End of Life-Decisions: An Islamic Perspective

Patients who live with a low quality of life and suffer from chronic pain may wish to end their suffering through different means such as active euthanasia, passive euthanasia, and physician-assisted suicide. These alternatives to end one’s own life create many ethical dilemmas for health care professionals, patients, and family members. Some of these decisions are forbidden in Islamic Religion, while others are permitted. In this paper, the authors will discuss how Islam looks at these decisions. Knowing about how Islam deals with such decisions will be of great help for health care providers who take care of Muslim patients. It will also help patients and their families in making their decisions at the end of life

Quality of life in prostate cancer survivors in developing countries: The case of the Gaza Strip, Palestine

Background & Aim: Prostate cancer is one of the most common cancers in males and the second leading cause of cancer-related deaths in Palestine. Although, many studies were conducted in de-veloped countries to evaluate quality of life (QOL) in survivors of prostate cancer, the researchers could not find any study that was conducted in a developing country including Palestine. Therefore, the purpose of this study was to evaluate the QOL of prostate cancer survivors residing in Gaza Strip, Palestine, as an example of a developing country, and compare it with the literature. Methods & Materials: A total of a 121 men who were diagnosed with prostate cancer and live in Gaza Strip participated in this cross-sectional study. The University of California at Los Angeles Prostate-Specific Index including the RAND 36-Item Health Survey v2 was used to assess QOL of participants. Results: Age of participants’ ranged between 52 and 89 years with a mean of 71.80 (SD 7.66). The greatest majority of participants (n= 94, 77.67%) were diagnosed with prostate cancer after the age of 60. The mean scores for the entire general QOL items was 47.93 (SD= 22.46) and the mean for all Prostate Cancer Index-University of California items was 44.20 (SD= 16.16). Conclusion: Prostate cancer survivors living in Gaza Strip, Palestine have lower level of QOL than their counterparts who live in developed courtiers. These differences could be related to early screening and advanced technology used to treat prostate cancer in developed countries. Health care providers and health care policy makers need to improve provided health care services and introduce screening

Barriers to Health Care Utilization Facing Prostate Cancer Survivors Living in Gaza Strip

There are several studies that aimed to identify barriers to health care utilization, but none of them was conducted in a developing country that addressed barriers to health care utilization facing prostate cancer survivors. This study aimed at identifying barriers to health care utilization facing prostate cancer survivors who live in Gaza Strip. A qualitative approach with a semi-structured interview was used to collect data. Participants reported several barriers to health care utilization. These barriers were categorized under the following major categories: 1) barriers due to unavailability, 2) organizational barriers, 3) communication barriers, 4) geographical barriers, 5) socioeconomic barriers, and 6) barriers related directly to the blockade imposed on Gaza Strip. Within each category several subcategories emerged

Quality of Life and Barriers to Health Care of Prostate Cancer Survivors Residing in Gaza Strip

Prostate cancer is the second common type of cancer worldwide and in Palestine. The use of different treatment options helped prostate cancer survivors to get cured or to live for longer periods of time. Because of the several complications of treatment options, issues related to quality of life (QOL) became highly important in the decision of which option to use

End of Life-Decisions: An Islamic Perspective

Patients who live with a low quality of life and suffer from chronic pain may wish to end their suffering through different means such as active euthanasia, passive euthanasia, and physician-assisted suicide. These alternatives to end one’s own life create many ethical dilemmas for health care professionals, patients, and family members. Some of these decisions are forbidden in Islamic Religion, while others are permitted. In this paper, the authors will discuss how Islam looks at these decisions. Knowing about how Islam deals with such decisions will be of great help for health care providers who take care of Muslim patients. It will also help patients and their families in making their decisions at the end of life

Identifying and Prioritizing the Research Needs Related to Mental Health in Gaza Strip-Palestine

Background: An important function of research is to identify community needs in certain fields. As mental health is a vital issue to us, identifying and prioritizing mental health needs is important to policy makers to help them in setting goals for different programs that meet the needs of a specific community in a certain health area. Purpose: To identify the health research needs in the field of mental health in Gaza Strip, Palestine. Design and Methods: The design was a qualitative design using focus group, need assessment and non-structured interview for data collection. Participants: Participants included three focus groups. First group consisted of students enrolled in a master program of community mental health nursing; second group included seven faculty members who were specialists in mental health; and third group included six key persons from the ministry of health and the chair of community mental health program in WHO at Gaza Strip. Results: Results of this qualitative study revealed several themes that emerged from the thematic analysis. Many health research needs were identified by participants. These needs included the following topics: stigma, family integration, aggression of children born to substance-abuse fathers, post-partum depression, counseling, talking therapy in clinical practice, behavioral problems, tramadole abuse, risk factors leading to drug dependence, autism, exploring the role of religion in mental health, and Wellness Recovery Action Plan. Implication for Practice: Well designed studies will help to identify and prioritize the health needs for a specific community. Identifying the needs related to community mental health is one of the first steps to help in pushing these needs into the agenda of health policy makers, who then will work to set goals and design policies and programs that aiming to meet the needs of the community, which hopefully will produce a community with less mental health problems.Background: An important function of research is to identify community needs in certain fields. As mental health is a vital issue to us, identifying and prioritizing mental health needs is important to policy makers to help them in setting goals for different programs that meet the needs of a specific community in a certain health area. Purpose: To identify the health research needs in the field of mental health in Gaza Strip, Palestine. Design and Methods: The design was a qualitative design using focus group, need assessment and non-structured interview for data collection. Participants: Participants included three focus groups. First group consisted of students enrolled in a master program of community mental health nursing; second group included seven faculty members who were specialists in mental health; and third group included six key persons from the ministry of health and the chair of community mental health program in WHO at Gaza Strip. Results: Results of this qualitative study revealed several themes that emerged from the thematic analysis. Many health research needs were identified by participants. These needs included the following topics: stigma, family integration, aggression of children born to substance-abuse fathers, post-partum depression, counseling, talking therapy in clinical practice, behavioral problems, tramadole abuse, risk factors leading to drug dependence, autism, exploring the role of religion in mental health, and Wellness Recovery Action Plan. Implication for Practice: Well designed studies will help to identify and prioritize the health needs for a specific community. Identifying the needs related to community mental health is one of the first steps to help in pushing these needs into the agenda of health policy makers, who then will work to set goals and design policies and programs that aiming to meet the needs of the community, which hopefully will produce a community with less mental health problems

Assessing Spiritual Well-Being of Arab Muslim Prostate Cancer Survivors: A Reflection for a New Spiritual Health Care Policy

Religious and spiritual beliefs are some of numerous factors that influence quality of life outcome of cancer survivors. Spirituality is believed to be an important component of overall well-being and it is especially significant in relation to how cancer survivors cope with their morbidity. The purpose of this study was to explore spiritual well-being of Arab, Muslim prostate cancer survivors living in Gaza Strip, Palestine. A cross-sectional design was used in this study using the Spiritual Well-Being Scale (SWBS). A total of 117 Arab, Muslim patients diagnosed with prostate cancer from Gaza Strip participated in this study. Results revealed high scores of SWBS. Score for the total SWBS was 101.16 (±5.47) while was 58.91 (2.06±) for Religious Well-Being (RWB) subscale and 42.25 (±4.58) for Existential Well-Being (EWB) subscale. Scores were not affected by demographic characteristics of participants

An evidenced-based study :Measuring the effect of implementing an Infection Control Program on health care providers ' Compliance to Infection Control Measures'

In Palestinian, 10% of deaths among children under the age of five are related to infections. Practice of infection prevention and control reduces the number of hospital-acquired infections. The purposes of this study were to explore health care team perceptions of causes of hospital-acquired infections and to develop, implement and measure the impact of infection prevention program in the ICU of a specialty pediatric hospital in Gaza Strip. A quasi experimental with pretest-posttest design was used. All nurses and physicians were included in this study. Five dimensions were measured and investigated pre and post-intervention. An infection control educational program was designed and implemented. After implementing the staff-developed program, the five dimensions were improved: using sharp box increased from 46.6% to 90%, doing gloves and scrubbing improved from 53.3% to 55%, frequency of hand washing increased from 47.2% to 79.3%, awareness of Palestinian protocol of infection prevention increased from 27.5 to 80% and positive swabs cultures decreased from 56% to 34.6%. The study recommends rebuilding an the infection control committee, motivating and encouraging work team to apply control infection measures through training and continuous education, providing the necessary medical supplies. These are besides continuous monitoring and follow up from the administration.In Palestinian, 10% of deaths among children under the age of five are related to infections. Practice of infection prevention and control reduces the number of hospital-acquired infections. The purposes of this study were to explore health care team perceptions of causes of hospital-acquired infections and to develop, implement and measure the impact of infection prevention program in the ICU of a specialty pediatric hospital in Gaza Strip. A quasi experimental with pretest-posttest design was used. All nurses and physicians were included in this study. Five dimensions were measured and investigated pre and post-intervention. An infection control educational program was designed and implemented. After implementing the staff-developed program, the five dimensions were improved: using sharp box increased from 46.6% to 90%, doing gloves and scrubbing improved from 53.3% to 55%, frequency of hand washing increased from 47.2% to 79.3%, awareness of Palestinian protocol of infection prevention increased from 27.5 to 80% and positive swabs cultures decreased from 56% to 34.6%. The study recommends rebuilding an the infection control committee, motivating and encouraging work team to apply control infection measures through training and continuous education, providing the necessary medical supplies. These are besides continuous monitoring and follow up from the administration

Post-traumatic stress disorder among health care providers two years following the Israeli attacks against Gaza Strip in August 2014: Another call for policy intervention

This study aimed to assess the level of posttraumatic stress disorder and to examine the relationship between exposure to war stress and posttraumatic symptoms among health care providers two years following Israeli offensives against Gaza Strip in 2014. Methodology: A cross-sectional design was used for this study. We targeted all nurses and doctors working in three governmental hospitals in the Gaza Strip who worked with victims of the 2014 war, more specifically, those who were working in emergency departments, intensive care units, operating rooms, surgical departments, and burn units. A demographic sheet and Impact Event Scale-Revised were used in this study. The Impact Event Scale-Revised has three sub-scales; intrusion, avoidance, and hyper-arousal. Results: The results showed that 291 (89.3%) out of 2444 participants had scores more than 35 (threshold cut-off point) on Impact Event Scale-Revised. Scores ranged from eight to 80 with a mean of 52.71. Females had higher levels of stress (55.33) than males (50.82) and nurses (52.67) had more stress than physicians (47.38). The most frequent symptoms of trauma subscales was “Intrusion” (mean=19.99), followed by “Avoidance” (mean=17.60), and then “Hyper-arousal” (mean=14.12). Level of trauma symptoms were not affected by place of living, hospital of work, while level of education had impacted level of trauma. Conclusion: The findings showed that health care providers still suffer from severe posttraumatic symptoms two years after exposure to a prolonged war stress. This level of trauma among health care providers warrants intervention programs to reduce stress and trauma among Gaza health care providers after the war.This study aimed to assess the level of posttraumatic stress disorder and to examine the relationship between exposure to war stress and posttraumatic symptoms among health care providers two years following Israeli offensives against Gaza Strip in 2014. Methodology: A cross-sectional design was used for this study. We targeted all nurses and doctors working in three governmental hospitals in the Gaza Strip who worked with victims of the 2014 war, more specifically, those who were working in emergency departments, intensive care units, operating rooms, surgical departments, and burn units. A demographic sheet and Impact Event Scale-Revised were used in this study. The Impact Event Scale-Revised has three sub-scales; intrusion, avoidance, and hyper-arousal. Results: The results showed that 291 (89.3%) out of 2444 participants had scores more than 35 (threshold cut-off point) on Impact Event Scale-Revised. Scores ranged from eight to 80 with a mean of 52.71. Females had higher levels of stress (55.33) than males (50.82) and nurses (52.67) had more stress than physicians (47.38). The most frequent symptoms of trauma subscales was “Intrusion” (mean=19.99), followed by “Avoidance” (mean=17.60), and then “Hyper-arousal” (mean=14.12). Level of trauma symptoms were not affected by place of living, hospital of work, while level of education had impacted level of trauma. Conclusion: The findings showed that health care providers still suffer from severe posttraumatic symptoms two years after exposure to a prolonged war stress. This level of trauma among health care providers warrants intervention programs to reduce stress and trauma among Gaza health care providers after the war

A classifier to detect informational vs. non-informational heart attack tweets

Social media sites are considered one of the most important sources of data in many fields, such as health, education, and politics. While surveys provide explicit answers to specific questions, posts in social media have the same answers implicitly occurring in the text. This research aims to develop a method for extracting implicit answers from large tweet collections, and to demonstrate this method for an important concern: the problem of heart attacks. The approach is to collect tweets containing “heart attack” and then select from those the ones with useful information. Informational tweets are those which express real heart attack issues, e.g., “Yesterday morning, my grandfather had a heart attack while he was walking around the garden.” On the other hand, there are non-informational tweets such as “Dropped my iPhone for the first time and almost had a heart attack.” The starting point was to manually classify around 7000 tweets as either informational (11%) or non-informational (89%), thus yielding a labeled dataset to use in devising a machine learning classifier that can be applied to our large collection of over 20 million tweets. Tweets were cleaned and converted to a vector representation, suitable to be fed into different machine-learning algorithms: Deep neural networks, support vector machine (SVM), J48 decision tree and naïve Bayes. Our experimentation aimed to find the best algorithm to use to build a high-quality classifier. This involved splitting the labeled dataset, with 2/3 used to train the classifier and 1/3 used for evaluation besides cross-validation methods. The deep neural network (DNN) classifier obtained the highest accuracy (95.2%). In addition, it obtained the highest F1-scores with (73.6%) and (97.4%) for informational and non-informational classes, respectively