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Abdelsattar NK, Alrawi AG, Abdelraoof MI, Zaazouee MS, Elsayed SM, Farhat AM, El-Shafea MA, Abdeltawab AK, Ali MS, Madeeh AK, Assar A, Mohammed MH, Abdullah EA, Ragab KM, Abd-ElGawad M, Elsherif M, Rahim IAE, Ebada MA. Prevalence of negative mental health status during COVID-19 pandemic among general population of seven Arab countries: A cross-sectional study of 28843 participants. Indian J Psychiatry 2023; 65:90-102. [PMID: 36874525 PMCID: PMC9983458 DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_202_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 10/18/2022] [Accepted: 12/17/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Previous studies documented a narrow scope of knowledge about the negative mental health status during the lockdown following the COVID-19 pandemic, especially in Arab countries. AIM We aimed to assess the association between negative mental health status and the COVID-19 pandemic and determine the different factors affecting mental health among the general population of seven Arab countries. METHODS This study is a multinational cross-sectional questionnaire-based survey conducted online from June 11, 2020 to June 25, 2020. The depression, anxiety, and stress Scale 21 Items (DASS-21) and the Event scale-Revised Arabic version (IES-R-13) scales were used. Multiple linear regressions were performed to study the association between the scales' total scores with COVID-19 and demographic characteristics. RESULTS A total of 28,843 participants from seven Arab countries were included. During the COVID-19 pandemic, the prevalence of mental health disorders has significantly increased. A total of 19006 participants (66%) were affected by variable degrees of depression, 13,688 (47%) had anxiety, and 14,374 (50%) had stress ranging from mild to severe. Higher levels were associated with other factors, such as lower age, female gender, chronic disease, unemployed, fear of getting infected, and a history of psychiatric disorders. CONCLUSION Our study findings show an increased incidence of mental disorders during the pandemic. This is expected to play a crucial role in guiding a psychological support strategy provided by healthcare systems to the general public during pandemics.
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Affiliation(s)
- Nada K Abdelsattar
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Aya Ghiath Alrawi
- Faculty of Medicine, Fayoum University, Giza, 6 of October City, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed Ibrahim Abdelraoof
- Faculty of Medicine, Mansoura University, Mansoura, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed S Zaazouee
- Faculty of Medicine, Al-Azhar University, Assiut, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Sarah Makram Elsayed
- Faculty of Medicine, 6 October University, Giza, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Abdullah M Farhat
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mahmoud Abd El-Shafea
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Ahmed K Abdeltawab
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Menna S Ali
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Alyaa K Madeeh
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Ahmed Assar
- Faculty of Medicine, Menofia University, Shebin El-Kom, Menofia, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Manar H Mohammed
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Eman A Abdullah
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Khaled M Ragab
- Faculty of Medicine, Minia University, Minia, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed Abd-ElGawad
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed Elsherif
- Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Inas Abd El Rahim
- Department of Family and Community Medicine, Faculty of Medicine, Misr University for Science and Technology MUST, Nasr City, Cairo, Egypt
| | - Mahmoud A Ebada
- Resident Physician, Egyptian Fellowship of Neurology, Nasr City Hospital for Health Insurance, Nasr City, Cairo, Egypt.,Faculty of Medicine, Zagazig University, Zagazig, Egypt
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Abdel-Tawab M, Abdeltawab AK, Abdelmonem M, Moubark MA, Taha MAH, Morsy A, Bessar AA, Ahmed Ebada M. Efficacy and safety of flow diverters in posterior circulation aneurysms and comparison with their efficacy in anterior circulation aneurysms: A systematic review and meta-analysis. Interv Neuroradiol 2021; 27:609-621. [PMID: 33752478 PMCID: PMC8493351 DOI: 10.1177/15910199211003017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 01/21/2021] [Accepted: 02/10/2021] [Indexed: 11/16/2022] Open
Abstract
PURPOSE We aimed to assess the efficacy and safety of flow-diverter stents (FDs) in the management of posterior circulation cerebral aneurysms and compare FD efficacy between anterior and posterior circulation aneurysms. METHODS We searched the PubMed, Scopus, Cochrane, and Web of Science databases for relevant studies through March 2020. Studies assessing FDs for posterior circulation aneurysms that included ≥20 treated aneurysms were included. Moreover, the studies compared FD efficacy between anterior and posterior circulation aneurysms were included. Data regarding angiographic aneurysmal occlusion, procedural complications, mortality, and morbidity were extracted and pooled in a random-effects meta-analysis model. RESULTS Fourteen studies with a total of 659 patients and 676 posterior circulation aneurysms were included. The pooled rate of aneurysmal occlusion at long-term angiographic follow-up was 78% [95% confidence interval (CI), 71-85]. The pooled rates of intraparenchymal hemorrhage, ischemia, and procedure-related mortality and neurological morbidity were 2%, 8%, 7%, and 6%, respectively. Complete occlusion occurred in 82.4% of the posterior circulation aneurysm subgroup and 77.5% of the anterior circulation aneurysm subgroup. The difference was not significant (relative risk 1.01; 95% CI, 0.86-1.19; p = 0.91). Regression analysis showed that elderly patients and females had higher morbidity. CONCLUSION Posterior circulation aneurysms can be effectively treated with FDs with comparable occlusion rates to those in anterior circulation aneurysms. However, periprocedural complications are not negligible.
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Affiliation(s)
- Mohamed Abdel-Tawab
- Department of Diagnostic and Interventional Radiology, Assiut University Hospitals, Assiut, Egypt
| | | | | | - Mahmoud A Moubark
- Department of Diagnostic and Interventional Radiology, Assiut University Hospitals, Assiut, Egypt
| | - Mohamed AH Taha
- Department of Vascular and Endovascular Surgery, Assiut University Hospitals, Assiut, Egypt
| | - Abdalla Morsy
- Department of Neurosurgery, Assiut University Hospitals, Assiut, Egypt
| | - Ahmed Awad Bessar
- Faculty of Medicine, Zagazig University, Zagazig, Egypt
- Department of Diagnostic and Interventional Radiology, Zagazig University, Zagazig, Egypt
| | - Mahmoud Ahmed Ebada
- Faculty of Medicine, Zagazig University, Zagazig, Egypt
- Department of Radiology, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt
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Abd-ElGawad M, Said Ali A, Abdelmonem M, Elshamy NH, Abdeltawab AK, Abd El-Shafea M, Rund NMA, Fadlalmola HA, Ashour ASA, Almohamady M. The effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta-analysis of randomized controlled trials. Int J Gynaecol Obstet 2021; 154:7-16. [PMID: 33471362 DOI: 10.1002/ijgo.13607] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 10/19/2020] [Accepted: 01/18/2021] [Indexed: 11/09/2022]
Abstract
BACKGROUND Abdominal binder is a non-pharmacological method of relieving pain after surgical procedures. OBJECTIVES To evaluate the effectiveness of the abdominal binder in relieving pain and distress scores after cesarean delivery (CD). SEARCH STRATEGY The following terms were searched: cesarean section, cesarean, caesarean, abdominal deliveries, C-section, abdominal delivery, abdominal binding, binder, and abdominal binder. SELECTION CRITERIA Randomized controlled trials (RCTs) with patients undergoing CD receiving an abdominal binder compared with non-users of the abdominal binder. DATA COLLECTION AND ANALYSIS Five electronic databases were searched until November 2019. Records were screened for eligibility. Data were extracted independently and analyzed. The main outcomes were pain and distress scores. RESULTS The final analysis included six RCTs. Overall effect estimate favored the abdominal binder group over the control group in the following outcomes: VAS pain scores after 24 h (mean difference [MD] -1.76; 95% confidence interval [CI] -3.14 to -0.39; P = 0.01), VAS scores after 48 h (MD -1.21; 95% CI -1.51 to -0.90; P < 0.001), distress score after 24 h (MD -1.87; 95% CI -3.01 to -0.73; P = 0.001), and distress score after 48 h (MD -1.87; 95% CI -3.07 to -0.67; P = 0.002). CONCLUSION The abdominal binder could be an effective, simple, non-pharmacological option of relieving pain and distress after CD.
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Affiliation(s)
| | | | | | | | | | | | - Nancy M A Rund
- Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | | | - Ahmed S A Ashour
- Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Maged Almohamady
- Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt
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Fathi M, Hussein AS, M Elghazaly S, Al-Kinawy AM, Abdeltawab AK, Mansour YM, Elbehbeh NA, Sherif A, Afifi AM. Effect of Botulinum Toxin on Equinus Foot Deformity in Cerebral Palsy Patients: A Systematic Review and Network Meta-analysis. Curr Pharm Des 2020; 26:4796-4807. [PMID: 32418518 DOI: 10.2174/1381612826666200518105633] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 04/15/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Cerebral palsy (CP) is a brain disorder that affects the development, movement and posture leading to limitation of Range of Movement (ROM) in the growing children. CP leads to deformities such as equinus foot deformity. We aim to investigate the efficacy of different botulinum toxin (BTX) products with or without serial casting in reducing the muscle spasticity in equinus foot deformity in patients with CP. METHODS A systematic review of the literature was performed by searching different electronic databases. Pub- Med, Scopus, Web of Science (WOS), and GHL databases were used. We analyzed the extracted data by network meta-analysis method using the R software package (version 3.5.0). RESULTS Regarding Modified Ashworth score (MAS), BTX-A was superior compared to placebo and BTX-A plus immediate casting (MD = -0.39, 95% CI [-0.60; -0.18]) and (MD = -0.50, 95% CI [-0.98; -0.02]), respectively. Concerning growth motor function movement Classification System (GMFM), Neuronox ranked above at 3 months (MD = -1.60, 95% CI [-2.87; -0.33]) and at six months (MD = -1.90, 95% CI [-3.48; -0.32]) compared to BTX-A. Regarding the Modified Tardieu scale (MTS) with knee flexion, BTX-A was superior to BTX-A plus immediate casting (MD = 8.60, 95% CI [1.76; 15.44]). Concerning passive range of movement (PROM) with Knee flexion or extension at 3 months, BTX-A showed a significant improvement compared to BTX-A plus immediate casting. CONCLUSION BTX-A ranked best on a physician rating scale (PRS), MAS, MTS with knee flexion and PROM (Knee flexion and extension) compared to Neuronox and Botulax. BTX-A alone was also better than BTX-A plus immediate casting.
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Affiliation(s)
| | | | | | | | | | | | | | - Ahmed Sherif
- Faculty of Medicine, Zagazig University, Zagazig, Egypt
| | - Ahmed M Afifi
- Faculty of Medicine, Ain Shams University, Cairo, Egypt
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