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  1. Article ; Online: Psychological Impact of the Civil War and COVID-19 on Libyan Medical Students

    Muhammed Elhadi / Anis Buzreg / Ahmad Bouhuwaish / Ala Khaled / Abdulmueti Alhadi / Ahmed Msherghi / Ahmed Alsoufi / Hind Alameen / Marwa Biala / Alsafa Elgherwi / Fatimah Elkhafeefi / Amna Elmabrouk / Abdulmuez Abdulmalik / Sarah Alhaddad / Moutaz Elgzairi / Ahmed Khaled

    Frontiers in Psychology, Vol

    A Cross-Sectional Study

    2020  Volume 11

    Abstract: ObjectiveWe aim to determine the psychological status of medical students during the COVID-19 outbreak and civil war in Libya.MethodsA cross-sectional study was conducted among medical students from 15 medical schools between April 20 and May 1, 2020. ... ...

    Abstract ObjectiveWe aim to determine the psychological status of medical students during the COVID-19 outbreak and civil war in Libya.MethodsA cross-sectional study was conducted among medical students from 15 medical schools between April 20 and May 1, 2020. The demographic characteristics, generalized anxiety disorder 7-item (GAD-7) scale, and patient health questionnaire (PHQ-9) results were collected.ResultsOf the 3,500 students, 2,430 completed the survey. The mean (± SD) score of anxiety symptoms determined by the GAD-7 was 7.2 (5.1). A total of 268 (11%) students had a GAD-7 score of ≥15, which is indicative of moderate to severe anxiety. A total of 1,568 (64.5%) students showed different degrees of anxiety: mild, 910 (37.5%); moderate, 390 (16%); and severe, 268 (11%). Anxiety was significantly associated with living status and internal displacement (P < 0.05). The mean (+ SD) score of depressive symptoms determined by the PHQ-9 was 9.7 (6.3). A total of 525 (21.6%) students had a PHQ-9 score of ≥15, which is indicative of moderate to severe depression. A total of 1,896 (88%) students were diagnosed with mild (PHQ ≥ 5) depression. Suicidal ideation was present in 552 patients (22.7%). Depression was only statistically associated with the year of study (P = 0.009).ConclusionThese data highlight that medical students in Libya are at risk for depression, especially under the current stressful environment of the civil war and the COVID-19 outbreak.
    Keywords depression ; PHQ-9 ; anxiety ; GAD-7 ; medical student ; COVID-19 ; Psychology ; BF1-990 ; covid19
    Subject code 150
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Epidemiology, outcomes, and utilization of intensive care unit resources for critically ill COVID-19 patients in Libya

    Muhammed Elhadi / Ahmed Alsoufi / Abdurraouf Abusalama / Akram Alkaseek / Saedah Abdeewi / Mohammed Yahya / Alsnosy Mohammed / Mohammed Abdelkabir / Mohammed Huwaysh / Emad Amkhatirah / Kamel Alshorbaji / Samer Khel / Marwa Gamra / Abdulmueti Alhadi / Taha Abubaker / Mohamed Anaiba / Mohammed Elmugassabi / Muhannud Binnawara / Ala Khaled /
    Ahmed Zaid / Ahmed Msherghi

    PLoS ONE, Vol 16, Iss 4, p e

    A prospective multi-center cohort study.

    2021  Volume 0251085

    Abstract: Background The coronavirus disease (COVID-19) pandemic has severely affected African countries, specifically the countries, such as Libya, that are in constant conflict. Clinical and laboratory information, including mortality and associated risk factors ...

    Abstract Background The coronavirus disease (COVID-19) pandemic has severely affected African countries, specifically the countries, such as Libya, that are in constant conflict. Clinical and laboratory information, including mortality and associated risk factors in relation to hospital settings and available resources, about critically ill patients with COVID-19 in Africa is not available. This study aimed to determine the mortality and morbidity of COVID-19 patients in intensive care units (ICU) following 60 days after ICU admission, and explore the factors that influence in-ICU mortality rate. Methods This is a multicenter prospective observational study among COVID-19 critical care patients in 11 ICUs in Libya from May 29th to December 30th 2020. Basic demographic data, clinical characteristics, laboratory values, admission Sequential Organ Failure Assessment (SOFA) score, quick SOFA, and clinical management were analyzed. Result We included 465 consecutive COVID-19 critically ill patients. The majority (67.1%) of the patients were older than 60 years, with a median (IQR) age of 69 (56.5-75); 240 (51.6%) were male. At 60 days of follow-up, 184 (39.6%) were discharged alive, while 281 (60.4%) died in the intensive care unit. The median (IQR) ICU length of stay was 7 days (4-10) and non-survivors had significantly shorter stay, 6 (3-10) days. The body mass index was 27.9 (24.1-31.6) kg/m2. At admission to the intensive care unit, quick SOFA median (IQR) score was 1 (1-2), whereas total SOFA score was 6 (4-7). In univariate analysis, the following parameters were significantly associated with increased/decreased hazard of mortality: increased age, BMI, white cell count, neutrophils, procalcitonin, cardiac troponin, C-reactive protein, ferritin, fibrinogen, prothrombin, and d-dimer levels were associated with higher risk of mortality. Decreased lymphocytes, and platelet count were associated with higher risk of mortality. Quick SOFA and total SOFA scores increase, emergency intubation, inotrope use, stress ...
    Keywords Medicine ; R ; Science ; Q
    Subject code 610 ; 310
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Prevalence of anxiety and depressive symptoms among emergency physicians in Libya after civil war

    Muhammed Elhadi / Ala Khaled / Ans Bassam Malek / Ahmed El-Alem El-Azhari / Ahmed Zakaria Gwea / Ahmed Zaid / Salman Mabruk Elturki / Ahmed Aburgegah / Munir Ahmed K Abu Ageila / Abdulmueti Alhadi / Hafed Abdulwahhab Albashkar / Aliyah Mustafa Alshareef / Adel Basher Ben Nama / Nizar Aljarboue Mohammed Sahboun / Hazem Ahmed

    BMJ Open, Vol 10, Iss

    a cross-sectional study

    2020  Volume 8

    Keywords Medicine ; R
    Language English
    Publishing date 2020-08-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Impact of the COVID-19 pandemic on medical education

    Ahmed Alsoufi / Ali Alsuyihili / Ahmed Msherghi / Ahmed Elhadi / Hana Atiyah / Aimen Ashini / Arwa Ashwieb / Mohamed Ghula / Hayat Ben Hasan / Salsabil Abudabuos / Hind Alameen / Taqwa Abokhdhir / Mohamed Anaiba / Taha Nagib / Anshirah Shuwayyah / Rema Benothman / Ghalea Arrefae / Abdulwajid Alkhwayildi / Abdulmueti Alhadi /
    Ahmed Zaid / Muhammed Elhadi

    PLoS ONE, Vol 15, Iss 11, p e

    Medical students' knowledge, attitudes, and practices regarding electronic learning.

    2020  Volume 0242905

    Abstract: The Coronavirus Disease 2019 (COVID-19) pandemic has caused an unprecedented disruption in medical education and healthcare systems worldwide. The disease can cause life-threatening conditions and it presents challenges for medical education, as ... ...

    Abstract The Coronavirus Disease 2019 (COVID-19) pandemic has caused an unprecedented disruption in medical education and healthcare systems worldwide. The disease can cause life-threatening conditions and it presents challenges for medical education, as instructors must deliver lectures safely, while ensuring the integrity and continuity of the medical education process. It is therefore important to assess the usability of online learning methods, and to determine their feasibility and adequacy for medical students. We aimed to provide an overview of the situation experienced by medical students during the COVID-19 pandemic, and to determine the knowledge, attitudes, and practices of medical students regarding electronic medical education. A cross-sectional survey was conducted with medical students from more than 13 medical schools in Libya. A paper-based and online survey was conducted using email and social media. The survey requested demographic and socioeconomic information, as well as information related to medical online learning and electronic devices; medical education status during the COVID-19 pandemic; mental health assessments; and e-learning knowledge, attitudes, and practices. A total of 3,348 valid questionnaires were retrieved. Most respondents (64.7%) disagreed that e-learning could be implemented easily in Libya. While 54.1% of the respondents agreed that interactive discussion is achievable by means of e-learning. However, only 21.1% agreed that e-learning could be used for clinical aspects, as compared with 54.8% who disagreed with this statement and 24% who were neutral. Only 27.7% of the respondents had participated in online medical educational programs during the COVID-19 pandemic, while 65% reported using the internet for participating in study groups and discussions. There is no vaccine for COVID-19 yet. As such, the pandemic will undeniably continue to disrupt medical education and training. As we face the prospect of a second wave of virus transmission, we must take certain measures and make ...
    Keywords Medicine ; R ; Science ; Q
    Subject code 370
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Knowledge, attitude, and acceptance of healthcare workers and the public regarding the COVID-19 vaccine

    Muhammed Elhadi / Ahmed Alsoufi / Abdulmueti Alhadi / Amel Hmeida / Entisar Alshareea / Mawadda Dokali / Sanabel Abodabos / Omaymah Alsadiq / Mohammed Abdelkabir / Aimen Ashini / Abdulhamid Shaban / Saja Mohammed / Nehal Alghudban / Eman Bureziza / Qasi Najah / Khawla Abdulrahman / Nora Mshareb / Khawla Derwish / Najwa Shnfier /
    Rayan Burkan / Marwa Al-Azomi / Ayman Hamdan / Khadeejah Algathafi / Eman Abdulwahed / Khadeejah Alheerish / Naeimah Lindi / Mohamed Anaiba / Abobaker Elbarouni / Monther Alsharif / Kamal Alhaddad / Enas Alwhishi / Muad Aboughuffah / Wesal Aljadidi / Aisha Jaafari / Ala Khaled / Ahmed Zaid / Ahmed Msherghi

    BMC Public Health, Vol 21, Iss 1, Pp 1-

    a cross-sectional study

    2021  Volume 21

    Abstract: Abstract Background This study determined the knowledge, attitudes, and practice regarding COVID-19 and assessed the acceptance of the COVID-19 vaccine among healthcare workers and the general population. Methods A web-based, cross-sectional study was ... ...

    Abstract Abstract Background This study determined the knowledge, attitudes, and practice regarding COVID-19 and assessed the acceptance of the COVID-19 vaccine among healthcare workers and the general population. Methods A web-based, cross-sectional study was conducted using convenience sampling in Libya from December 1 to 18, 2020 among the general population and healthcare workers. Data on demographic characteristics, COVID-19 vaccination-related concerns, knowledge, attitudes, and practice regarding COVID-19, and knowledge, attitudes, and acceptance regarding the COVID-19 vaccine were collected using a self-administered survey. A binomial logistic regression was performed with 70% efficacy to determine the association between acceptance of the vaccine and study variables. Results Valid and complete responses were collected from 15,087 participants. Of these, 6227 (41.3%) were male and 8860 (58.7%) were female, with a mean (SD) age of 30.6 ± 9.8 years. Moreover, 485 (3.2%) participants were infected with COVID-19 at the time of the study, while 2000 (13.3%) had been previously infected. Overall, 2452 (16.3%) participants agreed, and 3127 (20.7%) strongly agreed, with “having concerns about serious vaccine-related complications.” Mask-wearing adherence was reported by 10,268 (68.1%) of the participants. Most participants (14,050, 93.1%) believed that the vaccine should be provided for free, while 7272 (48.2%) were willing to buy it. Regarding vaccine acceptance and efficacy, 12,006 (79.6%) reported their willingness to take the vaccine with an efficacy of 90% or more, 9143 (60.6%) with an efficacy of 70% or more, and only 6212 (41.2%) with an efficacy of 50%. The binomial logistic regression revealed that vaccine acceptance was not associated with belonging to the medical field versus the general population. Acceptance was statistically associated with younger age groups, especially 31–40 (OR = 1.3 [1.09, 1.55]) and 41–50 years (OR = 1.29, [1.09, 1.54]). However, having a family member or friend infected with COVID-19 ...
    Keywords COVID-19 ; SARS-CoV-2 ; Vaccine ; Acceptance ; Knowledge ; Attitude ; Public aspects of medicine ; RA1-1270
    Subject code 300
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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