Publications by authors named "Ramy Ghazy"

Objectives: To describe age-standardized incidence and disability-adjusted life years (DALYs) of ischemic stroke (IS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in the Kingdom of Saudi Arabia (KSA) from 1990 to 2019 and forecast these variables using the Global Burden of Diseases (GBD) data over the next years (2020-2030).

Methods: Poisson regression models were employed to identify significant changes in incidence rate ratios (IRRs) and DALY rates for different stroke types. For time series models, the autoregressive integrated moving average (ARIMA) and exponential smoothing state space (ETS) models were used for forecasting.

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Background: Autoimmune thyroid diseases (AITD) and allergic rhinitis (AR) are prevalent conditions; however, limited research has investigated their association. This study aimed to evaluate whether AR can be considered a risk factor for developing AITD.

Methods: A retrospective cohort study analyzed the records of AITD patients who visited Alexandria University Students Hospital between January 2017 and December 2021.

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Background: Marburg virus disease (MVD) is categorized among viral hemorrhagic fevers. MVD is associated with high rates of morbidity and mortality. This study aimed to identify factors affecting MVD knowledge, attitudes and practices in sub-Saharan African countries.

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The COVID-19 pandemic has underscored the importance of the International Health Regulations (IHR) (2005) in addressing global health emergencies. This review aims to improve healthcare system capabilities, future preparedness, and actions in the Eastern Mediterranean Region, particularly in low-resource areas. The IHR, established in 1969, initially focused on 6 diseases but has since expanded to include a wider range of public health threats.

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Background: The World Health Organization (WHO) stresses the importance of worldwide vaccine coverage of coronavirus-19 (COVID-19) vaccination. This study fills a critical gap in the literature by providing empirical evidence on the factors influencing COVID-19 vaccine hesitancy and inequity in the Middle East and North Africa (MENA) region. This study investigated the determinants of psychological antecedents and other factors behind COVID-19 vaccination and their role in vaccine coverage in MENA.

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Objective: To investigate the role of plasma copeptin in predicting mortality in children with heart failure (HF) in addition to poor outcomes, including sepsis, multiorgan dysfunction syndrome, need for mechanical ventilation, and duration of stay in the pediatric intensive care unit.

Methods: This diagnostic study included 76 children aged 1 month to 16 years who were hospitalized with congenital or acquired heart disease with HF, and an age- and gender-matched control group of 65 healthy children. Plasma copeptin level was evaluated within 24 hours of admission.

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Background: Vaccine confidence is described as a belief that vaccines are effective, safe, and part of a trustworthy health system. The objective of this study was to develop and validate an Arabic tool to evaluate confidence in the received coronavirus disease 2019 (COVID-19) vaccines (ARAB-VAX-CONF).

Methods: The research team developed the ARAB-VAX-CONF based on three areas specified by the Centers for Disease Control and Prevention (CDC): confidence in vaccine effectiveness, confidence in vaccine safety, and confidence in the healthcare system.

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Article Synopsis
  • Healthcare workers in Egypt are dealing with the monkeypox outbreak and need to be safe, so they were surveyed about getting vaccines.
  • The study showed that many healthcare workers have mixed feelings: some are confident about vaccines, while others are not too worried or face challenges.
  • People with higher incomes and good information about monkeypox are more likely to feel confident about getting vaccinated.
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  • This study investigates Ghanaian parents' attitudes toward the R21/Matrix-M malaria vaccine and the factors influencing these attitudes.
  • The survey included 818 participants, revealing that 29.01% were hesitant to vaccinate their children, with specific demographics being more likely to show hesitancy.
  • The findings suggest that while many parents are open to vaccination, targeted programs are needed to address hesitancy and improve their understanding of the vaccine.
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  • The study used the Health Belief Model to explore factors influencing the acceptance of COVID-19 booster doses in Ghana, identifying key predictors from HBM domains like perceived susceptibility and barriers.
  • Over 800 Ghanaians participated in an online survey, revealing that 58.3% were willing to accept the booster dose, while personal reasons and fear of side effects were the main reasons for non-acceptance.
  • The results indicated that perceived benefits and concerns about serious risk factors were significant predictors of whether individuals decided to get the booster shot.
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  • This study focused on understanding the prevalence of gastrointestinal complications in patients with type 2 diabetes mellitus (DM) in the Asser region of Saudi Arabia.
  • It involved a survey of 230 patients, gathering demographic details and assessing 16 GI symptoms over the past 3 months, categorizing participants based on their symptom scores.
  • Key findings revealed that common issues included dyspepsia, bloating, and constipation/diarrhea, with symptom severity linked to factors like health insurance status, duration of diabetes, and glycated hemoglobin levels.
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Background: The Eastern Mediterranean Region (EMR) faces numerous public health risks caused by biological, chemical, man-made, and natural hazards. This manuscript aimed to assess the multifaceted interventions and strategies used to strengthen the EMR's preparedness capacities to respond properly to current and upcoming health emergencies.

Objective: To address these challenges, it is crucial to implement comprehensive and robust strategic risk assessments and health emergency preparedness frameworks.

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Foreign body aspiration (FBA) is a serious preventable pediatric health problem and one of the main causes of accidental death in children. Although unusual in adults, it is often overlooked as a cause of airway obstruction with serious consequences. This study assessed awareness and previous FBA experiences in the Asir community, Kingdom of Saudi Arabia.

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: Microvascular occlusions caused by sickle-shaped erythrocytes in patients with sickle cell disease (SCD) can lead to increased intraoperative and postoperative complications during total hip arthroplasty (THA). This systematic review and meta-analysis aimed to estimate the overall rate of complications following THA in patients with SCD and to identify the predictors of these complications including the surgical approach. : The search was conducted across the grey literature, Google Scholar, and seven databases: Scopus, MEDLINE Central/PubMed, ProQuest, SciELO, SAGE, and Web of Science.

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Background: Female breast cancer stands as the prime type of cancer in the Kingdom of Saudi Arabia (KSA), with a high incidence and mortality rates. This study assessed the burden of female breast cancer in KSA by analyzing and forecasting its incidence, mortality, and disability-adjusted life years (DALYs).

Methods: We retrieved data from the Global Burden of Disease (GBD) about female breast cancer from 1990 to 2021.

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Background: Historically, epidemics have been accompanied by the concurrent emergence of stigma, prejudice, and xenophobia. This scoping review aimed to describe and map published research targeting ethical values concerning monkeypox (mpox). In addition, it aimed to understand the research gaps related to mpox associated stigma.

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Bedaquiline (BDQ), an innovative anti-tuberculous (TB) agent, has attracted attention for its potential effectiveness against drug-resistant TB. This study investigated the impact of BDQ-containing regimens on treatment success rates among multi-drug resistant tuberculosis (MDR-TB) patients in Egypt. We conducted a prospective cohort study that included all adult non-pregnant patients treated in MDR-TB centers in Egypt from April 1, 2020, to June 30, 2021, with follow-up extended until December 31, 2022.

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Background: Self-efficacy is a popular psychological concept that refers to an individual's perception or belief in his ability to perform specific actions. This study aimed to assess the predictive value of self-efficacy, measured using the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SEM6S) questionnaire, for diabetes management and overall well-being in patients with diabetes.

Subject And Methods: An anonymous online cross-sectional study was conducted to evaluate the self-efficacy of diabetic patients in the Asser region of Saudi Arabia.

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This study aimed to identify prediabetic and diabetic patients using fasting blood sugar in Alqunfudah, Saudi Arabia. Multistage stratified random sampling technique was used to recruit study participants aged 18 years and older. We measured anthropometric measures like waist circumference and body mass index.

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Article Synopsis
  • Autoimmune polyglandular syndrome type 1 (APS-1) is a rare condition characterized by a combination of at least two disorders, such as chronic hypoparathyroidism and Addison's syndrome, and can be diagnosed through genetic testing even without chronic mucocutaneous candidiasis (CMC).
  • A 28-year-old female with a long history of hypoparathyroidism was diagnosed with Addison's disease after presenting with symptoms like hypogonadism and primary amenorrhea, despite a negative Synacthen test, and she received intravenous treatment during an adrenal crisis.
  • The case emphasizes the importance of early diagnosis and tailored treatment for APS-1 patients to improve their quality of life and prevent serious complications, as
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Article Synopsis
  • * Conducted in the Aseer region with 652 participants, the study utilized the Arabic version of the AUSDRISK tool through face-to-face interviews to gather data, revealing significant gender differences in risk factors.
  • * Findings indicated that 46.2% of participants were likely to develop impaired glucose tolerance and 21.9% were predicted to develop DM2, highlighting an urgent need for public health initiatives to combat this growing epidemic in Saudi Arabia.
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Background: The newly developed malaria vaccine called "R21/Matrix-M malaria vaccine" showed a high safety and efficacy level, and Ghana is the first country to approve this new vaccine. The present study aimed to evaluate the rate of vaccine hesitancy (VH) towards the newly developed malaria vaccine among parents who currently have children who are not eligible for the vaccine but may be eligible in the near future. Additionally, the study aimed to identify the factors that could potentially influence VH.

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  • The study investigates the prevalence of irritable bowel syndrome (IBS) among university students in Saudi Arabia, revealing a prevalence rate of 31.9% within a sample size of 379 students.
  • It highlights a significant correlation between IBS and psychological factors such as anxiety and depression, with IBS sufferers showing much higher rates of these conditions compared to those without IBS.
  • The findings also indicate that sociodemographic factors, including marital status and academic majors, influence the likelihood of developing IBS, suggesting a complex interplay between physical and psychological health.
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Background: Medical students hold significant importance, as they represent the future of healthcare provision. This study aimed to explore psychological antecedents towards the monkeypox (mpox) vaccines among postgraduate and undergraduate medical students across countries.

Methods: A cross-sectional survey was conducted among medical students aged 18 years old and above in 7 countries; Egypt, Romania, Malaysia, and Yemen, Iraq, India, and Nigeria.

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