The Commitment of Arabic Sites in the Field of Libraries and Information That is Available on the Web Measured by Dublin Core Schema

The study aims to try to explore Internet sites in the field of libraries and information and to analyze it objectively and semantically as well to identify its compliance with Dublin Core schema through the analysis of the researched websites by some of elements of the sites identified as a title, date, and language. Moreover to analyze the sites under study by geographical division and the possibility of study, there were identified (181) sites,  (106) sites has been subdued to study and it was found out that the University Library Web sites are the most number (38) with a  percentage of (35.8%), and most sites have been neglected or delayed update issue. The study recommended that the cooperation between the founders of the websites of libraries is necessary in order to be designed according to Dublin Core Schema and metadata to utilize the maximum benefit of it and make all Arabic websites appeared in Arabic display not only English display and the need to develop specialized sites in the core of the field such as library networks and directories and electronic catalogues, manuscripts since these categories have showed very low proportions in the identification process. Keywords: commitment, Arabic, sites, libraries, information,  Web measured

The Extent of the Application of University Libraries in the Jordan to the Standard Protocol Z39.50

Despite the great importance of a (Z39.50) Protocol in any mechanical system because of its serious benefits for libraries and information, however, there are limitations in using this Protocol in Jordanian universities libraries. Therefore the study dealt with protocol (Z39.50) practically and theoretically to benefit from it in Jordanian libraries through applying it at the Jordanian University Libraries represented by (Yarmouk University Library and the library of the University of Science and technology Irbid), and how to use and benefit from the mechanism applied in foreign libraries compared to the application in studied Jordanian libraries. The study consisted of (30) staff (60) officer in the sections of the studied university libraries (indexing and categorization, provisioning, periodicals, databases), formed (50%) of the chosen randomly sample study. Data collection adopted two methods: first: written interview questions, composed of (15) question. Second: asked questions questionnaire, consisting of (17) question, and after analyzing it, it showed that (84%) of workers were assisted by the protocol in doing their works, and it has a great role in information retrieval and search and retrieval of bibliographic records, while the system using the protocol in Jordanian universities only use (Horizon) system, also it was found that the Protocol does not provide collaborative interlibrary loan service between libraries. Search recommended that training courses must be done for library professionals to familiarize them with the Protocol and services so they can use it optimally, and the utilization of the possibilities provided by protocol must be expanded throughout the libraries. Keywords: libraries , Application, Protocol, Government universit

The Reality of Prison Libraries in the Hashmiat Kingdom of Jordan from the Point of View of their Employees

This study aims to identify the reality of prisons libraries in the Hashmiat Kingdom of Jordan, identify the different aspects of this reality, and evaluate the strengths and weaknesses of their resources, systems and services in order to present a proposal for improvement and development of them. The study aims to know the views of prisoners in prison libraries In terms of their reality, practice and contents.The study has used questionnaire and interview tools to answer the study questions and test its hypotheses. The questionnaire was distributed to a sample of (52) prisoner representing (88%) of the study target society , which includes workers and working inmates in prison libraries in Jordan.The results of the study show that all prison inmates need different libraries to get information and improve their knowledge. The result also show that there is no relation between the existence of a prison library and the education and cultural background of the prisoners ,the lack of flexibility in the future for expansion of the library. The results also show a shortage in the financial support to fund the prison libraries in general, as well as the lack of qualified and trained clerks.According to the results, the study introduces many recommendations hoping they will be considered by the managers and decision makers. The most important of these recommendations is the need to establish cooperative relationships between prison libraries and other public and privet libraries in the community, which may help to provide more and modern services. Also, the study recommends to courage having administrative decision to establish independent library building in each prison in Jordan. Due to there is a relationship between the existence of a library in the scientific sense inside the prison and the conviction of those responsible for the importance of its role in the reforming and rehabilitation of inmates, the study recommends to pay more attention to the importance of prison libraries

The Impact of collaborative Knowledge and Organizational Memory on the Quality of the Managerial Decisions in the Libraries of Jordanian Public Universities

This study aimed to discuss the importance of the collaborative knowledge and organizational knowledge and their ability to maintain the performance of the library that is based on the experience, knowledge and making strategic decisions. In addition to specifying the required knowledge sharing, applying and evaluating it in order that the library obtain a permanent competitive advantage, through its contribution to enable the library to adopt further innovations represented in new goods and services. The process of collaborative knowledge is considered the tool of the library for intellectual capital investment, by making access to knowledge generated for other people in need easy and possible. The quality of managerial decisions depends on the concentration on adopting correct and appropriate choices, generated through making knowledge and developing networks linking employees to share knowledge. The study has focused on the discussion of the impact of collaborative knowledge and organizational memory on the quality of the decisions taken at the university libraries, and by identifying the impact libraries could identify strengths and weaknesses in sharing knowledge between employees engaged in the library. So trying to enhance the strengths and developing it to increase the efficiency of employees and achieving competitive advantage. The researcher has adopted the descriptive analytical approach in data collection, analysis and reaching to the results. Based on the results of the study it has been recommended that the departments and decision-makers in university libraries in Jordan should identify impediments to the process of applying the active participation of knowledge, and work to reduce them in order to achieve its goals and enhance its competitive position. Keywords: collaborative Knowledge, Memory, Quality, Managerial Decisions, Libraries, Universities

The Role of Digital Library in Bridging the Language Divide: Comparison Study of Arabic and Other Languages

Developing countries are often said to suffer the disadvantages created by a ‘digital divide’ – the gap between the digitally advantaged and the digitally disadvantaged. Much of the attention given to the digital divide had focussed on the most severely disadvantaged countries (particularly in Africa and parts of Asia). This study was examined the phenomenon in the context of developing Arab countries, with a particular focus on the capacity of digital libraries to bridge the ‘divide’ as it applies to research and scholarly communication. This will entail a case study of University of Jordan.A particular focus of the study will be on assessing the particular challenges and frustrations facing Arabic-speaking researchers in their use of networked information services. That is, while the term digital divide is often used as a means of expressing the technology gap between developed and developing countries, it may well be that a further divide is created because of the domination of the languages and content of the developed world in the networked environment.The research will investigate the potential for digital library services to better serve Arabic-speaking scholars, in particular though the increased access to scholarly publishing in Arabic. It will also explore the policy initiatives and constraints that may impact upon the future development and implementation of digital library services for the benefit of Arabic-speaking scholars. There are no current published studies that deal with the capacity of digital libraries to address the digital divide in the developing Arab World. The findings of this research will provide important recommendations aimed at improving the capacity for digital libraries in Jordan and the wider Arab World to promote Arabic scholarship. Keyword: Digital Libraries, Arab world, Arabic languag

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone