothered by condoms and female sex were inversely associated with condom use. Finally, participants who had motives for, and those who felt excited about risky behaviours, and those reporting current cigarette and waterpipe smoking and problematic alcohol consumption (β=0.600; p=0.002) embraced a more liberal attitude towards sex. Conversely, females (β=-7.58; p<0.001) and individuals who considered risky behaviours as dangerous reported an unfavourable attitude towards sexuality. A substantial proportion of Lebanese university students have regular sexual activity, but a low percentage use condoms for protection. Interventions are

  9. Dietetic practices in adult hemodialysis units compared to k/doqi guidelines, lebanon

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    mirey karavetian

    2012-06-01

    Full Text Available Hospitals in Lebanon mostly employ only one dietitian to conduct all dietetic/food service/administrative tasks including hemodialysis (HD units which are exclusively hospital based. Little is known about dietetic practices in these (HD units. Kidney Disease Outcomes Quality Initiative (KDOQI and American Dietetic Association (ADA presented evidence that the presence of a competent dietitian in the HD unit has benefits on HD patient’s health and quality of life and is cost effective. This study aimed to reveal the current practices provided by dietitians to HD patients in Lebanon compared to KDOQI nutrition guidelines. A 36 item anonymous self-administered questionnaire was sent to all HD units in Lebanon (n=55. The questionnaire included 2 sections: 1 demographics and professional characteristics; 2 routine clinical practice Thirty eight (69% of the dietitians responded; only 34 were of use. The questions in survey were categorical, thus only the answers with the majority of the respondents will be reported: 97% were female. 82% were within the age of 21–34, 62% had 3–10 years in clinical practice and 44% had only 0–2 years exposure to renal patients. Most dietitians (69% worked in hospitals with 50–150 inpatients and 26–75 HD patients. Sixty nine percent of dietitians spent more than 36 hours per week in the hospital, while 85% spent less than 10 hours per week in the HD unit. As to the level of applying KDOQI nutrition guidelines in routine practice, of the 23 guidelines asked, all dietitians used at least 1 guideline, 17% used 5 and 23% used 10 guidelines. Only one dietitian applied all guidelines. A total compliance to guidelines score was developed as a percentage of total compliance which showed 37±15.51% (min14, max 73. Barriers identified were lack of time and lack of integration into the medical team. It is evident that dietetic practices in Lebanon targeting HD patients need support in all aspects: time, knowledge

  10. A national study on nurses' retention in healthcare facilities in underserved areas in Lebanon.

    Science.gov (United States)

    El-Jardali, Fadi; Alameddine, Mohamad; Jamal, Diana; Dimassi, Hani; Dumit, Nuhad Y; McEwen, Mary K; Jaafar, Maha; Murray, Susan F

    2013-09-30

    Nursing shortages and maldistribution are priority issues for healthcare systems around the globe. Such imbalances are often aggravated in underserved areas, especially in developing countries. Despite the centrality of this issue, there is a dearth of studies that examine the retention of nurses in underserved areas in the Middle East Region. This study investigates the characteristic and the factors associated with the retention of nurses working in rural areas in Lebanon. This study uses a non-experimental cross-sectional design to survey nurses working in underserved areas of Lebanon. Underserved areas in Lebanon were identified using WHO definition. A total of 103 health facilities (hospitals and primary healthcare centers) located in these areas were identified and all nurses working at these facilities received a copy of the survey questionnaire. The questionnaire included five sections: demographic, work-life, career plan, job satisfaction, and assessment of work environment. Analysis included univariate and bivariate (chi-square, Student's t-test and ANOVA) tests to describe the respondents and examine the significance between nurses' characteristics and their intent to stay. A logistic regression model was constructed to identify factors associated with nurses' intent to stay in underserved areas. A total of 857 nurses from 63 Primary Healthcare (PHC) centers and hospitals responded to the questionnaire (75.5% response rate). Only 35.1% of nurses indicated their intent to stay in their current job over the coming one to three years. Surveyed nurses were most satisfied with relationship with co-workers and least satisfied with extrinsic rewards. Rural nurses working in PHC centers were more satisfied than their hospital counterparts on all aspects of work and had significantly higher intention to stay (62.5% compared to 31.5% in hospitals, P Lebanon, especially in the hospital sector. The status quo is disquieting as it reflects an unstable and

  11. A national study on nurses’ retention in healthcare facilities in underserved areas in Lebanon

    Science.gov (United States)

    2013-01-01

    Background Nursing shortages and maldistribution are priority issues for healthcare systems around the globe. Such imbalances are often aggravated in underserved areas, especially in developing countries. Despite the centrality of this issue, there is a dearth of studies that examine the retention of nurses in underserved areas in the Middle East Region. This study investigates the characteristic and the factors associated with the retention of nurses working in rural areas in Lebanon. Methods This study uses a non-experimental cross-sectional design to survey nurses working in underserved areas of Lebanon. Underserved areas in Lebanon were identified using WHO definition. A total of 103 health facilities (hospitals and primary healthcare centers) located in these areas were identified and all nurses working at these facilities received a copy of the survey questionnaire. The questionnaire included five sections: demographic, work-life, career plan, job satisfaction, and assessment of work environment. Analysis included univariate and bivariate (chi-square, Student’s t-test and ANOVA) tests to describe the respondents and examine the significance between nurses’ characteristics and their intent to stay. A logistic regression model was constructed to identify factors associated with nurses’ intent to stay in underserved areas. Results A total of 857 nurses from 63 Primary Healthcare (PHC) centers and hospitals responded to the questionnaire (75.5% response rate). Only 35.1% of nurses indicated their intent to stay in their current job over the coming one to three years. Surveyed nurses were most satisfied with relationship with co-workers and least satisfied with extrinsic rewards. Rural nurses working in PHC centers were more satisfied than their hospital counterparts on all aspects of work and had significantly higher intention to stay (62.5% compared to 31.5% in hospitals, P Lebanon, especially in the hospital sector. The status quo is disquieting as it

  12. Prevalence and Correlates of Food Insecurity among Palestinian Refugees in Lebanon: Data from a Household Survey.

    Directory of Open Access Journals (Sweden)

    Hala Ghattas

    Full Text Available Lebanon hosts the highest per capita refugee concentration worldwide. The Palestinian presence in Lebanon dates from 1948 and they remain a marginalized population. No information on their food security status has been reported previously. A survey of a representative sample of Palestinian refugee households in Lebanon (n = 2501 was conducted using a stratified two stage cluster sampling approach. We measured food insecurity using a modified USDA household food security module, locally validated. We collected data on household demographic, socioeconomic, health, housing, coping strategies and household intake of food groups and analysed these by food security status. About 41% (CI: 39-43 of households reported being food insecure and 20% (CI: 18-22 severely food insecure. Poor households were more likely to be severely food insecure (OR 1.41 (1.06-1.86 while higher education of the head of household was significantly associated with protection against severe food insecurity (OR 0.66 (0.52-0.84. Additionally, higher food expenditure and possession of food-related assets were significantly associated with food security (OR 0.93 (0.89-0.97 and OR 0.74 (0.59-0.92, respectively. After adjusting for confounders, households where at least one member suffered from an acute illness remained significantly more likely to be severely food insecure (OR 1.31(1.02-1.66, as were households whose proxy respondent reported poor mental health (OR 2.64 (2.07-3.38 and poor self-reported health (OR 1.62 (1.22-2.13. Severely food insecure households were more likely to eat cheaper foods when compared to non-severely food insecure households (p<0.001 and were more likely to rely on gifts (p<0.001 or welfare (p<0.001. They were also more likely to have exhausted all coping strategies, indicating significantly more frequently that they could not do anything (p = 0.0102. Food insecurity is a significant problem among Palestinian refugees in Lebanon and is likely to be

  13. Estimation of transit times in a Karst Aquifer system using environmental tracers: Application on the Jeita Aquifer system-Lebanon.

    Science.gov (United States)

    Doummar, Joanna; Hamdan, Ahmad

    2016-04-01

    the remaining 3 samples have Delta-Ne in the expected range between (10-35%). Moreover Tritium-Helium analysis has showed some radiogenic Helium (4He) in one sample along with lower tritium concentrations signifying a mixture of new groundwater with old groundwater (older than 50 yrs). Furthermore, this study is complemented with published analysis of a series of 26 artificial tracer experiments performed in the Jeita karst system (Doummar, 2012). Transit times calculated from tracer experiments ranged between 3 and 300 hours (12 days). The shortest ones were recorded in the Jeita subsurface conduit. While injections in sinkholes yielded moderate transit times, fissured matrix and unsaturated zone resulted in relatively long ones. In Lebanon this type of spatial groundwater age dating using environmental tracers was not applied to date, to the exception of grab sample analysis. A second round of sampling for Tritium-Helium, CFCs and SF6 analysis will be undertaken under different flow periods in February 2016 to validate the obtained results. References Geyer, T. 2008: Process-based characterization of flow and transport in karst aquifers at catchment scale. Dissertation, Georg-August-Universität Göttingen, 103 S. Geyer, T., and Doummar, J. 2013. Protection of the Jeita Spring: Bestimmung der mittleren Verweilzeit des Grundwassers im Einzugsgebiet der Jeita Quelle-Libanon. Special report. Protection of the Jeita Spring. Applied Geosciences. Georg August University, Göttingen.

  14. Post-traumatic stress disorder in a sample of Syrian refugees in Lebanon.

    Science.gov (United States)

    Kazour, Francois; Zahreddine, Nada R; Maragel, Michel G; Almustafa, Mustafa A; Soufia, Michel; Haddad, Ramzi; Richa, Sami

    2017-01-01

    Lebanon is the main hosting country for the Syrian crisis, with more than one million Syrian refugees. The objective of this study was to determine the prevalence of post-traumatic stress disorder (PTSD), and identify its possible predictors, in a sample of Syrian refugees living in camps in Lebanon. We conducted a household survey on Syrian refugees between 18 and 65years old in 6 camps of the Central Bekaa region, using the Mini International Neuropsychiatric Interview (M.I.N.I.) as a diagnostic tool. Among the 452 respondents, we found a lifetime prevalence of PTSD of 35.4%, and a point prevalence of 27.2%. The lifetime prevalence of SUD was 1.99% and the point prevalence 0.66%. Multivariate logistic regression could not identify any predictor of current PTSD among a list of demographic variables, but identified the Syrian hometown as a significant predictor of lifetime PTSD (p=.013), with refugees from Aleppo having significantly more PTSD than those coming from Homs (adjusted OR 2.14, 95% CI [1.28, 3.56], p=.004). PTSD was a real mental health issue in our sample of adult Syrian refugees in Central Bekaa camps, unlike SUD. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Social Networks and Health Among Older Adults in Lebanon: The Mediating Role of Support and Trust

    Science.gov (United States)

    Antonucci, Toni C.; Ajrouch, Kristine J.; Abdulrahim, Sawsan

    2015-01-01

    Objectives. Despite a growing body of literature documenting the influence of social networks on health, less is known in other parts of the world. The current study investigates this link by clustering characteristics of network members nominated by older adults in Lebanon. We then identify the degree to which various types of people exist within the networks. This study further examines how network composition as measured by the proportion of each type (i.e., type proportions) is related to health; and the mediating role of positive support and trust in this process. Method. Data are from the Family Ties and Aging Study (2009). Respondents aged ≥60 were selected (N = 195) for analysis. Results. Three types of people within the networks were identified: Geographically Distant Male Youth, Geographically Close/Emotionally Distant Family, and Close Family. Having more Geographically Distant Male Youth in one’s network was associated with health limitations, whereas more Close Family was associated with no health limitations. Positive support mediated the link between type proportions and health limitations, whereas trust mediated the link between type proportions and depressive symptoms. Discussion. Results document links between the social networks and health of older adults in Lebanon within the context of ongoing demographic transitions. PMID:25324295

  16. Restless leg syndrome in hospitalized psychiatric patients in Lebanon: a pilot study

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    Talih F

    2016-10-01

    Full Text Available Farid Talih,1 Jean Ajaltouni,1 Firas Kobeissy2 1Department of Psychiatry, 2Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon Objectives: To characterize and describe the prevalence of restless leg syndrome (RLS in hospitalized psychiatric patients and to investigate the correlations between patient profile and RLS.Methods: Demographic information, psychiatric diagnoses, psychotropic medication use, and history of substance use were collected from hospitalized psychiatric patients at the American University of Beirut Medical Center; Beirut, Lebanon. A validated questionnaire to evaluate RLS symptomatology was also administered to 126 participants who agreed to participate, as well as questionnaires for insomnia, depression, and anxiety symptoms. Statistical analysis was conducted to detect the prevalence of RLS among the participants and to examine correlations with RLS in a hospitalized psychiatric population.Results: Out of the 126 participants who completed the survey, RLS was detected in 18% of the participants. Of interest, RLS was also found to be associated with higher depressive symptomatology, suicidal ideation, and working night shifts. Keywords: restless leg syndrome, insomnia, depression, and anxiety symptoms

  17. Mothers' Dreams, Children Realities: The Case of Uprooted Families from South Lebanon.

    Science.gov (United States)

    Dabbagh, Therese; Roer-Strier, Dorit; Kurman, Jenny

    2016-06-01

    In this exploratory qualitative study, 15 mothers and 18 adolescents who, as family members of the South Lebanon Army, were uprooted from that country and now living in Israel, were interviewed separately. The mothers described their image of the adaptive adult, which stressed the positive values of loyalty to the family, orientation toward the group, respect, and acceptance of hierarchy and guided their child-rearing goals and socialization. The children shared similar attitudes about the importance of family loyalty and orientation toward the group, but differed from their mothers with regard to the issues of respect and obedience. We discussed the notion of "liminality," to further our understanding of the families in transition and suggest how it applies to the uprooted members of South Lebanon army. We suggest that different time orientations and contextual factors influence the participating mothers' image of the adaptive adult and the degree to which their children accept it. Implications for research and interventions are also explored. © 2015 Family Process Institute.

  18. The economics of tobacco in Lebanon: an estimation of the social costs of tobacco consumption.

    Science.gov (United States)

    Salti, Nisreen; Chaaban, Jad; Naamani, Nadia

    2014-05-01

    Assess the socioeconomic costs of smoking in Lebanon and understand the tobacco market and identify the winners and losers from the Lebanese tobacco trade. We take a close look at the market for tobacco and related markets to identify the main stakeholders and estimate the direct costs and benefits of tobacco. We also estimate lower bounds for the costs of tobacco, in terms of lost productivity, the cost of medical treatment, lost production due to premature death, and environmental damage. The paucity of data means our cost estimates are conservative lower bounds and we explicitly list the effects that we are unable to include. We identify the main actors in the tobacco trade: the Régie (the state-owned monopoly which regulates the tobacco trade), tobacco farmers, international tobacco companies, local distributors, retailers, consumers, and advertising firms. We identify as proximate actors the Ministries of Finance and Health, employers, and patients of smoking-related illnesses. In 2008, tobacco trade in Lebanon led to a total social cost of $326.7 million (1.1% of GDP). Low price tags on imported cigarettes not only increase smoking prevalence, but they also result in a net economic loss. Lebanese policymakers should consider the overall deficit from tobacco trade and implement the guidelines presented in the Framework Convention on Tobacco Control to at once increase government revenue and reduce government outlays, and save the labor market and the environment substantial costs.

  19. Characteristics of Incident Testicular Cancer in Lebanon - 1990-2015 Single Institutional Experience.

    Science.gov (United States)

    Assi, Tarek; Nasr, Fadi; Rassy, Elie El; Ibrahim, Toni; Jabbour, Hicham; Chahine, Georges

    2016-01-01

    Despite the fact that testicular cancer is a major health issue with its increasing incidence, very few studies have described its characteristics in the Middle East, particularly in Lebanon. We report in this paper a retrospective pilot study of the characteristics of testicular cancer in Lebanon. The demographic, epidemiologic and survival characteristics of 178 patients diagnosed between 1990 and 2015 at an oncology clinic affiliated to Hotel Dieu de France Hospital were analyzed. The mean age at diagnosis was 32 ±10 years. The most prevalent testicular tumor was the germ cell type (GCT) (95.2%) of which non-seminomatous tumors (NST) were the commonest (64.7%). Most of our patients were diagnosed at an early stage. Lymph node spread affected most commonly the retroperitoneal region and distant visceral metastases occurred in 14.6%. All patients underwent orchiectomy with 67% receiving adjuvant treatment, mainly chemotherapy. After a median follow up of 2,248 days (75.9 months) 16 patients were reported dead. Two, five and ten-year overall survival rates were 96%, 94% and 89% respectively. The median overall survival rate was not reached. Despite being part of the developing world, demographic, epidemiologic and survival analyses of testicular cancer reported in our study are in line with those reported from developed countries and would allow us to extrapolate management plans from these populations.

  20. Smuggling as the “key to a combined market”: British American Tobacco in Lebanon

    Science.gov (United States)

    Nakkash, R; Lee, K

    2008-01-01

    Objectives: To understand the strategy of British American Tobacco (BAT) and other transnational tobacco companies (TTCs) to gain access to the Lebanese market, which has remained relatively closed under monopoly ownership and political instability. Methods: Analysis of internal industry documents, local language secondary sources and industry publications. Results: TTCs have relied on legal and illegal channels to supply the Lebanese market since at least the 1970s. Available documents suggest smuggling has been an important component of BAT’s market entry strategy, transported in substantial quantities via middlemen for sale in Lebanon and neighbouring countries. TTCs took advantage of weak and unstable governance, resulting in uncertainty over the Regie’s legal status, and continued to supply the contraband trade despite appeals by the government to cease undermining its revenues. Since the end of the civil war in the early 1990s, continued uncertainty about the tobacco monopoly amid political instability has encouraged TTCs to seek a legal presence in the country, while continuing to achieve substantial sales through contraband. Conclusion: Evidence of the complicity of TTCs in cigarette smuggling extends to Lebanon and the Middle East where this trade has especially benefited from weak governance and chronic political instability. The regional nature of TTC strategy supports strong international cooperation under the Framework Convention on Tobacco Control to tackle the problem. PMID:18818226

  1. Exploration of the Risk Factors of Generalized and Central Obesity among Adolescents in North Lebanon

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    Germine El-Kassas

    2017-01-01

    Full Text Available Adolescents’ obesity is an emerging public health problem globally and in the Arab countries. Alarming rates of overweight/obesity have been rising progressively in Lebanon. However, the risk factors for the development of adolescents’ obesity have not yet been thoroughly explored in North Lebanon. To determine the dietary and lifestyle risk factors associated with generalized and central obesity among adolescents living in Tripoli, a cross-sectional survey was conducted including a representative sample of 311 students aged 11–16 years from both sexes chosen from public and private schools in Tripoli. Data were collected using a standardized questionnaire to determine sociodemographic characteristics, dietary patterns, and physical activity and sedentary behaviors. Body mass index (BMI was evaluated using the Center for Disease Control BMI for age percentiles. Central obesity was assessed using both waist-to-height ratio and gender-specific waist circumference for age indices. Multiple logistic regression analysis revealed that skipping breakfast and physical inactivity were the most significant independent risk factors associated with both generalized and central obesity. In addition, higher screen time and male gender were associated with increased risk for generalized and central obesity, respectively. Intervention strategies to prevent the development of obesity should be implemented among adolescent students to encourage regular breakfast intake and adopting healthy dietary and lifestyle behaviors.

  2. Evaluation of water quality of the Qaraaoun Reservoir, Lebanon: suitability for multipurpose usage.

    Science.gov (United States)

    Jurdi, Mey; Korfali, Samira Ibrahim; Karahagopian, Yester; Davies, Brian E

    2002-07-01

    The increased demand on water resources in Lebanon as a result of: progressive urbanization, socio-economic growth, agricultural activities and development of industries is, according to the national authorities, a major critical factor by the year 2010. Political difficulties in earlier years imply a dearth of pertinent data. The objective of this study was to evaluate water quality of the Qaraaoun Reservoir of the Litani River and assess its feasibility for multi-purpose usage as one of the solutions to the aggravated water problems in Lebanon. Samples were collected from 18 sampling sites at several dates during the dry season. Parameters analysed were, pH, electrical conductivity, TDS, turbidity, alkalinity, Ca, Mg, TH, Cl-, SO4(2-), NH3, NO3(-), PO4(3-), Fe, Al, Na, Zn, Cr, Cu and As. The reported data were in compliance with WHO guidelines, USEPA regulation and EEC directives. Statistical analysis of the data defined three distinct environmental zones and water quality in the central, main zone satisfied most criteria. It is concluded that the reservoir water is fit for multipurpose uses, namely, drinking, domestic, recreational activities, irrigation, fisheries, livestock and industrial, and should be properly managed accordingly.

  3. Citizenship education in Lebanon: An introduction into students’ concepts and learning experiences

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    Bassel Akar

    2007-12-01

    Full Text Available Lebanon continues to use citizenship education as a tool for social cohesion in its post-conflict sectarian society. Recently, teachers from previous studies (Akar, 2006 have raised certain issues concerning the challenges of teaching citizenship in Lebanon’s National and Civic Education classrooms. This initial study in Lebanon explores some of the challenges that students face when learning citizenship within their classroom by investigating their concepts of citizenship in addition to their learning experiences. Thirty-one students from two year-11 classrooms in different schools participated. During a 45-minute class lesson, I administered a survey pack collecting quantitative and qualitative data. This pack included a diamond ranking exercise, open-ended questions and a 15-minute class discussion at the end of class. Evidence showed that these students value active and dynamic behaviours based on humanistic and democratic principles. They also demonstrated a strong sense of national identity with little or no reference to a global one. Finally, the findings showed that traditional methods of learning such as memorization and the paradoxical climate of learning democratic civic behaviours in a society of internal conflicts further challenged their learning experiences.

  4. Multiple Intelligences and ESL Teaching and Learning: An Investigation in KG II Classrooms in One Private School in Beirut, Lebanon

    Science.gov (United States)

    Ghamrawi, Norma

    2014-01-01

    This study examined teachers' use of the Multiple Intelligences Theory on vocabulary acquisition by preschoolers during English as a second language (ESL) classes in a K-12 school in Lebanon. Eighty kindergartners (KG II, aged 5 years) and eight teachers constituted the sample. The study used mixed methods, including observations of…

  5. Impact of war, religiosity and ideology on PTSD and psychiatric disorders in adolescents from Gaza Strip and South Lebanon.

    Science.gov (United States)

    Khamis, Vivian

    2012-06-01

    This study investigated the extent to which differences in the types of war trauma, economic pressure, religiosity and ideology accounted for variation in PTSD and psychiatric disorders among adolescents from Gaza Strip and South Lebanon. Participants were 600 adolescents aged 12-16 years. They were selected from the public school system in the highly war exposed areas. Questionnaires were administered in an interview format with adolescents at school by two trained psychologists. Results indicated that the various types of trauma had differential effects on the psychological status of adolescents in both countries. Economic pressure was more predictive of PTSD and psychological distress in adolescents from Gaza. Differences in religiosity and ideology did not account for similar variation in stress response among adolescents from Gaza and South Lebanon. While higher levels of religiosity evidenced the greatest levels of depression and anxiety in adolescents from Gaza, religiosity had an attenuated effect on adolescents from South Lebanon. Ideology was negatively associated with depression and anxiety in Gaza strip adolescents, whereas it did not play a role for adolescents from South Lebanon. The clinical and research implications of these conclusions are discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. New chronology for Ksâr 'Akil (Lebanon) supports Levantine route of modern human dispersal into Europe

    NARCIS (Netherlands)

    Bosch, Marjolein D.; Mannino, Marcello A.; Prendergast, Amy L.; O'Connell, Tamsin C.; Demarchi, Beatrice; Taylor, Sheila M.; Niven, Laura; Van Der Plicht, Johannes; Hublin, Jean-Jacques

    2015-01-01

    Modern human dispersal into Europe is thought to have occurred with the start of the Upper Paleolithic around 50,000-40,000 y ago. The Levantine corridor hypothesis suggests that modern humans from Africa spread into Europe via the Levant. Ksâr 'Akil (Lebanon), with its deeply stratified Initial

  7. Multiple Intelligences and ESL Teaching and Learning: An Investigation in KG II Classrooms in One Private School in Beirut, Lebanon

    Science.gov (United States)

    Ghamrawi, Norma

    2014-01-01

    This study examined teachers' use of the Multiple Intelligences Theory on vocabulary acquisition by preschoolers during English as a second language (ESL) classes in a K-12 school in Lebanon. Eighty kindergartners (KG II, aged 5 years) and eight teachers constituted the sample. The study used mixed methods, including observations of videotaped…

  8. Situation Report--Argentina, Colombia, Cyprus, Kuwait, Lebanon, Libyan Arab Republic, Oman, Syrian Arab Republic, and Uruguay.

    Science.gov (United States)

    International Planned Parenthood Federation, London (England).

    Data relating to pupulation and family planning in nine foreign countries are presented in these situation reports. Countries included are Argentina, Colombia, Cyprus, Kuwait, Lebanon, Libyan Arab Republic, Oman, Syrian Arab Republic, and Uruguay. Information is provided under two topics, general background and family planning situation, where…

  9. New chronology for Ksâr 'Akil (Lebanon) supports Levantine route of modern human dispersal into Europe

    NARCIS (Netherlands)

    Bosch, Marjolein D.; Mannino, Marcello A.; Prendergast, Amy L.; O'Connell, Tamsin C.; Demarchi, Beatrice; Taylor, Sheila M.; Niven, Laura; Van Der Plicht, Johannes; Hublin, Jean-Jacques

    2015-01-01

    Modern human dispersal into Europe is thought to have occurred with the start of the Upper Paleolithic around 50,000-40,000 y ago. The Levantine corridor hypothesis suggests that modern humans from Africa spread into Europe via the Levant. Ksâr 'Akil (Lebanon), with its deeply stratified Initial (IU

  10. Implementation of the Social Decision-Making Skills Curriculum on Primary Students (Grades 1-3) in Lebanon

    Science.gov (United States)

    El Hassan, Karma; Mouganie, Zeina

    2014-01-01

    This study investigated the effect of the Social Decision-Making Skills Curriculum (SDSC) on the emotional intelligence and the prosocial behaviors of primary students in Grades 1-3, in a private school in Lebanon. Students were trained in social problem-solving and social decision-making skills through the implementation of the SDSC. Participants…

  11. Multiple Intelligences and ESL Teaching and Learning: An Investigation in KG II Classrooms in One Private School in Beirut, Lebanon

    Science.gov (United States)

    Ghamrawi, Norma

    2014-01-01

    This study examined teachers' use of the Multiple Intelligences Theory on vocabulary acquisition by preschoolers during English as a second language (ESL) classes in a K-12 school in Lebanon. Eighty kindergartners (KG II, aged 5 years) and eight teachers constituted the sample. The study used mixed methods, including observations of videotaped…

  12. Civic Engagement in a Challenging Political Context: The Neighborhood Initiative at the American University of Beirut, Lebanon

    Science.gov (United States)

    Myntti, Cynthia

    2013-01-01

    This essay uses the experience of one community engagement program at the American University of Beirut (AUB), a prominent private university in Lebanon, to reflect on the value and challenges of civic engagement in a non-Western context. It describes the Lebanese sectarian political system, provides an overview of the AUB Neighborhood Initiative,…

  13. Learning the Nation in Exile: Constructing Youth Identities, Belonging and "Citizenship" in Palestinian Refugee Camps in South Lebanon

    Science.gov (United States)

    Fincham, Kathleen

    2012-01-01

    This paper examines the ways in which "Palestine" and "Palestinianess" are culturally, socially and symbolically produced and regulated through formal and non-formal institutional sites in Palestinian camps in south Lebanon. It argues that although institutional power, processes and outcomes help to construct shared notions of…

  14. Highly Pathogenic Avian Influenza H5N1 Clade 2.3.2.1c Virus in Lebanon, 2016.

    Science.gov (United States)

    El Romeh, Ali; Zecchin, Bianca; Fusaro, Alice; Ibrahim, Elias; El Bazzal, Bassel; El Hage, Jeanne; Milani, Adelaide; Zamperin, Gianpiero; Monne, Isabella

    2017-06-01

    We report the phylogenetic analysis of the first outbreak of H5N1 highly pathogenic avian influenza virus detected in Lebanon from poultry in April 2016. Our whole-genome sequencing analysis revealed that the Lebanese H5N1 virus belongs to genetic clade 2.3.2.1c and clusters with viruses from Europe and West Africa.

  15. The Agnotology of Eviction in South Lebanon's Palestinian Gatherings: How Institutional Ambiguity and Deliberate Ignorance Shape Sensitive Spaces

    NARCIS (Netherlands)

    Stel, N.M.

    2016-01-01

    A significant part of Lebanon's Palestinian refugees live in unofficial camps, so-called “gatherings”, where they reside on Lebanese land. Many of these gatherings are now threatened with eviction. By means of two qualitative case studies this article explores responses to such eviction threats. Res

  16. Total lead concentration in new decorative enamel paints in Lebanon, Paraguay and Russia.

    Science.gov (United States)

    Clark, C Scott; Speranskaya, Olga; Brosche, Sara; Gonzalez, Hebe; Solis, Daniela; Kodeih, Naji; Roda, Sandy; Lind, Caroline

    2015-04-01

    Lead concentrations in new enamel decorative paints were determined in three countries in different areas of the world where data were not previously available. The average total lead concentration of the enamel decorative paints purchased in Lebanon, Paraguay and Russia was 24,500ppm (ppm, dry weight), more than 270 times the current limit of 90ppm in Canada and in the United States. Sixty-three percent of these paints contained concentrations greater than 90ppm. Fifty-nine percent contained concentrations greater than 600ppm, the current limit in some countries. The maximum concentrations found were 236,000ppm in Lebanon, 169,000ppm in Paraguay and 52,900ppm in Russia. An average of 29% of the samples contained exceedingly high lead concentrations, >=10,000ppm. Five brands of paint were sampled in each of Lebanon and Paraguay and seven in Russia. Three colors from each brand were analyzed. For five of the six samples of the two brands in Lebanon with affiliations outside the country, the lead concentrations ranged from 1360ppm to 135,000ppm. In Lebanon the maximum concentration in the Egypt-affiliated brand (Sipes) was 135,000ppm and the maximum for the USA-affiliated brand (Dutch Boy) was 32,400ppm. Lead was not detected in any paints from the three of the four brands of paint purchased in Paraguay that had headquarters/affiliations in other countries (Brazil-Coralit), Germany (Suvinil) and USA (Novacor)). Two of the three paints from each of the other Paraguay brands contained high levels of lead with the maximum concentrations of 108,000 and 168,000ppm; one of these brands was manufactured under a license from ICI in the Netherlands. All of the paints purchased in Russia were from Russian brands and were manufactured in Russia. All three paints from one brand contained below detection levels of lead. The maximum levels of lead in the other six brands in Russia ranged from 3230 to 52,900ppm. The two brands with the highest lead concentration, TEKS and LAKRA

  17. Neogene and active shortening offshore the reactivated Levant margin in Lebanon: results of the SHALIMAR cruise

    Science.gov (United States)

    Briais, A.; Singh, S. C.; Tapponnier, P.; Elias, A.; Sursock, A.; Jomaa, R.; Carton, H.; Daeron, M.; King, G.; Jacques, E.

    2004-12-01

    The objectives of the SHALIMAR cruise were to study recent deformation of the Mediterranean seafloor west of Mt Lebanon. We collected multibeam bathymetry and back-scatter images, reflection seismic profiles - surface and deep-towed, 3.5 kHz echo-sounder data, gravity and magnetic data over an 80 km-wide zone offshore the entire Lebanese coast. The bathymetry reveals a very steep slope between Beyrouth and Batroun, with a water depth of 1500 m only 5 km offshore. Between Saida and Tripoli (33.5N to 34.5N), both the bathymetry and seismic lines show a series of ramp anticlines affecting Plio-Quaternary deposits and a seismically transparent layer with variable thickness corresponding to the Messinian evaporites (5.6 Ma). This fold-and-thrust belt is the offshore expression of shortening related to the formation of Mt Lebanon. It is limited westwards by a prominent fold front 30 km from shore. Some ramps appear to be submarine continuations of faults documented ashore (e.g., Aabde and Tripoli thrusts). The strikes of fold axes are consistent with WNW-ESE shortening and slip-partitioning along the 30° Lebanese bend of the Levant fault. North of Tripoli and south of Saida, the continental margin displays a wider shelf (20 km) and gentler slope. In the south, at 1200-1500 m depth small, closely spaced, NE-trending scarps attest to young, distributed dip-slip faulting, although deformation is much less than north of Beyrouth. At the southern extremity of our survey, NW-trending normal fault scarps roughly aligned with the Mt Carmel-Haifa fault vanish 50 km offshore in the Levant basin. Bouguer gravity anomalies, estimated by removing from free-air gravity data the effect of bathymetry, display a very steep gradient between Beyrouth and Tripoli, marking the passage from thickened Mt Lebanon crust to thin crust in the Levant basin. Gravity anomalies also outline large, NE-SW trending steps between the basin crust and thinned continental crust near and south of Beyrouth

  18. The safety and quality of childbirth in the context of health systems: mapping maternal health provision in Lebanon.

    Science.gov (United States)

    DeJong, Jocelyn; Akik, Chaza; El Kak, Faysal; Osman, Hibah; El-Jardali, Fadi

    2010-10-01

    to provide basic information on the distribution (public/private and geographically) and the nature of maternity health provision in Lebanon, including relevant health outcome data at the hospital level in order to compare key features of provision with maternal/neonatal health outcomes. a self-completion questionnaire was sent to private hospitals by the Syndicate of Private Hospitals in collaboration with the study team and to all public hospitals in Lebanon with a functioning maternity ward by the study team in cooperation with the Ministry of Public Health. childbirth in an institutional setting by a trained attendant is almost universal in Lebanon and the predominant model of care is obstetrician-led rather than midwife-led. Yet due to a 15-year-old civil war and a highly privatised health sector, Lebanon lacks systematic or publically available data on the organisation, distribution and quality of maternal health services. An accreditation system for private hospitals was recently initiated to regulate the quality of hospital care in Lebanon. in total, 58 (out of 125 eligible) hospitals responded to the survey (46% total response rate). Only hospital-level aggregate data were collected. the survey addressed the volume of services, mode of payment for deliveries, number of health providers, number of labour and childbirth units, availability of neonatal intensive care units, fetal monitors and infusion rate regulation pumps for oxytocin, as well as health outcome data related to childbirth care and stillbirths for the year 2008. the study provides the first data on maternal health provision from a survey of all eligible hospitals in Lebanon. More than three-quarters of deliveries occur in private hospitals, but the Ministry of Public Health is the single most important source of payment for childbirth. The reported hospital caesarean section rate is high at 40.8%. Essential equipment for safe maternal and newborn health care is widely available in Lebanon, but

  19. Factors influencing dyslipidemia in statin-treated patients in Lebanon and Jordan: results of the Dyslipidemia International Study

    Directory of Open Access Journals (Sweden)

    Azar ST

    2014-05-01

    Full Text Available Sami T Azar,1 Hadi Abu Hantash,2 Selim Jambart,3 Mohammad M El-Zaheri,4 Rachoin Rachoin,5 Amal Chalfoun,6 Layla Lahoud,6 Osama Okkeh,2 Peter Bramlage,7 Philippe Brudi,8 Baishali M Ambegaonkar81American University of Beirut Medical Center, Beirut, Lebanon; 2Istishari Hospital, Amman, Jordan; 3St Joseph University Faculty of Medicine, Beirut, Lebanon; 4Jordan Hospital, Amman, Jordan; 5Notre Dame des Secours Hospital, Jbeil, Lebanon; 6MSD Levant, Beirut, Lebanon; 7Institut für Pharmakologie und präventive Medizin, Mahlow, Germany; 8Merck and Co, Inc., Whitehouse Station, NJ, USABackground: Cardiovascular disease is the leading cause of death and disability worldwide. Therefore, as part of the Dyslipidemia International Study (DYSIS, we have analyzed the prevalence of lipid abnormalities and risk factors for dyslipidemia in statin-treated patients in Lebanon and Jordan.Methods: This cross-sectional, multicenter study enrolled 617 patients at 13 hospitals in Lebanon and Jordan. Patients were at least 45 years old and had been treated with statins for at least 3 months. Multivariate logistic regression analysis was used to determine patient characteristics contributing to dyslipidemia during statin therapy.Results: Our findings indicated that 55.9% of statin-treated patients (mean age 60.3 years, 47% female in Lebanon and Jordan did not achieve goal levels for low-density lipoprotein cholesterol which were dependent on Systematic Coronary Risk Evaluation (SCORE risk, and 70% of patients (76% men and 63.3% of women were at very high cardiovascular risk. Low-density lipoprotein cholesterol goals were not achieved in 67.2% of those with very high cardiovascular risk. The most commonly prescribed statin was atorvastatin (44.6%, followed by simvastatin (27.7%, rosuvastatin (21.2%, fluvastatin (3.3%, pravastatin (3%, and lovastatin (0.2%. Approximately half of the population was treated with a statin dose potency of 4, equaling 40 mg of simvastatin. In

  20. Palaeoclimate reconstruction in the Levant region from the petrographic and growth rate of a MIS 5 stalagmite from the Kanaan cave, Lebanon

    Science.gov (United States)

    Nehme, Carole; Verheyden, Sophie; Stephen, Noble; Delannoy, Jean-Jacques; Salem, Ghada; Gerard, Jocelyne; Farrant, Andrew

    2015-04-01

    Mount Lebanon consists mainly of carbonate rocks which contain numerous caves with an abundance of well-preserved speleothem deposits. A 23 cm long stalagmite (K1-2010) was obtained from Kanaan cave, situated just north of Beirut within the western flank of central Mount Lebanon at 100 m altitude. To develop an age model for the speleothem, a suite of uranium series (U-Th) dates was performed in the NERC Isotope Geosciences Laboratory at the British Geological Survey. The speleothem displays two main segments: The lower segment (segment 1) is 8.2 cm long and displays a general growth axis varying from 8.5 cm diameter in the lower part to 6 cm in its middle part. This segment grew from at least 129.7 ± 0.8 ka to 111.8 ± 0.7 ka. Several hiatuses are observed and are probably linked to detrital layers. The higher segment (segment 2) is 12.3 cm long and displays a thinner diameter varying from 6.5 to 4 cm at its topmost part. This segment grew continuously from 102.5 ± 0.96 to 85.3 ± 0.8 ka. The lower segment, deposited during S-5 event in the Eastern Mediterranean (128-117 ka) shows growth rates reaching 0.15 cm/100 yr coinciding with enhanced rainfall events in speleothem records from the Southern Levant during the S-5 event as suggested by Frumkin (1999) and Bar-Mathews (2003). Speleothem growth stopped between 103.5 and 109 ka and the growth axis rotated. The higher segment shows a more moderate growth rate (0.09 cm/100 yr) until 100 ka, corresponding to low δ18O values in speleothems from Peqiin and Soreq caves and thus to enhanced rainfall events. Very low growth rates (0.03 to 0.06 cm/100 yr) from 100 to 85 ka are associated with colder climates during the latter part of MIS5 subsequent to the S-5 event. This stalagmite demonstrates the palaeoclimatic potential of speleothem records in the northern Levant region.

  1. Remote sensing for environmental protection of the eastern Mediterranean rugged mountainous areas, Lebanon

    Science.gov (United States)

    Khawlie, M.; Awad, M.; Shaban, A.; Bou Kheir, R.; Abdallah, C.

    Lying along the eastern Mediterranean coast with elevated mountain chains higher than 2500 m straddling its terrain, Lebanon is a country of natural beauty and is thus attracting tourism. However, with a population density exceeding 800/km 2 and a rugged steep sloping land, problems abound in the country calling for holistic-approach studies. Only remote sensing, whose use is new in Lebanon can secure such needed studies within a scientific and pragmatic framework. The paper demonstrates for the concerned themes, the innovative use of remote sensing in such a difficult terrain, giving three examples of major environmental problems in the coastal mountains. Only few studies have so far focused on those mountains, notably application of remote sensing. The rugged mountainous terrain receives considerable rain, but the water is quickly lost running on the steep slopes, or infiltrating through fractures and the karstic conduits into the subsurface. Field investigations are difficult to achieve, therefore, remote sensing helps reveal various surface land features important in reflecting water feeding into the subsurface. Optical, radar and thermal infrared remotely sensed data cover a wide spectrum serving that purpose. A map of preferential groundwater accumulation potential is produced. It can serve for better water exploitation as well as protection. Because the terrain is karstic and rugged, the subsurface water flow is difficult to discern. Any pollution at a certain spot would certainly spread around. This constitutes the second example of environmental problems facing the mountainous areas in Lebanon. An integrated approach using remote sensing and geographic information systems (GIS) gives good results in finding out the likelihood of how pollution, or contaminants, can selectively move in the subsurface. A diagnostic analysis with a GIS-type software acts as a guide producing indicative maps for the above purpose. The third example given deals with the problem

  2. Sex-specific sleep patterns among university students in Lebanon: impact on depression and academic performance

    Directory of Open Access Journals (Sweden)

    Kabrita CS

    2016-06-01

    Full Text Available Colette S Kabrita,1 Theresa A Hajjar-Muça,2 1Department of Sciences, 2Department of Mathematics and Statistics, Faculty of Natural and Applied Sciences, Notre Dame University – Louaize, Zouk Mosbeh, Lebanon Abstract: Good sleep quality and quantity are fundamental to the maintenance of normal physiological processes. Changes in sleep patterns are commonly observed among young adults and are shown to impact neurocognitive, academic, and psychological well-being. Given the scarcity of sleep information about Lebanon and acknowledging the sex differences in various sleep dimensions, we conducted a study that aimed at assessing sex differences in sleep habits among university students in Lebanon in relation to psychoacademic status. A total of 540 students (50.6% females completed a questionnaire that inquired about sociodemographics and evaluated sleep quality and depression using the Pittsburg Sleep Quality Index (PSQI and Center for Epidemiological Studies Depression Scale (CES-D, respectively. The mean PSQI global score (6.57±3.49 indicated poor sleep, with no significant differences between men and women. The sleep/wake rhythm was delayed on weekends for both sexes. Females exhibited earlier bedtimes and rise times and longer sleep durations on both weekdays and weekends. However, unlike males females showed a greater phase delay in wake times than bedtimes on weekends (149 minutes vs 74 minutes, respectively. In all, 70.9% of females suffered from depressive symptoms, which was a significantly higher proportion compared with 58.5% of males (P<0.01. Based on the mean cumulative self-reported grade point average (GPA, the academic performance of females was significantly better than that of males (2.8±0.61 vs 2.65±0.61, P<0.05, respectively. Depression, as scored by CES-D, in females was significantly negatively correlated with the cumulative GPA (r=-0.278, P<0.01, earlier wake time (r=-0.168, P<0.05, and average sleep duration (r=-0

  3. Readiness of healthcare providers for eHealth: the case from primary healthcare centers in Lebanon.

    Science.gov (United States)

    Saleh, Shadi; Khodor, Rawya; Alameddine, Mohamad; Baroud, Maysa

    2016-11-10

    eHealth can positively impact the efficiency and quality of healthcare services. Its potential benefits extend to the patient, healthcare provider, and organization. Primary healthcare (PHC) settings may particularly benefit from eHealth. In these settings, healthcare provider readiness is key to successful eHealth implementation. Accordingly, it is necessary to explore the potential readiness of providers to use eHealth tools. Therefore, the purpose of this study was to assess the readiness of healthcare providers working in PHC centers in Lebanon to use eHealth tools. A self-administered questionnaire was used to assess participants' socio-demographics, computer use, literacy, and access, and participants' readiness for eHealth implementation (appropriateness, management support, change efficacy, personal beneficence). The study included primary healthcare providers (physicians, nurses, other providers) working in 22 PHC centers distributed across Lebanon. Descriptive and bivariate analyses (ANOVA, independent t-test, Kruskal Wallis, Tamhane's T2) were used to compare participant characteristics to the level of readiness for the implementation of eHealth. Of the 541 questionnaires, 213 were completed (response rate: 39.4 %). The majority of participants were physicians (46.9 %), and nurses (26.8 %). Most physicians (54.0 %), nurses (61.4 %), and other providers (50.9 %) felt comfortable using computers, and had access to computers at their PHC center (physicians: 77.0 %, nurses: 87.7 %, others: 92.5 %). Frequency of computer use varied. The study found a significant difference for personal beneficence, management support, and change efficacy among different healthcare providers, and relative to participants' level of comfort using computers. There was a significant difference by level of comfort using computers and appropriateness. A significant difference was also found between those with access to computers in relation to personal beneficence and

  4. Applying knowledge translation tools to inform policy: the case of mental health in Lebanon.

    Science.gov (United States)

    Yehia, Farah; El Jardali, Fadi

    2015-06-06

    Many reform efforts in health systems fall short because the use of research evidence to inform policy remains scarce. In Lebanon, one in four adults suffers from a mental illness, yet access to mental healthcare services in primary healthcare (PHC) settings is limited. Using an "integrated" knowledge framework to link research to action, this study examines the process of influencing the mental health agenda in Lebanon through the application of Knowledge Translation (KT) tools and the use of a KT Platform (KTP) as an intermediary between researchers and policymakers. This study employed the following KT tools: 1) development of a policy brief to address the lack of access to mental health services in PHC centres, 2) semi-structured interviews with 10 policymakers and key informants, 3) convening of a national policy dialogue, 4) evaluation of the policy brief and dialogue, and 5) a post-dialogue survey. Findings from the key informant interviews and a comprehensive synthesis of evidence were used to develop a policy brief which defined the problem and presented three elements of a policy approach to address it. This policy brief was circulated to 24 participants prior to the dialogue to inform the discussion. The policy dialogue validated the evidence synthesized in the brief, whereby integrating mental health into PHC services was the element most supported by evidence as well as participants. The post-dialogue survey showed that, in the following 6 months, several implementation steps were taken by stakeholders, including establishing national taskforce, training PHC staff, and updating the national essential drug list to include psychiatric medications. Relationships among policymakers, researchers, and stakeholders were strengthened as they conducted their own workshops and meetings after the dialogue to further discuss implementation, and their awareness about and demand for KT tools increased. This case study showed that the use of KT tools in Lebanon to

  5. Users' reaction to the drought of 2014 in Lebanon; quantifying the effects

    Science.gov (United States)

    Farajalla, Nadim; Haydamous, Patricia; El Hajj, Rana

    2016-04-01

    A drought that Lebanon witnessed during the water cycle of 2013-2014 seemed to mimic the expected decrease in precipitation projected in one of the 2020 scenarios reported in Lebanon's second national communication to the United Nations Framework Convention on Climate Change. Nationally, data and assessment studies on drought impacts are generally lacking, and thus, this drought presented an opportunity to quantify drought effects. In the aim of understanding the effect drought has on the Lebanese economy, and its different sectors, a survey was conducted to set a baseline of the changes in the direct cost of water as well as other impacts that might have resulted on the water users. The survey reached out to different sectors to include the touristic establishments, industries, agriculture holders, and households. The sample selection and the data collection underwent several controls in order to ensure unbiased data. Moreover, a descriptive analysis was produced from the survey results, using STATA and Microsoft Excel. The main results have shown a shift of dependency towards water tankers during the drought season as opposed to the normal higher dependency on the public networks and private wells. Moreover, the cost incurred in general showed an average of 32% increase to the previous water bills across the different sectors, this in return is expected to have ripple effects on the national economy accounting for around 13.5% of GDP. However, the survey showed that little was done in terms of long term adaptation on the consumers' side, where most of the adaptation done included awareness campaigns for an economized water usage on the short term. The survey brought forward the un-preparedness of the country to react to such extreme events due to the absence of drought preparedness and management plan. . The results highlight the projected losses the country will have if no proper adaptation measures were taken. These impacts were caused by a one-year drought

  6. Exploration of the Dietary and Lifestyle Behaviors and Weight Status and Their Self-Perceptions among Health Sciences University Students in North Lebanon

    OpenAIRE

    Germine El-Kassas; Fouad Ziade

    2016-01-01

    University students may experience significant environmental changes that exert a negative influence on the quality of their diet and lifestyle. There is scarcity of data concerning the dietary and lifestyle behaviors and weight status of students in the health field in North Lebanon. To investigate these data, a cross-sectional survey was conducted including 369 health sciences students aged 18–25 chosen from four public and private universities in North Lebanon. Data were collected using a ...

  7. Coerced sexual intercourse within marriage: a clinic-based study of pregnant Palestinian refugees in Lebanon.

    Science.gov (United States)

    Khawaja, Marwan; Hammoury, Nadwa

    2008-01-01

    This study examines the correlates of forced sexual intercourse among pregnant refugee women attending an antenatal clinic in Sidon, Lebanon. A total of 349 pregnant women were interviewed during a clinic visit for a prenatal check-up during the months of June and July 2005. The Abuse Assessment Screen was used to identify cases of abuse. The outcome variable was whether the woman was forced to have sexual intercourse during the past year. One-quarter of women (26.2%) reported having forced sexual intercourse. Associations between forced sexual intercourse and sociodemographic risk factors were assessed using odds ratios from logistic regression models. Low educational levels and reported fear of husband were significant risk factors for sexual abuse, adjusting for other relevant variables. Age, parity, length of marriage, place of residence, undesired pregnancy, gestational age, consanguinity, and physical violence during last year were not associated with forced sexual intercourse.

  8. Waterpipe smoking and dependence are associated with chronic bronchitis: a case-control study in Lebanon.

    Science.gov (United States)

    Salameh, P; Waked, M; Khoury, F; Akiki, Z; Nasser, Z; Abou Abbass, L; Dramaix, M

    2012-10-01

    Waterpipe smoking and its association with chronic bronchitis has not been assessed in Lebanon. This case-control study in Beirut in 2009/2010 evaluated this relationship: 274 cases of chronic bronchitis and 559 controls without the condition aged > or = 40 years were enrolled. Data were collected by questionnaire on: sociodemographic characteristics, respiratory symptoms, smoking (waterpipe and cigarette) and nicotine dependence. ANOVA, Student, Kruskal-Wallis, chi-squared and Fisher exact tests were used when applicable and logistic regression analysis was carried out. Previous waterpipe smoking (OR = 6.4), previous mixed smoking (OR = 38.03) and current mixed smoking (OR = 7.68) were significantly associated with chronic bronchitis (P bronchitis (OR = 3.74, P 20 WP-years (P bronchitis.

  9. Essential Oils Composition and Antimicrobial Activity of Six Conifers Harvested in Lebanon.

    Science.gov (United States)

    Fahed, Layal; Khoury, Madona; Stien, Didier; Ouaini, Naïm; Eparvier, Véronique; El Beyrouthy, Marc

    2017-02-01

    The chemical composition and antimicrobial activity of the essential oils (EOs) of six conifers harvested in Lebanon, Abies cilicica, Cupressus sempervirens, Juniperus excelsa, Juniperus oxycedrus, Cedrus libani and Cupressus macrocarpa gold crest, were investigated. The EOs were obtained by hydrodistillation using a Clevenger-type apparatus and characterized by GC and GC/MS analyses. A principal components analysis based on Pearson correlation between essential oils chemical analyses was also conducted. The minimum inhibitory concentrations (MICs) of these essentials oils were determined against a range of bacteria and fungi responsible for cutaneous infections in human, using the broth microdilution technique. The EOs showed the most interesting bioactivity on the dermatophytes species (MIC values 32 - 64 μg/ml). Each of the major compounds of C. macrocarpa as well as an artificial reconstructed EO were tested on Trichophyton rubrum showing a contribution of the minor components to the overall activity.

  10. Burden of methicillin-resistant Staphylococcus aureus pneumonia among hospitalized patients in Lebanon and Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Althaqafi AO

    2017-02-01

    Full Text Available Abdulhakeem O Althaqafi,1 Madonna J Matar,2 Rima Moghnieh,3 Adel F Alothman,4 Thamer H Alenazi,5 Fayssal Farahat,1 Shelby Corman,6 Caitlyn T Solem,6 Nirvana Raghubir,7 Cynthia Macahilig,8 Seema Haider,9 Jennifer M Stephens6 1Department of Infection Prevention and Control, King Abdullah International Medical Research Center, King Saud bin AbdulAziz University for Health Sciences, Jeddah, Kingdom of Saudi Arabia; 2Department of Infectious Disease, Notre Dame de Secours University Hospital, Byblos, 3Makassed General Hospital, Beirut, Lebanese Republic; 4Department of Medicine, King Abdulaziz Medical City, Central Region, Ministry of National Guard Health Affairs, 5Infection Prevention & Control Department, King Abdulaziz Medical City-Riyadh (KAMC, Kingdom of Saudi Arabia; 6Real World Evidence: Data Analytics Center of Excellence, Pharmerit International, Bethesda, MD, 7Medical Affairs, Pfizer, New York, NY, 8Medical Data Analytics, Parsippany, NJ, 9Outcomes & Evidence, Global Health and Value, Pfizer, Groton, CT, USA Objectives: The objective of this study is to describe the real-world treatment patterns and burden of suspected or confirmed methicillin-resistant Staphylococcus aureus (MRSA pneumonia in Saudi Arabia and Lebanon. Methods: A retrospective chart review study evaluated 2011–2012 data from hospitals in Saudi Arabia and Lebanon. Patients were included if they had been discharged with a diagnosis of MRSA pneumonia, which was culture proven or suspected based on clinical criteria. Hospital data were abstracted for a random sample of patients to capture demographics (eg, age and comorbidities, treatment patterns (eg, timing and use of antimicrobials, hospital resource utilization (eg, length of stay, and clinical outcomes (eg, clinical status at discharge and mortality. Descriptive results were reported using frequencies or proportions for categorical variables and mean and standard deviation for continuous variables. Results: Chart

  11. Brucellosis outbreak in Chouf district of Lebanon in 2009: a case-control study.

    Science.gov (United States)

    Al-Shaar, L; Chaaya, M; Ghosn, N; Mahfoud, Z

    2014-05-01

    A study was conducted to determine risk factors associated with brucellosis infection in an outbreak in Chouf district of Lebanon during summer 2009. Cases of brucellosis reported to the Ministry of Public Health were identified, and for each case 2 controls were matched by sex, age and residence. Sociodemographic data, exposure to animals and animal products, knowledge about brucellosis, symptoms and history of past brucellosis infections were collected. Consumption of raw cheese was a significant risk factor for contracting brucellosis (matched OR = 29.5), whereas wearing gloves when in contact with animals and animal products and self-preparing dairy products were protective factors (OR = 0.08 and 0.13 respectively). Low and inaccurate knowledge about brucellosis was prevalent among subjects, with a common misconception about human-human transmission. Ensuring animal vaccination, educating people on correct ways of milk pasteurization and handling meat products, and elevating food safety monitoring threshold are key elements in controlling brucellosis.

  12. CAN BUSINESS EDUCATION CHANGE MANAGEMENT PRACTICES IN NON-WESTERN SOCIETIES: LESSONS FROM LEBANON

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    Finlay Jim

    2013-07-01

    Full Text Available The purpose of this study was to determine the degree to which students from an American-style Business School in Lebanon expect the managerial behaviors that they are taught in the classroom to actually be applied by managers in the Lebanese workplace. Broadly categorized as accountability, gender equity, religious tolerance, consultation and transparency, the authors found little indication that such expectations existed. Even when they could be identified such as with racial equality, their relative strength was so weak that they were barely above neutral on a 10-point scale. What was perhaps most troubling was that expectation for the elimination of bribery and corruption actually declined as students matriculated through the curriculum. At least for the time being, it appears that Lebanese business students do not anticipate encountering American-style management practices, which have formed the core of the Business courses, when they enter the workforce.

  13. Involuntary and Persistent Environmental Noise Influences Health and Hearing in Beirut, Lebanon

    Science.gov (United States)

    Fooladi, Marjaneh M.

    2012-01-01

    Objective. This study was conducted to assess the effects of involuntary and persistent noise exposure on health and hearing among Lebanese adults in Beirut, Lebanon, where people are exposed to noise from construction sites, power generators, honking cars, and motorcycles. Methods. Using a descriptive and exploratory design with mixed methods, participants were surveyed, interviewed, and tested for hearing while street noise levels were measured near their residents and work places. Results. Self-reports of 83 Lebanese adult, who lived and worked in Beirut, helped identify common patterns in experiences such as irritability, anger, headaches, and sleep disturbances due to noise annoyance. Of those tested, 30% suffered from high-frequency hearing impairment. Our results showed that environmental sound dB had increased by 12% and sound intensity by 400% above the maximum standard level when compared to the WHO report of 1999. Conclusion. Environmental noise contributes to premature hearing loss and potentiates systemic diseases among Lebanese. PMID:22013454

  14. Possible Adaptation Measures on Water Resources to Climate Change in Lebanon

    Science.gov (United States)

    Shaban, A.

    2011-12-01

    Even thought, the issue of climate change in Lebanon is still ranging between the uncertainty and confirmation; however, major variability in the climatic behavior is being observed and could be induced from the meteo-data statistical analysis. The decline in the rainfall rate at about 50mm over more than four decades is not sufficient to confirm climate change as a newly physical parameter. Nevertheless, there is a clear shift in the seasonal intervals, as well as an increase in temperature by about 1.8 °C. Besides, the volume of water resources has been degraded, and thus the quality is almost deteriorated. In this respect, the discharge from some rivers and springs has been decreased by about 60%, and this is the case for groundwater where the drawdown became crucial. The current status exhibits an actual water shortage and it has been exacerbated in the light of the population growth and the uncontrolled water use. In Lebanon, some adaptation measures are implemented with little regard for their wider impacts, and usually, these implements are carried out on a private basis, notably in the lack of well applied strategy for IWRM. In addition, the cross-functional nature of the Lebanese water-related sectors is not cooperatively oriented. Based on the available climatic and hydrologic data and information; however, a number of adapting measures can be proposed, in a broad sense, as 1) harvesting procedures at different scales and geography should be undertaken, 2) reservation of catchment areas is a must, and more certainly those feeding the major aquiferous stratum (e.g. snow area), 3) artificial recharge techniques must be implements in the near/and far coastal zones. 4) applications of water re-use must be followed using new treatment techniques, 5) creating public/private contractual agreements and thus following a "win-win" solutions 6) strategic plans at different scales should be obtained after considering the hydrologic concepts.

  15. PLANT-PARASITIC NEMATODES ON STONE FRUITS AND CITRUS IN LEBANON

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    Said K. Ibrahim

    2016-06-01

    Full Text Available Ibrahim Said K., Ibrahim Azar, Christian Naser, Badran Akikki and Ludmilla Ibrahim. 2016. Plant-parasitic nematodes on stone fruits and citrus in Lebanon. Lebanese Science Journal, 17(1: 9-24. This study aimed to determine the occurrence, distribution of plant parasitic nematodes on stone fruits in Lebanon and to determine the effect of plant extracts on the mortality of several nematode species. A total of 308 soil samples were collected from five different crops. Almost all surveyed areas showed infection with nematodes. The soil infestation rate with nematodes in collected soil samples from all 10 surveyed crops ranged from 66.6 to 100%. Eighteen out of 308 soil samples were free of nematodes (5.8%. All the collected soil samples from nectarine and plum orchards were infested with nematodes (100%, followed by citrus (97.6%, apple (88.7%, pear and quince (85.7%, and cherry (81.4%. The lowest infection (66.6% was detected on almond and apricot. The level of infestation varied from one area to another and ranged between 0.1 and 28 nematodes per 1 g of soil, with the highest number obtained on cherry. Several genera were identified based on morphological characters including: root-knot nematodes (Meloidogyne spp., Tylenchulus, Xiphinema, Rotylenchus, Pratylenchus, and Longidorus. Tylenchulus and Radopholus spp. were the most common on citrus trees, whereas Pratylechus and Meloidogyne spp. were detected almost in all the samples collected from all the crops. Six chopped aromatic plants were tested in pot experiments to control nematodes population densities. The results revealed that carbofuran (nematicide was the most effective (88.48% in comparison to the plant materials. Allium sativum gave the highest control (76.52% followed by Tageta patula (72.0%, Cucurbita maxima (71.84% and Inula viscosa (63.96%. Origanum syriacum (55.04% and Thymus (53.72% were less effective in comparison to the rest of tested plant materials.

  16. Informal politics and inequity of access to health care in Lebanon

    Directory of Open Access Journals (Sweden)

    Chen Bradley

    2012-05-01

    Full Text Available Abstract Introduction Despite the importance of political institutions in shaping the social environment, the causal impact of politics on health care access and inequalities has been understudied. Even when considered, research tends to focus on the effects of formal macro-political institutions such as the welfare state. We investigate how micro-politics and informal institutions affect access to care. Methods This study uses a mixed-methods approach, combining findings from a household survey (n = 1789 and qualitative interviews (n = 310 in Lebanon. Multivariate logistic regression was employed in the analysis of the survey to examine the effect of political activism on access to health care while controlling for age, sex, socioeconomic status, religious commitment and piety. Results We note a significantly positive association between political activism and the probability of receiving health aid (p , with an OR of 4.0 when comparing individuals with the highest political activity to those least active in our sample. Interviews with key informants also reveal that, although a form of “universal coverage” exists in Lebanon whereby any citizen is eligible for coverage of hospitalization fees and treatments, in practice, access to health services is used by political parties and politicians as a deliberate strategy to gain and reward political support from individuals and their families. Conclusions Individuals with higher political activism have better access to health services than others. Informal, micro-level political institutions can have an important impact on health care access and utilization, with potentially detrimental effects on the least politically connected. A truly universal health care system that provides access based on medical need rather than political affiliation is needed to help to alleviate growing health disparities in the Lebanese population.

  17. Motivation to quit smoking and acceptability of shocking warnings on cigarette packages in Lebanon.

    Science.gov (United States)

    Layoun, Nelly; Salameh, Pascal; Waked, Mirna; Aoun Bacha, Z; Zeenny, Rony M; El Hitti, Eric; Godin, Isabelle; Dramaix, Michèle

    2017-01-01

    Health warnings on tobacco packages have been considered an essential pillar in filling the gap of knowledge and communicating the health risks of tobacco use to consumers. Our primary objective was to report the perception of smokers on the textual health warnings already appearing on tobacco packages in Lebanon versus shocking pictures about the health-related smoking consequences and to evaluate their impact on smoking behaviors and motivation. A pilot cross-sectional study was undertaken between 2013 and 2015 in five hospitals in Lebanon. Participants answered a questionnaire inquiring about sociodemographic characteristics, chronic respiratory symptoms, smoking behavior and motivation to quit smoking. Only-text warning versus shocking pictures was shown to the smokers during the interview. Exactly 66% of the participants reported that they thought shocking pictorial warnings would hypothetically be more effective tools to reduce/quit tobacco consumption compared to only textual warnings. Also, 31.9% of the smokers who were motivated to stop smoking reported that they actually had stopped smoking for at least 1 month secondary to the textual warnings effects. A higher motivation to quit cigarette smoking was seen among the following groups of smokers: males (odds ratio [OR] =1.8, P=0.02), who had stopped smoking for at least 1 month during the last year due to textual warning (OR =2.79, Pshocking images on the pack (OR =1.95, P=0.004). Low-dependent smokers and highly motivated to quit smokers appeared to be more hypothetically susceptible to shocking pictorial warnings. Motivation to quit was associated with sensitivity to warnings, but not with the presence of all chronic respiratory symptoms.

  18. Exposure assessment of endocrine disruptors in bottled drinking water of Lebanon.

    Science.gov (United States)

    Dhaini, Hassan R; Nassif, Rana M

    2014-09-01

    Bisphenol A (BPA) is a commonly used monomer in various products including bottled water. Numerous studies have reported endocrine adverse effects and neoplasia associated with BPA exposure in animals. However, considerable discrepancies exist among these studies with respect to both the nature of the toxic effects and the threshold dose. In Lebanon, 19-L polycarbonate (PC) bottles of drinking water are widely used in urban areas. The present study aims at assessing BPA human exposure and associated health risks from drinking water in Lebanese. A total of 22 bottled water sources, packaged in PC, were identified from licensed and non-licensed sources. Water samples were analyzed following exposure to sunlight for 72 h. BPA in water was quantified by HPLC, and other potential organic pollutants were screened by GC/MS. Fifty-nine percent of samples showed BPA levels above detection limits (>0.05 ng/mL). The median BPA level was 0.1 ng/mL (range 0.05 to 1.37 ng/mL). The mean BPA level for the total number of samples was 0.169 ng/mL (±0.280). A higher mean BPA level was found in water from licensed companies compared to non-licensed sources, however, not statistically significant. Screening showed the presence of dibutyl-phthalate and dioctyl-phthalate in only two samples. Endocrine disruptors (EDR) are ubiquitous contaminants in bottled water in Lebanon with potential health risk implications. Although estimated exposure levels are below the reference dose (RfD), further studies are needed to quantitate exposure from various sources and to investigate EDR contribution to existing epidemics in the country.

  19. Motivation to quit smoking and acceptability of shocking warnings on cigarette packages in Lebanon

    Science.gov (United States)

    Layoun, Nelly; Salameh, Pascal; Waked, Mirna; Aoun Bacha, Z; Zeenny, Rony M; El Hitti, Eric; Godin, Isabelle; Dramaix, Michèle

    2017-01-01

    Introduction Health warnings on tobacco packages have been considered an essential pillar in filling the gap of knowledge and communicating the health risks of tobacco use to consumers. Our primary objective was to report the perception of smokers on the textual health warnings already appearing on tobacco packages in Lebanon versus shocking pictures about the health-related smoking consequences and to evaluate their impact on smoking behaviors and motivation. Methods A pilot cross-sectional study was undertaken between 2013 and 2015 in five hospitals in Lebanon. Participants answered a questionnaire inquiring about sociodemographic characteristics, chronic respiratory symptoms, smoking behavior and motivation to quit smoking. Only-text warning versus shocking pictures was shown to the smokers during the interview. Results Exactly 66% of the participants reported that they thought shocking pictorial warnings would hypothetically be more effective tools to reduce/quit tobacco consumption compared to only textual warnings. Also, 31.9% of the smokers who were motivated to stop smoking reported that they actually had stopped smoking for at least 1 month secondary to the textual warnings effects. A higher motivation to quit cigarette smoking was seen among the following groups of smokers: males (odds ratio [OR] =1.8, P=0.02), who had stopped smoking for at least 1 month during the last year due to textual warning (OR =2.79, Pmotivated to quit smokers appeared to be more hypothetically susceptible to shocking pictorial warnings. Motivation to quit was associated with sensitivity to warnings, but not with the presence of all chronic respiratory symptoms.

  20. Sex-specific sleep patterns among university students in Lebanon: impact on depression and academic performance.

    Science.gov (United States)

    Kabrita, Colette S; Hajjar-Muça, Theresa A

    2016-01-01

    Good sleep quality and quantity are fundamental to the maintenance of normal physiological processes. Changes in sleep patterns are commonly observed among young adults and are shown to impact neurocognitive, academic, and psychological well-being. Given the scarcity of sleep information about Lebanon and acknowledging the sex differences in various sleep dimensions, we conducted a study that aimed at assessing sex differences in sleep habits among university students in Lebanon in relation to psychoacademic status. A total of 540 students (50.6% females) completed a questionnaire that inquired about sociodemographics and evaluated sleep quality and depression using the Pittsburg Sleep Quality Index (PSQI) and Center for Epidemiological Studies Depression Scale (CES-D), respectively. The mean PSQI global score (6.57±3.49) indicated poor sleep, with no significant differences between men and women. The sleep/wake rhythm was delayed on weekends for both sexes. Females exhibited earlier bedtimes and rise times and longer sleep durations on both weekdays and weekends. However, unlike males females showed a greater phase delay in wake times than bedtimes on weekends (149 minutes vs 74 minutes, respectively). In all, 70.9% of females suffered from depressive symptoms, which was a significantly higher proportion compared with 58.5% of males (Pacademic performance of females was significantly better than that of males (2.8±0.61 vs 2.65±0.61, Psex differences in sleep timing, such as bedtime/rise time and nocturnal sleep duration, rather than sleep quality exist among Lebanese university students. Sex-specific sleep patterns have differential impact on psychological and academic well-being.

  1. Quality of life and symptom prevalence as reported by children with cancer in Lebanon.

    Science.gov (United States)

    Abu-Saad Huijer, Huda; Sagherian, Knar; Tamim, Hani

    2013-12-01

    To date, there are no studies on quality of life (QoL) and symptom prevalence reported by pediatric oncology patients in Lebanon. The purpose of this study was to evaluate the QoL, symptom prevalence and symptom management among a sample of pediatric oncology patients. The study design was cross-sectional. The Pediatric Quality of Life Inventory (PedsQL) cancer module and the Memorial Symptom Assessment Scale were administered in Arabic using face-to-face interviews to a convenience sample of 85 pediatric cancer patients (7-18 years) at a tertiary hospital in Lebanon. The mean age of the study group was 12.5 years with leukemia being the most common cancer (43.5%). The lowest scores on the PedsQL subscales were in nausea (score = 64.82; SD = 25.76) and worry (score = 68.14; SD = 30.07), thus indicating more problems in these areas. A comparison based on age showed significant differences in pain and hurt, nausea, and worry. In children (7-12 years), lack of appetite, pain, and nausea were mostly prevalent whereas adolescents (13-18 years) experienced lack of energy, irritability, and pain. In both age groups, pain and nausea were the most frequently treated symptoms. Overall, the participants had good health-related QoL as indicated by most of the PedsQL subscales. Symptom management was found to be inadequate and in some cases ineffective. More attention should be given to the management of symptoms in general using pharmacological and non-pharmacological techniques. Of particular importance is the importance of providing psychological support to alleviate symptom burden and improve QoL. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. A societal cost-of-illness study of hemodialysis in Lebanon.

    Science.gov (United States)

    Rizk, Rana; Hiligsmann, Mickaël; Karavetian, Mirey; Salameh, Pascale; Evers, Silvia M A A

    2016-12-01

    Renal failure is a growing public health problem, and is mainly treated by hemodialysis. This study aims to estimate the societal costs of hemodialysis in Lebanon. This was a quantitative, cross-sectional cost-of-illness study conducted alongside the Nutrition Education for Management of Osteodystrophy trial. Costs were assessed with a prevalence-based, bottom-up approach, for the period of June-December 2011. The data of 114 patients recruited from six hospital-based units were collected through a questionnaire measuring healthcare costs, costs to patients and family, and costs in other sectors. Recall data were used for the base-case analysis. Sensitivity analyses employing various sources of resources use and costs were performed. Costs were uprated to 2015US$. Multiple linear regression was conducted to explore the predictors of societal costs. The mean 6-month societal costs were estimated at $9,258.39. The larger part was attributable to healthcare costs (91.7%), while costs to patient and family and costs in other sectors poorly contributed to the total costs (4.2% and 4.1%, respectively). In general, results were robust to sensitivity analyses. Using the maximum value for hospitalization resulted in the biggest difference (+15.5% of the base-case result). Female gender, being widowed/divorced, having hypertension comorbidity, and higher weekly time on dialysis were significantly associated with greater societal costs. Information regarding resource consumption and cost were not readily available. Rather, they were obtained from a variety of sources, with each having its own strengths and limitations. Hemodialysis represents a high societal burden in Lebanon. Using extrapolation, its total annual cost for the Lebanese society is estimated at $61,105,374 and the mean total annual cost ($18,516.7) is 43.70% higher than the gross domestic product per capita forecast for 2015. Measures to reduce the economic burden of hemodialysis should be taken, by promoting

  3. Carbon monoxide poisoning in Beirut, Lebanon: Patient′s characteristics and exposure sources

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    Mazen J El Sayed

    2014-01-01

    Full Text Available Background: Carbon monoxide (CO poisoning is a preventable disease. Patients present with nonspecific symptoms post CO exposure. Causal factors are well described in developed countries, but less in developing countries. Objectives: This study examined the characteristics of patients with CO poisoning treated at a tertiary care center in Beirut, Lebanon, and their association with the CO poisoning source. Materials and Methods: A retrospective chart review of all patients who presented to the Emergency Department (ED of the American University of Beirut Medical Center (AUBMC over 4-year period and for whom a carboxyhemoglobin (CO-Hb level was available. Patients with CO poisoning diagnosis were included in the study. Patients′ characteristics and their association with CO poisoning source were described. Results: Twenty-seven patients were treated for CO poisoning during the study period, 55% of whom were males. Headache was the most common presenting symptom (51.9%. Burning charcoal indoors was the most common causal factor (44.4%, whereas fire-related smoke was another causal factor. The median arterial CO-Hb level on presentation for all cases was 12.0% (interquartile range (IQR 7.3-20.2. All patients received normobaric oxygen therapy. No complications were documented in the ED. All patients were discharged from the ED with a median ED length of stay of 255 min (IQR 210-270. Young females were more likely to present with CO poisoning from burning charcoal indoors than from another cause. Conclusion: CO poisoning in Beirut, Lebanon is mainly due to charcoal burning grills used indoors and to fire-related smoke. A clinically significant association was present between gender and CO poisoning source. An opportunity for prevention is present in terms of education and increased awareness regarding CO emission sources.

  4. New Mediterranean Biodiversity Records (July 2016

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    T. DAILIANIS

    2016-07-01

    . Lebanon: an array of records of 5 alien and one native Mediterranean species is reported by citizen-scientists; the Pacific jellyfish Phyllorhiza punctata and the Indo-Pacific teleosteans Tylerius spinosissimus, Ostracion cubicus, and Lutjanus argentimaculatus are reported from the Lebanese coast, the latter notably being the second record for the species in the Mediterranean Sea since 1977; the native sand snake-eel Ophisurus serpens, rare in the eastern Mediterranean, is reported for the first time from Lebanon, this being its easternmost distribution range; finally, a substantial number of sightings of the lionfish Pterois miles further confirm the current establishment of this lessepsian species in the Levantine.

  5. Large-scale oil spill simulation using the lattice Boltzmann method, validation on the Lebanon oil spill case.

    Science.gov (United States)

    Maslo, Aljaž; Panjan, Jože; Žagar, Dušan

    2014-07-15

    This paper tests the adequacy of using the lattice Boltzmann method in large-scale oil spill modelling, such as the Lebanon oil spill. Several numerical experiments were performed in order to select the most appropriate lattice and to decide between the single- and two-relaxation time models. Large-scale oil spills require simulations with short computational times. In order to speed up the computation and preserve adequate accuracy of the model, five different flux limiting interpolation techniques were compared and evaluated. The model was validated on the Lebanon oil spill with regard to the oil-slick position and concentrations in the sea, and the beaching area on the coast. Good agreement with satellite images of the slick and field data on beaching was achieved. The main advantages of the applied method are the capability of simulating very low oil concentrations and computational times that are by an order of magnitude shorter compared to similar models.

  6. Genomic attributes of extended-spectrum β-lactamase-producing Escherichia coli isolated from patients in Lebanon.

    Science.gov (United States)

    Tokajian, Sima; Salloum, Tamara; Eisen, Jonathan A; Jospin, Guillaume; Farra, Anna; Mokhbat, Jacques E; Coil, David A

    2017-03-01

    Extended-spectrum β-lactamase-producing (ESBL) Escherichia coli are a public threat worldwide. This study aimed at analyzing the genomic and functional attributes of nine ESBLs taken from rectal swabs. Samples were isolated from patients admitted for gastrointestinal and urological procedures at the University Medical Center-Rizk Hospital (UMCRH) in Lebanon. Illumina paired-end libraries were prepared and sequenced. The isolates were distributed into five lineages: ST131, ST648, ST405, ST73 and ST38, and harbored bla OXA-1, bla TEM-1B, bla TEM-1C and aac(6')Ib-cr. ST131 isolates were carriers of stx2 converting I phage. This is the first comprehensive genomic analysis performed on ESBLs in Lebanon.

  7. Food insecurity among Iraqi refugees living in Lebanon, 10 years after the invasion of Iraq: data from a household survey.

    Science.gov (United States)

    Ghattas, Hala; Sassine, AnnieBelle J; Seyfert, Karin; Nord, Mark; Sahyoun, Nadine R

    2014-07-14

    Iraqi refugees in Lebanon are vulnerable to food insecurity because of their limited rights and fragile livelihoods. The objective of the present study was to assess household food insecurity among Iraqi refugees living in Lebanon, almost 10 years after the invasion of Iraq. A representative survey of 800 UN High Commissioner for Refugees-registered refugee households in Lebanon was conducted using multi-stage cluster random sampling. We measured food insecurity using a modified US Department of Agriculture household food security module. We collected data on household demographic, socio-economic, health, housing and dietary diversity status and analysed these factors by food security status. Hb level was measured in a subset of children below 5 years of age (n 85). Weighted data were used in univariate and multivariate analyses. Among the Iraqi refugee households surveyed (n 630), 20·1% (95% CI 17·3, 23·2) were found to be food secure, 35·5% (95% CI 32·0, 39·2) moderately food insecure and 44·4% (95% CI 40·8, 48·1) severely food insecure. Severe food insecurity was associated with the respondent's good self-reported health (OR 0·3, 95% CI 0·2, 0·5), length of stay as a refugee (OR 1·1, 95% CI 1·0, 1·2), very poor housing quality (OR 3·3, 95% CI 1·6, 6·5) and the number of children in the household (OR 1·2, 95% CI 1·0, 1·4), and resulted in poor dietary diversity (Prefugees living in Lebanon call for urgent programmes to address the food and health situation of this population with restricted rights.

  8. Post-Traumatic Stress Disorder in Adolescents in Lebanon as Wars Gained in Ferocity: A Systematic Review

    OpenAIRE

    Khuzama Hijal Shaar

    2013-01-01

    Significance for public health Post traumatic stress disorder (PTSD) in adolescents has been implicated in developmental impairments, mental and scholastic problems, alcohol and drug abuse, and antisocial behavior in its victims among others. Absence of review studies regarding the prevalence of PTSD in adolescents in Lebanon, a country plagued by decades of civil strife and external occupation and invasion, is noted. Such information may reinforce the need to develop national public health p...

  9. The genus Cixius Latreille, 1804 (Hemiptera, Fulgoromorpha, Cixiidae) in Lebanon with the description of two new species.

    Science.gov (United States)

    Picciau, Luca; Hoch, Hannelore; Tedeschi, Rosemarie; Alma, Alberto

    2016-03-20

    A first list of Cixius fauna of Lebanon is here provided with the description of two new species: one within the subgenus Acanthocixius, Cixius bifidispinus sp. nov. and one within the subgenus Ceratocixius Cixius superremotus sp. nov. The standard morphological description is supplemented by sequence data of the mitochondrial cytochrome c oxidase subunit I (COI) gene fragment. Some notes on their distribution and economic importance are also reported.

  10. Countering Overseas Threats: DOD and State Need to Address Gaps in Monitoring of Security Equipment Transferred to Lebanon

    Science.gov (United States)

    2014-02-01

    of the Job”: Ill- treatment and Torture of Vulnerable Groups in Lebanese Police Stations (June 2013). 38In response to an official letter from U.S...present data on Foreign Military Financing ( FMF ) for Lebanon in the same way as for the other programs because FMF funds are budgeted and tracked...differently and the system used does not track FMF information consistent with the way we are presenting the data for the other programs. For the

  11. Post-traumatic stress disorder in adolescents in Lebanon as wars gained in ferocity: a systematic review

    OpenAIRE

    2013-01-01

    Significance for public health Post traumatic stress disorder (PTSD) in adolescents has been implicated in developmental impairments, mental and scholastic problems, alcohol and drug abuse, and antisocial behavior in its victims among others. Absence of review studies regarding the prevalence of PTSD in adolescents in Lebanon, a country plagued by decades of civil strife and external occupation and invasion, is noted. Such information may reinforce the need to develop national public health p...

  12. An overview of cement tile manufacturing and importation in Syria and Lebanon: Damascus-Beirut, 1880s-1940s

    OpenAIRE

    Soufan, Anas

    2015-01-01

    Cement tiles are an instance of the new materials of construction that characterized the architecture of Modernity in Syria and Lebanon beginning in the late nineteenth century. The introduction of this material, widespread during the colonial and post-colonial periods, goes back to the 1880s. It was an effect of major upheavals that struck Syrian society in the wake of the Egyptian expedition (1831-1840). Undoubtedly, this material influenced interior design, offering a new understanding of ...

  13. Cesarean Sections Among Syrian Refugees in Lebanon from December 2012/January 2013 to June 2013: Probable Causes and Recommendations

    Science.gov (United States)

    Huster, Karin M.J.; Patterson, Njogu; Schilperoord, Marian; Spiegel, Paul

    2014-01-01

    Introduction: There are nearly 3 million Syrian refugees, with more than 1 million in Lebanon. We combined quantitative and qualitative methods to determine cesarean section (CS) rates among Syrian refugees accessing care through United Nations High Commissioner for Refugees (UNHCR)-contracted hospitals in Lebanon and possible driving factors. Methods: We analyzed hospital admission data from UNHCR’s main partners from December 2012/January 1, 2013, to June 30, 2013. We collected qualitative data in a subset of hospitals through semi-structured informant interviews. Results: Deliveries accounted for almost 50 percent of hospitalizations. The average CS rate was 35 percent of 6,366 deliveries. Women expressed strong preference for female providers. Clinicians observed that refugees had high incidence of birth and health complications diagnosed at delivery time that often required emergent CS. Discussion: CS rates are high among Syrian refugee women in Lebanon. Limited access and utilization of antenatal care, privatized health care, and male obstetrical providers may be important drivers that need to be addressed. PMID:25191143

  14. Contribution to the food products' analysis: A research and evaluation on the hemolytic effect of some pesticides used in Lebanon.

    Science.gov (United States)

    Al-Alam, Josephine; Millet, Maurice; Chbani, Asma; Fajloun, Ziad

    2015-01-01

    Pesticides are a real concern for the society as their use has become critical, leading sometimes to their accumulation as residues in fruits and vegetables. After examining the pesticides sold in Northern Lebanon, this study is focused on the analysis and identification of pesticides residues in fruits and vegetables that are harvested in this region and treated with the locally sold pesticides. Results show: first, (i) a use of Zineb by the name of another pesticide Micronized Sulfur to avoid prosecution; (ii) a significant presence of Metalaxyl in lemons and oranges; (iii) a significant presence of Trifluralin in strawberries; and (iv) a significant presence of Zineb in lemons and tomatoes. Second, with the use of hemolytic tests on human blood results show: (i) a critical concentration and a significant hemolytic effect of some pesticides used in Lebanon; and (ii) an absence of hemolytic effect in the collected fractions of the different analyzed fruit extracts containing pesticides. Finally, this work is the first step for pesticides' analysis in vegetables and fruits in Lebanon, initiating a wider analytical study in order to control and examine the use of pesticides which, according to our results, could have an adverse effect on human health over a long term.

  15. Validity and reliability of the Arabic version of the Household Food Insecurity Access Scale in rural Lebanon.

    Science.gov (United States)

    Naja, Farah; Hwalla, Nahla; Fossian, Talar; Zebian, Dina; Nasreddine, Lara

    2015-02-01

    To assess the validity and reliability of the Arabic version of the Household Food Insecurity Access Scale (HFIAS) in rural Lebanon. A cross-sectional study on a sample of households with at least one child aged 0-2 years. In a one-to-one interview, participants completed an adapted Arabic version of the HFIAS. In order to evaluate the validity of the HFIAS, basic sociodemographic information, anthropometric measurements of the mother and child, and dietary intake data of the child were obtained. In order to examine reproducibility, the HFIAS was re-administered after 3 months. Rural Lebanon. Mother and child pairs (n 150). Factor analysis of HFIAS items revealed two factors: 'insufficient food quality' and 'insufficient food quantity'. Using Pearson's correlation, food insecurity was inversely associated with mother's and father's education levels, number of cars and electrical appliances in the household, income, weight-for-age and length-for-age of the child and the child's dietary adequacy. In contrast, mother's BMI and crowding index were positively associated with food insecurity scores (P Lebanon, lending further evidence to the utility of the HFIAS in assessing food insecurity in culturally diverse populations.

  16. Y-chromosome R-M343 African Lineages and Sickle Cell Disease reveal structured assimilation in Lebanon

    Science.gov (United States)

    Haber, Marc; Platt, Daniel E; Khoury, Simon; Badro, Danielle A; Abboud, Miguel; Smith, Chris Tyler; Zalloua, Pierre A

    2012-01-01

    We have sought to identify signals of assimilation of African male lines in Lebanon by exploring the association of sickle cell disease in Lebanon with Y-chromosome haplogroups that are informative of the disease origin and its exclusivity to the Muslim community. A total of 732 samples were analyzed including 33 sickle cell disease patients from Lebanon genotyped for 28 binary markers and 19 short tandem repeats on the non-recombinant segment of the Y chromosome. Genetic organization was identified using populations known to have influenced the genetic structure of the Lebanese population, in addition to African populations with high incidence of sickle cell disease. Y-chromosome haplogroup R-M343 sub-lineages distinguish between sub-Saharan African and Lebanese Y chromosomes. We detected a limited penetration of sickle cell disease into Lebanese R-M343 carriers, restricted to Lebanese Muslims. We suggest that this penetration brought the sickle cell gene along with the African R-M343, probably with the Saharan caravan slave trade. PMID:20981037

  17. Emergency Medical Services Utilization in EMS Priority Conditions in Beirut, Lebanon.

    Science.gov (United States)

    El Sayed, Mazen; Tamim, Hani; Chehadeh, Ahel Al-Hajj; Kazzi, Amin A

    2016-12-01

    Early activation and use of Emergency Medical Services (EMS) are associated with improved patient outcomes in EMS priority conditions in developed EMS systems. This study describes patterns of EMS use and identifies predictors of EMS utilization in EMS priority conditions in Lebanon METHODS: This was a cross-sectional study of a random sample of adult patients presenting to the emergency department (ED) of a tertiary care center in Beirut with the following EMS priority conditions: chest pain, major trauma, respiratory distress, cardiac arrest, respiratory arrest, and airway obstruction. Patient/proxy survey (20 questions) and chart review were completed. The responses to survey questions were "disagree," "neutral," or "agree" and were scored as one, two, or three with three corresponding to higher likelihood of EMS use. A total scale score ranging from 20 to 60 was created and transformed from 0% to 100%. Data were analyzed based on mode of presentation (EMS vs other). Among the 481 patients enrolled, only 112 (23.3%) used EMS. Mean age for study population was 63.7 years (SD=18.8 years) with 56.5% males. Mean clinical severity score (Emergency Severity Index [ESI]) was 2.5 (SD=0.7) and mean pain score was 3.1 (SD=3.5) at ED presentation. Over one-half (58.8%) needed admission to hospital with 21.8% to an intensive care unit care level and with a mortality rate of 7.3%. Significant associations were found between EMS use and the following variables: severity of illness, degree of pain, familiarity with EMS activation, previous EMS use, perceived EMS benefit, availability of EMS services, trust in EMS response times and treatment, advice from family, and unavailability of immediate private mode of transport (P≤.05). Functional screening, or requiring full assistance (OR=4.77; 95% CI, 1.85-12.29); acute symptoms onset ≤ one hour (OR=2.14; 95% CI, 1.08-4.26); and higher scale scores (OR=2.99; 95% CI, 2.20-4.07) were significant predictors of EMS use. Patients

  18. Annual cycle of the microzooplankton communities in the waters surrounding the Palm Island Nature Reserve (north Lebanon, with special attention to tintinnids

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    M. ABBOUD-ABI SAAB

    2002-12-01

    Full Text Available The distribution, abundance and annual cycle of microzooplankton communities have been studied monthly at five sampling stations in the north Lebanon, covering both neritic and oceanic waters in the vicinity of small islands situated 5 km offshore.In general, the density of microprotozoans, except for ciliates, increased from the coastal towards the offshore area, with stations situated near the islands being similar to the offshore rather than to the coastal ones. The microprotozoan species showed their highest numbers in late autumn and early winter. Foraminifera abundance ranged from 20 to 3390 inds.m -3 (mean= 549 whereas Acantharia abundance was highest in spring and ranged from 0 to 2608 inds.m -3 (mean 259. The Polycistina had their highest numbers in late winter, which ranged from 0 to 6024 inds.m -3 (mean= 740. The Heliozoa were abundant in late autumn with numbers ranging from 0 to 5165 inds.m -3 (mean= 555. The annual cycle of Tintinnids at all the stations was bimodal with a principal peak in October-November and another one in May, while minimum numbers were recorded in August-September. A succession of populations was observed all year round with a density ranging between 344 and 38986 inds.m -3 (mean = 10878. Ninety different species of Tintinnids were recorded. The diversity index varied between 0.19 and 4.15. It was concluded that there was a large-scale gradient in seasonal diversity which could be related to the annual average sea surface temperature and to the development of the vertical thermic structure.

  19. A National Study on Nurses' Exposure to Occupational Violence in Lebanon: Prevalence, Consequences and Associated Factors.

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    Mohamad Alameddine

    Full Text Available Healthcare institutions have commonly reported exposure of employees, particularly nurses, to high levels of occupational violence. Despite such evidence in the Middle East Region, there is a dearth of national studies that have systematically investigated this phenomenon. This study investigates the prevalence, characteristics, consequences and factors associated with nurses' exposure to occupational violence in Lebanon.A cross-sectional design was utilized to survey a nationally representative sample of 915 nurses registered with the Order of Nurses in Lebanon. Stratified random sampling by governorate was utilized. Individually-mailed questionnaires collected information on exposure to violence, degree of burnout and demographic/professional background. The main outcome variables were exposure to verbal abuse (never, 1-3, 4-9 and 10+ times and physical violence (never, ever over the past 12-months. Descriptive statistics were used to estimate prevalence of violence. Multivariable, binomial and multinomial regression models were carried out to investigate the correlates of exposure to verbal abuse and physical violence, respectively.Response rate was 64.8%. Over the last year, prevalence of nurses' exposure to verbal abuse was 62%, (CI: 58-65% and physical violence was 10%, (CI: 8-13%. Among respondents, 31.7% of nurses indicated likelihood to quit their jobs and 22.3% were undetermined. Furthermore, 54.1% reported high levels of emotional exhaustion and 28.8% reported high levels of depersonalization. Compared to nurses with no exposure to verbal abuse, nurses reporting high exposure had high levels of emotional exhaustion (OR:6.4; CI:1.76-23.32, depersonalization (OR:6.8; CI: 3-15 and intention to quit job (OR:3.9; CI: 1.8-8.3. They further reported absence of anti-violence policies at their institutions (OR: 3; CI: 1.5-6.3. Nurses that were ever exposed to physical violence were more likely to be males (OR: 2.2; CI: 1.1-4.3, working day and

  20. The retention of health human resources in primary healthcare centers in Lebanon: a national survey

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    Alameddine Mohamad

    2012-11-01

    Full Text Available Abstract Background Critical shortages of health human resources (HHR, associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC sector; considered a cornerstone in any effective healthcare system. This study is a rare attempt to investigate PHC HHR work characteristics, level of burnout and likelihood to quit as well as the factors significantly associated with staff retention at PHC centers in Lebanon. Methods A cross-sectional design was utilized to survey all health providers at 81 PHC centers dispersed in all districts of Lebanon. The questionnaire consisted of four sections: socio-demographic/ professional background, organizational/institutional characteristics, likelihood to quit and level of professional burnout (using the Maslach-Burnout Inventory. A total of 755 providers completed the questionnaire (60.5% response rate. Bivariate analyses and multinomial logistic regression were used to determine factors associated with likelihood to quit. Results Two out of five respondents indicated likelihood to quit their jobs within the next 1–3 years and an additional 13.4% were not sure about quitting. The top three reasons behind likelihood to quit were poor salary (54.4%, better job opportunities outside the country (35.1% and lack of professional development (33.7%. A U-shaped relationship was observed between age and likelihood to quit. Regression analysis revealed that high levels of burnout, lower level of education and low tenure were all associated with increased likelihood to quit. Conclusions The study findings reflect an unstable workforce and are not conducive to supporting an expanded role for PHC in the Lebanese healthcare system. While strategies aiming at improving staff retention would be important to develop and implement for all PHC HHR; targeted retention initiatives should focus on the young-new recruits

  1. Hepatocellular carcinoma in Lebanon: Etiology and prognostic factors associated with short-term survival

    Institute of Scientific and Technical Information of China (English)

    César Yaghi; Mohamad Khalifeh; Sami Ramia; Raymond Sayegh; Ala I Sharara; Paul Rassam; Rami Moucari; Khalil Honein; Joseph BouJaoude; Rita Slim; Roger Noun; Heitham Abdul-Baki

    2006-01-01

    AIM: To study the epidemiology of HCC in Lebanon and prognostic factors predictive of early mortality. METHODS: An observational follow-up cohort study of HCC cases diagnosed over a five-year period was carried out. Multivariate analysis was conducted to identify prognostic factors in comparison to Cancer of the Liver Italian Program (CLIP) score. Multiple variables including the etiology of underlying liver disease, the demographic characteristics of patients, and the severity of liver disease evaluated by the Child-Pugh score were studied.Tumor parameters included the time of diagnosis of HCC,alpha-fetoprotein level, number and size of nodules,presence of portal vein thrombosis, and treatment modalities. Death or loss of follow-up was considered as an end-point event.RESULTS: Ninety-two patients (mean 60.5 ± 22.3years) were included. Etiology of underlying disease was hepatitis B, C, and alcohol in 67%, 20%, and 23.5% respectively. Child-Pugh class at diagnosis was A, B, and C in 34.8%, 39.3% and 25.8% respectively.Overall survival was 44.8%, 32.8% and 17.6% at 1, 2and 3 years respectively (mean F/U 40.2±23.5 mo).Multivariate analysis identified three predictors of early mortality (< 6 mo): bilirubin > 3.2 mg/dL (P < 0.01),HCC as first presentation of liver disease (P = 0.035),and creatinine > 1 mg/dL (P = 0.017). A score based on these variables outperformed the CLIP score by Cox proportional hazard. ROC curve showed both models to be equivalent and moderately accurate.CONCLUSION: HBV is the leading cause of HCC in Lebanon. Independent predictors of early mortality are elevated bilirubin, creatinine and HCC as first manifestation of disease. Prospective validation of a score based on these clinical parameters in predicting short-term survival is needed.

  2. The retention of health human resources in primary healthcare centers in Lebanon: a national survey

    Science.gov (United States)

    2012-01-01

    Background Critical shortages of health human resources (HHR), associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC) sector; considered a cornerstone in any effective healthcare system. This study is a rare attempt to investigate PHC HHR work characteristics, level of burnout and likelihood to quit as well as the factors significantly associated with staff retention at PHC centers in Lebanon. Methods A cross-sectional design was utilized to survey all health providers at 81 PHC centers dispersed in all districts of Lebanon. The questionnaire consisted of four sections: socio-demographic/ professional background, organizational/institutional characteristics, likelihood to quit and level of professional burnout (using the Maslach-Burnout Inventory). A total of 755 providers completed the questionnaire (60.5% response rate). Bivariate analyses and multinomial logistic regression were used to determine factors associated with likelihood to quit. Results Two out of five respondents indicated likelihood to quit their jobs within the next 1–3 years and an additional 13.4% were not sure about quitting. The top three reasons behind likelihood to quit were poor salary (54.4%), better job opportunities outside the country (35.1%) and lack of professional development (33.7%). A U-shaped relationship was observed between age and likelihood to quit. Regression analysis revealed that high levels of burnout, lower level of education and low tenure were all associated with increased likelihood to quit. Conclusions The study findings reflect an unstable workforce and are not conducive to supporting an expanded role for PHC in the Lebanese healthcare system. While strategies aiming at improving staff retention would be important to develop and implement for all PHC HHR; targeted retention initiatives should focus on the young-new recruits and allied health

  3. Clinical and epidemiological characteristics of norovirus gastroenteritis among hospitalized children in Lebanon.

    Science.gov (United States)

    Melhem, Nada M; Zaraket, Hassan; Kreidieh, Khalil; Ali, Zeinab; Hammadi, Moza; Ghanem, Soha; Hajar, Farah; Haidar, Amjad; Inati, Adlette; Rajab, Mariam; Fakhouri, Hassan; Ghanem, Bassam; Baasiri, Ghassan; Dbaibo, Ghassan

    2016-12-28

    To assess the burden of norovirus (NoV) and to determine the diversity of circulating strains among hospitalized children in Lebanon. Stool samples were collected from children presenting with acute gastroenteritis to six major hospitals in Lebanon. A total of 739 eligible stool samples, testing negative for diarrhea caused by rotavirus as a possible viral pathogen, were collected between January 2011 and June 2013. A standardized questionnaire including demographic, epidemiological and clinical observations was used at the time of hospitalization of children presenting with diarrhea. Viral RNA was extracted from stool samples followed by reverse transcription polymerase chain reaction and nucleotide sequencing of a fragment of the viral protein 1 capsid gene. Multiple sequence alignments were carried out and phylogenetic trees were constructed using the MEGA 6 software. Overall, 11.2% of stool samples collected from children aged < 5 years tested positive for NoV genogroups I (GI) and II (GII). GII accounted for 10.6% of the gastroenteritis cases with only five samples being positive for GI (0.7%). The majority of hospitalized children showed symptoms of diarrhea, dehydration, vomiting and fever. Upon sequencing of positive samples and based on their clustering in the phylogenetic tree, 4/5 of GI gastroenteritis cases were designated GI.3 and one case as GI.4. GII.4 was predominantly detected in stool of our study participants (68%). We report a JB-15/KOR/2008 GII.4 Apeldoorn 2008-like variant strain circulating in 2011; this strain was replaced between 2012 and 2013 by a variant sharing homology with the Sydney/NSW0514/2012/AUS GII.4 Sydney 2012 and Sydney 2012/FRA GII.4 strains. We also report the co-circulation of non-GII.4 genotypes among hospitalized children. Our data show that NoV gastroenteritis can occur throughout the year with the highest number of cases detected during the hot months. The majority of NoV-associated viral gastroenteritis cases among our

  4. Records Management

    Data.gov (United States)

    U.S. Environmental Protection Agency — All Federal Agencies are required to prescribe an appropriate records maintenance program so that complete records are filed or otherwise preserved, records can be...

  5. Needs assessment with elder Syrian refugees in Lebanon: Implications for services and interventions.

    Science.gov (United States)

    Chemali, Zeina; Borba, Christina P C; Johnson, Kelsey; Khair, Sama; Fricchione, Gregory L

    2017-09-12

    Currently, over 1 million Syrian and Palestinian refugees have fled Syria to take refuge in Lebanon. Among this vulnerable population, elder refugees warrant particular concern, as they shoulder a host of additional health and safety issues that require additional resources. However, the specific needs of elder refugees are often overlooked, especially during times of crisis. Our study used a semi-structured interview to survey the needs of elder refugees and understand their perceived support from Lebanese fieldworkers. Results indicate a high prevalence of depression and cognitive deficits in elder refugees, who expressed concerns surrounding illness, loneliness, war, and instability. Elders highlighted the importance of family connectedness in fostering security and normalcy and in building resilience during times of conflict. Elders spoke of their role akin that of the social workers with whom they interacted, in that they acted as a source of emotional support for their communities. Overall, this study clarifies steps to be taken to increase well-being in elder refugee populations and urges the response of humanitarian organisations to strengthen psychological support structures within refugee encampments.

  6. Growth response of Lebanon cedar (Cedrus libani) plantations to thinning intensity in Western Turkey.

    Science.gov (United States)

    Carus, Serdar; Catal, Yilmaz

    2010-09-01

    This paper presents the growth response of 25 yr old Lebanon cedar (Cedrus libani A. Rich.) plantation to thinnings of different intensities in Isparta in western Turkey. The thinning intensity was measured by using the residual basal area (%) as parameter. In spring of 2005, three treatments were tested; light, moderate and heavy thinning with respectively 10, 25 and 35% of basal area removed. The statistical design of the experiment was a randomized incomplete block with two blocks and three treatments. Variables such as diameter at breast height (diameter) and height were measured. Growth rate ratios of diameter in moderately thinned and heavily thinned stands were 1.02 and 1.03, respectively. Basal area growth rates in moderately thinned and heavily thinned plots were 0.93 and 1.05, respectively. The largest values for the mean tree were observed with the heaviest thinning treatment. Absolute diameter increment was positively correlated with initial diameter in all plots. Relative diameter growth was negatively correlated with initial diameter. Growth rate interpretations were supported by analysis of variance using Duncan's test of range multiple. The results obtained show significant differences between treatments for tree height growth, for the two inventories carried out (2005, 2008). However diameter basal area and volume were no found between treatments for tree.

  7. The use of passive seismological imaging in speleogenetic studies: an example from Kanaan Cave, Lebanon

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    Nehmé Carole

    2013-05-01

    Full Text Available Among many parameters that control the evolution of caves stands the volume of unconsolidated clay sediments generally produced by the alteration of the calcareous rocks. Here we introduce the use of a passive seismological imaging technique to investigate the clay deposits and estimate its total volume in a cave. Applied for the first time for speleogenesis studies, the HVSR (Horizontal / Vertical Spectral Ration is a geophysical technique that can help better interpret cave geomorphology. We apply seismological spectral techniques (H/V ratio on ambient noise vibrations to derive the clay volume, as well as its shape. This technique applied on the clay volume reveals some internal details, such as fallen blocks prior to the deposit accumulation and helps to understand deposit evacuation dynamics. The study focuses on the Kanaan Cave, located in Metn District, Lebanon, and reveals new stages related to the cave speleogenesis. This technique could be applied on ‘paragenetic’ caves where clay volume is frequently present in order to constrain the clay volume and reconstruct the buried floor shape of the cave, underneath the clay deposit.

  8. NATIONAL CAPACITY SELF ASSESSMENT FOR NON-ANNEX I NATIONS: THE CASE OF LEBANON

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    Farid B. Chaaban

    2013-01-01

    Full Text Available Countries, both developed and developing, are called on to identify, through self assessments, their priority environmental issues such as mitigating greenhouse gas emissions, combating deforestation, promoting sustainable land and water management, and minimizing their vulnerabilities to the impact of climate change. Root cause analysis is conducted to determine the major barriers and institutional capacities. This papers presents capacity constraints in national priority issues typically encountered in developing or non-annex one nations, with the national capacity self assessment of Lebanon taken as a case study. The analysis of the information has identified a number of achievements and difficulties related to the fulfillment of the commitments under the UN Framework Convention on Climate Change. The common priority issues are national action plan for GHG abatement, vulnerability and adaptation, research and systematic observation, technology transfer, and education and public awareness. Root cause analysis related to priority issues has been carried out during which the causes and impacts of the constraints have been identified. The corresponding assessment matrices are also presented. Lack of financial resources is found to be the constraint facing priority issues.

  9. Drinking water system treatment and contamination in Shatila Refugee Camp in Beirut, Lebanon.

    Science.gov (United States)

    Khoury, S; Graczyk, T; Burnham, G; Jurdi, M; Goldman, L

    2016-11-02

    Drinking water at Shatila Palestinian Refugee Camp in Beirut, Lebanon is of poor quality and unpredictably intermittent quantity. We aimed to characterize drinking water sources and contamination at Shatila and determine how drinking water can be managed to reduce community health burdens. We interviewed the Popular Committee, well owners, water vendors, water shopkeepers and preschool administrators about drinking water sources, treatment methods and the population served. Water samples from the sources and intermediaries were analysed for thermotolerant faecal coliforms (FCs), Giardia lamblia, Cryptosporidium parvum and microsporidia, using immunofluorescent antibody detection for G. lamblia and C. parvum, and chromotrope-2 stain for microsporidia. All drinking water sources were contaminated with FCs and parasites. FC counts (cfu/mL) were as follows: wells (35-300), water vendors (2-178), shops (30-300) and preschools (230-300). Responsible factors identified included: unskilled operators; improper maintenance of wells and equipment; lack of proper water storage and handling; and misperception of water quality. These factors must be addressed to improve water quality at Shatila and other refugee camps.

  10. The large earthquake on 29 June 1170 (Syria, Lebanon, and central southern Turkey)

    Science.gov (United States)

    Guidoboni, Emanuela; Bernardini, Filippo; Comastri, Alberto; Boschi, Enzo

    2004-07-01

    On 29 June 1170 a large earthquake hit a vast area in the Near Eastern Mediterranean, comprising the present-day territories of western Syria, central southern Turkey, and Lebanon. Although this was one of the strongest seismic events ever to hit Syria, so far no in-depth or specific studies have been available. Furthermore, the seismological literature (from 1979 until 2000) only elaborated a partial summary of it, mainly based solely on Arabic sources. The major effects area was very partial, making the derived seismic parameters unreliable. This earthquake is in actual fact one of the most highly documented events of the medieval Mediterranean. This is due to both the particular historical period in which it had occurred (between the second and the third Crusades) and the presence of the Latin states in the territory of Syria. Some 50 historical sources, written in eight different languages, have been analyzed: Latin (major contributions), Arabic, Syriac, Armenian, Greek, Hebrew, Vulgar French, and Italian. A critical analysis of this extraordinary body of historical information has allowed us to obtain data on the effects of the earthquake at 29 locations, 16 of which were unknown in the previous scientific literature. As regards the seismic dynamics, this study has set itself the question of whether there was just one or more than one strong earthquake. In the former case, the parameters (Me 7.7 ± 0.22, epicenter, and fault length 126.2 km) were calculated. Some hypotheses are outlined concerning the seismogenic zones involved.

  11. Spatial and temporal assessment of surface water quality in the Arka River, Akkar, Lebanon.

    Science.gov (United States)

    Daou, Claude; Nabbout, Rony; Kassouf, Amine

    2016-12-01

    Surface water quality monitoring constitutes a crucial and important step in any water quality management system. Twenty-three physicochemical and microbiological parameters were assessed in surface water samples collected from the Arka River located in the Akkar District, north of Lebanon. Eight sampling locations were considered along the river and seven sampling campaigns were performed in order to evaluate spatial and temporal influences. The extraction of relevant information from this relatively large data set was done using principal component analysis (PCA), being a very well established chemometric tool in this field. In a first step, extracted PCA loadings revealed the implication of several physicochemical parameters in the discriminations and trends highlighted by PCA scores, mainly due to soil leaching and seawater intrusion. However, further investigations showed the implication of organic and bacterial parameters in the discrimination of stations in the Akkar flatland. These discriminations probably refer to anthropogenic pollution coming from the agricultural area and the surrounding villages. Specific ultraviolet absorption (SUVA) indices confirmed these findings since values decreased for samples collected across the villages and the flatland, indicating an increase in anthropogenic dissolved organic matter. This study will hopefully help the national and local authorities to ameliorate the surface water quality management, enabling its proper use for irrigation purposes.

  12. Impact of Demographic Growth on Seawater Intrusion: Case of the Tripoli Aquifer, Lebanon

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    Omar Kalaoun

    2016-03-01

    Full Text Available Water resources in Mediterranean coastal aquifers are subject to overexploitation leading to an increase in seawater intrusion. Based on the United Nations Environment Program, “UNEP” 75% of people in the world will live in coastal cities by 2020. This is having a major impact on the salinization process. This paper deals with the impact of demographic evolution on seawater intrusion and considers the case of the lower Tripoli aquifer in Lebanon. A numerical model based on the sharp interface approach is implemented using “Freefem++” to access the seawater intrusion. The model is verified against an analytic and a numerical solution. It is calibrated and validated against hydraulic head observations (RMSD = 0.819 m. Then several scenarios of pumping are applied based on available demographic growth rates to quantify the impact on seawater intrusion. The projection scenarios show that if the current pumping rates are maintained while maintaining the demographic evolution, the pumping wells will be salinized within 2 decades in the highly populated areas.

  13. Identification of vaginal lactobacilli with potential probiotic properties isolated from women in North Lebanon.

    Science.gov (United States)

    Al Kassaa, Imad; Hamze, Monzer; Hober, Didier; Chihib, Nour-Eddine; Drider, Djamel

    2014-04-01

    The aim of this work was to study the diversity of vaginal lactobacilli in Lebanese women and to evaluate the antagonism, hydrophobicity, and safety characteristics of these strains. This study was performed on samples from 135 women who visited a gynecology clinic in the north of Lebanon, between September 2012 and January 2013. From these samples, 53 different isolates of vaginal lactobacilli were collected from vaginal swabs and identified using biochemical and molecular methods. The use of genotypic Rep-PCR fingerprinting allowed for the organization of these isolates into 23 different groups. Seven of the isolated lactobacilli were antagonistic against the following vaginal pathogens: Gardnerella vaginalis CIP7074T, Staphylococcus aureus ATCC33862, Escherichia coli CIP103982, and Candida albicans ATCC10231. The antagonistic lactobacilli strains were then identified using 16S rDNA sequence. The data of this study show that the antagonistic lactobacilli were non-hemolytic, sensitive to most antibiotic tests, free of plasmid DNA, and exhibited interesting hydrophobicity and autoaggregation properties positioning them as potential candidates for probiotic design.

  14. Source rock potential of the organic rich Turonian - Upper Campanian carbonates of northern Lebanon

    Energy Technology Data Exchange (ETDEWEB)

    Daher, S. Bou; Littke, R. [RWTH Aachen Univ. (Germany). Energy and Mineral Resources Group (EMR); Nader, F.H. [IFP Energies nouvelles, Paris (France). Dept. of Sedimentology-Stratigraphy

    2013-08-01

    Upper Cretaceous chalks, marls, and shales are arguably the most prolific petroleum source rocks in the eastern Mediterranean region. 209 core samples from the Turonian - Upper Campanian rock succession in north Lebanon were collected and analyzed for their organic matter (OM) content, quality, and maturity. The total organic carbon (TOC) measurements revealed a very good source rock potential for a 150 m interval within the Upper Santonian - Upper Campanian, with an average of 2% TOC. High HI values (average 707 mg/g TOC) characterize these source rocks as type I kerogen and reflect a very good preservation of the organic matter. T{sub max} values (average 421 C) match the other maturity parameters such as vitrinite reflectance (average 0.35%), and all point towards immature organic matter. The equivalent Upper Cretaceous in the offshore Levant basin has enough overburden to have reached maturity. However, the accurate extrapolation of the organic matter quality and quantity to the offshore is yet a challenge with the data at hand. (orig.)

  15. Assessment of Dietary Intake Patterns among University Students in Lebanon: a focus on gender differences and overweight correlation

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    Pascale eSalameh

    2014-10-01

    Full Text Available Introduction : Unhealthy dietary habits are a major risk factor for chronic diseases, particularly if adopted during early adulthood. In a study conducted on a large sample of university students from both public and private universities in Lebanon, we observed differences in obesity prevalence between males and females. Given this difference, the objective of this analysis was to define the different dietary patterns among university students, focusing on correlation with gender and body mass index (BMI. Methods : A cross-sectional study was carried out on 3384 students, using a proportionate cluster sample of Lebanese students from both public and private universities. Results : Three dietary patterns were identified among university youth namely, vegetarian/low calorie diet (mainly plant food while avoiding ‘western’ food, composite dishes, and bread; mixed diet (high consumption of plant food, followed by composite dishes, bread, and a low consumption of western type food, and finally the westernized diet (high consumption of white bread and western food, and a strong avoidance of plant food and composite dishes. We observed significant differences between males and females in terms of their reported food intake and dietary patterns. Females were particularly more prone to adopt the vegetarian/low calorie diet than males (ORa=1.69; p<0.001, while males were more likely to adopt a westernized diet (ORa=1.51; p<0.001, seemingly in private universities (p=0.053. Students with high income and obese students (BMI ≥ 30 kg/m2 were more likely to consume vegetarian/low calorie diets (P<0.05. Conclusion: Male university students, despite having a higher BMI, reported a higher consumption of food according to a westernized dietary pattern as compared to female university students in Lebanon, while the latter reported a higher adoption of a vegetarian diet. Health promotion programs are needed among university youth in Lebanon to address their

  16. MMP1-1607(1G>2G polymorphism and the risk of lung cancer in Lebanon

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    Hana Fakhoury

    2012-01-01

    Full Text Available Context: Matrix metalloproteinases (MMPs are a family of enzymes that degrade various components of the extracellular matrix and are involved in the development and progression of cancer. Lung cancer is the most commonly diagnosed cancer in Lebanon. MMP1 is responsible for degrading stromal collagens, which enhance the ability of neoplastic cells to cross basal membrane of both the endothelium and the vascular endothelium. A recent meta-analysis has suggested that the MMP1-1607 2G allele may be associated with an increased risk for certain types of cancers. Aim: This study was undertaken to investigate the association between guanine insertion polymorphism in the MMP1 promoter and the susceptibility to lung cancer in the Lebanese population. Settings and Design: This case-control study was conducted on 41 patients with lung cancer and 51 age-matched healthy controls, recruited from different regions of Lebanon. Methods: Cases were histologically confirmed lung cancer patients obtained from different hospitals in Lebanon. Controls were healthy unrelated individuals with no history of cancer or genetic diseases. All subjects were genotyped for MMP1 -1607(1G>2G polymorphism using polymerase chain reaction-restriction fragment length polymorphism method (PCR-RFLP. Results: No statistically significant differences were found when genotype and allele distribution of MMP1 -1607(1G>2G polymorphism were compared between patients with lung cancer and controls [P= 0.6 by chi-squared test on a 3x2 contingency table; allelic P=0.61, OR (95% CI = 1.18 (0.60-2.31]. Conclusion: Our data shows that MMP1 promoter polymorphism is not associated with lung cancer susceptibility in the Lebanese population.

  17. Spread of imipenem-resistant Acinetobacter baumannii co-expressing OXA-23 and GES-11 carbapenemases in Lebanon.

    Science.gov (United States)

    Hammoudi, D; Moubareck, C Ayoub; Hakime, N; Houmani, M; Barakat, A; Najjar, Z; Suleiman, M; Fayad, N; Sarraf, R; Sarkis, D Karam

    2015-07-01

    The acquisition of carbapenemases by Acinetobacter baumannii is reported increasingly worldwide, but data from Lebanon are limited. The aims of this study were to evaluate the prevalence of imipenem-resistant A. baumannii in Lebanon, identify resistance determinants, and detect clonal relatedness. Imipenem-resistant A. baumannii were collected from nine Lebanese hospitals during 2012. Antimicrobial susceptibility, the cloxacillin effect, and ethylenediaminetetraacetic acid (EDTA) synergy were determined. Genes encoding carbapenemases and insertion sequence ISAba1 were screened via PCR sequencing. ISAba1 position relative to genes encoding Acinetobacter-derived cephalosporinases (ADCs) and OXA-23 was studied by PCR mapping. Clonal linkage was examined by enterobacterial repetitive intergenic consensus PCR (ERIC-PCR). Out of 724 A. baumannii isolated in 2012, 638 (88%) were imipenem-resistant. Of these, 142 were analyzed. Clavulanic acid-imipenem synergy suggested carbapenem-hydrolyzing extended-spectrum β-lactamase. A positive cloxacillin test indicated ADCs, while EDTA detection strips were negative. Genotyping indicated that 90% of isolates co-harbored blaOXA-23 and blaGES-11. The remaining strains had blaOXA-23, blaOXA-24, blaGES-11, or blaOXA-24 with blaGES-11. ISAba1 was located upstream of blaADC and blaOXA-23 in 97% and 100% of isolates, respectively. ERIC-PCR fingerprinting revealed 18 pulsotypes spread via horizontal gene transfer and clonal dissemination. This survey established baseline evidence of OXA-23 and GES-11-producing A. baumannii in Lebanon, indicating the need for further surveillance. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. GPS Measurements of Crustal Deformation in Lebanon: Implication for Current Kinematics of the Sinaï Plate.

    Science.gov (United States)

    Vergnolle, M.; Jomaa, R.; Brax, M.; Menut, J. L.; Sursock, A.; Elias, A. R.; Mariscal, A.; Vidal, M.; Cotte, N.

    2016-12-01

    The Levant fault is a major strike-slip fault bounding the Arabia and the Sinaï plates. Its kinematics, although understood in its main characteristics, remains partly unresolved in its quantification, especially in the Lebanese restraining bend. We present a GPS velocity field based on survey GPS data acquired in Lebanon (1999, 2002, 2010) and on continuous GPS data publicly available in the Levant area. To complete the measurements along the Levant fault, we combine our velocity field with previously published velocity fields. First, from our velocity field, we derive two velocity profiles, across the Lebanese fault system, which we analyze in terms of elastic strain accumulation. Despite the uncertainty on the locking depth of the main strand of the Levant fault, small lateral fault slip rates (2-4mm/yr) are detected on each profile, with a slight slip rate decrease (Lebanon. Small compression (Lebanon, is also suggested. Second, we analyze the combined GPS velocity field in the Sinaï tectonic framework. We evaluate how well the Sinaï plate motion is described with an Euler pole. Due to heterogeneous velocity errors (5 times smaller for cGPS velocities wrt sGPS velocities), a unique pole estimation using all the data provides good statistical results. However, the residuals show systematic deviations at central and northern sGPS stations. Using only the velocities at these stations, the estimated pole is significantly different from the unique pole at 95% confidence level. This analysis highlights the difficulty to robustly resolve the rigid Sinaï plate motion while the uncertainties on the velocities are heterogeneous. New sGPS measurements on existing sites should improve the solution and help to conclude.

  19. Post-traumatic stress disorder in adolescents in Lebanon as wars gained in ferocity: a systematic review

    Directory of Open Access Journals (Sweden)

    Khuzama Hijal Shaar

    2013-09-01

    Full Text Available For decades, Lebanon was war-torn by civil strife, and occupation and invasion by neighboring countries. In time, these wars have escalated in intensity from sniping, barricading streets and random shelling of residential quarters to the use of rockets, aerial bombing, and heavy artillery. Adverse mental health effects are noted in times of war with post traumatic stress disorder (PTSD as a main outcome. The aim of this study was to carry out a systematic review of published studies documenting the prevalence of PTSD in the adolescent population of Lebanon, to investigate the increase in these rates with the escalation of war intensity, and to examine PTSD determinants. A search strategy was developed for online databases (PubMed and Google Scholar between inception to the first week of January 2013. Search terms used were PTSD, adolescents and Lebanon. Eleven studies reporting PTSD in adolescents met the inclusion criteria for a total number of 5965 adolescents. Prevalence rates of PTSD ranged from 8.5% to 14.7% for the civil war, 3.7% for adolescents with sensory disabilities, 21.6% for the Grapes of Wrath War, and 15.4% to 35.0% for the 2006 July War. Some increase in PTSD rates in time is noted. Type of trauma such as bereavement, injury, house destruction, and economic problems, low self efficacy and scholastic impairment were related to PTSD. These findings may help in the development of public health policies for PTSD prevention and treatment for the protection of adolescents from war atrocities and their consequences.

  20. Post-traumatic stress disorder in adolescents in Lebanon as wars gained in ferocity: a systematic review.

    Science.gov (United States)

    Shaar, Khuzama Hijal

    2013-09-02

    Significance for public healthPost traumatic stress disorder (PTSD) in adolescents has been implicated in developmental impairments, mental and scholastic problems, alcohol and drug abuse, and antisocial behavior in its victims among others. Absence of review studies regarding the prevalence of PTSD in adolescents in Lebanon, a country plagued by decades of civil strife and external occupation and invasion, is noted. Such information may reinforce the need to develop national public health policies to identify PTSD in children and adolescents, provide them with counseling and treatment, and formulate prevention strategies to protect vulnerable youth from devastations of war.For decades, Lebanon was war-torn by civil strife, and occupation and invasion by neighboring countries. In time, these wars have escalated in intensity from sniping, barricading streets and random shelling of residential quarters to the use of rockets, aerial bombing, and heavy artillery. Adverse mental health effects are noted in times of war with post traumatic stress disorder (PTSD) as a main outcome. The aim of this study was to carry out a systematic review of published studies documenting the prevalence of PTSD in the adolescent population of Lebanon, to investigate the increase in these rates with the escalation of war intensity, and to examine PTSD determinants. A search strategy was developed for online databases (PubMed and Google Scholar) between inception to the first week of January 2013. Search terms used were PTSD, adolescents and Lebanon. Eleven studies reporting PTSD in adolescents met the inclusion criteria for a total number of 5965 adolescents. Prevalence rates of PTSD ranged from 8.5% to 14.7% for the civil war, 3.7% for adolescents with sensory disabilities, 21.6% for the Grapes of Wrath War, and 15.4% to 35.0% for the 2006 July War. Some increase in PTSD rates in time is noted. Type of trauma such as bereavement, injury, house destruction, and economic problems, low self

  1. Osteology and relationships of Rhinopycnodus gabriellae gen. et sp. nov. (Pycnodontiformes from the marine Late Cretaceous of Lebanon

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    Louis Taverne

    2013-12-01

    Full Text Available The osteology of Rhinopycnodus gabriellae gen. and sp. nov., a pycnodontiform fish from the marine Cenomanian (Late Cretaceous of Lebanon, is studied in detail. This new fossil genus belongs to the family Pycnodontidae, as shown by the presence of a posterior brush-like process on its parietal. Its long and broad premaxilla, bearing one short and very broad tooth is the principal autapomorphy of this fish. Within the phylogeny of Pycnodontidae, Rhinopycnodus occupies an intermediate position between Ocloedus and Tepexichthys.

  2. Technology priorities for transport in Asia: assessment of economy-wide CO2 emissions reduction for Lebanon

    DEFF Research Database (Denmark)

    Dhar, Subash; Marpaung, Charles O. P.

    2015-01-01

    This paper analyses the technology choices of countries that prioritized transport as a sector in Asia under the Technology Needs Assessment project. The countries used a wide variety of criteria to prioritize technologies which were related to the benefits technologies would provide, costs...... mitigations actions (NAMA) given their strong contribution for development and therefore a methodology based on in-put out-put decomposition analysis is proposed for analysing economy wide CO2 emissions reductions. The methodology has been applied for the transport sector of Lebanon where alternative fuels...

  3. New chronology for Ksâr 'Akil (Lebanon) supports Levantine route of modern human dispersal into Europe

    OpenAIRE

    Bosch, Marjolein D.; Mannino, Marcello A.; Prendergast, Amy L.; O’Connell, Tamsin C.; Demarchi, Beatrice; Taylor, Sheila M.; Niven, Laura; van der Plicht, Johannes; Hublin, Jean-Jacques

    2015-01-01

    Bayesian modeling of AMS radiocarbon dates on the marine mollusk Phorcus turbinatus from Ksâr ‘Akil (Lebanon) indicates that the earliest presence of Upper Paleolithic (UP) modern humans in the Levant predates 45,900 cal B.P. Similarities in early UP lithic technology and material culture suggest population dispersals between the Levant and Europe around 50,000–40,000 cal B.P. Our data confirm the presence of modern humans carrying a UP toolkit in the Levant prior to any known European modern...

  4. Violence against women in the context of war: experiences of Shi'i women and Palestinian refugee women in Lebanon.

    Science.gov (United States)

    Holt, Maria

    2013-03-01

    In times of war, women are likely to experience, in addition to the "normal" violence of peacetime, random cruelties perpetrated by the enemy against all members of the community. During research conducted with Palestinian refugees and Shi'i Muslims in Lebanon, women described various forms of violence and, in this article, I examine violence suffered by women in the context of conflict from three perspectives: victimization, trauma, and resistance. I argue that traumatic events have the effect of obliterating identity, but they can also strengthen the resolve to resist.

  5. Stakeholders' perspectives on the regulation and integration of complementary and alternative medicine products in Lebanon: a qualitative study

    Science.gov (United States)

    2011-01-01

    Background The regulation of the markets for Complementary and Alternative Medicine (CAM) products presents a global challenge. There is a dearth of studies that have examined or evaluated the regulatory policies of CAM products in the Eastern Mediterranean Region (EMR). We investigate the regulatory frameworks and the barriers for the proper regulation and integration of CAM products in Lebanon, as an example of an EMR country with a weak public infrastructure. Methods We utilized a qualitative study design involving a series of semi-structured interviews with stakeholders of the CAM market in Lebanon. Snowball sampling was used to identify interviewees; interviews continued until the "saturation" point was reached. A total of 16 interviews were carried out with decision makers, representatives of professional associations, academic researchers, CAM product importers, policy makers and a media representative. Interviews were transcribed and thematic analysis of scripts was carried out. Results There was a consensus among all stakeholders that the regulation of the market for CAM products in Lebanon needs to be strengthened. Thematic analysis identified a number of impediments jeopardizing the safety of public consumption and hindering the integration of CAM therapies into mainstream medicine; including: weak infrastructure, poor regulation, ineffective policies and politics, weak CAM awareness and sub-optimal coordination and cooperation among stakeholders. With respect to policy instruments, voluntary instruments (self regulation) were deemed ineffective by stakeholders due to poor awareness of both users and providers on safe use of CAM products. Stakeholders' rather recommended the adoption of a combination of mixed (enhancing public awareness and integration of CAM into medical and nursing curricula) and compulsory (stricter governmental regulation) policy instruments for the regulation of the market for CAM products. Conclusions The current status quo with

  6. Osteology and relationships of Acrorhinichthys poyatoi gen. et sp. nov. (Pycnodontiformes from the marine Late Cretaceous of Lebanon

    Directory of Open Access Journals (Sweden)

    Louis Taverne

    2015-03-01

    Full Text Available The osteology of Acrorhinichthys poyatoi gen. et sp. nov., a pycnodontid fish from the marine Cenomanian (Late Cretaceous of Lebanon, is studied in detail. The new fossil genus belongs to the order Pycnodontiformes, but is less evolved than the Pycnodontidae. It still exhibits a few bony plates (= tesserae in the gular region, 3 teeth on the premaxilla and 5 teeth on the dentary, and its parietal is devoid of a brush-like process. It shares a few characters with Akromystax, the most primitive taxon within Pycnodontidae, characters lost in the other members of the family.

  7. Whole-Genome Sequence of a blaOXA-48-Harboring Raoultella ornithinolytica Clinical Isolate from Lebanon.

    Science.gov (United States)

    Al-Bayssari, Charbel; Olaitan, Abiola Olumuyiwa; Leangapichart, Thongpan; Okdah, Liliane; Dabboussi, Fouad; Hamze, Monzer; Rolain, Jean-Marc

    2016-04-01

    We analyzed the whole-genome sequence of ablaOXA-48-harboringRaoultella ornithinolyticaclinical isolate from a patient in Lebanon. The size of theRaoultella ornithinolyticaCMUL058 genome was 5,622,862 bp, with a G+C content of 55.7%. We deciphered all the molecular mechanisms of antibiotic resistance, and we compared our genome to other availableR. ornithinolyticagenomes in GenBank. The resistome consisted of 9 antibiotic resistance genes, including a plasmidicblaOXA-48gene whose genetic organization is also described.

  8. Quality of life and symptom prevalence in children with cancer in Lebanon: the perspective of parents.

    Science.gov (United States)

    Abu-Saad Huijer, Huda; Sagherian, Knar; Tamim, Hani

    2013-04-01

    In evaluating the outcomes of pediatric palliative care, health-care providers rely at times on the parents' input in evaluating children's quality of life and symptom experience. To date, the number of studies addressing the perspective of parents is scarce. Thus, the purpose of this study was to evaluate the quality of life, symptom prevalence and management, and the quality of palliative care provided to Lebanese children with cancer from their parents' perspectives. A convenience sample of 85 caregivers from the Children's Cancer Center of Lebanon was enrolled in the study over a 1-year period [2010-2011]. Using face- to-face interviews, the administered Arabic questionnaire was a combination of the Pediatric Quality of Life Inventory cancer module and the Memorial Symptom Assessment Scale (both parent's versions), and selected items from the Needs at End of life Screening Tool. The majority of the sample was recruited from the outpatient clinic; mean age of children was 12.5 years with the majority having leukemia. According to parents, children encountered health-related quality of life problems in the areas related to nausea, worry and treatment anxiety. The most common symptoms were feeling irritable, feeling nervous, lack of energy, lack of appetite, pain, and feeling sad. The most treated symptoms were found to be nausea, vomiting, cough, and pain with success rates ranging between 56.3% and 73.7%. According to the parents, cancer children had acceptable health-related quality of life. They experienced physical and psychological symptoms that were inadequately managed by the healthcare team. However, parents were highly satisfied with the provided quality of care by the center. The findings in this study highlight the importance of both physical and psychological symptom management among Lebanese children with cancer.

  9. Petrographic and geochemical study on cave pearls from Kanaan Cave (Lebanon

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    Nader Fadi H.

    2007-01-01

    Full Text Available The Kanaan cave is situated at the coastal zone, north of Beirut City (capital of Lebanon. The cave is located within the upper part of the Jurassic Kesrouane Formation (Liassic to Oxfordian which consists mainly of micritic limestone. Twenty seven cave pearls were subjected to petrographic (conventional and scanning electron microscopy and geochemical analyses (major/trace elements and stable isotopes. The cave pearls were found in an agitated splash-pool with low mud content. They are believed to have formed through chemical precipitation of calcite in water over-saturated with calcium. The nucleus and micritic laminae show δ18OV-PDB values of about -5.0‰ and δ13C V-PDB values of -11.8‰, while the surrounding calcite spar laminae resulted in δ18OV-PDB ranging between -5.3 and -5.2‰, and δ13C V-PDB between -12.3 and -12.1‰. A genesis/diagenesis model for these speleothems is proposed involving recrystallization which has selectively affected the inner layers of the cave pearls. This is chiefly invoked by sparry calcite crystals ‘invading’ the inner micrite cortical laminae and the nuclei (cross-cutting the pre-existing mud-envelopes, and the slight depletion in δ18O values from inner to outer cortical layers. The calculated δ18OV-SMOW of the water (-4.2‰ matches with data on meteoric water signature for the central eastern Mediterranean region.

  10. Management of aquifer recharge in Lebanon by removing seawater intrusion from coastal aquifers.

    Science.gov (United States)

    Masciopinto, Costantino

    2013-11-30

    This study investigates the feasibility of management of aquifer recharge (MAR) in Lebanon by designing well barriers to remove seawater intrusion from the fractured carbonate aquifers. Groundwater flow and saltwater/freshwater 50% sharp interface have been modeled along the coastal area using the Ghyben-Herzberg theory. The groundwater flow simulations have been supported by field transmissivity estimations and depth measurements carried out on 44 wells during 2003. Results have shown the seawater intrusion in coastal aquifers at Jieh and Damour regions. Three well-injection barriers have been proposed. The water volumes for recharge and the barrier positions have been defined by means of groundwater flow simulations. MAR can provide a valuable contribution to colloid (even pathogen) removal from injectant water, although during water infiltration in subsoil the reduction of aquifer permeability causes clogging. A simple new model for estimating the soil-rock permeability reduction due to the well clogging has been presented. The MAR, including the soil aquifer treatment at Damour and Jieh regions, has been studied by considering aquifer transmissivity (and soil porosity) reduction caused by clogging. Furthermore, the appropriate mixing of the injectant water by using reclaimed water, groundwater and surface water can be simulated using the proposed models. The time required to achieve 5% of rock permeability reduction at the proposed well barriers ranged from 71 to 935 d, by changing water quality and flow rate for recharge. This study can assist regional governments with water management in areas affected by scarcity of freshwater by implementing appropriate well-barrier projects.

  11. 'My pain was stronger than my happiness': experiences of caesarean births from Lebanon.

    Science.gov (United States)

    Kabakian-Khasholian, Tamar

    2013-11-01

    the rising trends in caesarean section have been partially attributed to women's requests. Many studies in developed and very few in developing countries have attempted to understand this phenomenon. This qualitative study explores experiences of women having caesarean section on demand in a middle-income country with a private health-care system. an inductive qualitative design, using face-to-face semi-structured interviews. women were identified and recruited through a perinatal database and selected obstetricians' clinics in the Greater Beirut area in Lebanon. a purposive sample of women who had a caesarean childbirth within the four months preceding the interview, were visited for an interview at home using a semi-structured interview guide. Thematic content analysis was conducted on a sub-sample of 22 women who requested a caesarean birth. lack of information about caesarean sections fosters women's fear from labour pain and acts as the main impetus for women to consider caesareans as the pain free alternative. Findings reveal health-care providers' role in reinforcing beliefs about caesarean sections being the way for pain free deliveries by overestimating the safety of the procedure and disregarding postpartum health issues. caesarean birth is presented to women as a safe option for 'pain free' childbirth. This needs to be considered within the cultural context of understanding safety and pain as well as the dynamics of power in maternity care. Health-care professionals need to explore these dimensions and promote women's informed choice as well as encouraging the normality of birth. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Lifetime prevalence of mental disorders in Lebanon: first onset, treatment, and exposure to war.

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    Elie G Karam

    2008-04-01

    Full Text Available BACKGROUND: There are no published data on national lifetime prevalence and treatment of mental disorders in the Arab region. Furthermore, the effect of war on first onset of disorders has not been addressed previously on a national level, especially in the Arab region. Thus, the current study aims at investigating the lifetime prevalence, treatment, age of onset of mental disorders, and their relationship to war in Lebanon. METHODS AND FINDINGS: The Lebanese Evaluation of the Burden of Ailments and Needs Of the Nation study was carried out on a nationally representative sample of the Lebanese population (n = 2,857 adults. Respondents were interviewed using the fully structured WHO Composite International Diagnostic Interview 3.0. Lifetime prevalence of any Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV disorder was 25.8%. Anxiety (16.7% and mood (12.6% were more common than impulse control (4.4% and substance (2.2% disorders. Only a minority of people with any mental disorder ever received professional treatment, with substantial delays (6 to 28 y between the onset of disorders and onset of treatment. War exposure increased the risk of first onset of anxiety (odds ratio [OR] 5.92, 95% confidence interval [CI] 2.5-14.1, mood (OR 3.32, 95% CI 2.0-5.6, and impulse control disorders (OR 12.72, 95% CI 4.5-35.7. CONCLUSIONS: About one-fourth of the sample (25.8% met criteria for at least one of the DSM-IV disorders at some point in their lives. There is a substantial unmet need for early identification and treatment. Exposure to war events increases the odds of first onset of mental disorders.

  13. Negotiating health and life: Syrian refugees and the politics of access in Lebanon.

    Science.gov (United States)

    Parkinson, Sarah E; Behrouzan, Orkideh

    2015-12-01

    In the context of ongoing armed conflicts in Libya, Syria, Yemen, and Iraq, it is vital to foster nuanced understandings of the relationship between health, violence, and everyday life in the Middle East and North Africa. In this article, we explore how healthcare access interacts with humanitarian bureaucracy and refugees' daily experiences of exile. What are the stakes involved with accessing clinical services in humanitarian situations? How do local conditions structure access to healthcare? Building on the concept of "therapeutic geographies," we argue for the integration of local socio-political context and situated knowledge into understandings of humanitarian healthcare systems. Using evidence gathered from participant observation among Syrian and Palestinian refugees in Lebanon, we demonstrate how procedures developed to facilitate care-such as refugee registration and insurance contracting-can interact with other factors to simultaneously prevent and/or disincentivize refugees' accessing healthcare services and expose them to structural violence. Drawing on two interconnected ethnographic encounters in a Palestinian refugee camp and in a Lebanese public hospital, we demonstrate how interactions surrounding the clinical encounter reveal the social, political, and logistical complexities of healthcare access. Moreover, rather than hospital visits representing discrete encounters with the Lebanese state, we contend that they reveal important moments in an ongoing process of negotiation and navigation within and through the constraints and uncertainties that shape refugee life. As a result, we advocate for the incorporation of situated forms of knowledge into humanitarian healthcare practices and the development of an understanding of healthcare access as nested in the larger experience of everyday refugee life.

  14. What Went Wrong? Reflections on the Condition of Architecture and Urbanism in Lebanon

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    Elie Haddad

    2012-11-01

    Full Text Available In a short article presented at a conference in New York City two years ago, Joan Ockman lucidly diagnosed the contemporary dilemma faced by architecture, i.e. how to insert itself between a pessimistic discourse that warns of the end of time, and an uncritical surrender to globalization. This dilemma is now universal(i. It applies to New York City, where in the same context Kenneth Frampton commented on the dystopia of an “oddly paranoid, rather ruthless, instrumental and resentful landscape”(ii, as well as to other cities around the world, especially in the Third World, where more difficult conditions permeate architectural practice, resulting in even more devastated landscapes. This article will discuss issues that relate to architectural practice and pedagogy, drawing on specific examples in the context of Beirut, Lebanon, and reflecting on the impact of‘architectural education’ and the transformations within the architectural profession in this context. One can no longer deny the negative impact of economics on a profession that has been, for the most part, idealistic in its approach to the built environment, but the responsibility of architects and architectural education, can no longer beminimized in assessing the problems that cities like Beirut face today. i The conference was organized at Columbia University, andpublished as The State of Architecture at the Beginning of the21st Century, New York: Monacelli Press, 2003. See JoanOckman’s “Criticism in the Age of Globalization” [78-9]ii “Brief Reflections on the Predicament of Urbanism” , ibidem[13

  15. Lifetime Prevalence of Mental Disorders in Lebanon: First Onset, Treatment, and Exposure to War

    Science.gov (United States)

    Karam, Elie G; Mneimneh, Zeina N; Dimassi, Hani; Fayyad, John A; Karam, Aimee N; Nasser, Soumana C; Chatterji, Somnath; Kessler, Ronald C

    2008-01-01

    Background There are no published data on national lifetime prevalence and treatment of mental disorders in the Arab region. Furthermore, the effect of war on first onset of disorders has not been addressed previously on a national level, especially in the Arab region. Thus, the current study aims at investigating the lifetime prevalence, treatment, age of onset of mental disorders, and their relationship to war in Lebanon. Methods and Findings The Lebanese Evaluation of the Burden of Ailments and Needs Of the Nation study was carried out on a nationally representative sample of the Lebanese population (n = 2,857 adults). Respondents were interviewed using the fully structured WHO Composite International Diagnostic Interview 3.0. Lifetime prevalence of any Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) disorder was 25.8%. Anxiety (16.7%) and mood (12.6%) were more common than impulse control (4.4%) and substance (2.2%) disorders. Only a minority of people with any mental disorder ever received professional treatment, with substantial delays (6 to 28 y) between the onset of disorders and onset of treatment. War exposure increased the risk of first onset of anxiety (odds ratio [OR] 5.92, 95% confidence interval [CI] 2.5–14.1), mood (OR 3.32, 95% CI 2.0–5.6), and impulse control disorders (OR 12.72, 95% CI 4.5–35.7). Conclusions About one-fourth of the sample (25.8%) met criteria for at least one of the DSM-IV disorders at some point in their lives. There is a substantial unmet need for early identification and treatment. Exposure to war events increases the odds of first onset of mental disorders. PMID:18384228

  16. The impact of civil disturbances on the migration of physicians: the case of Lebanon.

    Science.gov (United States)

    Kronfol, N M; Rafeh, N

    1987-01-01

    During the 1970s, the migratory flow of physicians was an issue of major concern to the world medical community. Numerous publications have focused on the issue of the foreign medical graduates in the United States the impact of the "brain drain" on developing countries, and the various related issues of licensure, quality of medical care, "reverse" foreign aid, and ways and means to stem the tide of migration. Of the numerous studies on this subject, however, few have focused on the impact of civil disturbances and political instability on the decision of physicians to emigrate, even though this type of migration has been known to occur during or subsequent to political crises. Examples include the large-scale emigration of Hungarian, Cuban, and Czechoslovakian physicians to the United States in the late 1950s and 1960s. Mejia refers to this type of migration and characterizes it as "... likely to be sudden, to reach a high peak within a short period of time and to decline almost as rapidly...." This description fits closely the definition of a "point epidemic"--a condition wherein the political events that led to the outflow of these physicians constituted a one-time event, limited in time and duration. Lebanon presents a different picture: ever-raging civil disturbances have plagued that country continuously for the past 11 years. The epidemiologic analogy is more akin to an "endemic" situation, with point exacerbations and remissions between ferocious fighting and relative peace leading to situations of acute, subacute, and chronic civil instability.(ABSTRACT TRUNCATED AT 250 WORDS)

  17. Etiology, seasonality, and clinical characterization of viral respiratory infections among hospitalized children in Beirut, Lebanon.

    Science.gov (United States)

    Finianos, Mayda; Issa, Randi; Curran, Martin D; Afif, Claude; Rajab, Maryam; Irani, Jihad; Hakimeh, Noha; Naous, Amal; Hajj, Marie-Joelle; Hajj, Pierre; El Jisr, Tamima; El Chaar, Mira

    2016-11-01

    Acute respiratory tract viral infections occur worldwide and are one of the major global burdens of diseases in children. The aim of this study was to determine the viral etiology of respiratory infections in hospitalized children, to understand the viral seasonality in a major Lebanese hospital, and to correlate disease severity and the presence of virus. Over a 1-year period, nasal and throat swabs were collected from 236 pediatric patients, aged 16-year old or less and hospitalized for acute respiratory illness. Samples collected were tested for the presence of 17 respiratory viruses using multiplex real-time RT-PCR. Pathogens were identified in 165 children (70%) and were frequently observed during fall and winter seasons. Co-infection was found in 37% of positive samples. The most frequently detected pathogens were human Rhinovirus (hRV, 23%), Respiratory Syncytial Virus (RSV, 19%), human Bocavirus (hBov, 15%), human Metapneumovirus (hMPV, 10%), and human Adenovirus (hAdV, 10%). A total of 48% of children were diagnosed with bronchiolitis and 25% with pneumonia. While bronchiolitis was often caused by RSV single virus infection and hAdV/hBoV coinfection, pneumonia was significantly associated with hBoV and HP1V1 infections. No significant correlation was observed between a single viral etiology infection and a specific clinical symptom. This study provides relevant facts on the circulatory pattern of respiratory viruses in Lebanon and the importance of using PCR as a useful tool for virus detection. Early diagnosis at the initial time of hospitalization may reduce the spread of the viruses in pediatric units. J. Med. Virol. 88:1874-1881, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  18. The making of nursing practice law in Lebanon: a policy analysis case study.

    Science.gov (United States)

    El-Jardali, Fadi; Hammoud, Rawan; Younan, Lina; Nuwayhid, Helen Samaha; Abdallah, Nadine; Alameddine, Mohammad; Bou-Karroum, Lama; Salman, Lana

    2014-09-05

    Evidence-informed decisions can strengthen health systems, improve health, and reduce health inequities. Despite the Beijing, Montreux, and Bamako calls for action, literature shows that research evidence is underemployed in policymaking, especially in the East Mediterranean region (EMR). Selecting the draft nursing practice law as a case study, this policy analysis exercise aims at generating in-depth insights on the public policymaking process, identifying the factors that influence policymaking and assessing to what extent evidence is used in this process. This study utilized a qualitative research design using a case study approach and was conducted in two phases: data collection and analysis, and validation. In the first phase, data was collected through key informant interviews that covered 17 stakeholders. In the second phase, a panel discussion was organized to validate the findings, identify any gaps, and gain insights and feedback of the panelists. Thematic analysis was conducted and guided by the Walt & Gilson's "Policy Triangle Framework" as themes were categorized into content, actors, process, and context. Findings shed light on the complex nature of health policymaking and the unstructured approach of decision making. This study uncovered the barriers that hindered the progress of the draft nursing law and the main barriers against the use of evidence in policymaking. Findings also uncovered the risk involved in the use of international recommendations without the involvement of stakeholders and without accounting for contextual factors and implementation barriers. Findings were interpreted within the context of the Lebanese political environment and the power play between stakeholders, taking into account equity considerations. This policy analysis exercise presents findings that are helpful for policymakers and all other stakeholders and can feed into revising the draft nursing law to reach an effective alternative that is feasible in Lebanon. Our

  19. New Mediterranean Biodiversity Records (July 2015

    Directory of Open Access Journals (Sweden)

    K. TSIAMIS

    2015-07-01

    Full Text Available The Collective Article ‘New Mediterranean Biodiversity Records’ of the Mediterranean Marine Science journal offers the means to publish biodiversity records in the Mediterranean Sea. The current article is divided in two parts, for records of native and alien species respectively. The new records of native species include: the neon flying squid Ommastrephes bartramii in Capri Island, Thyrrenian Sea; the bigeye thresher shark Alopias superciliosus in the Adriatic Sea; a juvenile basking shark Cetorhinus maximus caught off Piran (northern Adriatic; the deep-sea Messina rockfish Scorpaenodes arenai in the National Marine Park of Zakynthos (East Ionian Sea, Greece; and the oceanic puffer Lagocephalus lagocephalus in the Adriatic Sea.The new records of alien species include: the red algae Antithamnionella elegans and Palisada maris-rubri, found for the first time in Israel and Greece respectively; the green alga Codium parvulum reported from Turkey (Aegean Sea; the first record of the alien sea urchin Diadema setosum in Greece; the nudibranch Goniobranchus annulatus reported from South-Eastern Aegean Sea (Greece; the opisthobranch Melibe viridis found in Lebanon; the new records of the blue spotted cornetfish Fistularia commersonii in the Alicante coast (Eastern Spain; the alien fish Siganus luridus and Siganus rivulatus in Lipsi Island, Dodecanese (Greece; the first record of Stephanolepis diaspros from the Egadi Islands Marine Protected Area (western Sicily; a northward expansion of the alien pufferfish Torquigener flavimaculosus along the southeastern Aegean coasts of Turkey; and data on the occurrence of the Lessepsian immigrants Alepes djedaba, Lagocephalus sceleratus and Fistularia commersonii in Zakynthos Island (SE Ionian Sea, Greece.

  20. High Prevalence of Non-ST131 CTX-M-15-Producing Escherichia coli in Healthy Cattle in Lebanon.

    Science.gov (United States)

    Diab, Mohamad; Hamze, Monzer; Madec, Jean-Yves; Haenni, Marisa

    2017-03-01

    Extended-Spectrum Beta-Lactamases (ESBL)-producing Escherichia coli have disseminated in both humans and animals worldwide. However, the ESBL epidemiology in these two reservoirs differs markedly, with CTX-M-15 frequently found in humans and CTX-M-1 preferentially found in animals. Our goal was to estimate the prevalence of fecal carriage of ESBL producers in cattle from 31 farms in Lebanon and to characterize the responsible enzymes. This prevalence was high (26/31, 84% of ESBL-positive farms), with a majority of isolates producing CTX-M-15 (27/40, 67.5%). Strikingly, this distribution is reminiscent of the human ESBL epidemiology, even though none of the bovine isolates belonged to the ST131 human clone. This is the first report of ESBL-producing E. coli in animals in Lebanon. Our data rather suggest the spread of CTX-M-15 plasmids in different E. coli backgrounds. Nonetheless, some CTX-M-15-producing E. coli clones found here have already been reported from animal, human, or environmental sources.

  1. Assessment of cardiopulmonary resuscitation practices in emergency departments for out-of-hospital cardiac arrest victims in Lebanon

    Directory of Open Access Journals (Sweden)

    Samar Noureddine

    2016-01-01

    Full Text Available Background: The survival rate of out-of-hospital cardiac arrest (OHCA victims in Lebanon is low. A national policy on resuscitation practice is lacking. This survey explored the practices of emergency physicians related to the resuscitation of OHCA victims in Lebanon. Methods: A sample of 705 physicians working in emergency departments (EDs was recruited and surveyed using the LimeSurvey software (Carsten Schmitz, Germany. Seventy-five participants responded, yielding 10.64% response rate. Results: The most important factors in the participants' decision to initiate or continue resuscitation were presence of pulse on arrival (93.2%, underlying cardiac rhythm (93.1%, the physician's ethical duty to resuscitate (93.2%, transport time to the ED (89%, and down time (84.9%. The participants were optimistic regarding the survival of OHCA victims (58.1% reporting > 10% survival and reported frequent resuscitation attempts in medically futile situations. The most frequently reported challenges during resuscitation decisions were related to pressure or presence of victim's family (38.8% and lack of policy (30%. Conclusion: In our setting, physicians often rely on well-established criteria for initiating/continuing resuscitation; however, their decisions are also influenced by cultural factors such as victim's family wishes. The findings support the need for a national policy on resuscitation of OHCA victims.

  2. Work-Based Learning Programmes for Young People in the Mediterranean Region: Algeria, Egypt, Israel, Jordan, Lebanon, Morocco, the Occupied Palestinian Territory, Syria, Tunisia and Turkey. Comparative Analyses

    Science.gov (United States)

    Sweet, Richard

    2009-01-01

    This report examines programmes for youth that combine learning in classrooms with participation in work in 10 Mediterranean countries: Algeria, Egypt, Israel, Jordan, Lebanon, Morocco, the Occupied Palestinian Territory, Syria, Tunisia and Turkey. It is one element, together with the development of a network of policymakers and experts from the…

  3. Work-Based Learning Programmes for Young People in the Mediterranean Region: Algeria, Egypt, Israel, Jordan, Lebanon, Morocco, the Occupied Palestinian Territory, Syria, Tunisia and Turkey. Comparative Analyses

    Science.gov (United States)

    Sweet, Richard

    2009-01-01

    This report examines programmes for youth that combine learning in classrooms with participation in work in 10 Mediterranean countries: Algeria, Egypt, Israel, Jordan, Lebanon, Morocco, the Occupied Palestinian Territory, Syria, Tunisia and Turkey. It is one element, together with the development of a network of policymakers and experts from the…

  4. Facing Human Capital Challenges of the 21st Century: Education and Labor Market Initiatives in Lebanon, Oman, Qatar, and the United Arab Emirates

    Science.gov (United States)

    Gonzalez, Gabriella; Karoly, Lynn A.; Constant, Louay; Salem, Hanine; Goldman, Charles A.

    2008-01-01

    Countries in the Arab region are faced with the challenge of developing their populations' skills and technical knowledge, or human capital, in order to compete in the 21st century global economy. The authors describe the education and labor market initiatives implemented or under way in four countries in the Arab region -- Lebanon, Oman, Qatar,…

  5. Facing Human Capital Challenges of the 21st Century: Education and Labor Market Initiatives in Lebanon, Oman, Qatar, and the United Arab Emirates

    Science.gov (United States)

    Gonzalez, Gabriella; Karoly, Lynn A.; Constant, Louay; Salem, Hanine; Goldman, Charles A.

    2008-01-01

    Countries in the Arab region are faced with the challenge of developing their populations' skills and technical knowledge, or human capital, in order to compete in the 21st century global economy. The authors describe the education and labor market initiatives implemented or under way in four countries in the Arab region -- Lebanon, Oman, Qatar,…

  6. Getting to "No": Locating Critical Peace Education within Resistance and Anti-Oppression Pedagogy at a Shi'a Islamic School in Lebanon

    Science.gov (United States)

    Zakharia, Zeena

    2017-01-01

    This paper critically engages observations from a school that was aligned with a resistance movement in Lebanon during a post-war period of sustained political violence (2006-2007). Focusing on the pedagogical practices at one community-centered and community-led Shi'a Islamic urban school, the paper draws on extensive ethnographic data to…

  7. Advancing TVET for Youth Employability and Sustainable Development. Promising Practices in TVET and Entrepreneurship Education in the Arab States (Beirut, Lebanon, November 19-21, 2013). Meeting Report

    Science.gov (United States)

    Sulieman, Sulieman, Comp.; Freiburg, Lisa, Comp.; Newashi, Qasem, Comp.

    2013-01-01

    UNESCO-UNEVOC and UNESCO Regional Bureau, Beirut, in cooperation with the Ministry of Education and Higher Education, Lebanon (General Directorate for Vocational and Technical Education, GDVTE, and Center for Educational Research and Development, CERD), organized a three-day Regional Expert Meeting (Beirut, 19-21 November 2013) as a platform for…

  8. A Study to Determine Differences in the Level of Perceived Preparedness in Teaching Algebra to Eighth Graders between Teachers in the United States and Teachers in Lebanon

    Science.gov (United States)

    Khajarian, Seta

    2011-01-01

    Algebra is a branch in mathematics and taking Algebra in middle school is often a gateway to advanced courses in high school. The problem is that the United States and Lebanon had low scores in Algebra in the 2007 Trends in Mathematics and Sciences Study (TIMSS), an international assessment administered to 4th and 8th graders every 4 years. On the…

  9. Dietary patterns and odds of Type 2 diabetes in Beirut, Lebanon: a case–control study

    Directory of Open Access Journals (Sweden)

    Naja Farah

    2012-12-01

    Full Text Available Abstract Background In Lebanon, Type 2 diabetes (T2D has a major public health impact through high disease prevalence, significant downstream pathophysiologic effects, and enormous financial liabilities. Diet is an important environmental factor in the development and prevention of T2D. Dietary patterns may exert greater effects on health than individual foods, nutrients, or food groups. The objective of this study is to examine the association between dietary patterns and the odds of T2D among Lebanese adults. Methods Fifty-eight recently diagnosed cases of T2D and 116 population-based age, sex, and place of residence matched control participants were interviewed. Data collection included a standard socio-demographic and lifestyle questionnaire. Dietary intake was evaluated by a semi-quantitative 97-item food frequency questionnaire. Anthropometric measurements including weight, height, waist circumference, and percent body fat were also obtained. Dietary patterns were identified by factor analysis. Multivariate logistic regression analysis was used to evaluate the associations of extracted patterns with T2D. Pearson correlations between these patterns and obesity markers, energy, and nutrient intakes were also examined. Results Four dietary patterns were identified: Refined Grains & Desserts, Traditional Lebanese, Fast Food and Meat & Alcohol. While scores of the “Refined Grains & Desserts” had the highest correlations with energy (r = 0.74 and carbohydrates (r = 0.22, those of the “Fast Food” had the highest correlation with fat intake (r = 0.34. After adjustment for socio-demographic and lifestyle characteristics, scores of the Refined Grains & Desserts and Fast Food patterns were associated with higher odds of T2D (OR: 3.85, CI: 1.13-11.23 and OR: 2.80, CI: 1.14-5.59; respectively and scores of the Traditional Lebanese pattern were inversely associated with the odds of T2D (OR: 0.46, CI: 0.22-0.97. Conclusions The

  10. Dietary patterns and odds of Type 2 diabetes in Beirut, Lebanon: a case-control study.

    Science.gov (United States)

    Naja, Farah; Hwalla, Nahla; Itani, Leila; Salem, Maya; Azar, Sami T; Zeidan, Maya Nabhani; Nasreddine, Lara

    2012-12-27

    In Lebanon, Type 2 diabetes (T2D) has a major public health impact through high disease prevalence, significant downstream pathophysiologic effects, and enormous financial liabilities. Diet is an important environmental factor in the development and prevention of T2D. Dietary patterns may exert greater effects on health than individual foods, nutrients, or food groups. The objective of this study is to examine the association between dietary patterns and the odds of T2D among Lebanese adults. Fifty-eight recently diagnosed cases of T2D and 116 population-based age, sex, and place of residence matched control participants were interviewed. Data collection included a standard socio-demographic and lifestyle questionnaire. Dietary intake was evaluated by a semi-quantitative 97-item food frequency questionnaire. Anthropometric measurements including weight, height, waist circumference, and percent body fat were also obtained. Dietary patterns were identified by factor analysis. Multivariate logistic regression analysis was used to evaluate the associations of extracted patterns with T2D. Pearson correlations between these patterns and obesity markers, energy, and nutrient intakes were also examined. Four dietary patterns were identified: Refined Grains & Desserts, Traditional Lebanese, Fast Food and Meat & Alcohol. While scores of the "Refined Grains & Desserts" had the highest correlations with energy (r = 0.74) and carbohydrates (r = 0.22), those of the "Fast Food" had the highest correlation with fat intake (r = 0.34). After adjustment for socio-demographic and lifestyle characteristics, scores of the Refined Grains & Desserts and Fast Food patterns were associated with higher odds of T2D (OR: 3.85, CI: 1.13-11.23 and OR: 2.80, CI: 1.14-5.59; respectively) and scores of the Traditional Lebanese pattern were inversely associated with the odds of T2D (OR: 0.46, CI: 0.22-0.97). The findings of this study demonstrate direct associations of the Refined Grains

  11. Robert Recorde

    CERN Document Server

    Williams, Jack

    2011-01-01

    The 16th-Century intellectual Robert Recorde is chiefly remembered for introducing the equals sign into algebra, yet the greater significance and broader scope of his work is often overlooked. This book presents an authoritative and in-depth analysis of the man, his achievements and his historical importance. This scholarly yet accessible work examines the latest evidence on all aspects of Recorde's life, throwing new light on a character deserving of greater recognition. Topics and features: presents a concise chronology of Recorde's life; examines his published works; describes Recorde's pro

  12. Human papillomavirus vaccination: assessing knowledge, attitudes, and intentions of college female students in Lebanon, a developing country.

    Science.gov (United States)

    Dany, Mohammed; Chidiac, Alissar; Nassar, Anwar H

    2015-02-18

    Human papillomavirus (HPV) infection is a common cause for genital warts and cervical cancer. Developing countries in the Middle East such as Lebanon are traditionally considered to be conservative societies with low incidence of sexually transmitted infections. However, nowadays, there is an unexpected increase in the incidence of HPV infections among Middle Eastern females. Thus, the objective of this study is to assess the behavioral perceptions of HPV vaccination among female students attending an academic institution in Lebanon. This cross-sectional study invited 512 students to complete a self-administered questionnaire that assessed the knowledge, attitudes, and intentions towards HPV vaccination. Data analysis included the calculation of knowledge scores ranging from 0 to 100, attitude scores ranging from most positive (1) to most negative (5), and intention scores ranging from lowest intention (0) to highest intention (10). With a response rate of n=215 (42%), 36.5% never heard of the vaccine before, and only 16.5% were already HPV vaccinated. The median knowledge score of 52.7% ± 1.71 reflects poor to moderate knowledge. Still, the median attitude score of 2.47 ± 0.05 shows a general positive attitude towards HPV vaccination where most of the participants agreed that female college students in Lebanon have a good chance of contracting HPV (62.1%) and that all gynecologists should recommend the vaccine (76.0%). Students in graduate programs, health related majors, and those who are vaccinated had significantly higher knowledge scores compared with students in undergraduate programs, non-health related majors, and HPV non-vaccinated students, respectively. Finally, the survey helped in increasing the intention to obtain HPV vaccine as the intention score increased significantly from 5.24 ± 0.27 before the students went through the survey to 6.98 ± 0.22 after the students completed the survey. Our study highlights the importance of offering guidance to

  13. Prevalence and correlates of complementary and alternative medicine use among diabetic patients in Beirut, Lebanon: a cross-sectional study.

    Science.gov (United States)

    Naja, Farah; Mousa, Dana; Alameddine, Mohamad; Shoaib, Hikma; Itani, Leila; Mourad, Yara

    2014-06-06

    Patients with Type 2 Diabetes Mellitus (T2DM) are increasingly using complementary and alternative medicine (CAM) therapies due to difficulty in adhering to the therapeutic regimens and lifestyle changes necessary for disease management. Little is known about the prevalence and mode of CAM use among patients with T2DM in Lebanon. To assess the prevalence and modes of CAM use among patients with T2DM residing in Beirut, Lebanon. A cross-sectional survey of T2DM patients was conducted on patients recruited from two major referral centers in Beirut--a public hospital and a private academic medical center. In a face-to-face interview, participants completed a questionnaire comprised of three sections: socio-demographic, diabetes characteristics and types and modes of CAM use. Descriptive statistics, univariate and multivariate logistic regression analyses were utilized to assess the prevalence and correlates of CAM use, as well as whether the use was complementary or alternative to mainstream medicine. The main outcome in this study, CAM use, was defined as using CAM at least once since diagnosis with T2DM. A total of 333 T2DM patients completed the survey (response rate: 94.6%). Prevalence of CAM use since diagnosis with the disease was 38%. After adjustment, CAM use was significantly associated with a "married" status, a longer duration of T2DM, the presence of disease complications, and a positive family history of the disease. Folk foods and herbs were the most commonly used CAM followed by natural health products. One in five patients used CAM as alternative to conventional treatment. Only 7% of CAM users disclosed the CAM use to their treating physician. Health care practitioners were the least cited (7%) as influencing the choice of CAM among users. The use of CAM therapies among T2DM patients in Lebanon is prevalent. Decision makers and care providers must fully understand the potential risks and benefits of CAM therapies to appropriately advise their patients

  14. Acute viral hepatitis in Lebanon: evidence for a HAV-like non-A non-B hepatitis.

    Science.gov (United States)

    Shamma'a, M H

    1984-02-01

    Ninety-three cases of acute viral hepatitis in adult Lebanese patients were followed-up prospectively for a period ranging from 6 to 18 months. These included 33 hepatitis A (HAV), 32 hepatitis B (HBV) and 21 non-A, non-B hepatitis (NANB) cases. The clinical and seroepidemiologic characteristics of the three types were evaluated. HAV was characterized by a short prodroma (less than 1 week) and a high IgM level. HBV did not differ from similar cases reported in the Western world except for a complete absence of male homosexuals and drug addicts as a possible route of transmission. NANB hepatitis in Lebanon is mainly a sporadic infection similar to HAV except that the prodromal phase is prolonged (greater than 14 days) and IgM levels are within normal limits. The failure to develop chronicity in NANB suggests that the virus of sporadic NANB may be different from that which causes post-transfusional (PTH) NANB.

  15. Does a liberal national transfusion law assure blood safety? A survey of blood bank directors' perspectives in Lebanon.

    Science.gov (United States)

    Haddad, Antoine; Bou Assi, Tarek; Ammar, Walid; Baz, Elizabeth

    2013-11-01

    In transfusion medicine today, 'zero risk' has become a universal objective. Thus, we investigated whether the level of blood safety as defined by Lebanese legislation is satisfactory. Our work covered the period from September 2008 to June 2012. First, we studied each chapter in law and regulations, and compared them with the latest French regulations. The standards of Good Manufacturing Practice, characteristics of blood products and their storage, and the overall organization and haemovigilance for recipients and donors are not defined. Our analysis revealed numerous problems in today's blood safety situation. There is, for example, no clear definition or identification of the different blood safety components. Then, we conducted a national survey of blood bank directors to assess their perception of blood safety in Lebanon. Our survey revealed a negative perception (52.4 per cent) of the current blood safety situation, with more than 90 per cent of respondents in favor of national regulatory improvements.

  16. Chemical composition and antimicrobial activity of the essential oil of Ruta chalepensis L. growing wild in Lebanon.

    Science.gov (United States)

    Khoury, Madona; Stien, Didier; Ouaini, Naïm; Eparvier, Véronique; Arnold Apostolides, Nelly; El Beyrouthy, Marc

    2014-12-01

    The essential oils (EOs) isolated from the fresh aerial parts of Ruta chalepensis L. collected in North Lebanon were obtained by solvent-free microwave extraction (Milestone®), yielding 0.12% EO from both the leaves and a mixture of stems and leaves. The EOs were characterized by GC/MS analysis, and 27 components were identified, which were primarily ketones (88.0-93.2%). The main components were nonan-2-one and undecan-2-one. The antimicrobial activity of the EOs against a Gram-positive and a Gram-negative bacterium, a yeast, and a dermatophyte was evaluated using the broth-microdilution technique and expressed as minimal inhibitory concentration (MIC). The EOs revealed moderate in vitro antifungal activity against Trichophyton rubrum and Candida albicans.

  17. Ethical Considerations in HIV/AIDS Biobehavioral Surveys That Use Respondent-Driven Sampling: Illustrations From Lebanon

    Science.gov (United States)

    DeJong, Jocelyn; Mahfoud, Ziyad; Khoury, Danielle; Barbir, Farah

    2009-01-01

    Respondent-driven sampling is especially useful for reaching hidden populations and is increasingly used internationally in public health research, particularly on HIV. Respondent-driven sampling involves peer recruitment and has a dual-incentive structure: both recruiters and their peer recruits are paid. Recent literature focusing on the ethical dimensions of this method in the US context has identified integral safeguards that protect against ethical violations. We analyzed a study of 3 groups in Lebanon who are at risk for HIV (injection drug users, men who have sex with men, female sex workers) and the ethical issues that arose. More explicit attention should be given to ethical issues involved in research implementing respondent-driven sampling of at-risk populations in developing countries, where ethical review mechanisms may be weak. PMID:19608961

  18. Upscaling the recruitment and retention of human resources for health at primary healthcare centres in Lebanon: a qualitative study.

    Science.gov (United States)

    Alameddine, Mohamad; Khodr, Hiba; Mourad, Yara; Yassoub, Rami; Abi Ramia, Jinane

    2016-05-01

    The sustainability of primary healthcare (PHC) worldwide has been challenged by a global shortage in human resources for health (HRH). This study is a unique attempt at systematically soliciting and synthesising the voice of PHC and community stakeholders on the HRH recruitment and retention strategies at the PHC sector in Lebanon, the obstacles and challenges hindering their optimisation and the recommendations to overcome such obstacles. A qualitative design was utilised, involving 22 semi-structured interviews with PHC experts in Lebanon conducted in 2013. Nvivo qualitative data analysis software was employed for the thematic analysis of data collected from interviews. Five comprehensive themes emerged: understanding PHC scope, HRH recruitment issues, HRH retention challenges, rural areas' specific challenges and stakeholders' recommendations. Analysis of stakeholders' responses revealed a lack of a unified understanding of the PHC scope impacting the capacity for appropriate HRH planning. Identified impediments to recruitment included the suboptimal supply of HRH, financial constraints and poor management. Retention difficulties were attributed to poor working environments, financial constraints and lack of professional development. There was consensus that HRH challenges faced were aggravated in rural areas, jeopardising the equitable access to PHC services of quality. Equitable access was also jeopardised by the reported shortage of female HRH in a sociocultural context where many females prefer providers of the same gender. The study sets the path towards upscaling recruitment and retention policies and practices through the endorsement of a nationally acknowledged PHC definition and scope, the sustainable development of the PHC workforce and through the implementation of targeted recruitment and retention strategies addressing rural settings and gender equity. Decision-makers and planners are urged to identify HRH as the most important input for the success

  19. Exposure to the Lebanon War of 2006 and effects on alcohol use disorders: The moderating role of childhood maltreatment☆

    Science.gov (United States)

    Keyes, Katherine M.; Shmulewitz, Dvora; Greenstein, Eliana; McLaughlin, Kate; Wall, Melanie; Aharonovich, Efrat; Weizman, Abraham; Frisch, Amos; Spivak, Baruch; Grant, Bridget F.; Hasin, Deborah

    2013-01-01

    Background Civilian populations now comprise the majority of casualties in modern warfare, but effects of war exposure on alcohol disorders in the general population are largely unexplored. Accumulating literature indicates that adverse experiences early in life sensitize individuals to increased alcohol problems after adult stressful experiences. However, child and adult stressful experiences can be correlated, limiting interpretation. We examine risk for alcohol disorders among Israelis after the 2006 Lebanon War, a fateful event outside the control of civilian individuals and uncorrelated with childhood experiences. Further, we test whether those with a history of maltreatment are at greater risk for an alcohol use disorder after war exposure compared to those without such a history. Methods Adult household residents selected from the Israeli population register were assessed with a psychiatric structured interview; the analyzed sample included 1306 respondents. War measures included self-reported days in an exposed region. Results Among those with a history of maltreatment, those in a war-exposed region for 30+ days had 5.3 times the odds of subsequent alcohol disorders compared to those exposed 0 days (95%C.I. 1.01–27.76), controlled for relevant confounders; the odds ratio for those without this history was 0.5 (95%C.I. 0.25–1.01); test for interaction: X2 = 5.28, df = 1, P = 0.02. Conclusions Experiencing a fateful stressor outside the control of study participants, civilian exposure to the 2006 Lebanon War, is associated with a heightened the risk of alcohol disorders among those with early adverse childhood experiences. Results suggest that early life experiences may sensitize individuals to adverse health responses later in life. PMID:24262650

  20. Characterization of human Influenza Viruses in Lebanon during 2010-2011 and 2011-2012 post-pandemic seasons.

    Science.gov (United States)

    Zaraket, Hassan; Dapat, Clyde; Ghanem, Soha; Ali, Zainab; Lteif, Mireille; Kondo, Hiroki; Dapat, Isolde C; Saito, Kousuke; Kayali, Ghazi; Suzuki, Hiroshi; Dbaibo, Ghassan; Saito, Reiko

    2014-01-01

    To genetically characterize human influenza viruses and their susceptibilities to antivirals during two post-pandemic seasons in Lebanon. Influenza virus was isolated from nasopharyngeal swabs that were obtained from patients with influenza-like illness during 2010-2012 and further analyzed both phenotypically and genotypically. During the 2010-2011 season, both 2009 pandemic H1N1 (H1N1p) and B viruses co-circulated with equal prevalence, while the H3N2 virus predominated during the 2011-2012 season. All H3N2 and H1N1 viruses were resistant to amantadine. Importantly, all viruses of the influenza A and B types were susceptible to the neuraminidase (NA) inhibitors oseltamivir, zanamivir, peramivir, and laninamivir. Nonetheless, all 2011-2012 H1N1p isolates had three mutations (V241I, N369K, and N386S) in the NA gene that were suggested to be permissive of the H275Y mutation, which confers resistance to oseltamivir. We also detected one H1N1p virus during the 2010-2011 season with a 4-fold decrease in susceptibility to oseltamivir due to an NA-S247N mutation. This isolate was phylogenetically distinct from other H1N1p viruses that were isolated in other regions. Influenza A viruses with reduced susceptibility to oseltamivir and mutations permissive for acquiring NA resistance-conferring mutation with minimal burden on their fitness were isolated in Lebanon. © 2014 S. Karger AG, Basel.

  1. Phenological Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Phenology is the scientific study of periodic biological phenomena, such as flowering, breeding, and migration, in relation to climatic conditions. The few records...

  2. Student Records

    Science.gov (United States)

    Fields, Cheryl

    2005-01-01

    Another topic involving privacy has attracted considerable attention in recent months--the "student unit record" issue. The U.S. Department of Education concluded in March that it would be feasible to help address lawmakers' concerns about accountability in higher education by constructing a database capable of tracking students from institution…

  3. Record dynamics

    DEFF Research Database (Denmark)

    Robe, Dominic M.; Boettcher, Stefan; Sibani, Paolo

    2016-01-01

    -facto irreversible and become increasingly harder to achieve. Thus, a progression of record-sized dynamical barriers are traversed in the approach to equilibration. Accordingly, the statistics of the events is closely described by a log-Poisson process. Originally developed for relaxation in spin glasses...

  4. Tectonic isolation of the Levant basin offshore Galilee-Lebanon effects of the Dead Sea fault plate boundary on the Levant continental margin, eastern Mediterranean

    Science.gov (United States)

    Schattner, U.; Ben-Avraham, Z.; Lazar, M.; Hüebscher, C.

    2006-11-01

    The continental margin of the central Levant, offshore northern Israel and southern Lebanon is characterized by a sharp continental-oceanic crustal transition, exhibited on the bathymetry as a steep continental slope. At the base of the slope a narrow zone of faulting deforms the upper Messinian-recent sedimentary sequence. Further into the basin no major deformations are observed. However, onland a restraining bend along the Dead Sea fault plate boundary results in the formation of the Lebanon and anti-Lebanon mountain ranges, which exhibit a large positive isostatic anomaly not compensated at depth. All these geologic features follow a NNE-SSW trend. A dense network of multi-channel and single-channel seismic profiles, covering 5000 km of ship-track offshore northern Israel and southern Lebanon, was analyzed for the purpose of characterizing the continental margin. Additional seismic surveys covering the area between the Levant margin and the Cyprean arc were examined. Data were then incorporated with magnetic, gravity and earthquake measurements to reveal the deep crustal structure of the area and integrated with bathymetry data to describe the behavior of the young sedimentary basin fill. Results indicate that the Levant basin, offshore northern Israel and southern Lebanon (up to Beirut) is more-or-less unaffected by the intense tectonic deformation occurring onland. The transition between the deformed area onland and the undeformed Levant basin occurs along the base of the continental slope. Along the base, the upper Messinian-recent sedimentary sequence is cut by two sets of faults: shallow growth faults resulting from salt tectonics and high angle faults, marking the surface expression of a deeper crustal discontinuity - the marine extension of the Carmel fault zone. The central Levant continental margin is being reactivated by transpressional faulting of the marine continuation of the Carmel fault, at the base of the continental slope. This fault system

  5. ATLAS Recordings

    CERN Multimedia

    Steven Goldfarb; Mitch McLachlan; Homer A. Neal

    Web Archives of ATLAS Plenary Sessions, Workshops, Meetings, and Tutorials from 2005 until this past month are available via the University of Michigan portal here. Most recent additions include the Trigger-Aware Analysis Tutorial by Monika Wielers on March 23 and the ROOT Workshop held at CERN on March 26-27.Viewing requires a standard web browser with RealPlayer plug-in (included in most browsers automatically) and works on any major platform. Lectures can be viewed directly over the web or downloaded locally.In addition, you will find access to a variety of general tutorials and events via the portal.Feedback WelcomeOur group is making arrangements now to record plenary sessions, tutorials, and other important ATLAS events for 2007. Your suggestions for potential recording, as well as your feedback on existing archives is always welcome. Please contact us at wlap@umich.edu. Thank you.Enjoy the Lectures!

  6. New Mediterranean Biodiversity Records (November, 2016

    Directory of Open Access Journals (Sweden)

    CH. MYTILINEOU

    2016-11-01

    Full Text Available In the present Collective Article information on 26 taxa belonging to 8 Phyla and extended from the western Mediterranean to the Levantine Sea are presented. The new records were found in 9 countries as follows: Spain: first record for the Mediterranean of the crab Cancer bellianus; Algeria: further records of the alien fish Lagocephalus sceleratus to the west Algerian waters; Italy: first report on the presence and establishment of the ctenophore Mnemiopsis leidyi in Lessina and Varano Lagoons (W. Adriatic and of Penaeus aztecus in Corigliano Gulf (Italian Ionian. Moreover, the extension of the distribution range of the polychaete Branchiomma bairdi to W. Sicily as well as that of the crab Ocypode cursor and the bryozoan Catenicella paradoxa to E. Sicily are cited. Slovenia: the record of the rare saccoglossan gastropod Placida cremoniana from Piran (Gulf of Trieste is the first for the Adriatic; Greece: the native sea slug Eubranchus farrani is the first from the Eastern Mediterranean; many sightings of the bamboo corals Isididae distributed along all the E. Ionian Sea and the establishment of P. aztecus in all Greek waters are also reported for first time; the westernmost extension of the alien urchin Diadema setosum in Cretan waters is cited and new sights of the alien species Goniobranchus annulatus and Pterois miles are shown. Turkey: the alien fish Champsodon capensis is reported for first time from the Aegean Sea and the native acari Agauopsis microrhyncha from the Levantine Sea; a new observation of the alien crab Atergatis roseus in Güllük Bay-Aegean is also mentioned; Cyprus: first records of  the alien urchin D. setosum and Lobotes surinamensis in Cypriot waters; Lebanon: several sightings of Monachus monachus from the Lebanese waters indicate a potential better status of the species in the area, Egypt: first records of the alien crab Dorippe quadridens and the alien gastropods Nerita sanguinolenta and Conomurex persicus from the

  7. Cross-cultural adaptation and psychometric properties of an Arabic language version of the Brief Illness Perception Questionnaire in Lebanon

    Directory of Open Access Journals (Sweden)

    Stéphanie Saarti

    2016-06-01

    Full Text Available Background: Patients’ positive illness perceptions (IPs significantly contribute to treatment success. The Brief Illness Perception Questionnaire (Brief IPQ is widely used in various diseases for assessing IPs. It was developed in English-speaking countries and studies on it in Arab countries are scarce. Objectives, Setting and design: This observational cross-sectional study aimed to cross-culturally adapt the Brief IPQ English version into a modern Arabic language version and determine its psychometric properties in a sample of Lebanese cardiac disease patients. This study was approved by the Institutional Review Board of Saint Joseph University of Beirut, Lebanon. Participants: A convenience sample of 30 patients with cardiac disease were recruited during routine visits to cardiologists’ offices in Beirut, Lebanon. Inclusion criteria were at least one cardiac disease for at least 6 months with no acute episode or exacerbation of the disease during the 6 preceding months, age≥18 years, and the ability to read and comprehend Arabic. The pre-final version of the Brief IPQ Arabic version was tested for face and content validity. The meaning, comprehensibility, and acceptability were studied by individual interviews. For discriminant validity and internal consistency of the Brief IPQ Arabic version (Brief IPQ-Ar, 100 patients were recruited in a similar manner using the same inclusion criteria. To assess reproducibility, 30 patients, selected randomly from the 100 patients, filled the questionnaire a second time, 3–4 weeks after its first administration and under the same conditions. Main outcome measures: Psychometric properties of the Brief IPQ-Ar among Lebanese patients suffering from cardiac diseases. Results: Semantic equivalence between the Brief IPQ-Ar questions and patients’ descriptions was 100%. Cronbach's alpha was 0.717, which shows good internal consistency. Reproducibility was satisfactory (ICC values>0.776. Moreover, the

  8. Trends in overweight and obesity in Lebanon: evidence from two national cross-sectional surveys (1997 and 2009)

    Science.gov (United States)

    2012-01-01

    Background Even though the obesity epidemic continues to grow in various parts of the world, recent reports have highlighted disparities in obesity trends across countries. There is little empirical evidence on the development and growth of obesity in Lebanon and other countries of the Eastern Mediterranean Region. Acknowledging the need for effective obesity preventive measures and for accurate assessment of trends in the obesity epidemic, this study aims at examining and analyzing secular trends in the prevalence of overweight and obesity over a 12-year period in Lebanon. Methods Based on weight and height measurements obtained from two national cross-sectional surveys conducted in 1997 and 2009 on subjects 6 years of age and older, BMI was calculated and the prevalence of obesity was determined based on BMI for adults and BMI z-scores for children and adolescents, according to WHO criteria. Age -and sex- adjusted odds ratios for overweight and obesity were determined, with the 1997 year as the referent category. Annual rates of change in obesity prevalence per sex and age group were also calculated. Results The study samples included a total of 2004 subjects in the 1997 survey and 3636 in the 2009 survey. Compared to 1997, mean BMI values were significantly higher in 2009 among all age and sex groups, except for 6–9 year old children. Whereas the prevalence of overweight appeared stable over the study period in both 6–19 year old subjects (20.0% vs. 21.2%) and adults aged 20 years and above (37.0% vs. 36.8%), the prevalence of obesity increased significantly (7.3% vs. 10.9% in 6–19 year olds; 17.4% vs. 28.2% in adults), with the odds of obesity being 2 times higher in 2009 compared to 1997, in both age groups (OR = 1.96, 95% CI:1.29-2.97 and OR = 2.01, 95% CI: 1.67-2.43, respectively). The annual rates of change in obesity prevalence ranged between +4.1% in children and adolescents and +5.2% in adults. Conclusion The study’s findings highlight an

  9. Trends in overweight and obesity in Lebanon: evidence from two national cross-sectional surveys (1997 and 2009

    Directory of Open Access Journals (Sweden)

    Nasreddine Lara

    2012-09-01

    Full Text Available Abstract Background Even though the obesity epidemic continues to grow in various parts of the world, recent reports have highlighted disparities in obesity trends across countries. There is little empirical evidence on the development and growth of obesity in Lebanon and other countries of the Eastern Mediterranean Region. Acknowledging the need for effective obesity preventive measures and for accurate assessment of trends in the obesity epidemic, this study aims at examining and analyzing secular trends in the prevalence of overweight and obesity over a 12-year period in Lebanon. Methods Based on weight and height measurements obtained from two national cross-sectional surveys conducted in 1997 and 2009 on subjects 6 years of age and older, BMI was calculated and the prevalence of obesity was determined based on BMI for adults and BMI z-scores for children and adolescents, according to WHO criteria. Age -and sex- adjusted odds ratios for overweight and obesity were determined, with the 1997 year as the referent category. Annual rates of change in obesity prevalence per sex and age group were also calculated. Results The study samples included a total of 2004 subjects in the 1997 survey and 3636 in the 2009 survey. Compared to 1997, mean BMI values were significantly higher in 2009 among all age and sex groups, except for 6–9 year old children. Whereas the prevalence of overweight appeared stable over the study period in both 6–19 year old subjects (20.0% vs. 21.2% and adults aged 20 years and above (37.0% vs. 36.8%, the prevalence of obesity increased significantly (7.3% vs. 10.9% in 6–19 year olds; 17.4% vs. 28.2% in adults, with the odds of obesity being 2 times higher in 2009 compared to 1997, in both age groups (OR = 1.96, 95% CI:1.29-2.97 and OR = 2.01, 95% CI: 1.67-2.43, respectively. The annual rates of change in obesity prevalence ranged between +4.1% in children and adolescents and +5.2% in adults. Conclusion The study

  10. Record club

    CERN Multimedia

    Record club

    2010-01-01

      Bonjour a tous, Voici les 24 nouveaux DVD de Juillet disponibles depuis quelques jours, sans oublier les 5 CD Pop musique. Découvrez la saga du terroriste Carlos, la vie de Gainsbourg et les aventures de Lucky Luke; angoissez avec Paranormal Activity et évadez vous sur Pandora dans la peau d’Avatar. Toutes les nouveautés sont à découvrir directement au club. Pour en connaître la liste complète ainsi que le reste de la collection du Record Club, nous vous invitons sur notre site web: http://cern.ch/crc. Toutes les dernières nouveautés sont dans la rubrique « Discs of the Month ». Rappel : le club est ouvert les Lundis, Mercredis, Vendredis de 12h30 à 13h00 au restaurant n°2, bâtiment 504. A bientôt chers Record Clubbers.  

  11. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club November  Selections Just in time for the holiday season, we have added a number of new CDs and DVDs into the Club. You will find the full lists at http://cern.ch/record.club; select the "Discs of the Month" button on the left side on the left panel of the web page and then Nov 2011. New films include the all 5 episodes of Fast and Furious, many of the most famous films starring Jean-Paul Belmondo and those of Louis de Funes and some more recent films such as The Lincoln Lawyer and, according to some critics, Woody Allen’s best film for years – Midnight in Paris. For the younger generation there is Cars 2 and Kung Fu Panda 2. New CDs include the latest releases by Adele, Coldplay and the Red Hot Chili Peppers. We have also added the new Duets II CD featuring Tony Bennett singing with some of today’s pop stars including Lady Gaga, Amy Winehouse and Willy Nelson. The Club is now open every Monday, Wednesday and Friday ...

  12. ATLAS Recordings

    CERN Multimedia

    Jeremy Herr; Homer A. Neal; Mitch McLachlan

    The University of Michigan Web Archives for the 2006 ATLAS Week Plenary Sessions, as well as the first of 2007, are now online. In addition, there are a wide variety of Software and Physics Tutorial sessions, recorded over the past couple years, to chose from. All ATLAS-specific archives are accessible here.Viewing requires a standard web browser with RealPlayer plug-in (included in most browsers automatically) and works on any major platform. Lectures can be viewed directly over the web or downloaded locally.In addition, you will find access to a variety of general tutorials and events via the portal. Shaping Collaboration 2006The Michigan group is happy to announce a complete set of recordings from the Shaping Collaboration conference held last December at the CICG in Geneva.The event hosted a mix of Collaborative Tool experts and LHC Users, and featured presentations by the CERN Deputy Director General, Prof. Jos Engelen, the President of Internet2, and chief developers from VRVS/EVO, WLAP, and other tools...

  13. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club Nouveautés été 2011 Le club de location de CDs et de DVDs vient d’ajouter un grand nombre de disques pour l’été 2011. Parmi eux, Le Discours d’un Roi, oscar 2011 du meilleur film et Harry Potter les reliques de la mort (1re partie). Ce n’est pas moins de 48 DVDs et 10 CDs nouveaux qui vous sont proposés à la location. Il y en a pour tous les genres. Alors n’hésitez pas à consulter notre site http://cern.ch/record.club, voir Disc Catalogue, Discs of the month pour avoir la liste complète. Le club est ouvert tous les Lundi, Mercredi, Vendredi de 12h30 à 13h dans le bâtiment du restaurent N°2 (Cf. URL: http://www.cern.ch/map/building?bno=504) A très bientôt.  

  14. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club June Selections We have put a significant number of new CDs and DVDs into the Club You will find the full lists at http://cern.ch/record.club and select the «Discs of the Month» button on the left side on the left panel of the web page and then June 2011. New films include the latest Action, Suspense and Science Fiction film hits, general drama movies including the Oscar-winning The King’s Speech, comedies including both chapter of Bridget Jones’s Diary, seven films for children and a musical. Other highlights include the latest Harry Potter release and some movies from the past you may have missed including the first in the Terminator series. New CDs include the latest releases by Michel Sardou, Mylene Farmer, Jennifer Lopez, Zucchero and Britney Spears. There is also a hits collection from NRJ. Don’t forget that the Club is now open every Monday, Wednesday and Friday lunchtimes from 12h30 to 13h00 in Restaurant 2, Building 504. (C...

  15. Epidemiology, clinical manifestations, and molecular typing of salmonella typhi isolated from patients with typhoid fever in Lebanon.

    Science.gov (United States)

    Kanj, Souha S; Kanafani, Zeina A; Shehab, Marwa; Sidani, Nisreen; Baban, Tania; Baltajian, Kedak; Dakdouki, Ghenwa K; Zaatari, Mohamad; Araj, George F; Wakim, Rima Hanna; Dbaibo, Ghassan; Matar, Ghassan M

    2015-06-01

    The objective of this study was to examine the epidemiology and the clinical manifestations of typhoid fever as well as the susceptibility and strain relatedness of Salmonella typhi isolates in Lebanon from 2006 to 2007. A total of 120 patients with typhoid fever were initially identified from various areas of the country based on positive culture results for S. typhi from blood, urine, stools, bone marrow and/or positive serology. Clinical, microbiological and molecular analysis was performed on cases with complete data available. These results indicated that drinking water was an unlikely mode of transmission of the infection. Despite increasing reports of antimicrobial resistance among S. typhi isolates, the vast majority of these isolates were susceptible to various antibiotic agents, including ampicillin, cephalosporins, quinolones, and trimethoprim/sulfamethoxazole. Molecular analysis of the isolates revealed a predominance of one single genotype with no variation in distribution across the geographical regions. Copyright © 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  16. Spatial soil zinc content distribution from terrain parameters: A GIS-based decision-tree model in Lebanon

    Energy Technology Data Exchange (ETDEWEB)

    Bou Kheir, Rania, E-mail: rania.boukheir@agrsci.d [Lebanese University, Faculty of Letters and Human Sciences, Department of Geography, GIS Research Laboratory, P.O. Box 90-1065, Fanar (Lebanon); Department of Agroecology and Environment, Faculty of Agricultural Sciences (DJF), Aarhus University, Blichers Alle 20, P.O. Box 50, DK-8830 Tjele (Denmark); Greve, Mogens H. [Department of Agroecology and Environment, Faculty of Agricultural Sciences (DJF), Aarhus University, Blichers Alle 20, P.O. Box 50, DK-8830 Tjele (Denmark); Abdallah, Chadi [National Council for Scientific Research, Remote Sensing Center, P.O. Box 11-8281, Beirut (Lebanon); Dalgaard, Tommy [Department of Agroecology and Environment, Faculty of Agricultural Sciences (DJF), Aarhus University, Blichers Alle 20, P.O. Box 50, DK-8830 Tjele (Denmark)

    2010-02-15

    Heavy metal contamination has been and continues to be a worldwide phenomenon that has attracted a great deal of attention from governments and regulatory bodies. In this context, our study proposes a regression-tree model to predict the concentration level of zinc in the soils of northern Lebanon (as a case study of Mediterranean landscapes) under a GIS environment. The developed tree-model explained 88% of variance in zinc concentration using pH (100% in relative importance), surroundings of waste areas (90%), proximity to roads (80%), nearness to cities (50%), distance to drainage line (25%), lithology (24%), land cover/use (14%), slope gradient (10%), conductivity (7%), soil type (7%), organic matter (5%), and soil depth (5%). The overall accuracy of the quantitative zinc map produced (at 1:50.000 scale) was estimated to be 78%. The proposed tree model is relatively simple and may also be applied to other areas. - GIS regression-tree analysis explained 88% of the variability in field/laboratory Zinc concentrations.

  17. Gladiopycnodontidae, a new family of pycnodontiform fishes from the Late Cretaceous of Lebanon, with the description of three genera

    Directory of Open Access Journals (Sweden)

    Louis Taverne

    2013-10-01

    Full Text Available The osteology of Gladiopycnodus karami gen. et sp. nov., of Monocerichthys scheuchzeri gen. et sp. nov. and of Rostropycnodus gayeti gen. et sp. nov., three new fossil fishes from the marine Cenomanian (Late Cretaceous of Lebanon, is studied in detail. Some of their cranial characters and the presence of a postcoelomic bone clearly refer these fishes to the order Pycnodontiformes. However, they differ from all other described Pycnodontiformes by two important characters. Their snout is elongated as a rostrum, formed by the enlarged prefrontal and the toothless premaxilla, with this premaxilla sutured by its upper margin to the lower margin of the prefrontal. Their pectoral fin is replaced by a strong spine articulated with the cleithrum. These two apomorphies justify the erection of a new family, the Gladiopycnodontidae. The skull of Monocerichthys scheuchzeri sp. nov. does not differ greatly from a classical pycnodontiform skull and this species seems to be the more primitive member of this new family. Gladiopycnodus karami gen. et sp. nov. and Rostropycnodus gayeti gen. et sp. nov. are much more specialized. They share some apomorphies not present in Monocerichthys scheuchzeri gen. et sp. nov., i. e., an extremely long rostrum and an elongated first anal pterygiophore that sustains with the postcoelomic bone a strong and long anal spine. Gladiopycnodontidae fam. nov. and Coccodontidae share a series of apomorphies that justify the erection of a new superfamily, Coccodontoidea, grouping these two families.

  18. Dietary exposure of children and teenagers to benzoates, sulphites, butylhydroxyanisol (BHA) and butylhydroxytoluen (BHT) in Beirut (Lebanon).

    Science.gov (United States)

    Soubra, L; Sarkis, D; Hilan, C; Verger, Ph

    2007-02-01

    The acceptable daily intake (ADI) for a considered chemical is by definition the amount of that substance which can be ingested every day during the life time without appreciable health risk. The theoretical risk of exceeding the ADI for benzoates, sulphites, butylhydroxyanisol (BHA) and butylhydroxytoluen (BHT) has often been examined on the basis of worst case scenario. The aim of this paper is to assess the actual intake of the food additives listed above for a group of the Lebanese population (students aged between 9 and 18 years old) likely to be highly exposed to food additives through the consumption of processed foods. Dietary exposure was obtained by combining food consumption data with food additives levels determined by chemical analysis. Food products available in Lebanon and containing added benzoates, sulphites, BHA and BHT were identified. Overall 420 samples of foods and beverages were analysed. The determination of food additives residue levels was carried out according to the official methods adopted in "Lebanese Institute for agronomic research" (IRAL) on food as consumed. The acceptable daily intake (ADI) could be exceeded for sulphites and BHT by a fraction of the population, in particular within children of 9-13 years old. Among all food additive-containing foods, the highest contributors were: soft drinks to benzoates intake, nuts and canned juices to sulphites intake, bread and biscuits to BHA intake and chewing gum to BHT intake.

  19. Effectiveness and specificity of a classroom-based group intervention in children and adolescents exposed to war in Lebanon.

    Science.gov (United States)

    Karam, Elie G; Fayyad, John; Nasser Karam, Aimee; Cordahi Tabet, Caroline; Melhem, Nadine; Mneimneh, Zeina; Dimassi, Hani

    2008-01-01

    The purpose of this study was to examine the effectiveness and specificity of a classroom-based psychosocial intervention after war. All students (n=2500) of six villages in Southern Lebanon designated as most heavily exposed to war received a classroom-based intervention delivered by teachers, consisting of cognitive-behavioural and stress inoculation training strategies. A random sample of treated students (n=101) and a matched control group (n=93) were assessed one month post-war and one year later. Mental disorders and psychosocial stressors were assessed using the Diagnostic Interview for Children and Adolescents - Revised with children and parents. War exposure was measured using the War Events Questionnaire. The prevalence of major depressive disorder (MDD), separation anxiety disorder (SAD) and post-traumatic stress disorder (PTSD) was examined pre-war, one month post-war (pre-intervention), and one year post-war. Specificity of treatment was determined by rating teachers' therapy diaries. The rates of disorders peaked one month post-war and decreased over one year. There was no significant effect of the intervention on the rates of MDD, SAD or PTSD. Post-war MDD, SAD and PTSD were associated with pre-war SAD and PTSD, family violence parameters, financial problems and witnessing war events. These findings have significant policy and public health implications, given current practices of delivering universal interventions immediately post-war.

  20. Consumer Knowledge, Attitudes and Salt-Related Behavior in the Middle-East: The Case of Lebanon

    Directory of Open Access Journals (Sweden)

    Lara Nasreddine

    2014-11-01

    Full Text Available Sodium intake is high in Lebanon, a country of the Middle East region where rates of cardiovascular diseases are amongst the highest in the world. This study examines salt-related knowledge, attitude and self-reported behaviors amongst adult Lebanese consumers and investigates the association of socio-demographic factors, knowledge and attitudes with salt-related behaviors. Using a multicomponent questionnaire, a cross-sectional study was conducted in nine supermarkets in Beirut, based on systematic random sampling (n = 442. Factors associated with salt-related behaviors were examined by multivariate regression analysis. Specific knowledge and attitude gaps were documented with only 22.6% of participants identifying processed foods as the main source of salt, 55.6% discerning the relationship between salt and sodium, 32.4% recognizing the daily limit of salt intake and 44.7% reporting being concerned about the amount of salt in their diet. The majority of participants reported behavioral practices that increase salt intake with only 38.3% checking for salt label content, 43.7% reporting that their food purchases are influenced by salt content and 38.6% trying to buy low-salt foods. Knowledge, attitudes and older age were found to significantly predict salt-related behaviors. Findings offer valuable insight on salt-related knowledge, attitude and behaviors in a sample of Lebanese consumers and provide key information that could spur the development of evidence-based salt-reduction interventions specific to the Middle East.

  1. Validation of a simple tool to assess risk of waterpipe tobacco smoking among sixth and seventh graders in Lebanon.

    Science.gov (United States)

    Jawad, Mohammed; Afifi, Rema A; Mahfoud, Ziyad; Bteddini, Dima; Haddad, Pascale; Nakkash, Rima

    2016-06-01

    Waterpipe tobacco smoking (WTS) is highly prevalent in the Eastern Mediterranean region. While studies have identified socio-demographic factors differentiating smokers from non-smokers, validated tools predicting WTS are lacking. Over 1000 (n = 1164) sixth and seventh grade students in Lebanon were randomly assigned to a prediction model group and validation model group. In the prediction model group, backward stepwise logistic regression enabled the identification of socio-demographic and psychosocial factors associated with ever and current WTS. This formed risk scores which were tested on the validation model group. The risk score for current WTS was out of four and included reduced religiosity, cigarette use and the perception that WTS was associated with a good time. The risk score for ever WTS was out of seven and included an additional two variables: increased age and the belief that WTS did not cause oral cancer. In the validation model group, the model displayed moderate discrimination [area under the curve: 0.77 (current), 0.68 (ever)], excellent goodness-of-fit (P > 0.05 for both) and optimal sensitivity and specificity of 80.1 and 58.4% (current), and 39.5 and 94.4%, (ever), respectively. WTS use can be predicted using simple validated tools. These can direct health promotion and legislative interventions. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Screening for Cardiovascular Risk in Asymptomatic Users of the Primary Health Care Network in Lebanon, 2012–2013

    Science.gov (United States)

    Adib, Salim M.; Hamadeh, Randa; Freidi, Alia; Ammar, Walid

    2014-01-01

    Introduction In 2012, the Ministry of Public Health in Lebanon piloted a service of multifactorial cardiovascular screening in the publicly subsidized Primary Health Care (PHC) Network. We present an epidemiological analysis of data produced during this pilot to justify the inclusion of this service in the package of essential services offered through PHC and to present a preliminary cardiovascular risk profile in an asymptomatic population. Methods A total of 4,205 participants (two-thirds of which were women) aged at least 40 years and reportedly free from diabetes, hypertension, dyslipidemia, and cardiovascular disease (CVD) were screened. The screening protocol used a questionnaire and direct measurements to assess 5 modifiable cardiovascular risk factors; total cardiovascular risk score was calculated according to a paper-based algorithm developed by the World Health Organization and the International Society of Hypertension. Results Approximately 25% of the sample displayed metabolic impairments (11% for impaired blood glucose metabolism and 17% for impaired systolic blood pressure), and 6.6% were classified at total cardiovascular risk of 10% or more. Just over one-quarter of the sample was obese, almost half had a substantially elevated waist circumference, and 41% were smokers. Men were significantly more likely to screen positive for metabolic impairment than women, and women were more likely to be obese. Conclusion The implementation of a multifactorial screening for CVD among asymptomatic subjects detected a substantial proportion of previously undiagnosed cases of high metabolic risk, people who could now be referred to optimal medical follow-up. PMID:25032835

  3. Chemical composition and antimicrobial activity of the essential oil of Juniperus excelsa M.Bieb. growing wild in Lebanon.

    Science.gov (United States)

    Khoury, Madona; El Beyrouthy, Marc; Ouaini, Naïm; Iriti, Marcello; Eparvier, Véronique; Stien, Didier

    2014-05-01

    The essential oils (EOs) isolated from the leaves and twigs of Juniperus excelsa M.Bieb. growing wild in Lebanon were characterized, and their antimicrobial activity and antiradical capacity were evaluated. The EOs were obtained by hydrodistillation using a Clevenger-type apparatus and characterized by GC and GC/MS analyses. The antimicrobial activity was evaluated by determining minimal inhibitory concentrations (MICs) against a Gram-positive and a Gram-negative bacterium, a yeast, and a dermatophyte with the broth microdilution technique. A total of 28 constituents was identified and accounted for 90.1 and 95.6% of the twig and leaf EO composition, respectively. Both EOs were essentially composed of monoterpene hydrocarbons (46.7 and 59.6% for twig and leaf EOs, resp.) and sesquiterpenes (39.4 and 32.1%, resp.). The main components were α-pinene, α-cedrol, and δ-car-3-ene. The J. excelsa EOs did not show any antiradical potential, but revealed interesting in vitro antimicrobial activities against Staphylococcus aureus and Trichophyton rubrum (MICs of 64 and 128 μg/ml, resp.). The three major compounds were tested separately and in combination according to their respective amounts in the oil. δ-Car-3-ene was the most active component and is undoubtedly one of the constituents driving the antifungal activity of J. excelsa essential oil, even though synergies are probably involved. Copyright © 2014 Verlag Helvetica Chimica Acta AG, Zürich.

  4. Household food security is associated with agricultural livelihoods and diet quality in a marginalized community of rural Bedouins in Lebanon.

    Science.gov (United States)

    Ghattas, Hala; Barbour, Jessica M; Nord, Mark; Zurayk, Rami; Sahyoun, Nadine R

    2013-10-01

    In the context of recent increases in international food prices, it is hypothesized that in rural communities retaining food production practices is important for protection against food insecurity at both the household and community levels, as well as for protection against the development of poor nutritional outcomes. To investigate this hypothesis, a cross-sectional study of household food security and nutritional status was carried out in a rural community of settled Bedouins in Lebanon comprising 84 households with 474 individuals; this tribe's recent history of settlement in 2 locations that differ by access to land and food production practices provides the context for this study. Food insecurity was found to be highly prevalent (49%) in this Bedouin community and was negatively associated with household food production (P fish (P Agricultural livelihood support programs that promote continued involvement in food production at the household and community level, in conjunction with other income-generating activities, may build resilience against food insecurity and improve dietary diversity.

  5. RECORD CLUB

    CERN Multimedia

    Record Club

    2010-01-01

    DVD James Bond – Series Complete To all Record Club Members, to start the new year, we have taken advantage of a special offer to add copies of all the James Bond movies to date, from the very first - Dr. No - to the latest - Quantum of Solace. No matter which of the successive 007s you prefer (Sean Connery, George Lazenby, Roger Moore, Timothy Dalton, Pierce Brosnan or Daniel Craig), they are all there. Or perhaps you have a favourite Bond Girl, or even perhaps a favourite villain. Take your pick. You can find the full selection listed on the club web site http://cern.ch/crc; use the panel on the left of the page “Discs of the Month” and select Jan 2010. We remind you that we are open on Mondays, Wednesdays and Fridays from 12:30 to 13:00 in Restaurant 2 (Bldg 504).

  6. Record breakers

    CERN Document Server

    Antonella Del Rosso

    2012-01-01

    In the sixties, CERN’s Fellows were but a handful of about 50 young experimentalists present on site to complete their training. Today, their number has increased to a record-breaking 500. They come from many different fields and are spread across CERN’s different activity areas.   “Diversifying the Fellowship programme has been the key theme in recent years,” comments James Purvis, Head of the Recruitment, Programmes and Monitoring group in the HR Department. “In particular, the 2005 five-yearly review introduced the notion of ‘senior’ and ‘junior’ Fellowships, broadening the target audience to include those with Bachelor-level qualifications.” Diversification made CERN’s Fellowship programme attractive to a wider audience but the number of Fellows on site could not have increased so much without the support of EU-funded projects, which were instrumental in the growth of the programme. ...

  7. Developing capacities in aging studies in the Middle East: Implementation of an Arabic version of the CANE IV among community-dwelling older adults in Lebanon.

    Science.gov (United States)

    AbiHabib, Laurie E; Chemaitelly, Hiam S; Jaalouk, Lina Y; Karam, Nadim E

    2011-07-01

    To assess the feasibility, reliability, and construct validity of the Camberwell Assessment of Need for the Elderly (CANE) in identifying needs among community-dwelling older adults in South Lebanon with a view towards expanding ageing research in the country. A cross-sectional study was undertaken with 322 individuals, using the CANE, the EQ5d and a socio-demographic questionnaire. Reliability was determined through measuring internal consistency of the CANE. Construct validity was performed through examining CANE inter-item correlations, and comparing correlations with the EQ5d and socio-demographic indicators. A factor analysis was conducted using varimax orthogonal rotation. Cronbach alpha was 0.71. For construct validity, correlations were highest in items measuring needs in looking after the house and food (r = 0.557); company and intimate relationships (r = 0.572); and medication and written/verbal information (r = 0.586). Moderate correlations were found with EQ5d items assessing the same measure, including: EQ5d 'problems taking care of self' and CANE self-care (r = 0.578) and daytime activities (r = 0.523); EQ5d 'problems performing usual activities' and CANE daytime activities (r = 0.553), self-care (r = 0.511) and mobility (r = 0.500); and EQ5d 'problems while walking' and CANE mobility/falls (r = 0.509). Corresponding items of the CANE and EQ-5d were significantly correlated with similar socio-demographic variables. The factor analysis supported results obtained in the CANE inter-item correlations. The Arabic version of the CANE appears acceptable in assessing needs of older adults in South Lebanon. Given that the CANE is an interesting tool that promotes the integration of older persons' perspectives for appropriate interventions, further research is recommended to establish its validity and applicability in other communities in Lebanon and the region.

  8. Record Club

    CERN Multimedia

    Record Club

    2012-01-01

      March  Selections By the time this appears, we will have added a number of new CDs and DVDs into the Club. You will find the full lists at http://cern.ch/record.club; select the "Discs of the Month" button on the left panel of the web page and then Mar 2012. New films include recent releases such as Johnny English 2, Bad Teacher, Cowboys vs Aliens, and Super 8. We are also starting to acquire some of the classic films we missed when we initiated the DVD section of the club, such as appeared in a recent Best 100 Films published by a leading UK magazine; this month we have added Spielberg’s Jaws and Scorsese’s Goodfellas. If you have your own ideas on what we are missing, let us know. For children we have no less than 8 Tin-Tin DVDs. And if you like fast moving pop music, try the Beyonce concert DVD. New CDs include the latest releases from Paul McCartney, Rihanna and Amy Winehouse. There is a best of Mylene Farmer, a compilation from the NRJ 201...

  9. Effect of inherited structures on strike-slip plate boundaries: insight from analogue modelling of the central Levant Fracture System, Lebanon

    Science.gov (United States)

    Ghalayini, Ramadan; Daniel, Jean-Marc; Homberg, Catherine; Nader, Fadi

    2015-04-01

    Analogue sandbox modeling is a tool to simulate deformation style and structural evolution of sedimentary basins. The initial goal is to test what is the effect of inherited and crustal structures on the propagation, evolution, and final geometry of major strike-slip faults at the boundary between two tectonic plates. For this purpose, we have undertaken a series of analogue models to validate and reproduce the structures of the Levant Fracture System, a major NNE-SSW sinistral strike-slip fault forming the boundary between the Arabian and African plates. Onshore observations and recent high quality 3D seismic data in the Levant Basin offshore Lebanon demonstrated that Mesozoic ENE striking normal faults were reactivated into dextral strike-slip faults during the Late Miocene till present day activity of the plate boundary which shows a major restraining bend in Lebanon with a ~ 30°clockwise rotation in its trend. Experimental parameters consisted of a silicone layer at the base simulating the ductile crust, overlain by intercalated quartz sand and glass sand layers. Pre-existing structures were simulated by creating a graben in the silicone below the sand at an oblique (>60°) angle to the main throughgoing strike-slip fault. The latter contains a small stepover at depth to create transpression during sinistral strike-slip movement and consequently result in mountain building similarly to modern day Lebanon. Strike-slip movement and compression were regulated by steady-speed computer-controlled engines and the model was scanned using a CT-scanner continuously while deforming to have a final 4D model of the system. Results showed that existing normal faults were reactivated into dextral strike-slip faults as the sinistral movement between the two plates accumulated. Notably, the resulting restraining bend is asymmetric and segmented into two different compartments with differing geometries. One compartment shows a box fold anticline, while the second shows an

  10. [Health financing in Lebanon. I. Organization of health care services, coverage system and contribution of the Ministry of Public Health].

    Science.gov (United States)

    Ammar, W; Mechbal A el-H; Awar, M

    1998-01-01

    This paper intends to analyze the health care system in Lebanon from the organizational and financial points of view. It allows for an understanding of the health services' market by tackling it from different angles: supply versus demand, private versus public sectors, curative versus preventive services, hospital versus ambulatory care. This study necessitated a review of all previous surveys made in this field, during the after-war period. It also needed the daily collection and follow-up of pertinent data with all private and public agencies and concerned ministries, over a one-year period. In addition, a critical analysis has been made to the survey Conditions de vie des ménages, en 1997, that was carried out by the Central Administration of Statistics, that came to complete the missing data concerning household expenditures on insurance and health services. Especially that this survey covered the same period (1997), subject of this study. The paper reveals that, although the private sector is the main provider of both hospital and ambulatory care, private hospitals are flourishing on public money, whereas outpatients care is mainly financed by the households. Evidence shows that the Lebanese health care system succeeded in resolving the problem of accessibility to primary, secondary and tertiary health care, responding thus to the value of equity. But, at the price of an ever escalating cost, threatening the sustainability of the system. This is what is attained in this paper, as it shows clearly that expenditures on health have reached an alarming level of the GDP share. Our purpose being providing solid arguments in favor of reforming the health system.

  11. New chronology for Ksâr ‘Akil (Lebanon) supports Levantine route of modern human dispersal into Europe

    Science.gov (United States)

    Bosch, Marjolein D.; Mannino, Marcello A.; Prendergast, Amy L.; O’Connell, Tamsin C.; Demarchi, Beatrice; Taylor, Sheila M.; Niven, Laura; van der Plicht, Johannes; Hublin, Jean-Jacques

    2015-01-01

    Modern human dispersal into Europe is thought to have occurred with the start of the Upper Paleolithic around 50,000–40,000 y ago. The Levantine corridor hypothesis suggests that modern humans from Africa spread into Europe via the Levant. Ksâr ‘Akil (Lebanon), with its deeply stratified Initial (IUP) and Early (EUP) Upper Paleolithic sequence containing modern human remains, has played an important part in the debate. The latest chronology for the site, based on AMS radiocarbon dates of shell ornaments, suggests that the appearance of the Levantine IUP is later than the start of the first Upper Paleolithic in Europe, thus questioning the Levantine corridor hypothesis. Here we report a series of AMS radiocarbon dates on the marine gastropod Phorcus turbinatus associated with modern human remains and IUP and EUP stone tools from Ksâr ‘Akil. Our results, supported by an evaluation of individual sample integrity, place the EUP layer containing the skeleton known as “Egbert” between 43,200 and 42,900 cal B.P. and the IUP-associated modern human maxilla known as “Ethelruda” before ∼45,900 cal B.P. This chronology is in line with those of other Levantine IUP and EUP sites and demonstrates that the presence of modern humans associated with Upper Paleolithic toolkits in the Levant predates all modern human fossils from Europe. The age of the IUP-associated Ethelruda fossil is significant for the spread of modern humans carrying the IUP into Europe and suggests a rapid initial colonization of Europe by our species. PMID:26034284

  12. New chronology for Ksâr 'Akil (Lebanon) supports Levantine route of modern human dispersal into Europe.

    Science.gov (United States)

    Bosch, Marjolein D; Mannino, Marcello A; Prendergast, Amy L; O'Connell, Tamsin C; Demarchi, Beatrice; Taylor, Sheila M; Niven, Laura; van der Plicht, Johannes; Hublin, Jean-Jacques

    2015-06-23

    Modern human dispersal into Europe is thought to have occurred with the start of the Upper Paleolithic around 50,000-40,000 y ago. The Levantine corridor hypothesis suggests that modern humans from Africa spread into Europe via the Levant. Ksâr 'Akil (Lebanon), with its deeply stratified Initial (IUP) and Early (EUP) Upper Paleolithic sequence containing modern human remains, has played an important part in the debate. The latest chronology for the site, based on AMS radiocarbon dates of shell ornaments, suggests that the appearance of the Levantine IUP is later than the start of the first Upper Paleolithic in Europe, thus questioning the Levantine corridor hypothesis. Here we report a series of AMS radiocarbon dates on the marine gastropod Phorcus turbinatus associated with modern human remains and IUP and EUP stone tools from Ksâr 'Akil. Our results, supported by an evaluation of individual sample integrity, place the EUP layer containing the skeleton known as "Egbert" between 43,200 and 42,900 cal B.P. and the IUP-associated modern human maxilla known as "Ethelruda" before ∼ 45,900 cal B.P. This chronology is in line with those of other Levantine IUP and EUP sites and demonstrates that the presence of modern humans associated with Upper Paleolithic toolkits in the Levant predates all modern human fossils from Europe. The age of the IUP-associated Ethelruda fossil is significant for the spread of modern humans carrying the IUP into Europe and suggests a rapid initial colonization of Europe by our species.

  13. High xenodiversity versus low native diversity in the south-eastern Mediterranean: bryozoans from the coastal zone of Lebanon

    Directory of Open Access Journals (Sweden)

    J. G. HARMELIN

    2016-02-01

    Full Text Available Because of its location in the warmest corner of the Mediterranean, its proximity to the northern entrance of the Suez Canal, i.e. the gateway for massive exotic biota introduction into the Mediterranean, the occurrence of high shipping activity and strong human pressure, the Lebanese coastal zone is an area that is exceptionally well-suited for investigating the effects of these extreme conditions on Mediterranean biodiversity. Bryozoans, which are among the main components of sessile communities, reflect dramatically the impact of these particular conditions. Their assemblages, sampled by diving along the whole coast of Lebanon during a pluriannual programme, mainly between 1999 and 2003, consist of 93 species (12 Cyclostomata, 2 Ctenostomata, 79 Cheilostomata. The native part of this bryozoan fauna exhibits low diversity, with an unexpected absence of many taxa, from family to species level, which are very common in the rest of the Mediterranean. It is also characterized by a high proportion of endemic species, in contrast with the general eastward trend of decreasing endemicity observed in the Mediterranean, and by the strong presence of 'southern' thermophilic species. With 27 non-indigenous species, xenodiversity is exceptionally high, particularly in the cheilostome pool (26 species, but was likely undersampled. Moreover, one may assume that new non-indigenous bryozoans (NIB are now established along the Levantine coasts. This trend is expected to increase in the near future with the intensification of surface water warming and boost of shipping activity and propagule flux generated by the expansion of the Suez Canal.

  14. Using "best-fit" interventions to improve the nursing intershift handoff process at a medical center in Lebanon.

    Science.gov (United States)

    Younan, Lina A; Fralic, Maryann F

    2013-10-01

    Nursing intershift handoff involves communicating essential patient information between the outgoing and the oncoming nurses during shift changes. A subsequent review of reported patient safety incidents at Labib Medical Center (LMC), Saida, Lebanon, showed that medication errors, delay in treatment, wrong treatment, duplication of laboratory tests, and near-miss events were caused by patient information omissions during intershift handoffs. In response, LMC initiated a quality improvement project using a multifaceted intervention to improve the quality of nursing intershift handoffs. The barriers to effective intershift handoff identified in the literature that best fit the current context of intershift handoffs at LMC showed that the following three issues needed to be addressed: (1) the absence of a standardized intershift communication tool, (2) inadequate training of RNs on intershift handoff communication, and (3) the interruptions during the shift reports. Accordingly, a three-faceted intervention was constructed, entailing (1) introduction of a standardized intershift handoff tool, (2) training RNs about effective handoff communication, and (3) decreasing interruptions. The mean number of omissions per handoff across the three units decreased from 4.96 to 2.29 (t = 6.29, p = .000), as did the mean number of interruptions per intershift report--from 2.17 to 1.26 (t = 2.7, p = .008). RNs' knowledge of the criteria to be communicated suggested a greater appreciation of their own role in patient safety. The intershift handoff communication process can be improved using evidence-based strategies that target internal barriers where the shift report occurs. Regular monitoring and follow-up are essential to maintain the improvement.

  15. Health assessment of natural radioactivity and radon exhalation rate in granites used as building materials in Lebanon.

    Science.gov (United States)

    Kobeissi, M A; El-Samad, O; Rachidi, I

    2013-03-01

    Measurements of specific activities (Bq kg(-1)) of gamma-emissions from radioactive nuclides, (238)U, (226)Ra, (214)Bi, (232)Th, (212)Pb and (40)K, contained in 28 granite types, used as building materials in indoors in Lebanon, were performed on the powdered granites. The concentration of the nuclides, (226)Ra, (232)Th and (40)K, in the granites varied from below detection level (BDL) to 494 Bq kg(-1), BDL to 157.2 Bq kg(-1) and BDL to 1776 Bq kg(-1), respectively. (226)Ra concentration equivalents, C(Raeq), were obtained and ranged between 37 and 591 Bq kg(-1), with certain values above the allowed limit of 370 Bq kg(-1). Calculated annual gamma-absorbed dose in air, D(aR), varied from 17.7 to 274.5 (nGy h(-1)). Annual effective dose, E (mSv y(-1)), of gamma radiations related to the studied granites and absorbed by the inhabitants was evaluated. E (mSv y(-1)) ranged from 0.09 to 1.35 mSv y(-1). Some granite types produced E above the allowed limit of 1 mSv y(-1) set by ICRP. Values of (222)Rn mass exhalation rate, E(M) (mBq kg(-1)h(-1))(,) in granite powder were obtained using the CR-39 detector technique. Diffusion factors, f, in 23 granite types were calculated with f ranging between (0.1 ± 0.02)×10(-2) and (6.6 ± 1.01)×10(-2).

  16. External-cause mortality among 21 609 Norwegian male military peacekeepers deployed to Lebanon between 1978 and 1998.

    Science.gov (United States)

    Strand, Leif Aage; Martinsen, Jan Ivar; Fadum, Elin Anita; Borud, Einar Kristian

    2017-08-01

    To investigate external-cause mortality among 21 609 Norwegian male military peacekeepers deployed to Lebanon during 1978-1998. The cohort was followed from the 1st day of deployment through 2013, and mortality during deployment and post discharge was assessed using SMRs calculated from national rates in Norway. Poisson regression was used to see the effect of high-conflict versus low-conflict exposure. For the total cohort, external-cause mortality was within expected values during deployment (SMR=0.80) and post discharge (SMR=1.05). In the low-conflict exposure group, a lower mortality from all external causes (SMR=0.77), transport accidents (SMR=0.55) and accidental poisoning (SMR=0.53) was seen. The high-conflict exposure group showed an elevated mortality from all external causes (SMR=1.20), transport accidents (SMR=1.51) and suicide (SMR=1.30), but these risks were elevated only during the first 5 years after discharge. This group also showed elevated mortality from all external causes (rate ratio, RR=1.49), and for transport accidents (RR=3.30) when compared with the low-conflict exposure group. Overall external-cause mortality among our peacekeepers was equal to national rates during deployment and post discharge. High-conflict exposure was associated with elevated mortality from all external causes, transport accidents and suicide during the first 5 years after discharge from service. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. Impact of Cenozoic strike-slip tectonics on the evolution of the northern Levant Basin (offshore Lebanon)

    Science.gov (United States)

    Ghalayini, Ramadan; Daniel, Jean-Marc; Homberg, Catherine; Nader, Fadi H.; Comstock, John E.

    2014-11-01

    Sedimentary basins adjacent to plate boundaries contain key tectonic and stratigraphic elements to understand how stress is transmitted through plates. The Levant Basin is a place of choice to study such elements because it flanks the Levant Fracture System and the Africa/Anatolia boundary. This paper uses new high-quality 3-D seismic reflection data to unravel the tectonic evolution of the margin of this basin during the Cenozoic, the period corresponding to the formation of the Levant Fracture System, part of the Africa/Arabia plate boundary. Four major groups of structures are identified in the interpreted Cenozoic units: NW-SE striking normal faults, NNE-SSW striking thrust-faults, ENE-WSW striking dextral strike-slip faults, and NNE trending anticlines. We demonstrate that all structures, apart of the NW-SE striking normal faults, are inherited from Mesozoic faults. Their reactivation and associated folding started during the late Miocene prior to the Messinian salinity crisis due to a NW-SE compressional stress field. No clear evidence of shortening at present-day offshore Lebanon and no large NNE-SSW strike-slip faults parallel to the restraining bend are found indicating that the Levant Fracture System is mainly contained onshore at present day. The intermittent activity of the interpreted structures correlates with the two stages of Levant Fracture System movement during late Miocene and Pliocene. This paper provides a good example of the impact of the evolution of plate boundaries on adjacent basins and indicates that any changes in the stress field, as controlled by the plate boundary, will affect immediately the preexisting structures in adjacent basins.

  18. Incidence of sepsis following transrectal ultrasound guided prostate biopsy at a tertiary-care medical center in Lebanon

    Directory of Open Access Journals (Sweden)

    Mohammed Shahait

    2016-02-01

    Full Text Available ABSTRACT Background Urosepsis is a rare but life-threatening complication following transrectal ultrasound (TRUS guided needle prostate biopsy. Despite the technological and pharmacological improvements, the problem of bacterial urosepsis after prostate biopsy remains. A strategy for preventing urosepsis following TRUS prostate biopsy in areas with high prevalence of resistant strains or patients presenting risk factors is lacking. Objectives The aim of this study was to assess the prevalence of urosepsis, as well its predictors, following TRUS guided needle biopsy of the prostate in a tertiary care medical center in Lebanon. Materials and Methods We carried out a retrospective study on all patients who underwent TRUS prostate biopsy at the American University of Beirut Medical Center between January 1, 2011 and June 31, 2013. Patients’ hospital charts were reviewed. Data collected included demographic information, pre-procedure disease specific information, as well as post-procedure information. Predictors of urosepsis following TRUS were assessed. Results In total, 265 patients were included in this study, where the prevalence of urosepsis following TRUS prostate biopsy was found to be 9.4%. The significant independent predictors of urosepsis were found to be: age with an OR=0.93 (95% CI: 0.88–1.00, p-value=0.03, and hypertension comorbidity with an OR=3.25 (95% CI: 1.19–8.85, p-value=0.02. Conclusion We found a high prevalence of urosepsis among patients who have undergone TRUS prostate biopsy, and identified two significant risk factors. The results of this study highlight the importance of implementing strategies for prevention of urosepsis following TRUS prostate biopsy.

  19. An annotated checklist of the Stomoxyini (Diptera: Muscidae) of the Levant with new records from Lebanon, Syria, Jordan and Sinai Egypt

    Science.gov (United States)

    The Stomoxyini are obligate blood feeders and several members of the tribe, especially Stomoxys and Haematobia, are major pests of domestic livestock causing billions of U.S. dollars in damages annually. Therefore, USDA-CMAVE scientists and Israeli scientists worked cooperatively to survey the spec...

  20. Flood Hazard Mapping Assessment for El-Awali River Catchment-Lebanon

    Science.gov (United States)

    Hdeib, Rouya; Abdallah, Chadi; Moussa, Roger; Hijazi, Samar

    2016-04-01

    River flooding prediction and flood forecasting has become an essential stage in the major flood mitigation plans worldwide. Delineation of floodplains resulting from a river flooding event requires coupling between a Hydrological rainfall-runoff model to calculate the resulting outflows of the catchment and a hydraulic model to calculate the corresponding water surface profiles along the river main course. In this study several methods were applied to predict the flood discharge of El-Awali River using the available historical data and gauging records and by conducting several site visits. The HEC-HMS Rainfall-Runoff model was built and applied to calculate the flood hydrographs along several outlets on El-Awali River and calibrated using the storm that took place on January 2013 and caused flooding of the major Lebanese rivers and by conducting additional site visits to calculate proper river sections and record witnesses of the locals. The Hydraulic HEC-RAS model was then applied to calculate the corresponding water surface profiles along El-Awali River main reach. Floodplain delineation and Hazard mapping for 10,50 and 100 years return periods was performed using the Watershed Modeling System WMS. The results first show an underestimation of the flood discharge recorded by the operating gauge stations on El-Awali River, whereas, the discharge of the 100 years flood may reach up to 506 m3/s compared by lower values calculated using the traditional discharge estimation methods. Second any flooding of El-Awali River may be catastrophic especially to the coastal part of the catchment and can cause tragic losses in agricultural lands and properties. Last a major floodplain was noticed in Marj Bisri village this floodplain can reach more than 200 meters in width. Overall, performance was good and the Rainfall-Runoff model can provide valuable information about flows especially on ungauged points and can perform a great aid for the floodplain delineation and flood

  1. Beta-globin gene cluster haplotypes and HbF levels are not the only modulators of sickle cell disease in Lebanon.

    Science.gov (United States)

    Inati, A; Taher, A; Bou Alawi, W; Koussa, S; Kaspar, H; Shbaklo, H; Zalloua, P A

    2003-02-01

    Sickle cell disease (SCD) is an inherited autosomal recessive disorder of the beta-globin chain. Despite the fact that all subjects with SCD have the same single base pair mutation, the severity of the clinical and hematological manifestations is extremely variable. This study examined for the first time in Lebanon the correlation between the clinical manifestation of SCD and the beta-globin gene haplotypes. The haplotypes of 50 patients diagnosed with SCD were determined using polymerase chain reaction amplification of fragments containing nine polymorphic restriction sites around and within the epsilon-Ggamma-Agamma-psibeta-delta-beta-globin gene complex. Most reported haplotypes were found in our population with the Benin haplotype as the most prevalent one. When the patients were divided according to their HbF levels into three groups (Group A: HbF 15%), surprisingly, the highest levels of HbF were associated with the most severe clinical cases. Our findings suggest that fetal hemoglobin levels are important but not the only parameters that affect the severity of the disease. In addition, the high levels of HbF in patients with CAR haplotypes did not seem to ameliorate the severity of symptoms, suggesting that genetic factors other than haplotypes are the major determinants of increased HbF levels in Lebanon.

  2. Chemical characteristics of PM2.5-0.3 and PM0.3 and consequence of a dust storm episode at an urban site in Lebanon

    Science.gov (United States)

    Borgie, Mireille; Ledoux, Frédéric; Dagher, Zeina; Verdin, Anthony; Cazier, Fabrice; Courcot, Lucie; Shirali, Pirouz; Greige-Gerges, Hélène; Courcot, Dominique

    2016-11-01

    Located on the eastern side of the Mediterranean Basin at the intersection of air masses circulating between three continents, the agglomeration of Beirut, capital of Lebanon is an important investigating area for air pollution and more studies are needed to elucidate the composition of the smallest particles classified as carcinogenic to humans. PM2.5-0.3 and PM0.3 samples were collected during the spring-summer period in an urban background site of Beirut, after a dust storm episode occurred, and their chemical composition was determined. Our findings showed that components formed by gas to particle conversion (SO42 - and NH4+) and related to combustion processes are mainly found in the PM0.3 fraction. Typical crustal (Ca2+, Fe, Ti, Mg2+), sea-salt (Na+, Cl-, Mg2+, Sr) species, and NO3- are mainly associated with the PM2.5-0.3 fraction. We have also evidenced that the dust episode which occurred in Lebanon in May 2011 originated from the Iraqian and Syrian deserts, which are the least studied, and had a direct influence on the composition of PM2.5-0.3 during the beginning of the first sampling period, and then an indirect and persistent influence by the re-suspension of deposited dust particles. Moreover, PAHs concentrations were much higher in PM0.3 than in PM2.5-0.3 and their composition appeared influenced by diesel (buses, trucks and generator sets) and gasoline (private cars) emissions.

  3. Prevalence of and risk factors associated with cesarean section in Lebanon - A retrospective study based on a sample of 29,270 women.

    Science.gov (United States)

    Zgheib, Sandy M; Kacim, Mohammad; Kostev, Karel

    2017-05-23

    During the last decades, there has been an alarming and dramatic increase in the number of cesarean births in both developed and undeveloped countries. This increase has not been clinically justified but, nevertheless, has raised an important number of issues. The aim of this study was to determine the risk factors associated with the high cesarean section rates in Lebanon. This study is based on a sample of 29,270 Lebanese women who were pregnant between 2000 and 2015. Among these, 14,327 gave birth by cesarean section and 14,943 gave birth vaginally. To identify the risk factors of cesarean section, logistic regression was applied as a statistical method using the SPSS statistical package. Of the 29,270 pregnant women included in the study, 49% had cesarean sections while 51% gave birth vaginally. Repeat cesarean section accounted for 23% while vaginal birth after cesarean accounted for only 0.2% of deliveries. In addition, weekdays were associated with a preference of providers to carry out more cesarean sections. According to an analysis of our data using logistic regression, the risk factors associated with the increase in cesarean section rates were advanced maternal age, elective cesarean section, malpresentation of fetus, multiple birth, prolonged pregnancy, prolonged labor, and fetal distress. Based on these results, it is recommended that a new health policy be implemented to reduce the number of unnecessary cesarean deliveries in Lebanon. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  4. Spectrum and impact of health problems during deployment: a prospective, multicenter study of French soldiers operating in Afghanistan, Lebanon and Côte d'Ivoire.

    Science.gov (United States)

    Aoun, Olivier; Roqueplo, Cédric; Rapp, Christophe

    2014-01-01

    More than 15 000 French soldiers are continuously deployed abroad. Along with combat-related injuries, they are exposed to non-combat-related diseases with an underestimated burden. Our objectives were to assess the incidence and impact of health problems on their operating capacity. A prospective multicenter study was conducted over more than three months in Lebanon, Côte d'Ivoire and Afghanistan including exclusively French soldiers. We collected 4349 consultations (Afghanistan {n = 719}, Lebanon {n = 1401} and Côte d'Ivoire {n = 2229}) encompassing 4600 health problems. Injuries (21%), diarrhea (19%), dermatoses (17.5%) and respiratory tract infections (10.45%) were the most frequent health issues. Infectious diseases represented 41% of all health problems. Almost nine out of ten patients were managed as outpatients. Ten combat-related deaths were observed. We reported 68 (1.5%) medical repatriations of which 28 and 26 were psychiatric and trauma cases respectively. Partial or complete incapacity was estimated 724 days/1000 men/month. Etiological spectrum was similar in all three countries however, the incidence of diarrhea (p < 0.05) as well as inpatient management and medical evacuation rates were higher (p < 0.0001) in Afghanistan. There was a wide spectrum of health problems occurring during military deployments with a predominance of common infections. Non-combat-related pathology represented an important burden for the loss of operating capacity. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Wide spread of OXA-23-producing carbapenem-resistant Acinetobacter baumannii belonging to clonal complex II in different hospitals in Lebanon.

    Science.gov (United States)

    Al Atrouni, Ahmad; Hamze, Monzer; Jisr, Tamima; Lemarié, Carole; Eveillard, Matthieu; Joly-Guillou, Marie-Laure; Kempf, Marie

    2016-11-01

    To investigate the molecular epidemiology of Acinetobacter baumannii strains isolated from different hospitals in Lebanon. A total of 119 non-duplicate Acinetobacter strains were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and partial rpoB gene sequencing. Antibiotic susceptibility testing was performed by disc diffusion method and all identified carbapenem-resistant isolates were investigated by PCR assays for the presence of the carbapenemase-encoding genes. Multilocus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE) were used for molecular typing. Of the 119 A. baumannii isolates, 76.5% were resistant to carbapenems. The most common carbapenemase was the OXA-23-type, found in 82 isolates. The study of population structure using MLST revealed the presence of 30 sequence types (STs) including 18 new ones, with ST2 being the most commonly detected, accounting for 61% of the isolates typed. PFGE performed on all strains of ST2 identified a major cluster of 53 isolates, in addition to three other minor clusters and ten unique profiles. This study highlights the wide dissemination of highly related OXA-23-producing carbapenem-resistant A. baumannii belonging to the international clone II in Lebanon. Thus, appropriate infection control measures are recommended in order to control the geographical spread of this clone in this country. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  6. Holocene paleoclimate reconstruction based on stalagmite studies from the Levant region: Results from locations with contrasting altitudes across Mount-Lebanon

    Science.gov (United States)

    Nader, Fadi; Cheng, Hai; Swennen, Rudy; Verheyden, Sophie; Genty, Dominique

    2015-04-01

    First, absolute-dated oxygen and carbon isotopic profiles from a Holocene stalagmite (11.9-1.1 ka) from the Jeita cave (coastal, central Lebanon) showed generally high δ18O and δ13C values during the late-glacial (resp. -3.9 and -9.2 permil vpdb), low values during the early Holocene (resp. -6.5 and -11.0 permil vpdb), and again high values after 5.8 ka, suggesting a transition from wet conditions in the early Holocene towards drier conditions in the mid-Holocene. Additional work on a speleothem of the Jeita cave covering 0.9 to 0.4ka before 2012) indicates slightly decreased δ18O and δ13C values; around resp. -5.5 and -10.7 permil vpd. Imprinted a return to generally slightly wetter conditions, important changes in δ13C at ~1280AD and ~1450AD suggest a change in vegetation cover which may be human induced. The QaG-stm-1 stalagmite of 15cm long with an average diameter of ~3cm was retrieved from the Qadisha cave located at about 1750m above sea-level, in northern Lebanon. Samples having similar ages from different altitudes, yet relatively close locations from central and northern Lebanon are believed to reveal invaluable information on the Holocene paleoclimate in the Levant region and on the altitude influence. U-Th dating revealed the age of the sample between 6482±32a and 3247±127a (before 1950). Its δ18O isotopic composition indicates ~2.5permil lower values than for the Jeita cave calcite of similar age, related to the ~1600 m higher altitude of the Qadisha Cave. With no clear hiatus, the rate of calcite deposition appears to be very slow (ca. 215a/cm) which contrast recent calcite deposition rate in the cave (ca. 30a/cm). Cave water isotopic composition from both caves closely fits the local meteoric groundwater. The stable isotopic results on cave water and recently deposited calcite indicates evaporation processes going on in the Jeita cave and at a lesser extent in the Qadisha cave. The work carried out on the Jeita cave stalagmites (11.1 to 0.5ka

  7. Adherence to systemic therapies for immune-mediated inflammatory diseases in Lebanon: a physicians’ survey from three medical specialties

    Directory of Open Access Journals (Sweden)

    Ammoury A

    2017-05-01

    Full Text Available Alfred Ammoury,1 Jad Okais,2 Mireille Hobeika,3 Raymond B Sayegh,4 Rani H Shayto,5 Ala I Sharara5 1Division of Dermatology, St George Hospital University Medical Center, 2Division of Rheumatology, St Joseph University, 3AbbVie Levant, 4Division of Gastroenterology, St Joseph University, 5Department of Internal Medicine, Division of Gastroenterology, American University of Beirut Medical Center, Beirut, Lebanon Background: Immune-mediated inflammatory diseases (IMIDs are chronic conditions that may cause tissue damage and disability, reduced quality of life and increased mortality. Various treatments have been developed for IMIDs, including immune modulators and targeted biologic agents. However, adherence remains suboptimal. Methods: An adherence survey was used to evaluate physicians’ beliefs about adherence to medication in IMID and to evaluate if and how they manage adherence. The survey was distributed to 100 randomly selected physicians from three different specialties. Results were analyzed by four academic experts commissioned to develop an action plan to address practical and perceptual barriers to adherence, integrating it into treatment goals to maximize outcomes in IMID, thereby elevating local standards of care. Results: Eighty-two physicians participated in this study and completed the questionnaire. Most defined adherence as compliance with prescribed treatment. Although the majority of surveyed physicians (74% did not systematically measure adherence in their practice, 54% identified adherence as a treatment goal of equal or greater importance to therapeutic endpoints. Lack of time and specialized nursing support was reported as an important barrier to measuring adherence. The expert panel identified four key areas for action: 360° education (patient–nurse–physician, patient–physician communication, patient perception and concerns, and market access/cost. An action plan was developed centered on education and awareness

  8. The Cycles of Snow Cover in Pyrenees Mountain and Mont Lebanon Analyzed Using the Global Modeling Technique.

    Science.gov (United States)

    Drapeau, L.; Mangiarotti, S.; Le Jean, F.; Gascoin, S.; Jarlan, L.

    2014-12-01

    The global modeling technique provides a way to obtain ordinary differential equations from single time series1. This technique, initiated in the 1990s, could be applied successfully to numerous theoretic and experimental systems. More recently it could be applied to environmental systems2,3. Here this technique is applied to seasonal snow cover area in the Pyrenees mountain (Europe) and Mont Lebanon (Mediterranean region). The snowpack evolution is complex because it results from combination of processes driven by physiography (elevation, slope, land cover...) and meteorological variables (precipitation, temperature, wind speed...), which are highly heterogeneous in such regions. Satellite observations in visible bands offer a powerful tool to monitor snow cover areas at global scale, with large resolutions range. Although this observable does not directly inform about snow water equivalent, its dynamical behavior strongly relies on it. Therefore, snow cover area is likely to be a good proxy of the global dynamics and global modeling technique a well adapted approach. The MOD10A2 product (500m) generated from MODIS by the NASA is used after a pretreatment is applied to minimize clouds effect. The global modeling technique is then applied using two packages4,5. The analysis is performed with two time series for the whole period (2000-2012) and year by year. Low-dimensional chaotic models are obtained in many cases. Such models provide a strong argument for chaos since involving the two necessary conditions in a synthetic way: determinism and strong sensitivity to initial conditions. The models comparison suggests important non-stationnarities at interannual scale which prevent from detecting long term changes. 1: Letellier et al 2009. Frequently asked questions about global modeling, Chaos, 19, 023103. 2: Maquet et al 2007. Global models from the Canadian lynx cycles as a direct evidence for chaos in real ecosystems. J. of Mathematical Biology, 55 (1), 21-39 3

  9. Temps migratoires en tension Tense times for immigration. The production and experiences of temporalities for migrant workers in Lebanon

    Directory of Open Access Journals (Sweden)

    Julien Bret

    2012-06-01

    Full Text Available La kafala, système de garantie sur l’étranger propre au monde arabe, produit au Liban un environnement normatif très contraignant pour les migrants non arabes dont elle organise l’immigration : en très grande majorité des femmes, originaires du Sri Lanka et des Philippines, employées domestiques. Elle impose sa temporalité d’institution globale à la migration, et se confronte aux autres temporalités qui structurent l’espace migratoire : celles des individus mobiles, dont la carrière migratoire s’encastre dans la hiérarchie socio-économique de la situation de départ, ainsi que dans dans la hiérarchie des contextes d’accueil ; la temporalité des industries d’émigration, qui développent une rationalité clivée qui leur est propre. Dans cet article, nous souhaitons mettre en scène ces tensions du temps migratoire dans des temporalités en conflit, en évoquant la négativité des rapports sociaux qui en résulte et les contournements normatifs que les migrants et les autres acteurs de cette scène globalisée opèrent dans la poursuite de leurs objectifs.The kafala is a system of guarantee for immigrants in the Arab world. In Lebanon, it produces a highly restrictive regulatory environment for non-Arab migrants; this institution organizes the import of a vast majority of women from Sri Lanka and the Philippines to become domestic employees. It imposes its - as defined - global institution's temporality to migration. It conflicts with the other temporalities that shape the migratory space : temporalities of individuals on the move, whose careers fit into the hierarchy of socio-economic baseline and into the hierarchy between host countries; temporalities of migration industry, that develop a cleaved rationality of their own. In this paper, we want to present the contradiction of migration time and temporalities, in order to understand the resulting negative social relationships. We also study the normative

  10. Promoting healthy eating and physical activity among school children: findings from Health-E-PALS, the first pilot intervention from Lebanon.

    Science.gov (United States)

    Habib-Mourad, Carla; Ghandour, Lilian A; Moore, Helen J; Nabhani-Zeidan, Maya; Adetayo, Kassim; Hwalla, Nahla; Summerbell, Carolyn

    2014-09-10

    In Lebanon, childhood obesity doubled during the past decade. Preventive measures should start early in life and Schools are considered an important environment to promote energy balance health behaviours. School-based programmes promoting healthy lifestyles are lacking. The purpose of this study was to evaluate the feasibility and effectiveness of a multicomponent school-based intervention to promote healthy eating and physical activity (and prevent obesity) with school children aged 9-11 years in Lebanon. The intervention was developed based on the constructs of the Social Cognitive Theory and adapted to the culture of Lebanese and Arab populations. It consisted of three components: class curriculum, family involvement and food service. Eight schools were purposively selected from two communities of different socioeconomic status (SES) in Beirut and, within each school type, were matched on SES, religious sect profile, and then randomly assigned to either the intervention or control group. Anthropometric measurements and questionnaires on determinants of behavioural change, eating and physical activity habits were completed by the students in both groups at baseline and post intervention. Focus group interviews were conducted in intervention schools at the end of the study. Challenges encountered during the programme implementation were also identified, since Lebanon is considered a country with political unrest and no similar research projects were conducted in the area. Students in the intervention group reported purchasing and consuming less chips and sweetened drinks post-intervention compared with controls (86% & 88% less respectively p < 0.001). Knowledge and self-efficacy scores increased for the intervention (+2.8 & +1.7 points respectively p < 0.001) but not for the control group. There was no difference in physical activity and screen time habits and no changes in BMI between groups at post intervention. Interview data from focus groups showed that the

  11. Evaluation of chromogenic medium and direct latex agglutination test for detection of group B streptococcus in vaginal specimens from pregnant women in Lebanon and Kuwait.

    Science.gov (United States)

    Ghaddar, Nahed; Alfouzan, Wadha; Anastasiadis, Elie; Al Jiser, Tamima; Itani, Saad Eddine; Dernaika, Racha; Eid, Toufic; Ghaddar, Ali; Charafeddine, Adib; Dhar, Rita; El Hajj, Hiba

    2014-10-01

    This study was undertaken to evaluate chromogenic medium and a direct latex agglutination test (DLA) for detection of Group B Streptococcus (GBS) in the vaginal specimens of pregnant women, and to ascertain the prevalence of GBS in this population in Kuwait and Lebanon. Vaginal swabs, collected from women at 35-37 weeks of gestation, were cultured on 5 % sheep blood agar (SBA), colistin nalidixic acid agar (CNA), Strept B Select chromogenic agar (SBS) as well as Lim enrichment broth in 168 cases in Lebanon while only SBA was used for 1391 samples in Kuwait. In addition, vaginal samples from 102 GBS-positive and 20 GBS-negative women near the time of delivery were collected in Kuwait for evaluation of the DLA test. During the study period, the prevalence of GBS colonization was determined to be 20.7 % (288/1391) in Kuwait while 18.4 % (31) of 168 pregnant women in Lebanon had vaginal cultures positive for GBS. By direct plating of vaginal swabs on the three media used, the isolation rates of GBS were 51.6, 64.5 and 77.4 % on SBA, CNA and SBS, respectively, which increased to 90.35, 93.1 and 96.8 %, respectively, following subculture in Lim broth after 18 h of incubation. The sensitivity of the DLA test was found to be dependent on the density of GBS colonization, resulting in 100 % sensitivity and 100 % specificity for heavy (>10(2) c.f.u. per swab) and moderately heavy (50-100 c.f.u. per swab) growth of GBS. However, for vaginal specimens yielding <50 c.f.u. per swab, the sensitivity, specificity, positive and negative predictive values of the DLA test were 100, 55.5, 63.6 and 100 %, respectively. In conclusion, a chromogenic agar, such as SBS, and a DLA test can be used for rapid detection of GBS in pregnant women. The DLA test, in particular, could prove to be a useful tool for immediate detection of GBS in women near delivery so that intrapartum antibiotic prophylaxis can be initiated.

  12. A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan.

    Science.gov (United States)

    El-Jardali, Fadi; Fadlallah, Racha

    2017-08-16

    Improving quality of care and patient safety practices can strengthen health care delivery systems, improve health sector performance, and accelerate attainment of health-related Sustainability Development Goals. Although quality improvement is now prominent on the health policy agendas of governments in low- and middle-income countries (LMICs), including countries of the Eastern Mediterranean Region (EMR), progress to date has not been optimal. The objective of this study is to comprehensively review existing quality improvement and patient safety policies and strategies in two selected countries of the EMR (Lebanon and Jordan) to determine the extent to which these have been institutionalized within existing health systems. We used a mixed methods approach that combined documentation review, stakeholder surveys and key informant interviews. Existing quality improvement and patient safety initiatives were assessed across five components of an analytical framework for assessing health care quality and patient safety: health systems context; national policies and legislation; organizations and institutions; methods, techniques and tools; and health care infrastructure and resources. Both Lebanon and Jordan have made important progress in terms of increased attention to quality and accreditation in national health plans and strategies, licensing requirements for health care professionals and organizations (albeit to varying extents), and investments in health information systems. A key deficiency in both countries is the absence of an explicit national policy for quality improvement and patient safety across the health system. Instead, there is a spread of several (disjointed) pieces of legal measures and national plans leading to fragmentation and lack of clear articulation of responsibilities across the entire continuum of care. Moreover, both countries lack national sets of standardized and applicable quality indicators for performance measurement and benchmarking

  13. A national cross-sectional study on nurses' intent to leave and job satisfaction in Lebanon: implications for policy and practice

    Directory of Open Access Journals (Sweden)

    Jamal Diana

    2009-03-01

    Full Text Available Abstract Background Lebanon is perceived to be suffering from excessive nurse migration, low job satisfaction, poor retention and high turnover. Little is known about the magnitude of nurse migration and predictors of intent to leave. The objective of this study is to determine the extent of nurses' intent to leave and examine the impact of job satisfaction on intent to leave. Intent to leave was explored to differentiate between nurses who intend to leave their current hospital and those intending to leave the country. Methods A cross-sectional design was used to survey nurses currently practicing in Lebanese hospitals. A total of 1,793 nurses employed in 69 hospitals were surveyed. Questions included those relating to demographic characteristics, intent to leave, and the McCloskey Mueller Satisfaction Scale. Univariate descriptive statistics were conducted on sample's demographic characteristics including gender, age, marital status and educational level. Bivariate associations between intent to leave and demographic characteristics were tested using Pearson Chi-square. Differences in satisfaction scores between nurses with and without intent to leave were tested using t-test and ANOVA f-test. A multinomial logistic regression model was created to predict intent to leave the hospital and intent to leave the country. Results An alarming 67.5% reported intent to leave within the next 1 to 3 years, many of whom disclosed intent to leave the country (36.7%. Within nurses who reported an intent to leave the hospital but stay in Lebanon, 22.1% plan to move to a different health organization in Lebanon, 29.4% plan to leave the profession and 48.5% had other plans. Nurses reported being least satisfied with extrinsic rewards. A common predictor of intent to leave the hospital and the country was dissatisfaction with extrinsic rewards. Other predictors of intent to leave (country or hospital included age, gender, marital status, degree type, and

  14. Revision of the fossil batomorphs from the Cretaceous of Lebanon, and their impact on our understanding of the early step of the evolution of the clade

    DEFF Research Database (Denmark)

    Kachacha, Georges

    group to the remaining batomorphs. The remaining guitarfish from Lebanon present a crown paraphyletic assemblage sister to Rajidae, which, together, are included in the order Rajiformes. Eight Lebanese guitarfishes are distributed into four different clades which allowed me to reconsider the generic......'s detailed studies were performed enabling to give new insights on the complexity and diversity of their enameloid microstructure. A bundled crystallite enameloid is widespread among Rhinobatoidei teeth tested so far, whereas, the parallel bundled enameloid component is considered an apomorphy for this group...... Raja. Finally, Platyrhinidae is recognized as a monophyletic group of true guitarfish, successively rooted by Britobatos primarmatus and Rhombopterygia rajoides. Keywords: batomorphs; Upper Cretaceous; enameloid microstructure; cladistics...

  15. Mössbauer study of ceramic finds from the early Phoenician palace in Kāmid El-Lōz, Lebanon

    Science.gov (United States)

    El-Hage, Y.; Wagner, U.; Wagner, F. E.; Riederer, J.; Echt, R.; Hachmann, R.

    1990-07-01

    A Mössbauer typology of 120 early phoenician ceramic sherds from Kāmid El-Lōz, Lebanon, is proposed. It is found to agree well with other classifications by means of neutron activation analysis and thin section microscopy. Two ancient calcium rich clays and one recent calcium poor clay from the same region were fired in the laboratory in oxidizing and reducing atmospheres at temperatures increasing stepwise from 50 °C to 1200°C, with Mössbauer spectra taken at room temperature and occasionally at 4.2 K. These model experiments were undertaken with the aim to reconstruct the firing techniques of the early phoenician potters. The firing temperature of the locally made pottery appears to have been low.

  16. Time to Act: Lessons learnt from the first pilot school-based intervention study from Lebanon to prevent and reduce childhood Obesity

    Directory of Open Access Journals (Sweden)

    Carla eHabib-Mourad

    2015-04-01

    Full Text Available Today, childhood overweight and obesity are serious public health problems facing the world. Obese children suffer from both short-term and long-term health consequences, and poorer adult health. Despite the rising prevalence of childhood obesity in the Eastern Mediterranean Region (EMR, including Lebanon, no intervention research studies have been undertaken. This paper summarizes the main challenges and lessons learned emanating from the first evidence-based multicomponent school intervention aimed at promoting Healthy Eating and Physical Activity in Lebanese School children (Health-E-PALS. Health-E-PALS, which includes three components (class curriculum, family involvement and food service and relies on interactive fun learning activities, achieved an increase in students’ nutritional knowledge and self-efficacy, and a decrease in their purchase and consumption of high energy dense snacks and beverages. Recommendations for future school-based programs are also highlighted.

  17. Prevalence and Correlates of Preschool Overweight and Obesity Amidst the Nutrition Transition: Findings from a National Cross-Sectional Study in Lebanon

    Directory of Open Access Journals (Sweden)

    Lara Nasreddine

    2017-03-01

    Full Text Available There is increasing evidence linking early life adiposity to disease risk later in life. This study aims at determining the prevalence and correlates of overweight and obesity among preschoolers in Lebanon. A national cross-sectional survey was conducted amongst 2–5 years old children (n = 525. Socio-demographic, lifestyle, dietary, and anthropometric data were obtained. The prevalence of overweight and obesity was estimated at 6.5% and 2.7%, respectively. Based on stepwise logistic regression for the prediction of overweight and obesity (combined, the variance accounted for by the first block (socioeconomic, parental characteristics was 11.9%, with higher father’s education (OR = 5.31, 95% CI: 1.04–27.26 and the presence of household helper (OR = 2.19, 95% CI: 1.05–4.56 being significant predictors. The second block of variables (eating habits significantly improved the prediction of overweight/obesity to reach 21%, with eating in front of the television (OR = 1.07, 95% CI: 1.02–1.13 and satiety responsiveness (OR = 0.83, 95% CI: 0.70–0.99 being significantly associated with overweight/obesity. In the third block, fat intake remained a significant predictor of overweight/obesity (OR = 2.31, 95% CI: 1.13–4.75. This study identified specific risk factors for preschool overweight/obesity in Lebanon and characterized children from high socioeconomic backgrounds as important target groups for preventive interventions. These findings may be of significance to other middle-income countries in similar stages of nutrition transition.

  18. Breastfeeding knowledge, attitude, perceived behavior, and intention among female undergraduate university students in the Middle East: the case of Lebanon and Syria.

    Science.gov (United States)

    Hamade, Haya; Naja, Farah; Keyrouz, Sarah; Hwalla, Nahla; Karam, Jeanette; Al-Rustom, Lea; Nasreddine, Lara

    2014-06-01

    The Middle East has one of the lowest rates of exclusive breastfeeding in the world, highlighting the need to promote breastfeeding in this region. Young adults represent a key population of interest, since decisions about infant-feeding appear to be made before children are even conceived. To examine breastfeeding knowledge, attitude, and perceived behavior among female undergraduate students in Lebanon and Syria and determine factors associated with intention to breastfeed in this population. This cross-sectional study was conducted in 2010/11 in Damascus and Beirut. Four universities were selected in each city. A multicomponent questionnaire was administered to a convenience sample of participants (n = 194 from Beirut and n = 199 from Damascus). The questionnaire included breastfeeding knowledge (measured by the Infant Feeding Knowledge Test Form), attitude (Iowa Infant Feeding Attitude Scale), perceived behavior (Breastfeeding Behavior Questionnaire), and intention (Infant Feeding Intention Scale). Factors associated with intention to breastfeed were examined by multivariate linear regression analysis. The participants had an average breastfeeding knowledge level (mean score, 10.39 +/- 2.09) and neutral perceived behavior (mean score, 22.00 +/- 3.68), while having relatively positive attitudes (mean score, 58.12 +/- 6.49). Knowledge gaps and negative perceptions were identified, particularly linked to breastfeeding in public and among working mothers. Breastfeeding intention was found to be significantly associated with knowledge and attitude in Lebanon (beta = 0.103 and beta = 0.230, respectively), and with perceived behavior in Syria (beta = -0.135). By revealing specific knowledge gaps and misconceptions and identifying country-specific disparities in the predictors of the intention to breastfeed, the findings of this study may provide a basis for devising culture-specific interventions aimed at promoting breastfeeding.

  19. Parental smoking and exposure to environmental tobacco smoke are associated with waterpipe smoking among youth: results from a national survey in Lebanon.

    Science.gov (United States)

    Jawad, M; Nakkash, R T; Mahfoud, Z; Bteddini, D; Haddad, P; Afifi, R A

    2015-04-01

    Waterpipe tobacco smoking (WTS) is a growing public health concern worldwide yet little is known about the epidemiology of use among young people. The objectives of this study were to examine the prevalence, patterns and correlates of WTS among students across Lebanon. The study design was a cross sectional survey. 126-item tobacco questionnaire was conducted among 1128 sixth and seventh grade students across Lebanon. Current patterns of use were descriptively analysed, and logistic regression models examined correlates of WTS. Ever WTS prevalence was 44.3%, current WTS prevalence was triple that of cigarettes (22.1% vs 7.4%), and 40.0% of current users were at least weekly or daily smokers. Initiation and patterns of use, as well as addiction and cessation attitudes have been reported. Significant correlates of current WTS included older age, reduced religiosity, peer and parent tobacco use, recent waterpipe advertisement exposure, increased pluralistic ignorance and current cigarette use. Significant correlates of ever WTS were similar to current WTS, but included second hand waterpipe tobacco smoke exposure at home and did not include recent waterpipe advertisement exposure. Neither gender nor socio-economic status were significant correlates of current or ever WTS. Waterpipe is the most common form of tobacco smoking, and is used regularly, among sixth and seventh grade Lebanese students. It should be considered a public health priority with increased tobacco surveillance and legislation. Widespread educational and policy interventions might help denormalize the social acceptability of WTS. Meanwhile, more research is needed to understand the changing paradigm of WTS epidemiology and the health outcomes among young smokers. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  20. Prevalence and Correlates of Preschool Overweight and Obesity Amidst the Nutrition Transition: Findings from a National Cross-Sectional Study in Lebanon

    Science.gov (United States)

    Nasreddine, Lara; Hwalla, Nahla; Saliba, Angie; Akl, Christelle; Naja, Farah

    2017-01-01

    There is increasing evidence linking early life adiposity to disease risk later in life. This study aims at determining the prevalence and correlates of overweight and obesity among preschoolers in Lebanon. A national cross-sectional survey was conducted amongst 2–5 years old children (n = 525). Socio-demographic, lifestyle, dietary, and anthropometric data were obtained. The prevalence of overweight and obesity was estimated at 6.5% and 2.7%, respectively. Based on stepwise logistic regression for the prediction of overweight and obesity (combined), the variance accounted for by the first block (socioeconomic, parental characteristics) was 11.9%, with higher father’s education (OR = 5.31, 95% CI: 1.04–27.26) and the presence of household helper (OR = 2.19, 95% CI: 1.05–4.56) being significant predictors. The second block of variables (eating habits) significantly improved the prediction of overweight/obesity to reach 21%, with eating in front of the television (OR = 1.07, 95% CI: 1.02–1.13) and satiety responsiveness (OR = 0.83, 95% CI: 0.70–0.99) being significantly associated with overweight/obesity. In the third block, fat intake remained a significant predictor of overweight/obesity (OR = 2.31, 95% CI: 1.13–4.75). This study identified specific risk factors for preschool overweight/obesity in Lebanon and characterized children from high socioeconomic backgrounds as important target groups for preventive interventions. These findings may be of significance to other middle-income countries in similar stages of nutrition transition. PMID:28287459

  1. Prevalence and Correlates of Preschool Overweight and Obesity Amidst the Nutrition Transition: Findings from a National Cross-Sectional Study in Lebanon.

    Science.gov (United States)

    Nasreddine, Lara; Hwalla, Nahla; Saliba, Angie; Akl, Christelle; Naja, Farah

    2017-03-11

    There is increasing evidence linking early life adiposity to disease risk later in life. This study aims at determining the prevalence and correlates of overweight and obesity among preschoolers in Lebanon. A national cross-sectional survey was conducted amongst 2-5 years old children (n = 525). Socio-demographic, lifestyle, dietary, and anthropometric data were obtained. The prevalence of overweight and obesity was estimated at 6.5% and 2.7%, respectively. Based on stepwise logistic regression for the prediction of overweight and obesity (combined), the variance accounted for by the first block (socioeconomic, parental characteristics) was 11.9%, with higher father's education (OR = 5.31, 95% CI: 1.04-27.26) and the presence of household helper (OR = 2.19, 95% CI: 1.05-4.56) being significant predictors. The second block of variables (eating habits) significantly improved the prediction of overweight/obesity to reach 21%, with eating in front of the television (OR = 1.07, 95% CI: 1.02-1.13) and satiety responsiveness (OR = 0.83, 95% CI: 0.70-0.99) being significantly associated with overweight/obesity. In the third block, fat intake remained a significant predictor of overweight/obesity (OR = 2.31, 95% CI: 1.13-4.75). This study identified specific risk factors for preschool overweight/obesity in Lebanon and characterized children from high socioeconomic backgrounds as important target groups for preventive interventions. These findings may be of significance to other middle-income countries in similar stages of nutrition transition.

  2. Predicting falls using two instruments (the Hendrich Fall Risk Model and the Morse Fall Scale) in an acute care setting in Lebanon.

    Science.gov (United States)

    Nassar, Nada; Helou, Nancy; Madi, Chantal

    2014-06-01

    To assess the predictive value of two instruments (the Morse Fall Scale (MFS) and the Heindrich II Fall Risk Model (HFRM)] in a Middle Eastern country (Lebanon) and to evaluate the factors that are related to falls. A prospective observational cross-sectional design was used. Falls and fall-related injuries in the acute care settings contribute a substantial health and economic burden on patients and organisations. Preventing falls is a priority for most healthcare organisations. While the risk of falling cannot be eliminated, it can be significantly reduced through accurate assessment of patients' risk of falling. Data from 1815 inpatients at the American University of Beirut Medical Center (AUBMC) in Lebanon were evaluated using two instruments to predict falls: the MFS and the HFRM. The incidence of falls was 2·7% in one year. The results indicate that while the instruments were significantly correlated, the HFRM was more sensitive in predicting falls than the MFS. The internal consistency of both scales was moderate, but inter-rater reliability was high. Patients using antiepileptic drugs and assistance devises had higher odds of falling. Although both instruments were easy to use in a Middle Eastern country, the HFRM rather than the MFS is recommended for inpatients in an acute care setting as it had higher sensitivity and specificity. It is recommended that while the HFRM had adequate sensitivity, it is not seamless, and as such, nurses should not rely entirely on it. Rather, nurses should use their expert clinical judgement, their ethical obligations and cultural considerations to implement a safer environment of care for the patient. © 2013 John Wiley & Sons Ltd.

  3. 论黎巴嫩政治现代化中的人口因素%Disscussing on Demographic Factors in the Political Modernization of Lebanon

    Institute of Scientific and Technical Information of China (English)

    胡耀辉

    2016-01-01

    Characteristics of Lebanon’ s political modernization are sectarian politics and the coexistence of modern democratic politics, the political system of the instability, and the uncertainty of the national identity. The characteristics of Lebanon’ s political modernization is rooted in demographic factors. The changes of population have a significant impact on Lebanon’ s political develop-ment. The Lebanese sectarian power-sharing national political system, Lebanon and the Lebanese national identity consciousness, Lebanese citizen’ s qualification standard and number of representatives of parliamentary constituencies are depended on the result of the census and statistics. Therefore, from the perspective of population, we can also inspect the development process of political modernization in Lebanon.%黎巴嫩政治现代化具有教派政治和现代民主政治共存、政治体制的不稳定性、国家认同的不确定性等特征。黎巴嫩政治现代化之所以具有这样的特征,根源在于人口因素,即人口数量的变化和发展,对黎巴嫩政治发展有重大影响。人口普查和统计的结果,确立了黎巴嫩国家教派分权的政治体制、黎巴嫩人和黎巴嫩国家的认同意识、黎巴嫩公民资格的标准以及议会选区代表的人数分配。因此,从人口角度考察黎巴嫩政治现代化的发展进程,亦有着重要意义。

  4. Presidential Electronic Records Library

    Data.gov (United States)

    National Archives and Records Administration — PERL (Presidential Electronic Records Library) used to ingest and provide internal access to the Presidential electronic Records of the Reagan, Bush, and Clinton...

  5. UARS spacecraft recorder

    Science.gov (United States)

    1987-01-01

    The objective was the design, development, and fabrication of UARS spacecraft recorders. The UARS recorder is a tailored configuration of the RCA Standard Tape recorder STR-108. The specifications and requirements are reviewed.

  6. CMS Records Schedule

    Data.gov (United States)

    U.S. Department of Health & Human Services — The CMS Records Schedule provides disposition authorizations approved by the National Archives and Records Administration (NARA) for CMS program-related records...

  7. Digital Audio Legal Recorder

    Data.gov (United States)

    Department of Transportation — The Digital Audio Legal Recorder (DALR) provides the legal recording capability between air traffic controllers, pilots and ground-based air traffic control TRACONs...

  8. Keeping the Records Straight.

    Science.gov (United States)

    Clift, Phil; Keynes, Milton

    1982-01-01

    Guidelines are given regarding keeping and using educational records for exceptional children in Great Britain. Procedures related to anecdotal records, observation inventories, and rating scales are delineated. (CL)

  9. Civic Education in Lebanon

    Directory of Open Access Journals (Sweden)

    K.K. Jabbour

    2014-12-01

    Full Text Available Since 1925, the Lebanese government has attempted to foster harmony and nationwide social cohesion by creating a standardized national civic school curriculum. This investigation aims to explore the method of instructing the national civic curriculum. Then it will examine students' civic learning experiences in the classroom and any related education issues and gaps. Then it will address the opinions of young citizens toward the supports of their civic school teachers The investigation's goal is to provide baseline information to school policy makers, administrators, and educators as they plan, implement, and coordinated civic educational programs that can that inspires and motivates Lebanese youth. Data for the study was obtained from extensive literature reviews and questionnaire surveys of 70 high school students. The investigation was conducted in the fall of the year 2013. The result of the study showed that most Lebanese kids find civic education boring and irrelevant to their lives; they do not understand the benefit of engaging in this education nor why they should learn it. This raises the urgent need to put into practice an effective civic education program that inspires and motivates young citizens.

  10. Educational Assessment in Lebanon

    Science.gov (United States)

    Vlaardingerbroek, Barend; Shehab, Saadeddine S.

    2012-01-01

    The Lebanese government education system is based on the French, but private education historically has a high profile at both the school and tertiary levels where an American influence is profound. The mid-secondary "Brevet" examination continues to function as a filtering and channelling mechanism (in the latter instance, into the…

  11. Electronic Health Records

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Electronic Health Records KidsHealth > For Teens > Electronic Health Records Print A A A What's in ... t happen overnight, they are coming. Understanding EHRs Electronic health records (EHR) — also called electronic medical records ( ...

  12. Your Medical Records

    Science.gov (United States)

    ... Surgery? A Week of Healthy Breakfasts Shyness Your Medical Records KidsHealth > For Teens > Your Medical Records A ... Records? en español Tus historias clínicas What Are Medical Records? Each time you climb up on a ...

  13. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  14. Electronic Health Records

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Electronic Health Records KidsHealth > For Teens > Electronic Health Records A A A What's in this ... t happen overnight, they are coming. Understanding EHRs Electronic health records (EHR) — also called electronic medical records ( ...

  15. Spoken Records. Third Edition.

    Science.gov (United States)

    Roach, Helen

    Surveying 75 years of accomplishment in the field of spoken recording, this reference work critically evaluates commercially available recordings selected for excellence of execution, literary or historical merit, interest, and entertainment value. Some types of spoken records included are early recording, documentaries, lectures, interviews,…

  16. الحملة العسكرية الفرنسية على جبل لبنان 1860-1861 French military campaign in Mount Lebanon 1860-1861

    Directory of Open Access Journals (Sweden)

    Karim Abbas Hassoun al-Jubouri الباحث كريم عباس حسون الجبوري

    2015-06-01

    Full Text Available The sectarian strife that took place in Mount Lebanon in 1860 of the most important political events suffered in the mountain in particular and the Ottoman Empire in general in the nineteenth century, and almost led to a major war is not limited to the Ottoman Empire only, but enter European countries have their particular concerns in the Orient Arab in general and Mount Lebanon in particular, and was the most prominent of those countries France. The French government believed in the strife that hit the Mount Lebanon a chance to restore its influence is strongest, particularly France pro-Egyptian control over Syria policy has weakened the position of France in Syria, especially among the children of the Catholic denominations, including the Maronite community, as well as that France has taken from its involvement in these events and the way to put pressure on the Porte to pass economic projects in the Ottoman Empire, particularly silk factories in Mount Lebanon and the Suez Canal project. Hence, this study was to shed light on the role of France in the military campaign in Mount Lebanon and the policy pursued by there to consolidate its influence in the mountain and then Syria in general. The study relied on multiple sources came to her head and documentation for the British Foreign Office documents correspondence French military campaign against Syria 1860-1861 also adopted other important sources as a message master researcher Ihsan Saeed tagged (foreign interference in Lebanon's affairs from the year 1840 to 1861 as well as the book of France's policy in the Near East researcher for the Russian Marina Pantychenkova and historical bases system of Lebanon's sectarian Researcher Mohamed Ahmed Trahina .

  17. Composition of gaseous organic carbon during ECOCEM in Beirut, Lebanon: new observational constraints for VOC anthropogenic emission evaluation in the Middle East

    Science.gov (United States)

    Salameh, Thérèse; Borbon, Agnès; Afif, Charbel; Sauvage, Stéphane; Leonardis, Thierry; Gaimoz, Cécile; Locoge, Nadine

    2017-01-01

    The relative importance of eastern Mediterranean emissions is suspected to be largely underestimated compared to other regions worldwide. Here we use detailed speciated measurements of volatile organic compounds (VOCs) to evaluate the spatial heterogeneity of VOC urban emission composition and the consistency of regional and global emission inventories downscaled to Lebanon (European Monitoring and Evaluation Programme, EMEP; Atmospheric Chemistry and Climate Model Intercomparison Project, ACCMIP; and MACCity, Monitoring Atmospheric Composition and Climate and megaCITY Zoom for the Environment). The assessment was conducted through the comparison of the emission ratios (ERs) extracted from the emission inventories to the ones obtained from the hourly observations collected at a suburban site in Beirut, Lebanon, during summer and winter ECOCEM (Emissions and Chemistry of Organic Carbon in the Eastern Mediterranean) campaigns. The observed ERs were calculated using two independent methods. ER values from both methods agree very well and are comparable to the ones of the road transport sector from near-field measurements for more than 80 % of the species. There is no significant seasonality in ER for more than 90 % of the species, unlike the seasonality usually observed in other cities worldwide. Regardless of the season, ERs agree within a factor of 2 between Beirut and other representative cities worldwide, except for the unburned fuel fraction and ethane. ERs of aromatics (except benzene) are higher in Beirut compared to northern post-industrialized countries and even the Middle Eastern city Mecca. The comparison of the observed ER to the ones extracted from the ACCMIP and MACCity global emission inventories suggests that the overall speciation of anthropogenic sources for major hydrocarbons that act as ozone and secondary organic aerosol (SOA) precursors in ACCMIP is better represented than other species. The comparison of the specific road transport ERs, relative

  18. Cancer incidence and all-cause mortality in a cohort of 21,582 Norwegian military peacekeepers deployed to Lebanon during 1978-1998.

    Science.gov (United States)

    Strand, Leif Aage; Martinsen, Jan Ivar; Borud, Einar Kristian

    2015-08-01

    We investigated cancer incidence and all-cause mortality among 21,582 Norwegian male military peacekeepers deployed to Lebanon during 1978-1998. We also looked at cancer risk according to duration of service in Lebanon, in the occupational groups of cooks and mechanics, and the risk of alcohol- and smoking-related cancers among those who served during high- or low-conflict periods. The cohort was followed for cancer incidence and all-cause mortality from 1978 through 2012. Standardised incidence ratios (SIR) for cancer and mortality ratios (SMR) were calculated from national rates for the total cohort. SIRs were calculated according to duration of service; among cooks and mechanics; and according to high- and low-conflict exposure. Poisson regression, expressed as rate ratio (RR), was used to see the effect of duration of service, and of conflict exposure. A decreased risk was found for cancer incidence overall (1050 cases, SIR=0.90, 95% confidence interval [CI] 0.84-0.95) and for cancers of the prostate (SIR=0.78) and skin (other than melanoma) (SIR=0.58). The incidence of rectal cancer was 73% higher in those who served for 1 year or more than in those with shorter-term service (RR=1.73, 95% CI 1.00-3.02). The cancer risk in cooks and mechanics was within expected values. The risk of lung cancer was higher in the high-conflict exposure group than in the low-conflict exposure group (RR=1.79; 95% CI 1.00-3.18). In the total cohort, all-cause mortality was lower than expected (SMR=0.83; 95% CI 0.78-0.88). We found a "healthy soldier effect" for overall cancer incidence and all-cause mortality. Service during high-conflict periods was associated with a higher risk of lung cancer than service during low-conflict periods, but this risk was in line with that of the reference population. Copyright © 2015. Published by Elsevier Ltd.

  19. Assessing health-care providers' readiness for reporting quality and patient safety indicators at primary health-care centres in Lebanon: a national cross-sectional survey.

    Science.gov (United States)

    Alameddine, Mohamad; Saleh, Shadi; Natafgi, Nabil

    2015-05-22

    Successful endorsement of quality indicators hinges on the readiness and acceptability of care providers for those measures. This paper aims to assess the readiness of care providers in the primary health-care sector in Lebanon for the implementation of quality and patient safety indicators. A cross-sectional survey methodology was utilized to gather information from 943 clinical care providers working at 123 primary health-care centres in Lebanon. The questionnaire included two sections: the first assessed four readiness dimensions (appropriateness, management support, efficacy, and personal valence) of clinical providers to use quality and safety indicators using the Readiness for Organization Change (ROC) scale, and the second section assessed the safety attitude at the primary care centre utilizing the Agency of Health Research and Quality (AHRQ) Safety Attitude Questionnaire (SAQ)-Ambulatory version. Although two thirds (66%) of respondents indicated readiness for implementation of quality and patient safety indicators in their centres, there appear to be differences by professional group. Physicians displayed the lowest scores on all readiness dimensions except for personal valence which was the lowest among nurses (60%). In contrast, allied health professionals displayed the highest scores across all readiness dimensions. Generally, respondents reflected a positive safety attitude climate in the centres. Yet, there remain a few areas of concern related to punitive culture (only 12.8% agree that staff should not be punished for reported errors/incidents), continuity of care (41.1% believe in the negative consequences of lack in continuity of care process), and resources (48.1% believe that the medical equipment they have are adequate). Providers with the highest SAQ score had 2.7, 1.7, 7 and 2.4 times the odds to report a higher readiness on the appropriateness, efficacy, management and personal valence ROC subscales, respectively (P value quality and patient

  20. Advancing the climate data driven crop-modeling studies in the dry areas of Northern Syria and Lebanon: An important first step for assessing impact of future climate

    Energy Technology Data Exchange (ETDEWEB)

    Dixit, Prakash N., E-mail: p.dixit@cgiar.org; Telleria, Roberto

    2015-04-01

    Inter-annual and seasonal variability in climatic parameters, most importantly rainfall, have potential to cause climate-induced risk in long-term crop production. Short-term field studies do not capture the full nature of such risk and the extent to which modifications to crop, soil and water management recommendations may be made to mitigate the extent of such risk. Crop modeling studies driven by long-term daily weather data can predict the impact of climate-induced risk on crop growth and yield however, the availability of long-term daily weather data can present serious constraints to the use of crop models. To tackle this constraint, two weather generators namely, LARS-WG and MarkSim, were evaluated in order to assess their capabilities of reproducing frequency distributions, means, variances, dry spell and wet chains of observed daily precipitation, maximum and minimum temperature, and solar radiation for the eight locations across cropping areas of Northern Syria and Lebanon. Further, the application of generated long-term daily weather data, with both weather generators, in simulating barley growth and yield was also evaluated. We found that overall LARS-WG performed better than MarkSim in generating daily weather parameters and in 50 years continuous simulation of barley growth and yield. Our findings suggest that LARS-WG does not necessarily require long-term e.g., > 30 years observed weather data for calibration as generated results proved to be satisfactory with > 10 years of observed data except in area with higher altitude. Evaluating these weather generators and the ability of generated weather data to perform long-term simulation of crop growth and yield is an important first step to assess the impact of future climate on yields, and to identify promising technologies to make agricultural systems more resilient in the given region. - Highlights: • LARS-WG performed better than MarkSim in generating daily weather parameters. • LARS-WG can serve

  1. Vessel Activity Record

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Vessel Activity Record is a bi-weekly spreadsheet that shows the status of fishing vessels. It records whether fishing vessels are fishing without an observer...

  2. Climate Record Books

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Climate Record Books contain daily, monthly, seasonal, and annual averages, extremes, or occurrences. Most data are sequential by period of record 1871-1910,...

  3. Iraq Radiosonde Launch Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Iraqi upper air records loaned to NCDC from the Air Force 14th Weather Squadron. Scanned notebooks containing upper air radiosonde launch records and data. Launches...

  4. Daily Weather Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These daily weather records were compiled from a subset of stations in the Global Historical Climatological Network (GHCN)-Daily dataset. A weather record is...

  5. Transient Voltage Recorder

    Science.gov (United States)

    Medelius, Pedro J. (Inventor); Simpson, Howard J. (Inventor)

    2002-01-01

    A voltage transient recorder can detect lightning induced transient voltages. The recorder detects a lightning induced transient voltage and adjusts input amplifiers to accurately record transient voltage magnitudes. The recorder stores voltage data from numerous monitored channels, or devices. The data is time stamped and can be output in real time, or stored for later retrieval. The transient recorder, in one embodiment, includes an analog-to-digital converter and a voltage threshold detector. When an input voltage exceeds a pre-determined voltage threshold, the recorder stores the incoming voltage magnitude and time of arrival. The recorder also determines if its input amplifier circuits clip the incoming signal or if the incoming signal is too low. If the input data is clipped or too low, the recorder adjusts the gain of the amplifier circuits to accurately acquire subsequent components of the lightning induced transients.

  6. Interpreting land records

    CERN Document Server

    Wilson, Donald A

    2014-01-01

    Base retracement on solid research and historically accurate interpretation Interpreting Land Records is the industry's most complete guide to researching and understanding the historical records germane to land surveying. Coverage includes boundary retracement and the primary considerations during new boundary establishment, as well as an introduction to historical records and guidance on effective research and interpretation. This new edition includes a new chapter titled "Researching Land Records," and advice on overcoming common research problems and insight into alternative resources wh

  7. Managing electronic records

    CERN Document Server

    McLeod, Julie

    2005-01-01

    For records management courses, this book covers the theory and practice of managing electronic records as business and information assets. It focuses on the strategies, systems and procedures necessary to ensure that electronic records are appropriately created, captured, organized and retained over time to meet business and legal requirements.

  8. Recorder Resources, Part 2

    Science.gov (United States)

    Marshall, Herbert D.; VanHaaren, Peg

    2006-01-01

    This article provides teaching tips and materials related to recorder lesson. Teaching Recorder in the Music Classroom, by Fred Kersten, compiles more current recorder information than any other resource. In planning instruction, the major determining factor seems to be Rote or Note. This allows instructors to take familiar repertoire that…

  9. Public Records 1995.

    Science.gov (United States)

    Pritchard-Schoch, Teresa

    1995-01-01

    Examines developments among public record information providers, including a shift from file acquisition to entire company acquisition. Highlights include a table of remote access to public records by state; pricing information; privacy issues; and information about the three main companies offering access to public records: LEXIS, CDB Infotek,…

  10. Record Statistics and Dynamics

    DEFF Research Database (Denmark)

    Sibani, Paolo; Jensen, Henrik J.

    2009-01-01

    The term record statistics covers the statistical properties of records within an ordered series of numerical data obtained from observations or measurements. A record within such series is simply a value larger (or smaller) than all preceding values. The mathematical properties of records strongly...... fluctuations of e. g. the energy are able to push the system past some sort of ‘edge of stability’, inducing irreversible configurational changes, whose statistics then closely follows the statistics of record fluctuations....

  11. Metabolically Healthy Overweight and Obesity Is Associated with Higher Adherence to a Traditional Dietary Pattern: A Cross-Sectional Study among Adults in Lebanon.

    Science.gov (United States)

    Matta, Joane; Nasreddine, Lara; Jomaa, Lamis; Hwalla, Nahla; Mehio Sibai, Abla; Czernichow, Sebastien; Itani, Leila; Naja, Farah

    2016-07-20

    This study aimed to examine the proportion and socio-demographic correlates of Metabolically Healthy Overweight and Obesity (MHOv/O) among Lebanese adults and to investigate the independent effect of previously identified dietary patterns on odds of MHOv/O. Data were drawn from the National Nutrition and Non-Communicable Disease Risk Factor Survey (Lebanon 2008-2009). Out of the 337 adult participants who had complete socio-demographic, lifestyle, dietary as well as anthropometric and biochemical data, 196 had a BMI ≥ 25 kg/m² and their data were included in this study. MHOv/O was identified using the Adult Treatment Panel criteria. Dietary patterns previously derived in this study population were: Fast Food/Dessert, Traditional-Lebanese and High-Protein. The proportion of MHOv/O in the study sample was 37.2%. Females, higher education and high level of physical activity were positively associated with odds of MHOv/O. Subjects with higher adherence to the Traditional-Lebanese pattern had higher odds of MHOv/O (OR: 1.83, 95% CI: 1.09-3.91). No significant associations were observed between the Fast Food/Dessert and the high-protein patterns with MHOv/O. Follow-up studies are needed to confirm those findings and understand the mechanisms by which the Traditional-Lebanese pattern may exert a protective effect in this subgroup of overweight and obese adults.

  12. Susceptibility trends and molecular characterization of Gram-negative bacilli associated with urinary tract and intra-abdominal infections in Jordan and Lebanon: SMART 2011-2013.

    Science.gov (United States)

    Hayajneh, Wail A; Hajj, Aline; Hulliel, Fawzi; Sarkis, Dolla Karam; Irani-Hakimeh, Noha; Kazan, Lama; Badal, Robert E

    2015-06-01

    To investigate phenotypic and genotypic patterns of antimicrobial resistance among Gram-negative bacilli associated with urinary tract infection (UTI) and intra-abdominal infection (IAI) in medical centres of Jordan and Lebanon. Gram-negative bacilli from the SMART study, collected between the years 2011 and 2013, were first identified at local laboratories. These isolates were shipped to a central laboratory where re-identification, susceptibility testing, and molecular characterization were performed using standard methods. Among the 523 UTI-associated isolates, Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis were the most frequent (70%, 14%, and 5%, respectively). E. coli, K. pneumoniae, and Pseudomonas aeruginosa were the most frequent species among the 527 IAI-associated isolates (46%, 14%, and 12%, respectively). Incidence rates of extended-spectrum beta-lactamase (ESBL) producers among UTI-associated E. coli, K. pneumoniae, and P. mirabilis were 43%, 54%, and 4%, respectively. Corresponding rates among IAI-associated isolates were 49%, 56%, and 12%, respectively. Acinetobacter baumannii and P. aeruginosa isolates showed very disturbing low susceptibility patterns. CTX-M-15 was the most prevalent ESBL produced. Seventeen isolates were non-susceptible to carbapenems (estimated prevalence of 1.6%). The alarmingly high rates of ESBL production and emergence of carbapenemases emphasize the urgent need to develop antimicrobial stewardship initiatives and to maintain antimicrobial resistance surveillance systems. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. The challenges of sustainable access to safe drinking water in rural areas of developing countries: case of Zawtar El-Charkieh, Southern Lebanon.

    Science.gov (United States)

    Massoud, May A; Al-Abady, Abdolmonim; Jurdi, Mey; Nuwayhid, Iman

    2010-06-01

    Adequate and safe water is important for human health and well-being, economic production, and sustainable development. Failure to ensure the safety of drinking water may expose the community to the risk of outbreaks of waterborne and infectious diseases. Although drinking water is a basic human right, many people do not have access to safe and adequate drinking water or proper sanitation facilities. The authors conducted a study to assess the quantity, cost, continuity, coverage, and quality of drinking water in the village of Zawtar El-Charkieh, Lebanon. Their aim was to identify the challenges of sustainable access to safe drinking water in order to determine the short-term management actions and long-term strategies to improve water quality. Results revealed that contamination of the source, absence of any disinfection method or insufficient dose, poor maintenance operations, and aging of the networks are significant factors contributing to water contamination during the storage and distribution process. Establishing a comprehensive drinking water system that integrates water supply, quality, and management as well as associated educational programs in order to ensure the safety and sustainability of drinking water supplies is essential.

  14. The molecular basis of familial hypercholesterolemia in Lebanon: spectrum of LDLR mutations and role of PCSK9 as a modifier gene.

    Science.gov (United States)

    Abifadel, Marianne; Rabès, Jean-Pierre; Jambart, Sélim; Halaby, Georges; Gannagé-Yared, Marie-Hélène; Sarkis, Antoine; Beaino, Ghada; Varret, Mathilde; Salem, Nabiha; Corbani, Sandra; Aydénian, Hermine; Junien, Claudine; Munnich, Arnold; Boileau, Catherine

    2009-07-01

    Autosomal dominant hypercholesterolemia (ADH), a major risk for coronary heart disease, is associated with mutations in the genes encoding the low-density lipoproteins receptor (LDLR), its ligand apolipoprotein B (APOB) or PCSK9 (Proprotein Convertase Subtilin Kexin 9). Familial hypercholesterolemia (FH) caused by mutation in the LDLR gene is the most frequent form of ADH. The incidence of FH is particularly high in the Lebanese population presumably as a result of a founder effect. In this study we characterize the spectrum of the mutations causing FH in Lebanon: we confirm the very high frequency of the LDLR p.Cys681X mutation that accounts for 81.5 % of the FH Lebanese probands recruited and identify other less frequent mutations in the LDLR. Finally, we show that the p.Leu21dup, an in frame insertion of one leucine to the stretch of 9 leucines in exon 1 of PCSK9, known to be associated with lower LDL-cholesterol levels in general populations, is also associated with a reduction of LDL-cholesterol levels in FH patients sharing the p.C681X mutation in the LDLR. Thus, by studying for the first time the impact of PCSK9 polymorphism on LDL-cholesterol levels of FH patients carrying a same LDLR mutation, we show that PCSK9 might constitute a modifier gene in familial hypercholesterolemia.

  15. Detection of pathogenic bacteria in diarrheal stool collected from children in North Lebanon by using conventional stool culture and microarray technique « CLART® Enterobac »

    Directory of Open Access Journals (Sweden)

    Ranin Bechara

    2016-12-01

    Full Text Available Bechara, R., Hosny, M., AL-Kassaa, I., Dabboussi, F., Mallat, H. and Hamze, M. 2016. Detection of pathogenic bacteria in diarrheal stool collected from children in north lebanon by using conventional stool culture and microarray technique « clart® enterobac ». Lebanese Science Journal, 17(2: 233-239. Illness caused by enteropathogens represents an important economic and health burden worldwide. The majority of enteropathogens causes gastrointestinal infections which have a great impact on public health both in developing and developed countries. The aim of this study is to detect and identify the main enteropathogens in Lebanese diarrheal stool from children under 15 years old. The detection was performed by using both conventional method and microarray technique CLART® EnteroBac (Genomica-Spain. Five enteric pathogens, Salmonella spp, Shigella spp, Clostridium difficile B, Enteropathogenic E. coli, Campylobacter jejuni were detected in 80 diarrheal stools, from children under 15 years old. The results showed that CLART® EnteroBac technique have detected enteropathogens in 19% of samples, whereas 1% returned positive using stool culture methods.

  16. The role of the plastic surgeon in dealing with soft tissue injuries: experience from the second Israel-Lebanon war, 2006.

    Science.gov (United States)

    Sharony, Zach; Eldor, Liron; Klein, Yuval; Ramon, Yitzchak; Rissin, Yaron; Berger, Yosef; Lerner, Alexander; Ullmann, Yehuda

    2009-01-01

    During the 2006 war between Israel and Lebanon, 282 Israeli soldiers were evacuated to Rambam Health Care Campus. Of these, 210 were admitted for observation or treatment, and 15 of these were admitted to the Department of Plastic and Reconstructive Surgery. Thirty-five other soldiers, hospitalized in other departments, required the care of Plastic Surgeons, either for conservative or surgical treatment. The injury profile observed was consistent with data from previous low-intensity warfare, which demonstrated that over 80% of injuries were produced by fragmentation weapons, such as artillery, mortarshells, rockets, and missiles. It differs, however, from our experience in previous wars and our expectations regarding burn wounds, both in incidence and severity, which were significantly lower as compared with the past. This article presents our management of extensive soft tissue injuries, and details 3 representative cases. It highlights the role of the Plastic Surgeon as part of the whole treatment in this type of injury and helps to predict the needs of the medical system in preparation for the future.

  17. The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon.

    Science.gov (United States)

    El-Jardali, Fadi; Hemadeh, Randa; Jaafar, Maha; Sagherian, Lucie; El-Skaff, Ranime; Mdeihly, Reem; Jamal, Diana; Ataya, Nour

    2014-02-25

    In 2009, the Lebanese Ministry of Public Health (MOPH) launched the Primary Healthcare (PHC) accreditation program to improve quality across the continuum of care. The MOPH, with the support of Accreditation Canada, conducted the accreditation survey in 25 PHC centers in 2012. This paper aims to gain a better understanding of the impact of accreditation on quality of care as perceived by PHC staff members and directors; how accreditation affected staff and patient satisfaction; key enablers, challenges and strategies to improve implementation of accreditation in PHC. The study was conducted in 25 PHC centers using a cross-sectional mixed methods approach; all staff members were surveyed using a self-administered questionnaire whereas semi-structured interviews were conducted with directors. The scales measuring Management and Leadership had the highest mean score followed by Accreditation Impact, Human Resource Utilization, and Customer Satisfaction. Regression analysis showed that Strategic Quality Planning, Customer Satisfaction and Staff Involvement were associated with a perception of higher Quality Results. Directors emphasized the benefits of accreditation with regards to documentation, reinforcement of quality standards, strengthened relationships between PHC centers and multiple stakeholders and improved staff and patient satisfaction. Challenges encountered included limited financial resources, poor infrastructure, and staff shortages. To better respond to population health needs, accreditation is an important first step towards improving the quality of PHC delivery arrangement system. While there is a need to expand the implementation of accreditation to cover all PHC centers in Lebanon, considerations should be given to strengthening their financial arrangements as well.

  18. Metabolically Healthy Overweight and Obesity Is Associated with Higher Adherence to a Traditional Dietary Pattern: A Cross-Sectional Study among Adults in Lebanon

    Directory of Open Access Journals (Sweden)

    Joane Matta

    2016-07-01

    Full Text Available This study aimed to examine the proportion and socio-demographic correlates of Metabolically Healthy Overweight and Obesity (MHOv/O among Lebanese adults and to investigate the independent effect of previously identified dietary patterns on odds of MHOv/O. Data were drawn from the National Nutrition and Non-Communicable Disease Risk Factor Survey (Lebanon 2008–2009. Out of the 337 adult participants who had complete socio-demographic, lifestyle, dietary as well as anthropometric and biochemical data, 196 had a BMI ≥ 25 kg/m2 and their data were included in this study. MHOv/O was identified using the Adult Treatment Panel criteria. Dietary patterns previously derived in this study population were: Fast Food/Dessert, Traditional-Lebanese and High-Protein. The proportion of MHOv/O in the study sample was 37.2%. Females, higher education and high level of physical activity were positively associated with odds of MHOv/O. Subjects with higher adherence to the Traditional-Lebanese pattern had higher odds of MHOv/O (OR: 1.83, 95% CI: 1.09–3.91. No significant associations were observed between the Fast Food/Dessert and the high-protein patterns with MHOv/O. Follow-up studies are needed to confirm those findings and understand the mechanisms by which the Traditional-Lebanese pattern may exert a protective effect in this subgroup of overweight and obese adults.

  19. Ambient temperature recorder

    Science.gov (United States)

    Russell, Larry D.

    1991-01-01

    A temperature data recorder, designated the Ambient Temperature Recorder (ATR-4), was developed at NASA Ames Research Center to meet particular requirements for space life sciences experiments. The small, self-contained, four-channel, battery-powered device records 32 kilobytes of temperature data over a range of -40 to +60 C at four sampling intervals ranging from 1.875 to 15 minutes. Data is stored in its internal electronic memory for later readout by a personal computer.

  20. Modern recording techniques

    CERN Document Server

    Huber, David Miles

    2013-01-01

    As the most popular and authoritative guide to recording Modern Recording Techniques provides everything you need to master the tools and day to day practice of music recording and production. From room acoustics and running a session to mic placement and designing a studio Modern Recording Techniques will give you a really good grounding in the theory and industry practice. Expanded to include the latest digital audio technology the 7th edition now includes sections on podcasting, new surround sound formats and HD and audio.If you are just starting out or looking for a step up

  1. Third generation cephalosporin resistant Enterobacteriaceae and multidrug resistant gram-negative bacteria causing bacteremia in febrile neutropenia adult cancer patients in Lebanon, broad spectrum antibiotics use as a major risk factor, and correlation with poor prognosis

    Directory of Open Access Journals (Sweden)

    Rima eMoghnieh

    2015-02-01

    Full Text Available Bacteremia remains a major cause of life-threatening complications in patients receiving anticancer chemotherapy. The spectrum and susceptibility profiles of causative microorganisms differ with time and place. Data from Lebanon are scarce. We aim at evaluating the epidemiology of bacteremia in cancer patients in a university hospital in Lebanon, emphasizing antibiotic resistance and risk factors of multi-drug resistant organism (MDRO-associated bacteremia.This is a retrospective study of 75 episodes of bacteremia occurring in febrile neutropenic patients admitted to the hematology-oncology unit at Makassed General Hospital, Lebanon, from October 2009-January 2012.It corresponds to epidemiological data on bacteremia episodes in febrile neutropenic cancer patients including antimicrobial resistance and identification of risk factors associated with third generation cephalosporin resistance (3GCR and MDRO-associated bacteremia. Out of 75 bacteremias, 42.7% were gram-positive (GP, and 57.3% were gram-negative (GN. GP bacteremias were mostly due to methicillin-resistant coagulase negative staphylococci (28% of total bacteremias and 66% of GP bacteremias. Among the GN bacteremias, Escherichia coli (22.7% of total, 39.5% of GN organisms and Klebsiellapneumoniae(13.3% of total, 23.3% of GN organisms were the most important causative agents. GN bacteremia due to 3GC sensitive (3GCS bacteria represented 28% of total bacteremias, while 29% were due to 3GCR bacteria and 9% were due to carbapenem-resistant organisms. There was a significant correlation between bacteremia with MDRO and subsequent intubation, sepsis and mortality. Among potential risk factors, only broad spectrum antibiotic intake >4 days before bacteremia was found to be statistically significant for acquisition of 3GCR bacteria. Using carbapenems or piperacillin/ tazobactam>4 days before bacteremia was significantly associated with the emergence of MDRO (p value<0.05.

  2. Record Keeping Guidelines

    Science.gov (United States)

    American Psychologist, 2007

    2007-01-01

    These guidelines are designed to educate psychologists and provide a framework for making decisions regarding professional record keeping. State and federal laws, as well as the American Psychological Association's "Ethical Principles of Psychologists and Code of Conduct," generally require maintenance of appropriate records of psychological…

  3. Aspects of record linkage

    NARCIS (Netherlands)

    Schraagen, Marijn Paul

    2014-01-01

    This thesis is an exploration of the subject of historical record linkage. The general goal of historical record linkage is to discover relations between historical entities in a database, for any specific definition of relation, entity and database. Although this task originates from historical

  4. [Dental records and responsibility

    NARCIS (Netherlands)

    Brands, W.G.

    2006-01-01

    Dental records are more than a small part of the bookkeeping. In most dental practises, keeping records is the task of a dental assistant. In civil court, the dentist is in most countries liable for the mistakes of his employees. In disciplinary court however there may be doubt whether the dentist i

  5. Recorder Resources, Part 1

    Science.gov (United States)

    Marshall, Herbert D.; VanHaaren, Peg

    2006-01-01

    The article presents information on how to conduct a music recorder study inside the classroom. It is preferred to conduct a recorder study beginning at the end of third grade or during fourth grade and continuing through elementary school. At that point, the students have a strong sense of pitch, pulse, and rhythm and a large music vocabulary.…

  6. Your Medical Records

    Science.gov (United States)

    ... family doctor. When it comes to asking for medical records, different health care providers have different ways of doing things. Some might ... are needed faster — like when a patient needs medical treatment — the health care provider holding the records usually releases them immediately. If ...

  7. Hologram recording tubes

    Science.gov (United States)

    Rajchman, J. H.

    1973-01-01

    Optical memories allow extremely large numbers of bits to be stored and recalled in a matter of microseconds. Two recording tubes, similar to conventional image-converting tubes, but having a soft-glass surface on which hologram is recorded, do not degrade under repeated hologram read/write cycles.

  8. Laser color recording unit

    Science.gov (United States)

    Jung, E.

    1984-05-01

    A color recording unit was designed for output and control of digitized picture data within computer controlled reproduction and picture processing systems. In order to get a color proof picture of high quality similar to a color print, together with reduced time and material consumption, a photographic color film material was exposed pixelwise by modulated laser beams of three wavelengths for red, green and blue light. Components of different manufacturers for lasers, acousto-optic modulators and polygon mirrors were tested, also different recording methods as (continuous tone mode or screened mode and with a drum or flatbed recording principle). Besides the application for the graphic arts - the proof recorder CPR 403 with continuous tone color recording with a drum scanner - such a color hardcopy peripheral unit with large picture formats and high resolution can be used in medicine, communication, and satellite picture processing.

  9. Usage Record Format Recommendation

    CERN Document Server

    Nilsen, J.K.; Muller-Pfeerkorn, R

    2013-01-01

    For resources to be shared, sites must be able to exchange basic accounting and usage data in a common format. This document describes a common format which enables the exchange of basic accounting and usage data from different resources. This record format is intended to facilitate the sharing of usage information, particularly in the area of the accounting of jobs, computing, memory, storage and cloud usage but with a structure that allows an easy extension to other resources. This document describes the Usage Record components both in natural language form and annotated XML. This document does not address how these records should be used, nor does it attempt to dictate the format in which the accounting records are stored. Instead, it denes a common exchange format. Furthermore, nothing is said regarding the communication mechanisms employed to exchange the records, i.e. transport layer, framing, authentication, integrity, etc.

  10. Assessment of vulnerability in karst aquifers using a quantitative integrated numerical model: catchment characterization and high resolution monitoring - Application to semi-arid regions- Lebanon.

    Science.gov (United States)

    Doummar, Joanna; Aoun, Michel; Andari, Fouad

    2016-04-01

    Karst aquifers are highly heterogeneous and characterized by a duality of recharge (concentrated; fast versus diffuse; slow) and a duality of flow which directly influences groundwater flow and spring responses. Given this heterogeneity in flow and infiltration, karst aquifers do not always obey standard hydraulic laws. Therefore the assessment of their vulnerability reveals to be challenging. Studies have shown that vulnerability of aquifers is highly governed by recharge to groundwater. On the other hand specific parameters appear to play a major role in the spatial and temporal distribution of infiltration on a karst system, thus greatly influencing the discharge rates observed at a karst spring, and consequently the vulnerability of a spring. This heterogeneity can only be depicted using an integrated numerical model to quantify recharge spatially and assess the spatial and temporal vulnerability of a catchment for contamination. In the framework of a three-year PEER NSF/USAID funded project, the vulnerability of a karst catchment in Lebanon is assessed quantitatively using a numerical approach. The aim of the project is also to refine actual evapotranspiration rates and spatial recharge distribution in a semi arid environment. For this purpose, a monitoring network was installed since July 2014 on two different pilot karst catchment (drained by Qachqouch Spring and Assal Spring) to collect high resolution data to be used in an integrated catchment numerical model with MIKE SHE, DHI including climate, unsaturated zone, and saturated zone. Catchment characterization essential for the model included geological mapping and karst features (e.g., dolines) survey as they contribute to fast flow. Tracer experiments were performed under different flow conditions (snow melt and low flow) to delineate the catchment area, reveal groundwater velocities and response to snowmelt events. An assessment of spring response after precipitation events allowed the estimation of the

  11. Potential use of telephone surveys for non-communicable disease surveillance in developing countries: evidence from a national household survey in Lebanon

    Directory of Open Access Journals (Sweden)

    Abla M. Sibai

    2016-05-01

    Full Text Available Abstract Background Given the worldwide proliferation of cellphones, this paper examines their potential use for the surveillance of non-communicable disease (NCD risk factors in a Middle Eastern country. Methods Data were derived from a national household survey of 2,656 adults (aged 18 years or older in Lebanon in 2009. Responses to questions on phone ownership yielded two subsamples, the ‘cell phone sample’ (n = 1,404 and the ‘any phone sample’ (n = 2,158. Prevalence estimates of various socio-demographics and 11 key NCD risk factors and comorbidities were compared between each subsample and the overall household sample. Results Adjusting for baseline age and sex distribution, no differences were observed for all NCD indicators when comparing either of subsamples to the overall household sample, except for binge drinking [(OR = 1.55, 95 % CI: 1.33–1.81 and (OR = 1.48, 95 % CI: 1.18–1.85 for ‘cell phone subsample’ and ‘any phone subsample’, respectively] and self-rated health (OR = 1.23, 95 % CI: 1.10–1.36 and (OR = 1.16, 95 % CI: 1.02–1.32, respectively. Differences in the odds of hyperlipidemia (OR = 1.27, 95 % CI: 1.06–1.51 was also found in the subsample of ‘any phone’ carriers. Conclusions Multi-mode telephone surveillance techniques provide viable alternative to face-to-face surveys in developing countries. Cell phones may also be useful for personalized public health and medical care interventions in young populations.

  12. Rasch Measurement Analysis of a 25-Item Version of the Mueller/McCloskey Nurse Job Satisfaction Scale in a Sample of Nurses in Lebanon and Qatar

    Directory of Open Access Journals (Sweden)

    Michael Clinton

    2015-06-01

    Full Text Available The Mueller/McCloskey Nurse Job Satisfaction Scale (MMSS is widely used, but its psychometric characteristics have not been sufficiently validated for use in Middle Eastern countries. The objective of our methodological study was to determine the psychometric suitability of a 25-item version of the MMSS (MMSS-25 for use in middle-income and high-income Middle Eastern countries. A total of 1,322 registered nurses, 859 in Lebanon and 463 in Qatar, completed the MMSS-25 as part of a cross-sectional multinational investigation of nursing shortages in the region. We used the Rasch rating scale model to investigate the psychometric performance of the MMSS-25. We identified possible item bias among MMSS-25 items. We conducted confirmatory factor analyses (CFA to compare the fit to our data of five factor structures reported in the literature. We concluded that irrespective of administration in English or Arabic, the MMSS-25 is not sufficiently productive of measurement for use in the region. A core set of 13 items (MMSS-13, Cronbach’s α = .82 loading on five dimensions eliminates redundant MMSS items and is suitable for initial screening of nurses’ satisfaction. Of the five factor structures we examined, the MMSS-13 was the only close fit to our data (comparative fit index = 0.951; Tucker–Lewis index = 0.931; root mean square error of approximation = 0.051; p value = .401. The MMSS-13 has psychometric characteristics superior to MMSS-25, but additional items are required to meet the research-specific objectives of future studies of nurses’ job satisfaction in Middle Eastern countries.

  13. Prevalence and degree of bother of pelvic floor disorder symptoms among women from primary care and specialty clinics in Lebanon: an exploratory study.

    Science.gov (United States)

    Ghandour, Lilian; Minassian, Vatche; Al-Badr, Ahmed; Abou Ghaida, Rami; Geagea, Sandra; Bazi, Tony

    2017-01-01

    The prevalence of pelvic floor disorders (PFD) and their impact on quality of life of women vary among different populations. The purpose of this study was to assess the prevalence of symptoms of PFD, and their degree of bother in a convenience sample of Lebanese women, and to evaluate health-care seeking (HCS) behavior related to PFD. Women visiting clinics in a University Medical Center in Beirut, Lebanon, completed the self-filled validated Arabic version of the Global Pelvic Floor Bother Questionnaire (PFBQ). Data covering demographics, comorbidities, and HCS behavior related to PFD were collected. Total individual PFBQ scores, individual PFD symptom scores and HCS behavior were correlated to demographic data and comorbidities. The study participants included 900 women. PFBQ scores were significantly higher in women of older age, women with a lower level of education, women with higher vaginal parity, and women who engaged in heavy lifting/physical activity. BMI >25 kg/m(2) was the strongest independent risk factor for the presence of PFD symptoms. The overall prevalence of urinary incontinence was 42 %. Anal incontinence was the most bothersome PFD. Almost two thirds of the women reported HCS due to any aspect of PFD. Among symptomatic women who believed that their PFD warranted HCS, financial concern was the most common obstacle irrespective of age and educational level. In this convenience sample of Lebanese women, PFD symptoms were common and were significantly correlated with demographic characteristics and self-reported comorbidities. The key reason for not seeking health care related to PFD was financial concern.

  14. The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon

    Science.gov (United States)

    2014-01-01

    Background In 2009, the Lebanese Ministry of Public Health (MOPH) launched the Primary Healthcare (PHC) accreditation program to improve quality across the continuum of care. The MOPH, with the support of Accreditation Canada, conducted the accreditation survey in 25 PHC centers in 2012. This paper aims to gain a better understanding of the impact of accreditation on quality of care as perceived by PHC staff members and directors; how accreditation affected staff and patient satisfaction; key enablers, challenges and strategies to improve implementation of accreditation in PHC. Methods The study was conducted in 25 PHC centers using a cross-sectional mixed methods approach; all staff members were surveyed using a self-administered questionnaire whereas semi-structured interviews were conducted with directors. Results The scales measuring Management and Leadership had the highest mean score followed by Accreditation Impact, Human Resource Utilization, and Customer Satisfaction. Regression analysis showed that Strategic Quality Planning, Customer Satisfaction and Staff Involvement were associated with a perception of higher Quality Results. Directors emphasized the benefits of accreditation with regards to documentation, reinforcement of quality standards, strengthened relationships between PHC centers and multiple stakeholders and improved staff and patient satisfaction. Challenges encountered included limited financial resources, poor infrastructure, and staff shortages. Conclusions To better respond to population health needs, accreditation is an important first step towards improving the quality of PHC delivery arrangement system. While there is a need to expand the implementation of accreditation to cover all PHC centers in Lebanon, considerations should be given to strengthening their financial arrangements as well. PMID:24568632

  15. Advancing the climate data driven crop-modeling studies in the dry areas of Northern Syria and Lebanon: an important first step for assessing impact of future climate.

    Science.gov (United States)

    Dixit, Prakash N; Telleria, Roberto

    2015-04-01

    Inter-annual and seasonal variability in climatic parameters, most importantly rainfall, have potential to cause climate-induced risk in long-term crop production. Short-term field studies do not capture the full nature of such risk and the extent to which modifications to crop, soil and water management recommendations may be made to mitigate the extent of such risk. Crop modeling studies driven by long-term daily weather data can predict the impact of climate-induced risk on crop growth and yield however, the availability of long-term daily weather data can present serious constraints to the use of crop models. To tackle this constraint, two weather generators namely, LARS-WG and MarkSim, were evaluated in order to assess their capabilities of reproducing frequency distributions, means, variances, dry spell and wet chains of observed daily precipitation, maximum and minimum temperature, and solar radiation for the eight locations across cropping areas of Northern Syria and Lebanon. Further, the application of generated long-term daily weather data, with both weather generators, in simulating barley growth and yield was also evaluated. We found that overall LARS-WG performed better than MarkSim in generating daily weather parameters and in 50 years continuous simulation of barley growth and yield. Our findings suggest that LARS-WG does not necessarily require long-term e.g., >30 years observed weather data for calibration as generated results proved to be satisfactory with >10 years of observed data except in area with higher altitude. Evaluating these weather generators and the ability of generated weather data to perform long-term simulation of crop growth and yield is an important first step to assess the impact of future climate on yields, and to identify promising technologies to make agricultural systems more resilient in the given region. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. [Automated anesthesia record system].

    Science.gov (United States)

    Zhu, Tao; Liu, Jin

    2005-12-01

    Based on Client/Server architecture, a software of automated anesthesia record system running under Windows operation system and networks has been developed and programmed with Microsoft Visual C++ 6.0, Visual Basic 6.0 and SQL Server. The system can deal with patient's information throughout the anesthesia. It can collect and integrate the data from several kinds of medical equipment such as monitor, infusion pump and anesthesia machine automatically and real-time. After that, the system presents the anesthesia sheets automatically. The record system makes the anesthesia record more accurate and integral and can raise the anesthesiologist's working efficiency.

  17. Electronic health record

    DEFF Research Database (Denmark)

    Kierkegaard, Patrick

    2011-01-01

    The European Commission wants to boost the digital economy by enabling all Europeans to have access to online medical records anywhere in Europe by 2020. With the newly enacted Directive 2011/24/EU on Patients’ Rights in cross border healthcare due for implementation by 2013, it is inevitable...... that a centralised European health record system will become a reality even before 2020. However, the concept of a centralised supranational central server raises concern about storing electronic medical records in a central location. The privacy threat posed by a supranational network is a key concern. Cross border...... and Interoperable electronic health record systems make confidential data more easily and rapidly accessible to a wider audience and increases the risk that personal data concerning health could be accidentally exposed or easily distributed to unauthorised parties by enabling greater access to a compilation...

  18. Electronic health records

    DEFF Research Database (Denmark)

    Kierkegaard, Patrick

    2011-01-01

    The European Commission wants to boost the digital economy by enabling all Europeans to have access to online medical records anywhere in Europe by 2020. With the newly enacted Directive 2011/24/EU on patients’ rights in cross-border healthcare due for implementation by 2013, it is inevitable...... that a centralised European health record system will become a reality even before 2020. However, the concept of a centralised supranational central server raises concern about storing electronic medical records in a central location. The privacy threat posed by a supranational network is a key concern. Cross......-border and Interoperable electronic health record systems make confidential data more easily and rapidly accessible to a wider audience and increase the risk that personal data concerning health could be accidentally exposed or easily distributed to unauthorised parties by enabling greater access to a compilation...

  19. Records Management Database

    Data.gov (United States)

    US Agency for International Development — The Records Management Database is tool created in Microsoft Access specifically for USAID use. It contains metadata in order to access and retrieve the information...

  20. Herbicide application records

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document contains records of pesticide applications on Neal Smith National Wildlife Refuge (Walnut Creek National Wildlife Refuge) between 1995 and 2006.

  1. Interactive Record Linkage

    Directory of Open Access Journals (Sweden)

    2000-12-01

    Full Text Available In order to carry out demographic analyses at individual and group levels, a manual method of linking individual event records from parish registers was developed in the late 1950s. In order to save time and to work with larger areas than small parishes, systems for automatic record linkage were developed a couple of decades later. A third method, an interactive record linkage, named Demolink, has been developed even more recently. The main new feature of the method is the possibility of linking from more than two historical sources simultaneously. This improves the process of sorting out which events belong to which individual life courses. This paper discusses how Demolink was used for record linkage in a large Norwegian parish for the period 1801-1878.

  2. Environmental Review Records

    Data.gov (United States)

    Department of Housing and Urban Development — HUD’s Environmental Review Records page houses environmental reviews made publicly available through the HUD Environmental Review Online System (HEROS). This...

  3. Certified records manager exam

    Energy Technology Data Exchange (ETDEWEB)

    1990-01-01

    The Institute of Certified Records Managers (ICRM) is a non-profit, certifying organization of professional records managers and administrators. ICRM members are experienced in information requirements, records and information systems, and the related office systems and technologies. All members have met certification requirements and have received the Certified Records Manager (CRM) designation. As the field of information and records management moves toward standardization, and as the application of new technologies and technicalities complicate the measurement and demonstration of professional competence, the need for a means of identifying persons who have basic competency increases. The ICRM is providing such a means by testing and certifying basic knowledge. More and more job announcements are requiring this evidence of competency. Unfortunately, as an organization, NIRMA has a relatively small number of CRMs. The goal of the ICRM Development Group is two-fold; (1) to encourage NIRMA members to obtain their certification by providing basic information and support and; (2) to develop the Nuclear Specialist test module which will demonstrate that bearers have demonstrated expertise in nuclear records management as well as basic competencies. This report covers the examination process.

  4. Tape recorder failure investigation

    Science.gov (United States)

    Higgins, M. D.; Loewenthal, S. H.; Carnahan, C. C.; Snyder, G. L.

    1996-01-01

    Two end-item tape recorders lost 4:1 mode data recording mode capability at less than half of their 1 6,000-cycle, 4-year operating life. Subsequent life tests on two spare recorders also experienced 4:1 mode data loss at 8,000 and 11,700 cycles. Tear down inspection after completion of the life tests showed that the tape had worn through the alfesil record and reproduce heads. An investigation was initiated to understand the cause of excessive tape head wear and the reasons why the 4:1 mode data rate, low-speed mode is more damaging than the 1:1 mode data rate, high-speed recording mode. The objective was to establish how operating conditions (tape speed, humidity, temperature, stop/start cycles) affects head life with the goal of extending head life on the remaining in-service tape recorders. Another interest was to explain why an earlier vendor life test showed capability beyond 16,000 cycles.

  5. Optical sedimentation recorder

    Science.gov (United States)

    Bishop, James K.B.

    2014-05-06

    A robotic optical sedimentation recorder is described for the recordation of carbon flux in the oceans wherein both POC and PIC particles are captured at the open end of a submersible sampling platform, the captured particles allowed to drift down onto a collection plate where they can be imaged over time. The particles are imaged using three separate light sources, activated in sequence, one source being a back light, a second source being a side light to provide dark field illumination, and a third source comprising a cross polarized light source to illuminate birefringent particles. The recorder in one embodiment is attached to a buoyancy unit which is capable upon command for bringing the sedimentation recorder to a programmed depth below the ocean surface during recordation mode, and on command returning the unit to the ocean surface for transmission of recorded data and receipt of new instructions. The combined unit is provided with its own power source and is designed to operate autonomously in the ocean for extended periods of time.

  6. Record dynamics in ants.

    Directory of Open Access Journals (Sweden)

    Thomas O Richardson

    Full Text Available The success of social animals (including ourselves can be attributed to efficiencies that arise from a division of labour. Many animal societies have a communal nest which certain individuals must leave to perform external tasks, for example foraging or patrolling. Staying at home to care for young or leaving to find food is one of the most fundamental divisions of labour. It is also often a choice between safety and danger. Here we explore the regulation of departures from ant nests. We consider the extreme situation in which no one returns and show experimentally that exiting decisions seem to be governed by fluctuating record signals and ant-ant interactions. A record signal is a new 'high water mark' in the history of a system. An ant exiting the nest only when the record signal reaches a level it has never perceived before could be a very effective mechanism to postpone, until the last possible moment, a potentially fatal decision. We also show that record dynamics may be involved in first exits by individually tagged ants even when their nest mates are allowed to re-enter the nest. So record dynamics may play a role in allocating individuals to tasks, both in emergencies and in everyday life. The dynamics of several complex but purely physical systems are also based on record signals but this is the first time they have been experimentally shown in a biological system.

  7. Report on the Medicinal Use of Eleven Lamiaceae Species in Lebanon and Rationalization of Their Antimicrobial Potential by Examination of the Chemical Composition and Antimicrobial Activity of Their Essential Oils

    Science.gov (United States)

    Khoury, Madona; Eparvier, Véronique; Ouaini, Naïm

    2016-01-01

    Many Lamiaceae species are consumed in the Lebanese cuisine as food or condiment and are largely used in the traditional medicine of Lebanon to treat various diseases, including microbial infections. In this article we report the traditional medicinal uses of eleven Lamiaceae species: Coridothymus capitatus L., Lavandula stoechas L., Lavandula angustifolia Mill., Mentha spicata L. subsp. condensata, Origanum syriacum L., Rosmarinus officinalis, Salvia fruticosa Miller., Satureja cuneifolia Ten., Satureja thymbra L., Thymbra spicata L., and Vitex agnus-castus L. and study the chemical composition and antimicrobial activity of their essential oils (EOs). Our survey showed that Lamiaceae species are mainly used against gastrointestinal disorders and microbial infections. Chemical analysis of the EOs obtained from these plants allowed us to identify seventy-five compounds describing more than 90% of the relative composition of each EO. Essential oils with high amounts of thymol and carvacrol possessed the strongest antimicrobial activity. As expected, these two compounds demonstrated an interesting antifungal efficacy against the filamentous fungus T. rubrum. Our results confirmed that some of the Lamiaceae species used in Lebanon ethnopharmacological practices as antimicrobial agents do possess antibacterial and antifungal potential consistent with their use in alternative or complementary medicine. PMID:28053641

  8. Report on the Medicinal Use of Eleven Lamiaceae Species in Lebanon and Rationalization of Their Antimicrobial Potential by Examination of the Chemical Composition and Antimicrobial Activity of Their Essential Oils

    Directory of Open Access Journals (Sweden)

    Madona Khoury

    2016-01-01

    Full Text Available Many Lamiaceae species are consumed in the Lebanese cuisine as food or condiment and are largely used in the traditional medicine of Lebanon to treat various diseases, including microbial infections. In this article we report the traditional medicinal uses of eleven Lamiaceae species: Coridothymus capitatus L., Lavandula stoechas L., Lavandula angustifolia Mill., Mentha spicata L. subsp. condensata, Origanum syriacum L., Rosmarinus officinalis, Salvia fruticosa Miller., Satureja cuneifolia Ten., Satureja thymbra L., Thymbra spicata L., and Vitex agnus-castus L. and study the chemical composition and antimicrobial activity of their essential oils (EOs. Our survey showed that Lamiaceae species are mainly used against gastrointestinal disorders and microbial infections. Chemical analysis of the EOs obtained from these plants allowed us to identify seventy-five compounds describing more than 90% of the relative composition of each EO. Essential oils with high amounts of thymol and carvacrol possessed the strongest antimicrobial activity. As expected, these two compounds demonstrated an interesting antifungal efficacy against the filamentous fungus T. rubrum. Our results confirmed that some of the Lamiaceae species used in Lebanon ethnopharmacological practices as antimicrobial agents do possess antibacterial and antifungal potential consistent with their use in alternative or complementary medicine.

  9. Statistics of superior records

    Science.gov (United States)

    Ben-Naim, E.; Krapivsky, P. L.

    2013-08-01

    We study statistics of records in a sequence of random variables. These identical and independently distributed variables are drawn from the parent distribution ρ. The running record equals the maximum of all elements in the sequence up to a given point. We define a superior sequence as one where all running records are above the average record expected for the parent distribution ρ. We find that the fraction of superior sequences SN decays algebraically with sequence length N, SN˜N-β in the limit N→∞. Interestingly, the decay exponent β is nontrivial, being the root of an integral equation. For example, when ρ is a uniform distribution with compact support, we find β=0.450265. In general, the tail of the parent distribution governs the exponent β. We also consider the dual problem of inferior sequences, where all records are below average, and find that the fraction of inferior sequences IN decays algebraically, albeit with a different decay exponent, IN˜N-α. We use the above statistical measures to analyze earthquake data.

  10. Axonal bleb recording

    Institute of Scientific and Technical Information of China (English)

    Wenqin Hu; Yousheng Shu

    2012-01-01

    Patch-clamp recording requires direct accessibility of the cell membrane to patch pipettes and allows the investigation of ion channel properties and functions in specific cellular compartments.The cell body and relatively thick dendrites are the most accessible compartments of a neuron,due to their large diameters and therefore great membrane surface areas.However,axons are normally inaccessible to patch pipettes because of their thin structure; thus studies of axon physiology have long been hampered by the lack of axon recording methods.Recently,a new method of patchclamp recording has been developed,enabling direct and tight-seal recording from cortical axons.These recordings are performed at the enlarged structure (axonal bleb) formed at the cut end of an axon after slicing procedures.This method has facilitated studies of the mechanisms underlying the generation and propagation of the main output signal,the action potential,and led to the finding that cortical neurons communicate not only in action potential-mediated digital mode but also in membrane potential-dependent analog mode.

  11. Records via probability theory

    CERN Document Server

    Ahsanullah, Mohammad

    2015-01-01

    A lot of statisticians, actuarial mathematicians, reliability engineers, meteorologists, hydrologists, economists. Business and sport analysts deal with records which play important roles in various fields of statistics and its application. This book enables a reader to check his/her level of understanding of the theory of record values. We give basic formulae which are more important in the theory and present a lot of examples which illustrate the theoretical statements. For a beginner in record statistics, as well as for graduate students the study of our book needs the basic knowledge of the subject. A more advanced reader can use our book to polish his/her knowledge. An upgraded list of bibliography which will help a reader to enrich his/her theoretical knowledge and widen the experience of dealing with ordered observations, is also given in the book.

  12. Optimization by record dynamics

    DEFF Research Database (Denmark)

    Barettin, Daniele; Sibani, Paolo

    2014-01-01

    Large dynamical changes in thermalizing glassy systems are triggered by trajectories crossing record sized barriers, a behavior revealing the presence of a hierarchical structure in configuration space. The observation is here turned into a novel local search optimization algorithm dubbed record...... dynamics optimization,or RDO. RDO uses the Metropolis rule to accept or reject candidate solutions depending on the value of a parameter akin to the temperature and minimizes the cost function of the problem at hand through cycles where its ‘temperature’ is raised and subsequently decreased in order...... to expediently generate record high (and low) values of the cost function. Below, RDO is introduced and then tested by searching for the ground state of the Edwards–Anderson spin-glass model, in two and three spatial dimensions. A popularand highly efficient optimization algorithm, parallel tempering (PT...

  13. Keeping electronic records secure.

    Science.gov (United States)

    Easton, David

    2013-10-01

    Are electronic engineering maintenance records relating to the hospital estate or a medical device as important as electronic patient records? Computer maintenance management systems (CMMS) are increasingly being used to manage all-round maintenance activities. However, the accuracy of the data held on them, and a level of security that prevents tampering with records, or other unauthorised changes to them to 'cover' poor practice, are both essential, so that, should an individual be injured or killed on hospital grounds, and a law suit follow, the estates team can be confident that it has accurate data to prove it has fulfilled its duty of care. Here David Easton MSc CEng FIHEEM MIET, director of Zener Engineering Services, and chair of IHEEM's Medical Devices Advisory Group, discusses the issues around maintenance databases, and the security and integrity of maintenance data.

  14. Using ambient vibration measurements for risk assessment at an urban scale: from numerical proof of concept to Beirut case study (Lebanon)

    Science.gov (United States)

    Salameh, Christelle; Bard, Pierre-Yves; Guillier, Bertrand; Harb, Jacques; Cornou, Cécile; Gérard, Jocelyne; Almakari, Michelle

    2017-04-01

    of this method, using ambient vibration measurements both at ground level and within buildings, is illustrated with an example application for the city of Beirut (Lebanon).[Figure not available: see fulltext.

  15. Aftershock Sets Records

    Institute of Scientific and Technical Information of China (English)

    YU LINTAO

    2010-01-01

    @@ Since being released nationwide on July 22,Chinese film director Feng Xiaogang's latest film Aftershock has brought in more than 500 million yuan($73.5 million)at the box office by August 8,a new record for a domestic movie.

  16. Cine recording ophthalmoscope

    Science.gov (United States)

    Fitzgerald, J. W.

    1972-01-01

    Camera system provides accurate photographic recording during acceleration of centrifuge and permits immediate observation of dynamic changes in retinal circulation by a closed-circuit television loop. System consists of main camera, remote control unit, and strobe power supply unit, and is used for fluorescein studies and dynamometry sequences.

  17. Records as Genre.

    Science.gov (United States)

    Schryer, Catherine F.

    1993-01-01

    Reworks the concept of genre from rhetorical, dialectical, and dialogic perspectives. Redefines genre as a stabilized-for-now site of social and ideological action. Applies this definition (in a six-month ethnographic study) to a specific literary practice--medical record keeping--evolving in a specific context--a veterinary college. (SR)

  18. Vintage Vinyl Record Design

    Science.gov (United States)

    Sacco, Michael

    2008-01-01

    In this article, the author describes a project in which his ninth-grade art students utilized a vinyl record as an unusual medium to create a work that exhibited solid design, great creativity, and strong craftsmanship. Students presented their pieces to the class for critique, explained the process, the media, and their feelings about their…

  19. PULSE AMPLITUDE DISTRIBUTION RECORDER

    Science.gov (United States)

    Cowper, G.

    1958-08-12

    A device is described for automatica1ly recording pulse annplitude distribution received from a counter. The novelty of the device consists of the over-all arrangement of conventional circuit elements to provide an easy to read permanent record of the pulse amplitude distribution during a certain time period. In the device a pulse analyzer separates the pulses according to annplitude into several channels. A scaler in each channel counts the pulses and operates a pen marker positioned over a drivable recorder sheet. Since the scalers in each channel have the sanne capacity, the control circuitry permits counting of the incoming pulses until one scaler reaches capacity, whereupon the input is removed and an internal oscillator supplies the necessary pulses to fill up the other scalers. Movement of the chart sheet is initiated wben the first scaler reaches capacity to thereby give a series of marks at spacings proportional to the time required to fill the remaining scalers, and accessory equipment marks calibration points on the recorder sheet to facilitate direct reading of the number of external pulses supplied to each scaler.

  20. The Exquisite Recorder

    Science.gov (United States)

    Reynolds, Geoffrey A.; Gottschalk, Thomas

    2009-01-01

    This article provides general music teachers with resources they can use in their class to: (1) introduce the instrument to their students; (2) energize and reshape their students' attitudes toward the instrument; (3) show older students who are very musical recorder and low flute players who share their love of the instruments through podcasts…

  1. A Miniature Recording Cardiotachometer

    DEFF Research Database (Denmark)

    Zsombor-Murray, Paul J; Vroomen, Louis J.; Hendriksen, Nils Thedin

    1981-01-01

    The design of a miniature, recording cardiotachometer is described. It is simple and can store digital data. Bench and field tests, using a hand-held display, are presented. Construction and principles of operation are discussed. Applications, with performing athlete subjects, are outlined....

  2. Records Center Program Billing System

    Data.gov (United States)

    National Archives and Records Administration — RCPBS supports the Records center programs (RCP) in producing invoices for the storage (NARS-5) and servicing of National Archives and Records Administration’s...

  3. Third generation cephalosporin resistant Enterobacteriaceae and multidrug resistant gram-negative bacteria causing bacteremia in febrile neutropenia adult cancer patients in Lebanon, broad spectrum antibiotics use as a major risk factor, and correlation with poor prognosis.

    Science.gov (United States)

    Moghnieh, Rima; Estaitieh, Nour; Mugharbil, Anas; Jisr, Tamima; Abdallah, Dania I; Ziade, Fouad; Sinno, Loubna; Ibrahim, Ahmad

    2015-01-01

    Bacteremia remains a major cause of life-threatening complications in patients receiving anticancer chemotherapy. The spectrum and susceptibility profiles of causative microorganisms differ with time and place. Data from Lebanon are scarce. We aim at evaluating the epidemiology of bacteremia in cancer patients in a university hospital in Lebanon, emphasizing antibiotic resistance and risk factors of multi-drug resistant organism (MDRO)-associated bacteremia. This is a retrospective study of 75 episodes of bacteremia occurring in febrile neutropenic patients admitted to the hematology-oncology unit at Makassed General Hospital, Lebanon, from October 2009-January 2012. It corresponds to epidemiological data on bacteremia episodes in febrile neutropenic cancer patients including antimicrobial resistance and identification of risk factors associated with third generation cephalosporin resistance (3GCR) and MDRO-associated bacteremia. Out of 75 bacteremias, 42.7% were gram-positive (GP), and 57.3% were gram-negative (GN). GP bacteremias were mostly due to methicillin-resistant coagulase negative staphylococci (28% of total bacteremias and 66% of GP bacteremias). Among the GN bacteremias, Escherichia coli (22.7% of total, 39.5% of GN organisms) and Klebsiella pneumoniae(13.3% of total, 23.3% of GN organisms) were the most important causative agents. GN bacteremia due to 3GC sensitive (3GCS) bacteria represented 28% of total bacteremias, while 29% were due to 3GCR bacteria and 9% were due to carbapenem-resistant organisms. There was a significant correlation between bacteremia with MDRO and subsequent intubation, sepsis and mortality. Among potential risk factors, only broad spectrum antibiotic intake >4 days before bacteremia was found to be statistically significant for acquisition of 3GCR bacteria. Using carbapenems or piperacillin/tazobactam>4 days before bacteremia was significantly associated with the emergence of MDRO (p < 0.05). Our findings have major

  4. Personal health records

    DEFF Research Database (Denmark)

    Kensing, Finn

    2012-01-01

    in the distributed heterogeneous network of chronic patients and the healthcare professionals that take care of them. An interactive personal health record (PHR) has been designed as part of the project. As such it is part of a trend to find ways to include patients in their own care process. This has been motivated...... by expected health benefits for the patients as well as promises to lead to reduced costs for a burdened healthcare system....

  5. Disseminating Service Registry Records

    OpenAIRE

    A. Apps

    2006-01-01

    The JISC Information Environment Service Registry (IESR) contains descriptions of collections of resources available to researchers, learners and teachers in the UK, along with technical service access details. This paper describes the data model and metadata description schema of IESR, and the services IESR provides to disseminate its records. There is a particular focus on the Open Archives Initiative Protocol for Metadata Harvesting (OAI-PMH) interface, including a possible use scenario. I...

  6. Magnetic record support

    Science.gov (United States)

    Nakayama, M.; Morita, H.; Tokuoka, Y.; Izumi, T.; Fukuda, K.; Kubota, Y.

    1984-01-01

    The magnetic layer of a magnetic record support is coated with a thin film of a polymer with a siloxane bond. The magnetic layer consists of a thin film obtained by vacuum metallization, cathode sputtering or dispersion of a ferromagnetic metal powder in a binder. The polymer with a siloxane bond is produced by the polymerization of an organic silicon compound which inherently contains or is able to form this bond. Polymerization is preferably performed by plasma polymerization.

  7. Personal Health Records

    DEFF Research Database (Denmark)

    Kensing, F.

    2012-01-01

    in the distributed heterogeneous network of chronic patients and the healthcare professionals that take care of them. An interactive personal health record (PHR) has been designed as part of the project. As such it is part of a trend to find ways to include patients in their own care process. This has been motivated...... by expected health benefits for the patients as well as promises to lead to reduced costs for a burdened healthcare system....

  8. Bank Record Processing

    Science.gov (United States)

    1982-01-01

    Barnett Banks of Florida, Inc. operates 150 banking offices in 80 Florida cities. Banking offices have computerized systems for processing deposits or withdrawals in checking/savings accounts, and for handling commercial and installment loan transactions. In developing a network engineering design for the terminals used in record processing, an affiliate, Barnett Computing Company, used COSMIC's STATCOM program. This program provided a reliable network design tool and avoided the cost of developing new software.

  9. Optimization by record dynamics

    Science.gov (United States)

    Barettin, Daniele; Sibani, Paolo

    2014-03-01

    Large dynamical changes in thermalizing glassy systems are triggered by trajectories crossing record sized barriers, a behavior revealing the presence of a hierarchical structure in configuration space. The observation is here turned into a novel local search optimization algorithm dubbed record dynamics optimization, or RDO. RDO uses the Metropolis rule to accept or reject candidate solutions depending on the value of a parameter akin to the temperature and minimizes the cost function of the problem at hand through cycles where its ‘temperature’ is raised and subsequently decreased in order to expediently generate record high (and low) values of the cost function. Below, RDO is introduced and then tested by searching for the ground state of the Edwards-Anderson spin-glass model, in two and three spatial dimensions. A popular and highly efficient optimization algorithm, parallel tempering (PT), is applied to the same problem as a benchmark. RDO and PT turn out to produce solutions of similar quality for similar numerical effort, but RDO is simpler to program and additionally yields geometrical information on the system’s configuration space which is of interest in many applications. In particular, the effectiveness of RDO strongly indicates the presence of the above mentioned hierarchically organized configuration space, with metastable regions indexed by the cost (or energy) of the transition states connecting them.

  10. Heterogeneous recording media

    Science.gov (United States)

    Sukhanov, Vitaly I.

    1991-02-01

    The paper summarizes the results of investigations performed to obtain deep 3-D holograms with 102 i0 mkm physical thickness allowing the postexposure amplification and the a posteriori changing of the grating parameters. This aim has been achieved by developing heterogeneous systems on the basis of porous glass with light-sensitive compositions introduced into it. 1. INTRODUCTION. LIGHT-SENSITIVE MEDIA FOR 3-D HOLOGRAMS RECORDING. The 3-D holograms have many useful properties: very high diffraction efficiency angular and spectral selectivity but low level of noise. It shoud be noted that in this case deep 3-D holograms are dealt with whose physical thickness is as high as 102 -i mkm. Such hologram recording is usually done using homogeneous light-sensitive media for example dyed acid-halide and electrooptical crystals photochrome glass photostructurized polimer compositions and so on. The nature of photophisical and photochemical processes responsible for the light sensitivity of these materials exclude the possibility of post-exposure treatment. This does not allow to enhance the recorded holograms and considerably hampers their fixing or makes it practically impossible. The object of our work is to create the media which are quite suitable for two-stage processes of the deep hologram formation with post-exposure processing. Such material must satisfy the following requirements: a)they must have high permeability for the developing substances in order to make the development duration suitable for practical applications b)they must be shrinkproof to prevent deformation of the

  11. Rounding effects in record statistics.

    Science.gov (United States)

    Wergen, G; Volovik, D; Redner, S; Krug, J

    2012-10-19

    We analyze record-breaking events in time series of continuous random variables that are subsequently discretized by rounding to integer multiples of a discretization scale Δ>0. Rounding leads to ties of an existing record, thereby reducing the number of new records. For an infinite number of random variables that are drawn from distributions with a finite upper limit, the number of discrete records is finite, while for distributions with a thinner than exponential upper tail, fewer discrete records arise compared to continuous variables. In the latter case, the record sequence becomes highly regular at long times.

  12. A terabyte linear tape recorder

    Science.gov (United States)

    Webber, John C.

    1994-01-01

    A plan has been formulated and selected for a NASA Phase 2 SBIR award for using the VLBA tape recorder for recording general data. The VLBA tape recorder is a high-speed, high-density linear tape recorder developed for Very Long Baseline Interferometry (VLBI) which is presently capable of recording at rates up to 2 Gbit/sec and holding up to 1 Terabyte of data on one tape, using a special interface and not employing error correction. A general-purpose interface and error correction will be added so that the recorder can be used in other high-speed, high-capacity applications.

  13. AE Recorder Characteristics and Development.

    Energy Technology Data Exchange (ETDEWEB)

    Partridge, Michael E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Curtis, Shane Keawe [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); McGrogan, David Paul [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-11-01

    The Anomalous Environment Recorder (AE Recorder) provides a robust data recording capability for multiple high-shock applications including earth penetrators. The AE Recorder, packaged as a 2.4" di ameter cylinder 3" tall, acquires 12 accelerometer, 2 auxiliary, and 6 discrete signal channels at 250k samples / second. Recording depth is 213 seconds plus 75ms of pre-trigger data. The mechanical, electrical, and firmware are described as well as support electro nics designed for the first use of the recorder.

  14. Rapid Deployment Logistics: Lebanon, 1958

    Science.gov (United States)

    1984-10-01

    of the crop and created a serious unemployment problem. 5 5 A simple, seemingly logical decision had turned into a social as well as an economic...34 Annals of t~he. American Academy of Poli-tical and Social Science 457 (September 1981): 109-20. 112 Speidel, George S., Brig. Gen. (Ret.). Letter to...European Command. "Blue Bat Critique, 2-3 December 1958: Final. Report on Critique of USCINCEUR 0 Participacion in CINCSPECOMME OPLAN 215-58." 12

  15. SHOULDER ARTHROPLASTY RECORDS

    Science.gov (United States)

    Filho, Geraldo Motta; Galvão, Marcus Vinicius; Monteiro, Martim; Cohen, Marcio; Brandão, Bruno

    2015-01-01

    The study's objective is to evaluate the characteristics and problems of patients who underwent shoulder arthroplasties between July 2004 and November 2006. Methodology: During the period of the study, 145 shoulder arthroplasties were performed. A prospective protocol was used for every patient; demographic, clinical and surgical procedure data were collected. All gathered data were included in the data base. The patients were divided in three major groups: fractures, degenerative diseases and trauma sequels. Information obtained from the data base was correlated in order to determine patients' epidemiologic, injuries, and surgical procedure profiles. Results: Of the 145 shoulder arthroplasties performed, 37% presented trauma sequels, 30% degenerative diseases, and 33% proximal humerus fracture. 12% of the cases required total arthroplasties and 88% partial arthroplasties. Five major complications were observed on early postoperative period. Conclusion: Shoulder arthroplasties have become a common procedure in orthopaedic practice. Surgical records are important in evidencing progressive evolution and in enabling future clinical outcomes evaluation. PMID:26998463

  16. Steganalysis of recorded speech

    Science.gov (United States)

    Johnson, Micah K.; Lyu, Siwei; Farid, Hany

    2005-03-01

    Digital audio provides a suitable cover for high-throughput steganography. At 16 bits per sample and sampled at a rate of 44,100 Hz, digital audio has the bit-rate to support large messages. In addition, audio is often transient and unpredictable, facilitating the hiding of messages. Using an approach similar to our universal image steganalysis, we show that hidden messages alter the underlying statistics of audio signals. Our statistical model begins by building a linear basis that captures certain statistical properties of audio signals. A low-dimensional statistical feature vector is extracted from this basis representation and used by a non-linear support vector machine for classification. We show the efficacy of this approach on LSB embedding and Hide4PGP. While no explicit assumptions about the content of the audio are made, our technique has been developed and tested on high-quality recorded speech.

  17. Streamflows at record highs

    Science.gov (United States)

    Streamflow was reported well above average in more than half the country during May, with flows at or near record levels for the month in 22 states, according to the U.S. Geological Survey (USGS), Department of the Interior.USGS hydrologists said that above average flow was reported at 98 of the 173 USGS key index gauging stations used in their monthly check on surface- and ground-water conditions. High flows were most prevalent in the Mississippi River basin states and in the east, with the exception of Maine, South Carolina, and Georgia. Below-average streamflow occurred in the Pacific northwest and in small scattered areas in Colorado, Kansas, Texas, and Minnesota.

  18. An improved holographic recording medium

    Science.gov (United States)

    Gange, R. A.

    1973-01-01

    Solid, linear chain hydrocarbons with molecular weight ranging from about 300 to 2000 can serve as long-lived recording medium in optical memory system. Suitable recording hydrocarbons include microcrystalline waxes and low molecular weight polymers or ethylene.

  19. Weighing Rain Gauge Recording Charts

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Weighing rain gauge charts record the amount of precipitation that falls at a given location. The vast majority of the Weighing Rain Gauge Recording Charts...

  20. Toward a Record Retention Policy

    Science.gov (United States)

    Vaughan, Jason

    2007-01-01

    An academic library working group was charged in 2005 to create a records retention schedule and policy applicable to records containing personally identifiable information of library patrons. This group conducted a survey and extensive research, culminating in an adopted library records retention schedule and policy implemented in 2006.

  1. Enhancing OPAC Records for Discovery

    Directory of Open Access Journals (Sweden)

    Patrick Griffis

    2009-09-01

    Full Text Available This article proposes adding keywords and descriptors to the catalog records of electronic databases and media items to enhance their discovery. The authors contend that subject liaisons can add value to OPAC records and enhance discovery of electronic databases and media items by providing searchable keywords and resource descriptions. The authors provide an examination of OPAC records at their own library, which illustrates the disparity of useful keywords and descriptions within the notes field for media item records versus electronic database records. The authors outline methods for identifying useful keywords for indexing OPAC records of electronic databases. Also included is an analysis of the advantages of using Encore’s Community Tag and Community Review features to allow subject liaisons to work directly in the catalog instead of collaborating with cataloging staff

  2. The Carbon Monoxide Tape Recorder

    Science.gov (United States)

    Schoeberl, M. R.; Duncan, B. N.; Douglass, A. R.; Waters, J.; Livesey, N.; Read, W.; Filipiak, M.

    2006-01-01

    Using Aura MLS data we have identified the stratospheric tape recorder in carbon monoxide (CO). Unlike the water vapor tape recorder, which is controlled by upper troposphere processes, the CO tape recorder is linked to seasonal biomass burning. Since CO has a lifetime of only a few months, the CO tape recorder barely extends above 20 km. The tape head for CO appears to be close to 360K near the same location as the water vapor tape head [Read et al, 20041. Both tape heads are below the equatorial cold point tropopause but above the base of the tropical tropopause layer. The tape recorder signal becomes more distinct from 360K to 380K suggesting that convective detrainment of plays a decreasingly important role with altitude. The Global Modeling Initiative chemical transport model forced by the climatology of biomass burning reproduces the CO tape recorder.

  3. The foundations of magnetic recording

    CERN Document Server

    Mallinson, John C

    1993-01-01

    This expanded and updated new edition provides a comprehensive overview of the science and technology of magnetic recording. In the six years since the publication of the first edition, the magnetic recording and storage industry has burgeoned with the introduction of a host of new ideas and technologies. His book contains a discussion of almost every technologically important aspect of recording.* Continas complete coverage of the current technology of magnetic recording and storage* Written in a non-mathematical but scientifically accurate style* Permits intelligent evaluat

  4. Managing electronic records: A guideline

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, J.G.

    1994-10-25

    A committee at Martin Marietta Energy Systems (MMES) has drafted a guideline to assist offices in the management of electronic records. This paper will address the activities surrounding its creating. The guideline is for use by creators, users, and custodians of any type of electronic information. The guideline supports and supplements requirements from DOE and the National Archives and Records Administration (NARA), other internal processes such as system reviews, and the comprehensive records management program. While an in-house publication, it could prove useful to other organizations implementing an electronic records management program.

  5. Managing electronic records: A guideline

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, J.

    1995-07-01

    A committee at Martin Marietta Energy Systems (MMES) has drafted a guideline to assist offices in the management of electronic records. This paper will address the activities surrounding its creating. The guideline is for use by creators, users, and custodians of any type of electronic information. The guideline supports and supplements requirements from DOE and the National Archives and Records Administration (NARA), other internal processes such as system reviews, and the comprehensive records management program. While an in-house publication, it could prove useful to other organizations implementing an electronic records management program.

  6. Records and record-keeping for the hospital compounding pharmacist.

    Science.gov (United States)

    McElhiney, Linda F

    2007-01-01

    The United States Pharmacopeial Convention, Inc., is recognized by federal law and by most state boards of pharmacy as the official group for setting the standards for pharmaceuticals and pharmacy practice, including compounding. The standards of United States Pharmacopeia Chapter 795 require that a pharmacy maintain records on a compounded preparation, including the formulation record, and a Material Safety Data Sheets file. The American Society of Health-Systems Pharmacists' guidelines require that hospital pharmacy departments maintain at least four sets of records in the compounding area: (1) compounding formulas and procedures, (2) compounding logs of all compounded preparations, including batch records and sample batch labels, (3) equipment maintenance records, and (4) a record of ingredients purchased, including cerificates of analysis and Material Saftey Data Sheets. Hospital compounding records may be inspected by any of several outside organizations, including state boards of pharmacy, third-party payers, the Joint Commission on Accreditaion of Healthcare Organizations, the Drug Enforcement Agency, and attorneys. With the existing standards and guidelines in place and the importance of documentation unquestionable, a record of pharmacy activites should be maintained in a compounding pharmacy so that preparations can be replicated consistently, the history of each ingredient traced, equipment maintenance and calibration verified, and compounding procedures evaluated easily.

  7. Ulysses breaks latitude record

    Science.gov (United States)

    1993-06-01

    Ulysses is gathering important new information concerning the Sun and its environment. Its prime mission objective is to carry out the first systematic exploration of the inner part of the heliosphere - the region of space carved out of the interstellar medium by the solar wind - at all latitudes from the solar equator to the poles. The spacecraft, launched by the space shuttle Discovery on 6 October 1990 in the framework of an ESA-NASA collaborative venture, underwent a gravity assist manoeuvre at Jupiter in February 1992 and is now in a highly inclined solar orbit that will bring it over the south pole of the Sun in September 1994. At that time, Ulysses will establish a new record as it climbs to its maximum latitude of just over 80 degrees. The spacecraft and its scientific instruments are in excellent condition and the data coverage since launch has been consistently close to 100% thanks to the dedicated efforts of the joint ESA-NASA Mission Operations Team and NASA's Deep Space Network. Although the most exciting phase of the mission - the study of the Sun's polar regions - will only begin in mid-1994, Ulysses has already produced a wealth of new scientific results. These include : * - The first direct detection of neutral helium atoms arriving from interstellar space. * - The measurement of micron-sized dust grains arriving from interstellar space. * - The first measurement of singly-charged H, N, O and Ne ions which entered the heliosphere as interstellar neutral atoms and were then ionised. * - The highest-resolution measurements to date of the isotopic composition of cosmic ray nuclei (e.g. C, N, O, Ne, Si and Mg). In addition to the above, the traversal of Jupiter's magnetosphere at the time of the fly-by enabled the Ulysses investigators to acquire new and highly valuable data concerning this very complex and dynamic plasma environment. Among the more exciting results to emerge are the possible entry into the polar cap of Jupiter's magnetosphere near the

  8. Usage Reporting on Recorded Lectures

    NARCIS (Netherlands)

    Gorissen, Pierre; Bruggen, Jan van; Jochems, Wim

    2012-01-01

    This study analyses the interactions of students with the recorded lectures. We report on an analysis of students' use of recorded lectures at two Universities in the Netherlands. The data logged by the lecture capture system (LCS) is used and combined with collected survey data. We describe the pro

  9. COHERENT LIGHT-RECORDING TECHNIQUES.

    Science.gov (United States)

    On the basis of diffraction theory, quantum-mechanics and information theory, it is shown that the principle of coherent light recording is the...mechanical, magnetic or electric approaches. Photographic coherent light recording tests were made by the dynamic sweep tests on 16 mm Recordak Micro-File

  10. Rate-of-climb Recorder

    Science.gov (United States)

    Danielzig, Helmut

    1938-01-01

    The chief advantage of the instrument lies in the degree of accuracy obtainable with suitably flexible capsule (dynamic pressure recorder with small test range) and in its sensitivity for recording static-pressure changes. A description and hook-up of the instrument is provided along with calculations of error.

  11. Portable EGG recording system based on a digital voice recorder.

    Science.gov (United States)

    Jang, J-K; Shieh, M-J; Kuo, T-S; Jaw, F-S

    2009-01-01

    Cutaneous electrogastrogram (EGG) recording offers the benefit of non-invasive gastrointestinal diagnosis. With long-term ambulatory recording of signals, researchers and clinicians could have more opportunities to investigate and analyse paroxysmal or acute symptoms. A portable EGG system based on a digital voice recorder (DVR) is designed for long-term recording of cutaneous EGG signals. The system consists of electrodes, an EGG amplifier, a modulator, and a DVR. Online monitoring and off-line acquisition of EGG are handled by software. A special design employing an integrated timer circuit is used to modulate the EGG frequency to meet the input requirements of the DVR. This approach involves low supply voltage and low power consumption. Software demodulation is used to simplify the complexity of the system, and is helpful in reducing the size of the portable device. By using surface-mount devices (SMD) and a low-power design, the system is robust, compact, and suitable for long-term portable recording. As a result, researchers can record an ambulatory EGG signal by means of the proposed circuits in conjunction with an up-to-date voice-recording device.

  12. Record Management and Design Reuse

    Science.gov (United States)

    Briggs, Hugh C.

    2008-01-01

    Government mandated records management requirements apply to retention and long term archival of a wide variety of records. Part of the attention is on permanent accession and retention by the U.S. National Archives and Records Administration (NARA) but interim requirements for storage by the source agency are included. As government agencies and the Department of Defense move toward implementations, additional goals often include saving design data for reuse. This paper briefly reviews the government records management requirements then investigates candidate meanings of 'reuse' and proposes an enhanced design records retention approach. The recommended strategy that emerges is, for a given program or product family, to invest in rich and readily re-executable preservation of design artifacts for one or two subsequent generations, then downgrade the data in utility through conversions, ultimately reaching the NARA minimum standard for permanent historical-interest archives.

  13. Electronic Ambient-Temperature Recorder

    Science.gov (United States)

    Russell, Larry; Barrows, William

    1995-01-01

    Electronic temperature-recording unit stores data in internal memory for later readout. Records temperatures from minus 40 degrees to plus 60 degrees C at intervals ranging from 1.875 to 15 minutes. With all four data channels operating at 1.875-minute intervals, recorder stores at least 10 days' data. For only one channel at 15-minute intervals, capacity extends to up to 342 days' data. Developed for recording temperatures of instruments and life-science experiments on satellites, space shuttle, and high-altitude aircraft. Adaptable to such terrestrial uses as recording temperatures of perishable goods during transportation and of other systems or processes over long times. Can be placed directly in environment to monitor.

  14. Acceleration Recorder and Playback Module

    Science.gov (United States)

    Bozeman, Richard J., Jr. (Inventor)

    1996-01-01

    The present invention is directed to methods and apparatus relating to an accelerometer electrical signal recorder and playback module. The recorder module may be manufactured in lightweight configuration and includes analog memory components to store data. Signal conditioning circuitry is incorporated into the module so that signals may be connected directly from the accelerometer to the recorder module. A battery pack may be included for powering both the module and the accelerometer. Timing circuitry is included to control the time duration within which data is recorded or played back so as to avoid overloading the analog memory components. Multiple accelerometer signal recordings may be taken simultaneously without analog to digital circuits, multiplexing circuitry or software to compensate for the effects of multiplexing the signals.

  15. The science of sound recording

    CERN Document Server

    Kadis, Jay

    2012-01-01

    The Science of Sound Recording will provide you with more than just an introduction to sound and recording, it will allow you to dive right into some of the technical areas that often appear overwhelming to anyone without an electrical engineering or physics background.  The Science of Sound Recording helps you build a basic foundation of scientific principles, explaining how recording really works. Packed with valuable must know information, illustrations and examples of 'worked through' equations this book introduces the theory behind sound recording practices in a logical and prac

  16. Retrospective analysis on the use of amphotericin B lipid complex in neutropenic cancer patients with suspected fungal infections in Lebanon, a single center experience and review of international guidelines

    Directory of Open Access Journals (Sweden)

    Rima eMoghnieh

    2016-01-01

    Full Text Available Introduction: Immunocompromised patients carry a high risk for invasive fungal disease (IFD, which is associated with high mortality. Materials and Methods: This is a retrospective chart review of a 4 years’ experience of ABLC utilization for the management of suspected IFD at the Hematology/Oncology and Bone Marrow Transplantation unit at Makassed General Hospital, Beirut, Lebanon between January 2011 and December 2014. We focused on treatment strategy, response rate and adverse drug events associated with ABLC therapy. We also reviewed ABLC indications in international guidelines beyond its Food and Drug Administration approval. Results: A total of 89 patients received ABLC therapy for suspected fungal infection. Forty eight percent (48% were treated for a possible fungal infection, 19% for a problable fungal infection, 12% based on hospital guidelines, and 20% based on treating physician’s recommendations. The overall response rate was 71%. Nephrotoxicity occurred in 24% of patients and serum creatinine improved in 10% of these patients. Moderate hypokalemia was observed in 61% of the patients and severe hypokalemia in 10% but was corrected in both cases. Hepatotoxicity was observed in 12% of the patients throughout ABLC therapy. Drug delivery reactions were observed in 36% of the patients. There was a decrease in the incidence of these reactions upon using combination of premedication drugs. Conclusion: In this study, ABLC proved to be an effective and safe option in the management of suspected IFD in immunocompromised patients failing previous therapies.

  17. Persistence of random walk records

    Science.gov (United States)

    Ben-Naim, E.; Krapivsky, P. L.

    2014-06-01

    We study records generated by Brownian particles in one dimension. Specifically, we investigate an ordinary random walk and define the record as the maximal position of the walk. We compare the record of an individual random walk with the mean record, obtained as an average over infinitely many realizations. We term the walk ‘superior’ if the record is always above average, and conversely, the walk is said to be ‘inferior’ if the record is always below average. We find that the fraction of superior walks, S, decays algebraically with time, S ˜ t-β, in the limit t → ∞, and that the persistence exponent is nontrivial, β = 0.382 258…. The fraction of inferior walks, I, also decays as a power law, I ˜ t-α, but the persistence exponent is smaller, α = 0.241 608…. Both exponents are roots of transcendental equations involving the parabolic cylinder function. To obtain these theoretical results, we analyze the joint density of superior walks with a given record and position, while for inferior walks it suffices to study the density as a function of position.

  18. Medical records and access thereto.

    Science.gov (United States)

    McQuoid-Mason, D

    1996-01-01

    Medical records are essential tools in the practice of medicine. They are important in the planning and monitoring of patient care and for the protection of the legal interests of patients, hospitals and doctors. There is a legal duty on doctors to maintain confidentiality and failure to do so may result in an action for invasion of privacy, defamation or even breach of contract. There are, however, exceptions to this rule. There are procedural remedies available to obtain access to medical records where they are relevant to civil or criminal proceedings. There are also constitutional provisions under the Interim and Working Draft Constitutions which may allow such access. The former only applies to records held by the state while the latter applies to both state and privately held records. Ownership of medical records usually vests in the doctor or institution treating the patient, but such ownership is custodial rather than absolute. Patient records should be accurate, objective and contemporaneous. The international trend is to allow patients to inspect their records and to allow them to make copies thereof. It is submitted that given the provisions of the Interim and Working Draft Constitutions the same should apply in South Africa.

  19. Bit Patterned Magnetic Recording: Theory, Media Fabrication, and Recording Performance

    OpenAIRE

    Albrecht, Thomas R.; Arora, Hitesh; Ayanoor-Vitikkate, Vipin; Beaujour, Jean-Marc; Bedau, Daniel; Berman, David; Bogdanov, Alexei L.; Chapuis, Yves-Andre; Cushen, Julia; Dobisz, Elizabeth E.; Doerk, Gregory; Gao, He; Grobis, Michael; Gurney, Bruce; Hanson, Weldon

    2015-01-01

    Bit Patterned Media (BPM) for magnetic recording provide a route to densities $>1 Tb/in^2$ and circumvents many of the challenges associated with conventional granular media technology. Instead of recording a bit on an ensemble of random grains, BPM uses an array of lithographically defined isolated magnetic islands, each of which stores one bit. Fabrication of BPM is viewed as the greatest challenge for its commercialization. In this article we describe a BPM fabrication method which combine...

  20. 76 FR 62632 - NARA Records Reproduction Fees

    Science.gov (United States)

    2011-10-11

    ... archival records or donated materials from various Governmental bodies. Archival records means records that... Centers, National Personnel Records Center, archival reference operations nationwide, and Presidential... notified of NATF determination, including business case for determination, in NARA research rooms...