A large epithelioid angiomyolipoma of the kidney in a very young child with idiopathic chylothorax: A diagnostic dilemma

Kakaje, Ameer; Mujahed, Raghad; Hamdan, Othman; Hakim, Jihad

doi:10.1016/j.eucr.2019.101035

Cited by 7 publications

(9 citation statements)

References 5 publications

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“…War has affected the medical sector throughout years of war as the direct damage of war to the medical centre and indirectly from physicians leaving the country (14). The nancial hurdles also directly affected healthcare quality as proper tests and treatment may be delayed or not conducted despite having skilled physicians (15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

Mental Distress and Psychological Disorders of Syrians in Fragile Syria and Multiple Countries Related to COVID-19

2020

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Background: Syria has entered its ninth year of crisis which left millions of Syrians suffering from humanitarian crises. This study evaluates the mental health of Syrians living in Syria and who left the country due to war and living in different ten countries as evaluating their condition needs further study, particularly with Coronavirus disease of 2019 (COVID-19). Methods: Online questionnaires included SPTSS, K10, MSPSS, demographic, war-and COVID-19-related questions. This study included participants from 10 different countries and they were matched with Syrians according to age and gender as other variables could not be matched due to different standards between countries. Results: This study included 472 participants, of which 214 (45.3%) were males with a mean age of 29.1 ± 7.5). More participants from Syria suffered from reduced ability to earn money (P=0.007), and worried about being unable to provide food from COVID-19 (P=0.007) although they worried less about them getting infected (P=0.041). Participants from Syria declared higher PTSD scores than Syrians living in other countries (P=0.045), mainly among doctors. Interestingly, there was no signi cant difference in social support, days unable to work from distress in the past 4 weeks, and mental distress (K10) between Syrians living in Syria and other countries (P>0.05). Conclusions: Syrians in Syria suffered more than Syrians living in other countries. Providing food and reduced ability to earn were the major stress. They also had more PTSD symptoms and stress than Syrians and others in other countries. Key Points Syrian mental problems in Syria during COVID-19 were mostly from stress that their basic needs will be affected. No different in mental health disorders between Syrians living in different countries.

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Section: Discussionmentioning

confidence: 99%

Mental Distress and Psychological Disorders of Syrians in Fragile Syria and Multiple Countries Related to COVID-19

2020

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“…Many studies lacked proper funding which ultimately generated limited data. There are many crucial investigations not conducted in most studies in Syria, and delayed treatment can occur due to the nancial hurdles which can dramatically affect patients' care (12)(13)(14)(15)(16). This re ects some of the negative outcomes that Syrians have endured, especially in those who were mostly affected by the war.…”

Section: Outcomes Of the Psychological Burdenmentioning

confidence: 99%

Mental disorder and PTSD in Syria during wartime: a nationwide crisis

Kakaje

Zohbi

Aldeen

et al. 2020

Preprint

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Background: Syria has experienced war since 2011, leaving over 80% under the poverty line and millions being displaced. War and its retaliations have significantly impacted the mental health of Syrians. This study evaluates the post-traumatic stress disorder (PTSD), and the severity of the mental distress caused by war and other factors such as low social support. This study also evaluates other variables and compares the findings with multiple studies of Syria and refugees.Methods: This is a cross-sectional study that included people who lived in Syria from different governorates. Online surveys were distributed into multiple online groups and included Kessler 10 (K10) questionnaire, the Screen for Posttraumatic Stress Symptoms (SPTSS) tool, the Multidimensional Scale of Perceived Social Support, and demographic and war-related questionnaires.Results: Our study included 1951 participants, of which, 527 (27.0%) were males and 1538 (78.8%) aged (19-25) years. Among participants, 44% had likely severe mental disorder, 27% had both likely severe mental disorder and full PTSD symptoms, 36.9% had full PTSD symptoms, and only 10.8% had neither positive PTSD symptoms nor mental disorder on the K10 scale. Around 23% had low overall support. Half of the responders were internally displaced, and 27.6% were forced to change places of living three times or more due to war. Around 86.6% of the responders believed that the crisis was the main reason for their mental distress. Those with high SPTSS and K10 scores were found to take more days off from work or school due to negative feelings and having somatic symptoms. Moreover, the number of times changing places of living due to war, educational level, and being distressed by war noise were the most important factors for more sever PTSD and mental distress. No differences in PTSD and mental disorder prevalence were noted in governorates and type of job. A strong correlation (r=0.623) was found between SPTSS and K10 scores. Conclusion: The conflict in Syria has left the population at a great risk for mental distress which was more severe compared to Syrian refugees elsewhere. Many measures with an emphasis on mental health are needed to aid the people against a long-term avoidable suffering.

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“…Many studies suffered from a lack of funding which ultimately generated limited data. There are many crucial investigations not conducted in most studies in Syria, and delayed treatment can occur due to the nancial hurdles which can affect patients' care dramatically (12)(13)(14)(15)(16). This re ects some of the negative outcomes that Syrians have endured, especially those who were affected by the war.…”

Section: Outcomes Of the Psychological Burdenmentioning

confidence: 99%

“…It also correlated with their different demographic and war-related variables. This study used self-reported questionnaires in light of lack of funding that medical research in Syria is facing and unavailable resources for proper diagnosis (12)(13)(14)(15)(16). This study also assessed for other variables and compared them with other studies for a better evaluation of the mental disorders among Syrians and refugees.…”

mentioning

confidence: 99%

Mental disorder and PTSD in Syria during wartime: a nationwide crisis

Kakaje

Zohbi

Aldeen

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Syria has experienced war since 2011, leaving over 80% under the poverty line and millions being displaced. War and its retaliations have significantly impacted the mental health of Syrians. This study evaluates the post-traumatic stress disorder (PTSD), and the severity of the mental distress caused by war and other factors such as low social support. This study also evaluates other variables and compare the findings with multiple studies of Syria and refugees. Methods: This is a cross-sectional study that included people who lived in Syria from different provinces. Online surveys on multiple online groups included Kessler 10 (K10) questionnaire, the Screen for Posttraumatic Stress Symptoms (SPTSS) tool, the Multidimensional Scale of Perceived Social Support, and demographic and war-related questionnaires. Results: Our study included 1951 participants, of which, 527 (27.0%) were males and 1538 (78.8%) aged (19-25) years. Among participants, 44% had severe mental disorder, 27% had both severe mental disorder and full PTSD symptoms, 36.9% had full PTSD symptoms, and only 10.8% had neither positive PTSD symptoms nor mental disorder on the K10 scale. Around 23% had low overall support. Half of the responders were internally displaced, and 27.6% were forced to change place of living three times or more due to war. Around 86.6% of the responders believed that the crisis was the main reason for their mental distress. Those with high SPTSS and K10 scores were found to take more days off from work or school due to negative feelings and having somatic symptoms. Moreover, the number of times changing places of living due to war, educational level, and being distressed by war noise were the most important factors for more sever PTSD and mental distress. No differences in PTSD and mental disorder prevalence was noted between provinces or type of job. A strong correlation (r=0.623) was found between SPTSS and K10 scores. Conclusion: The conflict in Syria has left the population at a great risk for mental distress which was more severe compared to Syrian refugees elsewhere. Many measures with an emphasis on mental health are needed to aid the people against a long-term avoidable suffering.

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A large epithelioid angiomyolipoma of the kidney in a very young child with idiopathic chylothorax: A diagnostic dilemma

Cited by 7 publications

References 5 publications

Mental Distress and Psychological Disorders of Syrians in Fragile Syria and Multiple Countries Related to COVID-19

Mental Distress and Psychological Disorders of Syrians in Fragile Syria and Multiple Countries Related to COVID-19

Mental disorder and PTSD in Syria during wartime: a nationwide crisis

Mental disorder and PTSD in Syria during wartime: a nationwide crisis

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