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    Antibiotic resistance knowledge, attitudes, and practices among pharmacists : a cross-sectional study in West Bank, Palestine
    (Hindawi, 2023) Al-Halawa, Diala Abu; Seir, Rania Abu; Qasrawi, Radwan
    Antibiotic resistance is an increasing problem worldwide. Dispensing antibiotics without prescription is a major contributing factor to antibiotic resistance. Pharmacists as healthcare providers are, in many studies, considered responsible for this practice. -is study aims to explore Palestinian pharmacists’ knowledge, attitudes, and practices concerning antibiotic resistance. A descriptive cross-sectional survey was conducted in 2021–2022. A random sample of 152 pharmacists was selected from the West Bank. Data were collected using a self-administered questionnaire that includes :ve sections: demographic characteristics, knowledge, attitudes, practices, and potential interventions. Results indicated that 60% of pharmacists dispense antibiotics without a prescription. A signifcant association between pharmacies’ locality and antibiotic knowledge, attitudes, and practices was found. Pharmacists’ knowledge-related responses indicated that 92.1% of the pharmacists agreed that inappropriate use of antibiotics can lead to in effective treatment and 86.2% disagreed that patients can stop taking antibiotics upon symptoms’ improvement. Only 17.1% disagreed that antibiotics should always be used to treat upper respiratory tract infections. Over two thirds considered that they are aware of the regulations about antibiotic dispensing and acknowledged that antibiotics are classified as prescription drugs. Furthermore, 71.7% and 53.3% agreed that they have good knowledge of the pharmacological aspects of antibiotics and antibiotic resistance. Concerning attitudes, 75.6% agreed that antibiotic resistance is an important and serious public health issue facing the world, and 52% thought that antibiotic dispensing without a prescription is a common practice in the West Bank. Our findings indicate that pharmacists’ locality and practices related to antibiotic dispensing without prescription are associated with the increase in antibiotics misuse and bacterial resistance. -ere is a need to design education and training programs and implement legislation in Palestine to decrease antibiotic resistance.
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    Assessment and prediction of depression and anxiety risk factors in schoolchildren: machine learning techniques performance analysis
    (JMIR Publications Inc., 2022) Qasrawi, Radwan F.; Polo, Stephanny Paola Vicuna; Al-Halawa, Diala Abu; Hallaq, Sameh; Abdeen, Ziad A.
    Background: Depression and anxiety symptoms in early childhood have a major effect on children's mental health growth and cognitive development. The effect of mental health problems on cognitive development has been studied by researchers for the last 2 decades. Objective: In this paper, we sought to use machine learning techniques to predict the risk factors associated with schoolchildren's depression and anxiety. Methods: The study sample consisted of 3984 students in fifth to ninth grades, aged 10-15 years, studying at public and refugee schools in the West Bank. The data were collected using the health behaviors schoolchildren questionnaire in the 2013-2014 academic year and analyzed using machine learning to predict the risk factors associated with student mental health symptoms. We used 5 machine learning techniques (random forest [RF], neural network, decision tree, support vector machine [SVM], and naive Bayes) for prediction. Results: The results indicated that the SVM and RF models had the highest accuracy levels for depression (SVM: 92.5%; RF: 76.4%) and anxiety (SVM: 92.4%; RF: 78.6%). Thus, the SVM and RF models had the best performance in classifying and predicting the students' depression and anxiety. The results showed that school violence and bullying, home violence, academic performance, and family income were the most important factors affecting the depression and anxiety scales. Conclusions: Overall, machine learning proved to be an efficient tool for identifying and predicting the associated factors that influence student depression and anxiety. The machine learning techniques seem to be a good model for predicting abnormal depression and anxiety symptoms among schoolchildren, so the deployment of machine learning within the school information systems might facilitate the development of health prevention and intervention programs that will enhance students'mental health and cognitive development.
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    Prevalence and risk factors associated with dysglycemia among overweight and obese Palestinian children in the Hebron governorate
    (F1000Research, 2023) Al-Halawa, Diala Abu; Polo, Stephanny Vicuna; Qasrawi, Radwan
    Background: The prevalence of dysglycemia among adolescents and younger children has been rising, yet health professionals are still unaware of the significance of this problem. According to the Palestinian Ministry of Health (MOH) records, most diabetic children under the age of 20 in Palestine are classified as type I; nonetheless, very limited data are available for policymakers to frame cost-effective screening programs. This study aims to determine the prevalence of dysglycemia in a sample of obese and overweight Palestinian children, identify risk factors associated with dysglycemia, and examine risk factors variance by gender. Methods: A cross-sectional sample of observed obese and overweight children was selected from public schools in the Hebron governorate. Informed consent, physical examination, anthropometric, and laboratory tests (Blood Glucose Level (BGL) and fasting BGL ) were performed on a sample of 511 students (44.6% boys and 55.4% girls) aged 13–18-years (13-15 years =46.2% and 16-18 years =53.8%). Results: The prevalence of confirmed overweight and obese cases was 73.2%, and dysglycemia prevalence among the confirmed cases was 3.7% (5.3% boys and 2.5% girls). The BMI classifications of the prediabetic children indicated that 42.1% were overweight and 31.1% were obese. Furthermore, 6.7% reported hypertension (both systolic and diastolic hypertension). Conclusions: The results of this study provide valuable information about the rising problem of dysglycemia among Palestinian children and underlines the need for rapid screening programs and protocols for early detection and classification of the disease, leading to initiation of early prevention and treatment plans.
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    Schoolchildren' depression and anxiety risk factors assessment and prediction: Machine learning techniques performance analysis
    (JMIR, 2022) Qasrawi, Radwan; Vicuna Polo, Stephanny; Al-Halawa, Diala Abu; Hallaq, Sameh; Abdeen, Ziad
    Background: Depression and anxiety symptoms in early childhood have a major effect on children's mental health growth and cognitive development. Studying the effect of mental health problems on cognitive development has gained researchers' attention for the last two decades. Objective: In this paper, we seek to use machine learning techniques to predict the risk factors associated with school children's depression and anxiety. Methods: The study data consisted of 5685 students in grades 5-9, aged 10-15 years, studying at public and refugee schools in the West Bank. The data were collected using the health behaviors school children questionnaire in the 2013-2014 academic year and analyzed using machine learning to predict the risk factors associated with student mental health symptoms. Five machine learning techniques (Random Forest, Neural Network, Decision Tree, Support Vector Machine, and Naïve Bayes) were used for prediction. Results: The results indicated that the SVM and Random Forest model had the highest accuracy levels (SVM= 92.5%, RF=76.4%; SVM=92.4%, RF=78.6%) for depression and anxiety respectively. Thus, the SVM and Random Forest had the best performance in classifying and predicting the student's depression and anxiety. The results showed that school violence and bullying, home violence, academic performance, and family income were the most important factors affecting depression and anxiety scales. Conclusions: Overall, machine learning proved to be an efficient tool for identifying and predicting the associated factors that influence student depression and anxiety. The ML techniques seem to be a good model for predicting abnormal depression and anxiety symptoms among schoolchildren, so the deployment of machine learning within the school information systems might facilitate the development of health prevention and intervention programs that will enhance students’ mental health and cognitive development.
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    Schoolchildren’ depression and anxiety risk factors assessment and prediction: Machine learning techniques performance analysis
    (JMIR, 2022) Qasrawi, Radwan; Polo, Stephanny Vicuna; Al-Halawa, Diala Abu; Hallaq, Sameh; Abdeen, Ziad
    Background: Depression and anxiety symptoms in early childhood have a major effect on children's mental health growth and cognitive development. Studying the effect of mental health problems on cognitive development has gained researchers' attention for the last two decades. Objective: In this paper, we seek to use machine learning techniques to predict the risk factors associated with school children's depression and anxiety. Methods: The study data consisted of 5685 students in grades 5-9, aged 10-15 years, studying at public and refugee schools in the West Bank. The data were collected using the health behaviors school children questionnaire in the 2013-2014 academic year and analyzed using machine learning to predict the risk factors associated with student mental health symptoms. Five machine learning techniques (Random Forest, Neural Network, Decision Tree, Support Vector Machine, and Naïve Bayes) were used for prediction. Results: The results indicated that the SVM and Random Forest model had the highest accuracy levels (SVM= 92.5%, RF=76.4%; SVM=92.4%, RF=78.6%) for depression and anxiety respectively. Thus, the SVM and Random Forest had the best performance in classifying and predicting the student's depression and anxiety. The results showed that school violence and bullying, home violence, academic performance, and family income were the most important factors affecting depression and anxiety scales. Conclusions: Overall, machine learning proved to be an efficient tool for identifying and predicting the associated factors that influence student depression and anxiety. The ML techniques seem to be a good model for predicting abnormal depression and anxiety symptoms among schoolchildren, so the deployment of machine learning within the school information systems might facilitate the development of health prevention and intervention programs that will enhance students’ mental health and cognitive development.