Nuraldeen Maher Al‐Khanati

Damascus University

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Maha El Tantawi

Alexandria University

Morẹ́nikẹ́ Oluwátóyìn Foláyan

Obafemi Awolowo University

Passent Ellakany

Obafemi Awolowo University

Roberto Ariel Abeldaño Zúñiga

Universidad de la Sierra

Folake Barakat Lawal

Obafemi Awolowo University

Eshrat Ara

French Institute for Research in Africa

Nourhan M. Aly

Obafemi Awolowo University

Ntombifuthi P. Nzimande

University of KwaZulu-Natal

Joanne Lusher

Regent's University London

Muhammad Abrar Yousaf

University of Verona

Cooperative Institutions

John Wiley & Sons (United States)

128

National Council on Family Relations

128

University of North Texas

128

University of Kentucky

Moss Landing Marine Laboratories

French Institute for Research in Africa

Obafemi Awolowo University

King Abdulaziz University

Alexandria University

Instituto Tecnológico de Oaxaca

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Factors Associated with Healthcare Utilization Among Adults in Saudi Arabia During the COVID-19 Pandemic

SAGE Open (2024)

Balgis Gaffar Mir Faeq Ali Quadri Morẹ́nikẹ́ Oluwátóyìn Foláyan Brandon Brown Maha El Tantawi

To investigate factors associated with healthcare utilization by adults in the Kingdom of Saudi Arabia (KSA) during the COVID-19 pandemic. Based on Andersen’s Behavioral Model of Health Services utilization, we conducted logistic regressions to determine the relationship between predisposing factors (age, gender, education, employment status), need factors (critical medical needs), and enabling factors (insurance coverage, financial loss) on healthcare utilization (challenges accessing medical health care needs, resorting to alternative care, unable to attend medical appointments) as the main outcome. Data of 958 adults residing in KSA were extracted. Financial loss increased the odds of challenges in accessing healthcare (OR: 1.73) and lowered the odds of resorting to alternative medical care (OR: 0.63) and inability to attend healthcare appointments (OR: 0.55). Public insurance increased the odds of skipping healthcare appointments (OR: 1.62). Need factors were associated with lower odds of facing challenges accessing healthcare (OR: 0.37), higher odds of resorting to alternative medical care (OR: 5.65), and failure to attend healthcare appointments (OR: 1.92) respectively. Factors known to enable healthcare utilization should be continuously evaluated during emergency situations. Alternative routes of health provision, along with proper health education, should be accessible to all socioeconomic groups.

Pandemic

2019-20 coronavirus outbreak

10.1177/21582440241247373

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Citations (0)

Oral lesions in young adults infected with COVID-19 and impact of smoking. A multi-country study (Preprint)

Heba Jafar Sabbagh Maha El Tantawi Nada AlKhateeb Maryam Quritum Joud Abourdan

UNSTRUCTURED Objectives: To assess the reported presence of oral lesions in COVID-19-infected young adults and the difference between smokers and non-smokers in this association. Methods: This cross-sectional multi-country study recruited 18-to-23 year-old adults using an electronic validated questionnaire assessing COVID-19-infection, smoking and the presence of oral lesions/conditions (dry mouth, change in taste, and others). Multi-level logistic regression assessed the association between oral lesions and COVID-19 infection, and how smoking modified the associations between COVID-19 and oral lesions/conditions. Results: Data was available from 5342 respondents from 43 countries. Of these, 8.1% reported COVID-19-infection, 42.7% had oral lesions and 12.3% were smokers. A significantly greater percentage of COVID-19-infected participants reported dry mouth and change in taste than non-infected persons. Smokers had significantly higher odds of stained teeth with COVID-19 infection than non-smokers (AOR: 1.24 and 1.00; p=0.02). The association between COVID-19-infection and dry mouth was stronger among smokers than non-smokers (AOR=1.26 and 1.03, p=0.09) while the association with change in taste was stronger among non-smokers (AOR=1.22 and 1.13, p= 0.86). Conclusion: Dry mouth and changed taste were associated with COVID-19-infection and may be used to screen for COVID-19 in low COVID-19-testing environments. Smoking may modify the association between some oral lesions and COVID-19-infection.

Cross-sectional study

Taste disorder

Dry mouth

10.2196/preprints.34350

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COVID ‐19, economic problems, and family relationships in eight Middle East and North African countries

Family Relations (2022)

Maha El Tantawi Morẹ́nikẹ́ Oluwátóyìn Foláyan Nourhan M. Aly Brandon Brown Oliver Ezechi

The aim was to assess the reported family relationships during the COVID-19 pandemic and the association between these relationships and individual, interpersonal, and country-level income in eight Middle East and North Africa (MENA) countries.COVID-19 causes fear of infection, loss of loved ones, and economic problems that may affect family relationships.Data were collected from eight MENA countries using an online survey (July-August 2020). The dependent variable was change in family relationship during COVID-19, and the independent variables were individual, interpersonal, and country-level factors represented by sociodemographic factors, COVID-19 status, financial impact (whether participants lost or had reduced wages) and country income. Multilevel logistic regression analysis was conducted.There were 1854 responses, mean (SD) age of 30.6 (9.9) years, 65.8% were female, 3.4% tested COVID-19 positive, and 20.8% reported lost/reduced wages. Family relationships were more likely to improve or remain unchanged (84.3%) for participants who had a history of COVID-19 (adjusted odds ratio [AOR] = 3.54, 95% confidence interval [CI]: [1.25, 10.01]). However, family relationships were more likely to not improve for those who knew someone who died of COVID-19 (AOR = 0.76, 95% CI [0.58, 0.99]) and those with lost/reduced wages (AOR = 0.69, 95% CI [0.52, 0.94]).Family relationship improved or remained unchanged for those who tested positive for COVID-19 and did not improve for those who lost wages or lost someone due to COVID-19.Policy makers should develop strategies to provide social and financial support to employees to reduce the losses and adverse social impact caused by the pandemic.

Pandemic

Affect

10.1111/fare.12691

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Citations (12)

Issue Information

Family Relations (2022)

Wendy Middlemiss Joseph G. Grzywacz Tammy Family Autumn M. Bermea Woosang Hwang

10.1111/fare.12554

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Factors Associated With Experiences of Fear, Anxiety, Depression, and Changes in Sleep Pattern During the COVID-19 Pandemic Among Adults in Nigeria: A Cross-Sectional Study

Frontiers in Public Health (2022)

Morẹ́nikẹ́ Oluwátóyìn Foláyan Olanrewaju Ibıgbamı Brandon Brown Maha El Tantawi Nourhan M. Aly

Background Multiple facets of the pandemic can be a source of fear, depression, anxiety and can cause changes in sleep patterns. The aim of this study was to identify health profiles and the COVID-19 pandemic related factors associated with fear, depression, anxiety and changes in sleep pattern in adults in Nigeria. Methods The data for this analysis was extracted from a cross-sectional online survey that collected information about mental health and well-ness from a convenience sample of adults 18 years and above resident in Nigeria from July to December 2020. Study participants were asked to complete an anonymous, closed-ended online questionnaire that solicited information on sociodemographic profile, health profiles (high, moderate and low COVID-19 infection risk profile) including HIV status, COVID-19 status, and self-reported experiences of fear, anxiety, depression and changes in sleep patterns. Results In total, 4,439 participants with mean age of 38.3 (±11.6) years responded to the survey. Factors associated with higher odds of having COVID-19 related fear were health risk ( p < 0.05); living with HIV (AOR: 3.88; 95% CI: 3.22–4.69); having COVID-19 symptoms but not tested (AOR: 1.61; 95% CI: 1.30–1.99); having a friend who tested positive to COVID-19 (AOR: 1.28; 95% CI: 1.07–1.53) and knowing someone who died from COVID-19 (AOR: 1.43; 95% CI: 1.24–1.65). The odds of feeling anxious was significantly higher for those with moderate or low health risk profile ( p < 0.05); living with HIV (AOR: 1.64; 95% CI: 1.32–2.04); had a friend who tested positive for COVID-19 (AOR: 1.35; 95% CI: 1.08–1.68) or knew someone who died from COVID-19 (AOR: 1.53; 95% CI: 1.28–1.84). The odds of feeling depressed was significantly higher for those with health risk profile ( p < 0.05); living with HIV (AOR: 2.49; 95% CI: 1.89–3.28); and respondents who had COVID-19 symptoms but had not taken a test (AOR: 1.41; 95% CI: 1.02–1.94). Factors associated with higher odds of having sleep pattern changes were having moderate and low health risk profiles ( p < 0.05). Conclusion The study findings suggest that the pandemic may cause fear, anxiety, depression and changes in sleep patterns differently for people with different health profile, HIV status and COVID-19 status.

Cross-sectional study

Depression

Pandemic

Odds

Patient Health Questionnaire

10.3389/fpubh.2022.779498

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Citations (9)

Utilization of magnetic mallet during dental implantation in narrow mandibular alveolar ridge: A case report

International Journal of Surgery Case Reports (2024)

Ahmad Albassal Nuraldeen Maher Al‐Khanati Munir Harfouch

Mallet

Alveolar ridge

10.1016/j.ijscr.2024.110679

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Is Dental Panoramic Radiography Reliable to Assess Position of Bicortical Fixation Screws in Mandibular Fractures? Case Report

The Open Dentistry Journal (2021)

Ahmad Albassal Nuraldeen Maher Al‐Khanati Munir Harfouch

Background: Panoramic radiography is widely used as a diagnostic tool before oral surgeries and can be considered the foremost follow-up image after. It provides a broad observation of the maxillomandibular complex at a lower cost and radiation dose. But cone-beam computed tomography (CBCT) examination, after panoramic radiograph evaluation, can produce a change in the diagnostic thinking of maxillofacial surgeons leading to alterations in treatment plans. Objective: We aim to report a case with incidentally discovered radiographic findings where diagnostic changes were caused by switching from panoramic to CBCT imaging. Conclusion: Radiographic assessment of the position and angulation of screws by panoramic x-ray should be approached with extreme caution. The image of choice is CBCT if nerve injury is suspected.

Panoramic radiograph

Conventional radiography

10.2174/1874210602115010672

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Citations (1)

Arthrocentesis, Injectable Platelet-Rich Plasma and Combination of Both Protocols of Temporomandibular Joint Disorders Management: A Single-Blinded Randomized Clinical Trial

Cureus (2022)

Wael Abbadi Zafin Kara Beit Nuraldeen Maher Al‐Khanati

Introduction Osteoarthritis is one of the most common disorders of the temporomandibular joint (TMJ). The complex etiopathogenesis of the temporomandibular disorders (TMDs), and the variability of symptoms make it difficult to adopt standardized therapeutic protocols. Recently, platelet-rich plasma (PRP) injections have been applied into the TMJ in patients with TMJ osteoarthritis. On the other hand, arthrocentesis has received a widespread acceptance, as a minimally-invasive surgical procedure for TMDs. This study aimed to assess and compare the effect of each of these protocols (arthrocentesis, PRP injection, combination of them) in the management of TMJ osteoarthritis. Methods A single-blinded randomized clinical trial was conducted on a sample of 33 participants with limited mouth opening, pain on function and joint sounds due to TMJ osteoarthritis. Participants were assigned randomly into three groups: Arthrocentesis with PRP group; PRP group; Arthrocentesis group. Maximum mouth opening (MMO), pain and joint sounds were re-evaluated during a six-month observation period. Intra- and inter-group comparisons regarding these variables were performed. Results Participants in all study groups showed statistically significant improvement in terms of MMO and pain during the six-month postoperative period (p<0.05), and showed no significant improvements regarding joint sounds (p>0.05). Pain evaluations showed better outcomes in arthrocentesis with PRP group in comparison to arthrocentesis or injectable PRP alone after six months of follow-up (p<0.05). There were no significant differences in the outcomes of MMO and joint sounds evaluations between the three groups after six months. Conclusions Within the limitations of this study, it can be concluded that the three assessed treatment protocols were effective in improving limited mouth opening and pain in patients with TMJ osteoarthritis. A combination of TMJ arthrocentesis and PRP intra-articular injections showed the best outcomes regarding pain symptoms. None of the tested treatment protocols showed improvement in terms of articular sounds.

Arthrocentesis

TMJ disorders

10.7759/cureus.31396

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Citations (13)

Unusual Indications of Teeth Transplantation: A Literature Review

Cureus (2022)

Nuraldeen Maher Al‐Khanati Ahmad Albassal Zafin Kara Beit

Dental implants are one of the best valid tooth replacement options, though these are not always appropriate in growing young patients. Tooth autotransplantation can be indicated then. However, this is not the only scenario where dental transplantation can be indicated. This comprehensive literature review discusses a wide range of unusual indications of dental transplantation as reported throughout the medical literature. Surprisingly, these indications include management of some developmental dental anomalies, hypodontia, oroantral communications, alveolar clefts, deficient alveolar ridges, ectopic teeth, and maxillofacial injuries. Limited high-quality evidence in this field regarding most of these unusual indications warrants further research of high-quality design.

Autotransplantation

Hypodontia

Tooth loss

10.7759/cureus.29030

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Citations (11)

Factors Associated with Financial Security, Food Security and Quality of Daily Lives of Residents in Nigeria during the First Wave of the COVID-19 Pandemic

International Journal of Environmental Research and Public Health (2021)

Morẹ́nikẹ́ Oluwátóyìn Foláyan Olanrewaju Ibıgbamı Maha El Tantawi Brandon Brown Nourhan M. Aly

An online survey was conducted to identify factors associated with financial insecurity, food insecurity and poor quality of daily lives of adults in Nigeria during the first wave of the COVID-19 pandemic. The associations between the outcome (experience of financial loss, changes in food intake and impact of the pandemic on daily lives) and the explanatory (age, sex, education level, anxiety, depression, HIV status) variables were determined using logistic regression analysis. Of the 4439 respondents, 2487 (56.0%) were financially insecure, 907 (20.4%) decreased food intake and 4029 (90.8%) had their daily life negatively impacted. Males (AOR:0.84), people who felt depressed (AOR:0.62) and people living with HIV -PLHIV- (AOR:0.70) had significantly lower odds of financial insecurity. Older respondents (AOR:1.01) had significantly higher odds of financial insecurity. Those depressed (AOR:0.62) and PLHIV (AOR:0.55) had significantly lower odds of reporting decreased food intake. Respondents who felt anxious (AOR:0.07), depressed (AOR: 0.48) and who were PLHIV (AOR:0.68) had significantly lower odds of reporting a negative impact of the pandemic on their daily lives. We concluded the study findings may reflect a complex relationship between financial insecurity, food insecurity, poor quality of life, mental health, and socioeconomic status of adults living in Nigeria during the COVID-19 pandemic.

Odds

Depression

Pandemic

10.3390/ijerph18157925

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Citations (39)