Publications by authors named "Yousef S Khader"

Aim: to evaluate the perceptions, knowledge, and attitudes of Jordanian dentists towards teledentistry.

Methods: A web-based, anonymous, self-administered closed-end questionnaire was distributed across Jordan. Conducted with a sample of 250 dentists selected through convenience sampling, the research assessed knowledge and attitudes using a pre-designed and validated questionnaire.

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Background: The global prevalence of oral piercings is increasing, and there are mounting concerns about complications associated with oral and/or perioral piercings. Providing precautionary advice about piercing complications is important.

Aims: to determine the oral health knowledge, behavior, and barriers to dental care for oral and/or perioral piercings in adult Jordanians.

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Introduction: The diagnostic accuracies of different electrocardiography (ECG) interpretation methods remain unclear. Therefore, this study aimed to systematically evaluate and compare the diagnostic accuracy of prehospital 12-lead ECG interpretation methods for identifying ST-elevation myocardial infarction (STEMI) and activating cardiac catheterization laboratories (CCLs).

Methods: A comprehensive search was conducted in Medline, Scopus, and CINAHL databases up to August 2024.

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Importance: Nontraumatic subarachnoid hemorrhage (SAH) represents the third most common stroke type with unique etiologies, risk factors, diagnostics, and treatments. Nevertheless, epidemiological studies often cluster SAH with other stroke types leaving its distinct burden estimates obscure.

Objective: To estimate the worldwide burden of SAH.

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Purpose: To assess the effect of COVID-19 related maternal psychological stress (MS) in the first trimester of pregnancy on non-syndromic orofacial-clefts (NSOFCs).

Methods: This retrospective case-control cross-sectional study included infants who were born during the COVID-19 pandemic. Sample size was determined based on differences in MS and their effect on clefts etiology.

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Several screening methods are used to detect cervical cancer, with Pap smear test is considered as one of the most reliable screening methods to diagnose cervical cancer. The aim of this study was to investigate the factors associated with awareness of undergoing Pap smear tests among Jordanian women. A cross-sectional study was conducted among 525 Jordanian women attending the outpatient maternity hospital consecutively from February to July 2023.

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Article Synopsis
  • Adult intussusception (AI) is a rare condition in patients over 18 that presents with various symptoms, often requiring surgical treatment, and is primarily diagnosed using CT scans.
  • A study of 26 cases revealed that the condition is more common in males with an average age of 53, where the most frequent symptom is abdominal pain; however, bleeding per rectum is notably linked to more severe, malignant causes.
  • Understanding the characteristics and predictive factors of AI can help in managing the condition effectively, emphasizing the importance of a multidisciplinary approach in treatment strategies.
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Metabolic syndrome is a major public health problem worldwide and an independent predictor of cardiovascular disease in patients with type 2 diabetes (T2DM). This study aimed to determine the prevalence of metabolic syndrome and its individual components among Jordanian patients with T2DM. A cross-sectional design was conducted among T2DM patients at the National Center for Diabetes, Endocrinology and Genetics in Jordan.

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Objectives: To compare pulpal survival and treatment needs following selective and total caries removal in mature permanent teeth.

Methods: The design was a parallel double blind, randomized clinical trial. Mature teeth with caries radiographically extending ≥ 2/3 of dentine and without spontaneous pulpitis were included.

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  • Individuals can be classified into two categories based on their oral processing behavior: firm processing likers (FPL), who prefer using their teeth, and soft processing likers (SPL), who use their tongue and palate.
  • The study investigated the connection between these oral processing preferences and dental caries experience among participants, revealing that SPL had a higher incidence of dental caries compared to FPL.
  • Data analysis indicated that SPL had a significantly higher mean DMFS score, suggesting that their preferred oral processing method may contribute to increased tooth decay.
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  • Obstructive Sleep Apnea (OSA) is a respiratory disorder linked to upper airway collapse during sleep, which can cause serious cardiovascular issues, while Atrial Fibrillation (AF) is a common heart rhythm disorder associated with higher hospitalizations and mortality.
  • The study surveyed 545 patients from cardiology clinics to assess OSA risk through the Berlin Questionnaire, revealing that 68.2% of AF patients were at high risk for OSA compared to 29.4% of non-AF patients.
  • Findings suggest a significant connection between AF and increased OSA risk, regardless of traditional risk factors, highlighting the need for routine OSA screenings in AF patients.
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Background: Child neglect is a public health, human rights, and social problem, with potentially devastating and costly consequences. The aim of this study was to: (1) summarize the oral health profile of children across the globe; (2) provide a brief overview of legal instruments that can offer children protection from dental neglect; and (3) discuss the effectiveness of these legal instruments.

Methods: We summarized and highlighted the caries profile and status of implementation of legislation on child dental neglect for 26 countries representing the World Health Organization regions: five countries in Africa (Nigeria, South Africa, Sudan, Tanzania, Zimbabwe), eight in the Americas (Argentina, Brazil, Canada, Chile, Mexico, Peru, Unites States of America, Uruguay), six in the Eastern Mediterranean (Egypt, Iran, Libya, Jordan, Qatar, Saudi Arabia), four in Europe (Italy, Latvia, Serbia, United Kingdom), two in South-East Asia (India and Indonesia) and one country (China) with its special administrative region (Hong Kong) in the Western Pacific.

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  • Continued smoking among tuberculosis (TB) patients and people living with HIV (PLHIV) negatively impacts their treatment outcomes, with this study focusing on smoking prevalence in Jordan.
  • Data from a 2021 survey revealed high smoking rates of 43.8% among TB patients and 67.8% among PLHIV, particularly among males, Jordanians, Syrians, and those facing financial difficulties.
  • The findings highlight the urgent necessity for further investigation into smoking behaviors and the implementation of smoking cessation programs within TB and HIV treatment frameworks.
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Introduction: Waterpipe tobacco is taxed at half the rate of cigarettes in Egypt and, unlike cigarettes, does not have a specific excise component. We aimed to simulate the introduction of a specific excise tax on waterpipe tobacco consumption, premature deaths and government waterpipe tobacco revenue in Egypt.

Methods: We took model inputs from the latest available data on consumption, market shares and market share prices, price elasticities of demand, tax structure and from discussions with government officials.

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  • Lip, oral, and pharyngeal cancers pose significant global health challenges, making it essential to analyze their burden for effective health policies.
  • The study utilized data from the 2019 Global Burden of Diseases, Injuries, and Risk Factors Study to assess cancer incidence, mortality, and life years lost across 204 countries, linking these to socio-demographic factors.
  • Findings revealed approximately 370,000 cases and 199,000 deaths for lip and oral cavity cancer, and 167,000 cases and 114,000 deaths for other pharyngeal cancers in 2019, with smoking being the leading risk factor for these cancers, especially in low and middle SDI regions.
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Objectives: To assess the trueness of digital measurements using direct and indirect scanning approaches compared to the actual clinical measurements.

Materials And Methods: The crown length, width, and width/length ratio were measured in 36 anterior maxillary teeth using three different methods. The first was clinically using a digital caliper, the second was by scanning the teeth using a digital scanner and the third was by making an impression of the teeth, constructing a stone cast in the lab, and scanning it to obtain digital measurements.

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  • The study focuses on chronic limb-threatening ischemia in diabetic patients, highlighting the need for effective management strategies and introducing a new revascularization index (RI) to predict treatment outcomes.
  • A review of electronic medical records from 187 patients showed a significant major limb amputation rate of 19.3%, with the RI effectively predicting the need for further revascularization and major amputations.
  • The RI proved to be a useful tool for assessing risks; an RI of less than 1.21 indicates a higher likelihood of major amputation, while an RI below 1.3 signals increased risk for secondary revascularization.
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Introduction: There is a rapid increase in using digital technology for strengthening delivery of reproductive, maternal, newborn, and child health (RMNCH) services. Although digital health has potentially many benefits, utilizing it without taking into consideration the possible risks related to the security and privacy of patients' data, and consequently their rights, would yield negative consequences for potential beneficiaries. Mitigating these risks requires effective governance, especially in humanitarian and low-resourced settings.

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Background: Social support is one of the interpersonal stimuli that define an individual's predisposition to engage in health-promoting behaviors and is considered a facilitator in improving health habits. Patients with type 2 diabetes mellitus (T2DM) can benefit from educating supportive families and friends on self-care management including exercise behavior. Multimedia messaging service (MMS) could also be an effective method for delivering targeted educational interventions that focus on physical activity (PA).

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Background: Favorable attitudes toward modern family planning methods (MFPMs) among Jordanian and Syrian women do not always translate into behavioral changes, and the availability and cost of MFPMs do not appear to be related to either prior stalls in fertility rates in Jordan or to the current and likely temporary decline in fertility rates. This study aimed to determine whether behavioral economics (BE)-based family planning interventions influence the use of any family planning method, MFPMs use, continuation of MFPMs use, and pregnancy rates among women in Jordan. The BE-based family planning interventions included personalized text messaging and augmented counseling based on framing and identity-priming BE principles, with their effects tested over a 9-month period in the postpartum period following the birth of a child.

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Background: Many healthcare organizations place a high value on quality of work-life (QoWL). The healthcare system's long-term sustainability and capability to offer high-quality services to patients depend on improving QoWL for their healthcare workers.

Objective: The study aimed to explore the impact of Jordanian hospitals' workplace policies and measures in three main domains: (I) Infection prevention and control (IPC) measures, (II) Supply of personal protective equipment (PPE), and (III) COVID-19 precautionary measures on the QoWL among healthcare workers during the COVID-19 pandemic.

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Introduction: Vital pulp therapy is increasingly practiced as an alternative treatment to root canal therapy (RCT) in teeth with carious pulp exposure. The aim of this study was to compare the outcome, quality of life (QOL), and patients' satisfaction after full pulpotomy and RCT in mature teeth with irreversible pulpitis.

Methods: Sixty mature permanent molar teeth with carious pulp exposure and a diagnosis of irreversible pulpitis were randomly divided into 2 groups (n = 30).

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Approximately 20 million children are not vaccinated, especially among refugees. There is a growing access to smartphones, among refugees, which can help in improving their vaccination. We assessed the impact of an app for the vaccination follow-up visit among refugees in Jordan.

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Article Synopsis
  • - The study models the effects of specific excise taxes on waterpipe tobacco in Jordan, Lebanon, and Palestine, focusing on consumption, government revenue, and premature deaths averted.
  • - Tax increases of $1.14 in Jordan, $2.41 in Lebanon, and $2.39 in Palestine resulted in significant drops in waterpipe use (32.4% in Jordan, 71.0% in Lebanon, and 16.3% in Palestine) and increased government revenues by over $340 million combined.
  • - The findings suggest that higher waterpipe tobacco taxes can lead to substantial public health benefits by reducing smoking rates and preventing premature deaths, making it a crucial policy consideration for these countries.
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Background: While there is a rapid increase in digital health initiatives focusing on the processing of personal data for strengthening the delivery of reproductive, maternal, newborn, and child health (RMNCH) services in fragile settings, these are often unaccompanied at both the policy and operational levels with adequate legal and regulatory frameworks.

Objective: The main aim was to understand the maturity level of digital personal data initiatives for RMNCH services within fragile contexts. This aim was performed by choosing digital health initiatives from each country (two in Jordan and three in Palestine) based on RMNCH.

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