Parents' and Professionals' Perceptions towards Support for Children with Communication Disorders in Preschool Settings in the North West Bank in Palestine: Preliminary data from the pilot study

According to the Palestinian Centre for Statistics (2013), children with communication disorders constitute the highest percentage of special educational needs in Palestine; however, there is a lack of services to support these children. The purpose of this quantitative study is to analyze how the preschools settings (private and public) in the Northern region of the West Bank, Palestine, which contains these cities and towns (Nablus, Jenin, Qalqilya, Qabatiya, Tulkarem, Salfeet, and Tubas), support children with communication disorders from the parents' and professionals' perceptions ( preschool teachers and specialists such as physiotherapists, speech and language therapists, psychologists, etc). To collect data, two questionnaires were developed, one for parents, and the other for professionals. The participants in this study were 40 parents and 44 professionals from all these regions. The researcher aimed to clarify the type of support provided for children with communication disorders in preschool contexts in Palestine, also to find out if there is a relationship between the variables of the study (gender, age, professional experience, etc) and the perceptions of parents and professionals towards the support provided in preschool settings. Preliminary data from this study will be provided.

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Functional inclusivity of trauma networks: a pilot study of the North West London Trauma Network

Journal of Surgical Research ◽

10.1016/j.jss.2018.05.045 ◽

2018 ◽

Vol 231 ◽

pp. 201-209 ◽

Cited By ~ 2

Author(s):

Jared M. Wohlgemut ◽

Joseph Davies ◽

Christopher Aylwin ◽

Jonathan J. Morrison ◽

Elaine Cole ◽

...

Keyword(s):

Pilot Study ◽

Trauma Network ◽

North West ◽

The North ◽

Trauma Networks

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Phenotypic and molecular characterization of fluoroquinolone resistant Pseudomonas aeruginosa isolates in Palestine

Brazilian Journal of Biology ◽

10.1590/1519-6984.239868 ◽

2022 ◽

Vol 82 ◽

Author(s):

G. Adwan ◽

G. Omar

Keyword(s):

Antimicrobial Agents ◽

West Bank ◽

Phylogenetic Analyses ◽

Haplotype Diversity ◽

Population Diversity ◽

Control Measures ◽

Clinical Samples ◽

North West ◽

The North ◽

Medical Centers

Abstract Fluoroquinolones are important antimicrobial agents for the treatment of Pseudomonas infections. A total of 11 isolates of P. aeruginosa were collected from different clinical samples from different medical centers in the North West Bank-Palestine during 2017. In this study, resistance to fluoroquinolones and secretions of β-lactamases were detected by phenotypic methods, while presence of β-lactamase gene sequences and other virulence factors were detected by PCR technique. PCR product for gyrA, parC and parE genes were sequenced for further analyses. The phylogenetic analyses, population diversity indices and haplotypes determination were conducted using computer programs MEGA version 6, DnaSP 5.1001 and median-joining algorithm in the program Network 5, respectively. Results of this study showed that the MIC for ciprofloxacin and norfloxacin had a range of 32-256 µg/ml. In addition, all isolates carried either exoT or exoT and exoY genes, different β-lactamase genes and 82% of these isolates harbored class 1 integrons. Analyses of the gyrA, parC and parE sequences were found to be polymorphic, had high haplotype diversity (0.945-0.982), low nucleotide diversity (0.01225-0.02001) and number of haplotypes were 9 for each gyrA and parE genes and 10 haplotypes for parC gene. The founder haplotypes being Hap-1 (18%), Hap-2 (27.3%) and Hap-6 (9.1%) for gyrA, parC and parE genes, respectively. Two of ParE haplotypes were detected as indel haplotypes. The Median-joining- (MJ) networks constructed from haplotypes of these genes showed a star-like expansion. The neutrality tests (Tajima’s D test and Fu’s Fs test) for these genes showed negative values. Palestinian fluoroquinolone resistant P. aeruginosa strains showed high MIC level for fluoroquinolones, β-lactamase producers, carried type III secretion exotoxin-encoding genes, most of them had integrase I gene and had high level of mutations in QRDR regions in gyrA, parC and parE genes. All these factors may play an important role in the invasiveness of these strains and make them difficult to treat. Isolation of these strains from different medical centers, indicate the need for a strict application of infection control measures in Medical centers in the North West Bank-Palestine that aim to reduce expense and damage caused by P. aeruginosa infections. Molecular analyses showed that Palestinian fluoroquinolone resistant P. aeruginosa haplotypes are not genetically differentiated; however, more mutations may exist in these strains.

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