“Knowledge in the Service of the Cause”: Education and the Sahrawi Struggle for Self-Determination

This article examines the education strategy of the Sahrawi Arab Democratic Republic (SADR), the state-in-exile with partial sovereignty on “borrowed territory” in Algeria. The article, which opens with a historical glance at the conflict, argues that SADR’s education program not only succeeded in fostering self-reliance by developing skilled human resources, but was forward looking, using education as a vehicle to instill “new traditions of citizenship” and a new imagined national community, in preparation for future repatriation. In managing refugee camps as provinces of a state, the boundaries between the “refugee” as status and the “citizen” as a political identity were blurred. However,the stalled decolonization process and prolonged exile produced new challenges and consequences. Rather than using the skilled human resources in an independent stat eof Western Sahara, the state-in-limbo forced SADR andthe refugees to adapt to a deadlocked conflict, but not necessarily with negative outcomes to the national project.Cet article examine la stratégie pour l’éducation de la République arabe sahraouie démocratique (RASD), l’État en exil ayant une souveraineté partielle sur du « territoire emprunté » à l’Algérie. L’article, qui débute par un survol historique du conflit, avance que le programme d’ éducation de la RASD non seulement a réussi à favoriser l’autonomie en assurant la formation d’une main-d’œuvre qualifiée, mais a aussi, grâce à une vision orientée vers l’avenir, utilisé l’éducation pour instaurer de « nouvelles traditions de citoyenneté » et la notion d’une communauté nationale renouvelée, en vue d’un futur rapatriement. Par sa gestion de camps de réfugiés comme des provinces d’un État, les limites entre le statut de « réfugié » et l’identité politique du « citoyen » ont été estompées. Toutefois, le processus de décolonisation arrêté et l’exil prolongé ont suscité de nouveaux défis et diverses conséquences. Plutôt que d’utiliser les ressources humaines qualifiées dans un État indépendant du Sahara occidental, l’entre-deux a forcé la RASD et les réfugiés à s’adapter en raison d’un conflit arrivé à une impasse, mais qui n’a pas nécessairement eu des répercussions négatives sur le projet national

Mysticism in the poetry of Emily Dickinson: a theological interpretation

This paper is an attempt to analyze the poetry of Miss Emily Dickinson (1830-1886) in order to reveal the extent of mysticism in it, and it focuses on the concept of “theology.” Mysticism involves a deep, almost obsessive, concern with such problems as death, the existence of the soul, immortality, the existence of God and heaven, salvation or redemption, etc. The critical approach was used to analyze some of Dickinson’s major poems. A glance at her poetry reveals that it shows an extreme preoccupation with the effect of death and explores various themes such as the nature of the soul, the problem of immortality, the possibility of faith and the reality of God. The researchers also tried to reveal the internal and external influences that shaped Dickinson’s poetry. The paper concluded that the theme of death was inexhaustible for her. If her poetry seldom became “lyrical,” seldom departed from the colorless sobriety of its bare iambics and toneless assonance, it did so most of all when the subject was death. Although Dickinson’s poetry contains some mystical elements, mystical poetry, in the traditional sense, at least, is not her special poetic gift

Infant-feeding patterns and the effects of early introduction to formula and solid foods on childhood overweight or obesity among 10-years-olds in a low socioeconomic area of Lebanon : an exploratory analysis

In Lebanon, there has been an alarming increase in childhood overweight and obesity. In addition, most mothers do not meet the WHO recommendation that infants should be introduced to formula or solids only during the second half of their first year. Because the study population, Burj Hammoud, which is a low socioeconomic district, is small, we performed an exploratory analysis of infant feeding patterns and the effects of introducing formula and solids within six months, respectively, on childhood overweight/obesity among 10-year-old children. A total of 101 mothers were recruited from seven intercommunity dispensaries located across the district. Descriptive, univariate and multivariate logistic regression analyses were performed. There were 86.1% infants initiating breastfeeding, 18% exclusively breastfeeding at 6 months of age, 67.1% and 52.6% starting formula and solids by 6 months, respectively, and 53.5% becoming overweight/obese by the age of 10 years. Working mothers were significantly less likely to introduce formula but not solids within the first six months of infancy. Based on two case-control studies, after controlling for maternal employment, there were 2.278- and 1.511-fold significantly higher odds of introducing solids and formula before the age of 6 months compared with after the age of 6 months, respectively, for the overweight/obese individuals among 10-year-olds. Future research should focus on conducting a larger study by incorporating other low socioeconomic regions to confirm these relationships

Mysticism in the Poetry of Emily Dickinson: A Theological Interpretation

This paper is an attempt to analyze the poetry of Miss Emily Dickinson (1830-1886) in order to reveal the extent of mysticism in it, and it focuses on the concept of "theology." Mysticism involves a deep, almost obsessive, concern with such problems as death, the existence of the soul, immortality, the existence of God and heaven, salvation or redemption, etc. The critical approach was used to analyze some of Dickinson’s major poems. A glance at her poetry reveals that it shows an extreme preoccupation with the effect of death and explores various themes such as the nature of the soul, the problem of immortality, the possibility of faith and the reality of God. The researchers also tried to reveal the internal and external influences that shaped Dickinson’s poetry. The paper concluded that the theme of death was inexhaustible for her. If her poetry seldom became “lyrical,” seldom departed from the colorless sobriety of its bare iambics and toneless assonance, it did so most of all when the subject was death. Although Dickinson’s poetry contains some mystical elements, mystical poetry, in the traditional sense, at least, is not her special poetic gift

Prevalence of Bacterial Lower Respiratory Tract Infections at a Tertiary Hospital in Jordan

Background: Lower respiratory tract infections (LRTI) are a major cause of morbidity and mortality globally. The World Health Organization (WHO) estimates that LRTI are the most common global cause of death from infectious diseases.  However, the specific etiologic agent associated with LRTI is often unknown. Aims: We determined the bacterial infections and seasonal patterns associated with LRTI among hospitalized cases at Jordan University Hospital (JUH) for a period of five years. Methods: We conducted a multi-year study among hospitalized patients in Jordan on LRTI-associated bacterial etiology. Results: We found bacterial infections among 105 (21.1%) out of 495 LRTI patients. The most frequently identified bacteria in the LRTI patients were Staphylococcus aureus (7.7%) followed by Pseudomonas aeruginosa (5.1%). Most of the LRTI patients (95.2%) had at least one chronic disease and many were admitted to the Intensive Care Unit (16.8%). Of the 18 (3.64%) patients with LRTI who died at the hospital, 2 had a bacterial infection. We noticed a seasonal pattern of bacterial infections, with the highest prevalence during the winter months. Conclusions: Our findings suggest that early identification of bacterial agents and control of chronic disease may improve clinical management and reduce morbidity and mortality from LRTI

The Etiology of Viral Lower Respiratory Tract Infections at a Tertiary Hospital in Jordan over Five Years

Background Lower respiratory tract infection (LRTI) is the most common condition treated in primary care and is considered the third leading cause of death worldwide. The objective of our study is to determine the etiological agents that cause viral LRTI in Jordan, aiming to help physicians to choose the appropriate treatment strategy. Materials and Methods We conducted a retrospective study on patients who were admitted with the diagnosis of LRTI between January, 2011 and January, 2016. We used Fast-track Diagnostics (FTD)® Respiratory 21 Kit (Fast-track Diagnostics, Luxembourg) real-time PCR to determine the viral etiology of LRTI, and we investigated pandemic H1N1 2009 swine flu virus using rapid test PCR. Results This study involved 495 patients with a mean age of 57.79 ± 18.43 years. The causative agents were identified in 157 patients out of 495 patients (31.7%). FTD real-time PCR was done for 170 patients, and the test was positive for seasonal Influenza A virus in 7.1% of patients, influenza B in 4.1%, RSV in 4.7%, metapneumovirus in 4.1%, adenovirus in 4.1%, corona 229E/NL63 in 4.1%, parainfluenza virus in 7.6%, and rhinovirus in 3.5%. The percent of cases who were positive for pandemic H1N1 2009 swine flu virus was 4.2%. The rate of ICU admission was 16.8%, and the mortality rate of LRTI was as low as 3.64%. Conclusions Viral LRTI is more common in winter season in Jordan, especially in January. Remarkably, Influenza A and Parainfluenza viruses were the main viral causative agents for LRTI in our study

Evaluation of the effectiveness of sleep hygiene education and FITBIT devices on quality of sleep and psychological worry: a pilot quasi-experimental study among first-year college students

BackgroundCollege students report disturbed sleep patterns that can negatively impact their wellbeing and academic performance.ObjectivesThis study examined the effect of a 4-week sleep hygiene program that included sleep education and actigraph sleep trackers (FITBITs) on improving sleep quality and reducing psychological worry without control group.Design, settings, and participantsA pilot quasi-experimental design, participants were randomly selected medical and health sciences from a university students in the United-Arab-Emirates.MethodsStudents were asked to wear FITBITs and log their daily sleep data and completed the Pittsburgh Sleep Quality Index (PSQI) and Penn State Worry Questionnaire (PSWQ). Extensive sleep hygiene education was delivered via lectures, a WhatsApp group, and the Blackboard platform. In total, 50 students completed pre-and post-assessments and returned FITBIT data.ResultsThere was a significant difference in the prevalence of good sleep postintervention compared with pre-intervention (46% vs. 28%; p = 0.0126). The mean PSQI score was significantly lower post-intervention compared with pre-intervention (6.17 ± 3.16 vs. 7.12.87; p = 0.04, Cohen’s d 0.33). After the intervention, subjective sleep quality, sleep latency, and daytime dysfunction were significantly improved compared with pre-intervention (p < 0.05). In addition, FITBIT data showed total sleep time and the number of restless episodes per night were significantly improved postintervention compared with pre-intervention (p = 0.013). The mean PSWQ score significantly decreased from pre-intervention to p = 0.049, Cohen’ d = 0.25. The correlation between PSQI and PSWQ scores was significant post-intervention (β = 0.40, p = 0.02).ConclusionOur results may inform university educational policy and curricular reform to incorporate sleep hygiene awareness programs to empower students and improve their sleep habits

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely