Prevalence, correlates, and gender disparities related to eating disordered behaviors among health science students and healthcare practitioners in Lebanon: Findings of a national cross sectional study

BackgroundThe raised prevalence of eating disorders (ED) amongst health science students and health professionals is of mounting concern. This study aims to determine the prevalence and correlates of eating disorders risk amongst a sample of Lebanese health science students and healthcare practitioners of both genders.MethodsThis cross-sectional study enrolled a convenient sample of 1,000 participants (mean age: 23 ± 5.4; females: 74.9%) from faculties of health sciences, clinics, pharmacies, and hospitals. The validated Eating Attitudes Test (EAT-26) was used to screen for eating disorders. Anthropometric data were self-reported by respondents to assess their nutritional status.ResultsThe risk of eating disorders was prevalent in 22.5% of participants. Females were at higher risk of ED compared to males p = 0.03. Eating disorders risk did not differ between students and practitioners (p = 0.3). The highest proportion of high-risk participants were students studying nutrition and practitioners (40.9%), outracing their counterparts in nursing (18.7%), medicine (17.8%), pharmacy (17.7%), and midwifery (4.9%) sciences (p = 0.02). Most high-risk participants had normal body weight (60.4%), and 28.9% were overweight (p = 0.001). Female gender, nutrition profession, and dieting were associated with increasing the odd of ED. Particularly, dieting increased the risk around five times. Further, each 3 participants over 10 were facing binge eating behavior.ConclusionThis study uncovers an undervalued profession-related-health-disorder in Lebanese health science students and healthcare practitioners. Specific attention should be given to EDs in professional educational programmes across healthcare disciplines

DEVELOPING A COLLABORATIVE FRAMEWORK FOR LINKINGWOMAN’S HEALTH, WALKABILITY WITH NEIGHBORHOODDESIGN: A PILOT STUDY IN BEIRUT

Urban environments, which lack adequate social environments suitable for walking, lead to spreading a culture of poor diet and minimal physical activity amongst its dwellers, and thus become one of the major contributing environmental factors that lead to obesity. Nevertheless, the evidence review findings on the association between urban parameters and health outcomes still needs to be investigated and requires integrated system approach for informed health planning. In a car dependent city, like Beirut, with a weak pedestrian infrastructure in addition to unhealthy modern lifestyle, there is significant health problems, particularly obesity, in women. Though genetic tendency is known to be a contributor to overweightness and obesity, environmental factors are often significant sponsors to its causes. The purpose of this study is to develop a framework to understand the link between physical characteristics of the neighborhood including land use mix, proximity to shops and recreational facilities, distance to public parks, and the quality of pedestrian infrastructure on one hand, and the daily travel patterns in relationship with the socioeconomic level on the other. Moreover, it seeks to correlate the level of walkability with the body mass index and hence obesity and to overall health status and chronic diseases such as hypertension, diabetes and cardiac diseases. A pilot study is to be conducted, where a survey is developed and is to be tested on a specific number of 50 women in order to evaluate some of the feasibility of crucial components of the full-scale study. The target urban area extends from Horsh Beirut till Beirut Municipal Stadium. This pilot study conducted prior to the main multidisciplinary research assesses the feasibility of the used tools including such as surveys, mobile applications and mapping analysis as well as testing the reliability and cultural acceptance of the survey

Simulation of nanofluid flow in a micro-heat sink with corrugated walls considering the Effect of Nanoparticle Diameter on Heat Sink Efficiency

In this numerical work, the cooling performance of water–Al2O3 nanofluid (NF) in a novel microchannel heat sink with wavy walls (WMH-S) is investigated. The focus of this article is on the effect of NP diameter on the cooling efficiency of the heat sink. The heat sink has four inlets and four outlets, and it receives a constant heat flux from the bottom. CATIA and CAMSOL software were used to design the model and simulate the NF flow and heat transfer, respectively. The effects of the Reynolds number (Re) and volume percentage of nanoparticles (Fi) on the outcomes are investigated. One of the most significant results of this work was the reduction in the maximum and average temperatures of the H-S by increasing both the Re and Fi. In addition, the lowest Tmax and pumping power belong to the state of low NP diameter and higher Fi. The addition of nanoparticles reduces the heat sink maximum temperature by 3.8 and 2.5% at the Reynolds numbers of 300 and 1800, respectively. Furthermore, the highest figure of merit (FOM) was approximately 1.25, which occurred at Re 1800 and Fi 5%. Eventually, it was revealed that the best performance of the WMH-S was observed in the case of Re 807.87, volume percentage of 0.0437%, and NP diameter of 20 nm.Taif University, Taif, Saudi Arabiahttp://www.frontiersin.org/Energy_Researcham2022Mechanical and Aeronautical Engineerin

Correlations for total entropy generation and Bejan number for free convective heat transfer of an eco-friendly nanofluid in a rectangular enclosure under uniform magnetic field

In this paper, focusing on the study of entropy generation (EGN), the convection flow of an eco-friendly nanofluid (N-F) in a rectangular enclosure is studied numerically. The nanoparticles (N-Ps) used are silver N-P, which are obtained in an eco-friendly manner from natural materials. By suspending these N-Ps in an equal mixture of water and ethylene glycol (E-G), the N-F has been prepared. There are two constant-temperature triangular obstacles with height w and base H that are placed on the hot wall. There is a magnetic field (M-F) in the x-direction. To simulate the N-F flow, eco-friendly N-P relations are used, and the equations are solved using the volume control method and the SIMPLE algorithm. The variables include Rayleigh number (Ra), Hartmann number (Ha), H, W, and the volume fraction of silver N-Ps. The effect of these parameters is evaluated on the EGN and Bejan number (Be). Finally, a correlation is expressed for the EGN for a range of variables. The most important results of this paper demonstrate that the addition of silver eco-friendly N-Ps intensifies the EGN so that the addition of 3% of N-Ps enhances the EGN by 3.8%. An increment in the obstacle length reduces the Be barrier while increasing the Ha, which enhances the Be when the convection is strong. Increasing the height of the obstacle intensifies entropy generation.Taif University, Taif, Saudi Arabia.https://www.mdpi.com/journal/processesam2022Mechanical and Aeronautical Engineerin

The influence of forced convective heat transfer on hybrid nanofluid flow in a heat exchanger with elliptical corrugated tubes : numerical analyses and optimization

The capabilities of nanofluids in boosting the heat transfer features of thermal, electrical and power electronic devices have widely been explored. The increasing need of different industries for heat exchangers with high efficiency and small dimensions has been considered by various researchers and is one of the focus topics of the present study. In the present study, forced convective heat transfer of an ethylene glycol/magnesium oxide-multiwalled carbon nanotube (EG/MgO-MWCNT) hybrid nanofluid (HNF) as single-phase flow in a heat exchanger (HE) with elliptical corrugated tubes is investigated. Three-dimensional multiphase governing equations are solved numerically using the control volume approach and a validated numerical model in good agreement with the literature. The range of Reynolds numbers (Re) 50 < Re < 1000 corresponds to laminar flow. Optimization is carried out by evaluation of various parameters to reach an optimal case with the maximum Nusselt number (Nu) and minimum pressure drop. The use of hybrid nanofluid results in a greater output temperature, a higher Nusselt number, and a bigger pressure drop, according to the findings. A similar pattern is obtained by increasing the volume fraction of nanoparticles. The results indicate that the power of the pump is increased when EG/MgO-MWCNT HNFs are employed. Furthermore, the thermal entropy generation reduces, and the frictional entropy generation increases with the volume fraction of nanoparticles and Re number. The results show that frictional and thermal entropy generations intersect by increasing the Re number, indicating that frictional entropy generation can overcome other effective parameters. This study concludes that the EG/MgO-MWCNT HNF with a volume fraction (VF) of 0.4% is proposed as the best-case scenario among all those considered.Taif University Researchers Supporting Granthttps://www.mdpi.com/journal/applsciMechanical and Aeronautical Engineerin

Simulation of alumina/water manofluid flow in a micro-heatsink with wavy microchannels : impact of two-phase and single-phase nanofluid models

In this article, alumina/water nanofluid (NF) flow in a heatsink (H-S) with wavy microchannels (W-MCs) is simulated. The H-S is made of aluminum containing four similar parts. Each part has an inlet and outlet. Constant heat flux is applied on the bottom of the H-S. The study is based on two-phase (T-P) mixture and single-phase (S-P) models to determine the difference between these two types of simulations. FLUENT software and the control volume method were used for simulations. The volume control method is employed to solve equations. The effective variables include the volume fraction 0 < φ < 5% of alumina and Reynolds number (Re) 300 < Re < 1800. The maximum H-S bottom temperature, the required amount of pumping power (PP), the temperature uniformity, and the heat resistance of the H-S are the outputs studied to simulate the S-P and T-P models. The results show that the use of the T-P model has less error in comparison with the experimental data than the S-P model. An increment in the Re and φ reduces the maximum temperature (M-T) of the H-S. The S-P model, especially at a higher value of φ, leads to a lower M-T value than the T-P model. The S-P model shows a 0.5% greater decrease than the T-P model at the Reynolds number of 300 by enhancing the volume percentage of nanoparticles (NPs) from 1 to 5%. Temperature uniformity is improved with Re and φ. The reduction of H-S thermal resistance with Re and φ is the result of this study. Adding NPs to water, especially at higher amounts of φ, enhances the required PP. The T-P model predicts higher PP than the S-P one, especially at a high value of φ. The T-P model shows 4% more PP than the S-P model at Re 30 and a volume fraction of 4%.The German Research Foundation (DFG) and Taif University, Taif, Saudi Arabia.http://www.frontiersin.org/Energy_Researcham2022Mechanical and Aeronautical Engineerin

Predictors of Serum 25-Hydroxyvitamin D Concentrations among a Sample of Egyptian Schoolchildren

Objective. To assess the level of 25-hydroxyvitamin D status among a sample of Egyptian schoolchildren and to evaluate predictors of deficiency and insufficiency. Subjects and Methods. A cross-sectional study comprising 200 prepubescent schoolchildren aged from 9 to 11 years was performed. A questionnaire including frequency of midday sun exposure, milk intake, physical activity, and level of maternal education was taken. Body mass index (BMI) was calculated; serum 25-hydroxyvitamin D [25(OH)D], serum calcium, phosphorus, and parathyroid hormone were measured. Results. Vitamin D deficiency [serum 25(OH)D < 20 ng/mL] was detected in 11.5% of subjects while its insufficiency (serum 25(OH)D is between 20 and 29.9 ng/mL) was detected in 15%. Results revealed that obesity, low physical activity, low sun exposure, and low maternal education level are significant predictors of insufficiency, though female gender, low maternal education level, and low milk intake are significant predictors of deficiency. Lower serum phosphorus and higher serum parathyroid hormone were significantly associated with both deficiency and insufficiency (p<0.05). Conclusion. Vitamin D deficiency and insufficiency are common among schoolchildren in Egypt. Food fortification, vitamin D supplementation, and increasing maternal awareness about the importance of physical activity and exposure of their children to ultraviolet light may help to overcome this problem

Mapping geographical inequalities in access to drinking water and sanitation facilities in low-income and middle-income countries, 2000-17

Background: Universal access to safe drinking water and sanitation facilities is an essential human right, recognised in the Sustainable Development Goals as crucial for preventing disease and improving human wellbeing. Comprehensive, high-resolution estimates are important to inform progress towards achieving this goal. We aimed to produce high-resolution geospatial estimates of access to drinking water and sanitation facilities. Methods: We used a Bayesian geostatistical model and data from 600 sources across more than 88 low-income and middle-income countries (LMICs) to estimate access to drinking water and sanitation facilities on continuous continent-wide surfaces from 2000 to 2017, and aggregated results to policy-relevant administrative units. We estimated mutually exclusive and collectively exhaustive subcategories of facilities for drinking water (piped water on or off premises, other improved facilities, unimproved, and surface water) and sanitation facilities (septic or sewer sanitation, other improved, unimproved, and open defecation) with use of ordinal regression. We also estimated the number of diarrhoeal deaths in children younger than 5 years attributed to unsafe facilities and estimated deaths that were averted by increased access to safe facilities in 2017, and analysed geographical inequality in access within LMICs. Findings: Across LMICs, access to both piped water and improved water overall increased between 2000 and 2017, with progress varying spatially. For piped water, the safest water facility type, access increased from 40·0% (95% uncertainty interval [UI] 39·4–40·7) to 50·3% (50·0–50·5), but was lowest in sub-Saharan Africa, where access to piped water was mostly concentrated in urban centres. Access to both sewer or septic sanitation and improved sanitation overall also increased across all LMICs during the study period. For sewer or septic sanitation, access was 46·3% (95% UI 46·1–46·5) in 2017, compared with 28·7% (28·5–29·0) in 2000. Although some units improved access to the safest drinking water or sanitation facilities since 2000, a large absolute number of people continued to not have access in several units with high access to such facilities (>80%) in 2017. More than 253 000 people did not have access to sewer or septic sanitation facilities in the city of Harare, Zimbabwe, despite 88·6% (95% UI 87·2–89·7) access overall. Many units were able to transition from the least safe facilities in 2000 to safe facilities by 2017; for units in which populations primarily practised open defecation in 2000, 686 (95% UI 664–711) of the 1830 (1797–1863) units transitioned to the use of improved sanitation. Geographical disparities in access to improved water across units decreased in 76·1% (95% UI 71·6–80·7) of countries from 2000 to 2017, and in 53·9% (50·6–59·6) of countries for access to improved sanitation, but remained evident subnationally in most countries in 2017. Interpretation: Our estimates, combined with geospatial trends in diarrhoeal burden, identify where efforts to increase access to safe drinking water and sanitation facilities are most needed. By highlighting areas with successful approaches or in need of targeted interventions, our estimates can enable precision public health to effectively progress towards universal access to safe water and sanitation

The global burden of adolescent and young adult cancer in 2019 : a systematic analysis for the Global Burden of Disease Study 2019

Background In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15-39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15-39 years to define adolescents and young adults. Findings There were 1.19 million (95% UI 1.11-1.28) incident cancer cases and 396 000 (370 000-425 000) deaths due to cancer among people aged 15-39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59.6 [54.5-65.7] per 100 000 person-years) and high-middle SDI countries (53.2 [48.8-57.9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14.2 [12.9-15.6] per 100 000 person-years) and middle SDI (13.6 [12.6-14.8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23.5 million (21.9-25.2) DALYs to the global burden of disease, of which 2.7% (1.9-3.6) came from YLDs and 97.3% (96.4-98.1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.Peer reviewe

Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019 : a comprehensive demographic analysis for the Global Burden of Disease Study 2019

Background: Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected subnational locations from 1950 to 2019. Methods: 8078 country-years of vital registration and sample registration data, 938 surveys, 349 censuses, and 238 other sources were identified and used to estimate age-specific fertility. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate age-specific fertility rates for 5-year age groups between ages 15 and 49 years. With extensions to age groups 10–14 and 50–54 years, the total fertility rate (TFR) was then aggregated using the estimated age-specific fertility between ages 10 and 54 years. 7417 sources were used for under-5 mortality estimation and 7355 for adult mortality. ST-GPR was used to synthesise data sources after correction for known biases. Adult mortality was measured as the probability of death between ages 15 and 60 years based on vital registration, sample registration, and sibling histories, and was also estimated using ST-GPR. HIV-free life tables were then estimated using estimates of under-5 and adult mortality rates using a relational model life table system created for GBD, which closely tracks observed age-specific mortality rates from complete vital registration when available. Independent estimates of HIV-specific mortality generated by an epidemiological analysis of HIV prevalence surveys and antenatal clinic serosurveillance and other sources were incorporated into the estimates in countries with large epidemics. Annual and single-year age estimates of net migration and population for each country and territory were generated using a Bayesian hierarchical cohort component model that analysed estimated age-specific fertility and mortality rates along with 1250 censuses and 747 population registry years. We classified location-years into seven categories on the basis of the natural rate of increase in population (calculated by subtracting the crude death rate from the crude birth rate) and the net migration rate. We computed healthy life expectancy (HALE) using years lived with disability (YLDs) per capita, life tables, and standard demographic methods. Uncertainty was propagated throughout the demographic estimation process, including fertility, mortality, and population, with 1000 draw-level estimates produced for each metric. Findings: The global TFR decreased from 2·72 (95% uncertainty interval [UI] 2·66–2·79) in 2000 to 2·31 (2·17–2·46) in 2019. Global annual livebirths increased from 134·5 million (131·5–137·8) in 2000 to a peak of 139·6 million (133·0–146·9) in 2016. Global livebirths then declined to 135·3 million (127·2–144·1) in 2019. Of the 204 countries and territories included in this study, in 2019, 102 had a TFR lower than 2·1, which is considered a good approximation of replacement-level fertility. All countries in sub-Saharan Africa had TFRs above replacement level in 2019 and accounted for 27·1% (95% UI 26·4–27·8) of global livebirths. Global life expectancy at birth increased from 67·2 years (95% UI 66·8–67·6) in 2000 to 73·5 years (72·8–74·3) in 2019. The total number of deaths increased from 50·7 million (49·5–51·9) in 2000 to 56·5 million (53·7–59·2) in 2019. Under-5 deaths declined from 9·6 million (9·1–10·3) in 2000 to 5·0 million (4·3–6·0) in 2019. Global population increased by 25·7%, from 6·2 billion (6·0–6·3) in 2000 to 7·7 billion (7·5–8·0) in 2019. In 2019, 34 countries had negative natural rates of increase; in 17 of these, the population declined because immigration was not sufficient to counteract the negative rate of decline. Globally, HALE increased from 58·6 years (56·1–60·8) in 2000 to 63·5 years (60·8–66·1) in 2019. HALE increased in 202 of 204 countries and territories between 2000 and 2019