Search Results (223)

Fertility is considered a significant demographic concern, especially in relation to climate change. This study examines how awareness of climate change, measured by five subscales—climate-friendly behavior, knowledge, personal concern, attitude, and multiplicative action—affects fertility intentions, emphasizing the mediating role of threat perception. Data were collected through an online survey administered to a sample of 817 Palestinian citizens aged 18–49 residing in the West Bank. Structural equation modeling (SEM) was utilized for the data analysis. The results revealed that climate change awareness does not directly affect fertility intentions. However, an indirect effect of climate change awareness on fertility intentions was observed, mediated by threat perception as an intervening variable. Individuals exhibiting increased awareness of climate change and perceptions of future risks demonstrated a greater likelihood of reducing their fertility intentions compared to others. Policymakers in the Palestinian territories should prioritize enhancing public awareness regarding climate change and its associated short- and long-term threats. Therefore, incorporating climate education and associated risks into fertility health programs is essential. Full article

The study aimed to evaluate the role of government policies in reducing poverty in Palestine, testing their effectiveness and adequacy, and assessing the challenges associated with their implementation. The study also evaluated the satisfaction of poor families with government programs directed at them. To achieve the objectives of the study, the study followed the descriptive analytical approach, through the use of the quantitative approach, where a questionnaire was distributed to 447 poor families in the West Bank. The qualitative method was developed to study the content of all Palestinian government policies followed to reduce poverty. The results showed a decrease in the confidence of poor families in the adequacy and effectiveness of government policies used to combat poverty, in light of the rise in poverty rates (74.3% in 2024). Accordingly, the study recommends the need to enhance integration between social protection policies and economic development by adopting a comprehensive, innovative, and visionary approach that integrates the provision of resources and sustainable economic empowerment programs to achieve sustainable development goals better. Full article

This article explores the rise of organized crime and violence within the Palestinian community in Israel, focusing on the past two decades. It examines the internal fragmentation of the community, Israeli policies that exacerbated these divisions, and the impact of these factors on the surge in criminal activity. The article further analyzes community responses, highlighting faith-based initiatives like the Committee for Spreading Peace (CSP), led by Sheikh Raed Salah. This initiative, although limited in resources, seeks to address the cycle of violence through prevention, mediation, and collaboration with local authorities in Israel. However, the CSP faces significant challenges, including distrust in Israeli government efforts and the deep-rooted involvement of criminal organizations in local politics. The article concludes that while initiatives like CSP offer hope, a more comprehensive and collaborative approach is needed to effectively combat organized crime and restore community cohesion. Such approaches will also have implications for the Israeli–Palestinian conflict and possible future community-based initiatives. Full article

This article investigates how the Jewish leadership in early medieval Palestine employed religious elements to consolidate its power among Jewish communities across the Muslim world. It suggests that the Palestinian Academy in Jerusalem leveraged its location to enhance its authority. The first section analyzes the 921/922 calendar dispute between the Palestinian and Babylonian Jewish centers. I argue that this ostensibly religious conflict was fundamentally a political struggle for leadership, demonstrating how religious authority was utilized for political gain. The second section examines the Hoshana Rabbah ceremony on the Mount of Olives, a key event presided over by the Palestinian Academy and its head, the Gaon. Taking place on the final day of Sukkot, this ceremony attracted Jewish pilgrims from across the Muslim world to Jerusalem. This part analyzes how the Palestinian Academy strategically employed this significant religious gathering—acknowledged even by rival Jewish centers—as a political demonstration to assert its leadership over the Jewish world. Furthermore, the analysis delves into the ceremony’s historical origins, the motivations behind its establishment, and its deep connection to Jerusalem. Full article

Background and Objective: Delirium, a prevalent neurocognitive disorder, frequently affects critically ill patients hospitalized in intensive care units (ICUs), leading to increased mortality, prolonged hospital stays, and higher healthcare costs. This quasi-experimental study assessed the effect of an educational program relating to ICU nurses’ knowledge of delirium in a university hospital in Nablus, Palestinian Authority. Methods: A pre-test–post-test design was employed, utilizing a 25-item questionnaire for 114 ICU nurses. The educational intervention included a presentation on delirium, the distribution of educational materials, and follow-up video sessions. Our study aim was to evaluate nurses’ understanding of ICU delirium and the impact of the educational program on their ability to identify and evaluate the delirium. Results: Pre-intervention assessments indicated limited awareness among nurses regarding delirium diagnosis and management tools, i.e., the Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive Care Delirium Screening Checklist. Post-intervention results showed a significant improvement in knowledge; median scores increased from 6 (range: 3–13) to 15 (range: 12–20) (p < 0.001). Nurses also reported greater confidence in identifying and managing delirium, and 50% found CAM-ICU easy to use. However, knowledge gaps remained concerning mixed delirium types and modifiable risk factors. Conclusions: Continuous educational programs are essential for ensuring long-term knowledge retention. We recommend integrating routine delirium education with hospital policies and emphasizing the use of delirium assessment tools during each shift. Findings show that targeted education can enhance ICU nurses’ competencies and thereby improve patient outcomes through more effective delirium management. Full article

Dvora Baron’s “Ogmat Nefesh” exemplifies the complexities of early 20th-century Jewish multilingualism, offering distinct Hebrew and Yiddish versions of the story to explore intersections of gender, ideology, and identity. This paper draws on theoretical frameworks from Harshav’s concept of the “language of power”, Miron’s notion of “amphibianism”, Even-Zohar’s polysystem theory, and Brenner’s “lingering bilingualism” to examine how Baron’s bilingual authorship shapes her narrative strategies and critiques systemic inequities. Through close readings of key passages, it analyzes how her linguistic choices influence character portrayal, narrative tone, and thematic emphasis across the two versions. Situating “Ogmat Nefesh” within the historical contexts of Eastern European and Palestinian Jewish communities, the study also considers Baron’s engagement with Zionist and diasporic frameworks and her feminist critique of patriarchal structures. Finally, Baron’s personal experiences of exile and literary seclusion further illuminate the interplay between individual circumstances and cultural production in her work. By engaging with secondary scholarship and feminist perspectives, this study highlights Baron’s contributions to early 20th-century feminist writing and her enduring relevance to debates on multilingualism and cultural identity in Jewish literature. Full article

Background: The growth patterns of children and adolescents are influenced by multiple factors. This study employed structural equation modeling (SEM) to determine the primary factors influencing the growth of Palestinian children and adolescents in the West Bank (WB). Methods: A cross-sectional survey conducted in 2022 in the WB collected data from 1400 households, of which 500 with children aged 5–17 years and were selected for analysis. The survey assessed household food insecurity, socioeconomic status (SES), parental health history, nutritional awareness, food consumption patterns, and nutrient intake. The latent construct “Child Growth” was measured using Body Mass Index-for-age Z-score (BAZ), height-for-age Z-score (HAZ), and Mean Adequacy Ratio (MAR). SEM was employed to examine the interrelations among latent variables and their observed indicators. Results: Mineral intake showed the strongest direct effect on child growth (β = 0.812, p < 0.001), followed by food availability (β = 0.492), vitamin intake (β = 0.481), SES (β = 0.439), and macronutrient intake (β = 0.383). MAR exhibited the highest factor loading as a growth indicator, while HAZ had limited significance, suggesting its chronic nature. SES influenced growth both directly and indirectly through its effects on food availability and dietary intake pathways. Strong correlations between nutritional knowledge and nutrient classes reflect the interrelationship between behavioral and biological determinants. Conclusions: Both structural and immediate nutritional factors influence child growth. In Palestinian youth, mineral intake, food security, and SES have the greatest influence. These findings offer a framework for understanding the growth determinants of Palestinian youth in the WB and support the development of targeted interventions to improve dietary quality and overall nutritional status. Full article

Background/Objectives: Breast cancer (BC) is the most prevalent cancer among Palestinian women and significantly affects their quality of life (QoL). Coping strategies are pivotal in shaping QoL outcomes; however, research examining coping strategies and QoL in the Palestinian context remains scarce. This study aims to evaluate coping strategies among newly diagnosed BC patients and their impact on QoL in the southern West Bank. Methods: A cross-sectional study recruited 147 newly diagnosed BC patients undergoing treatment in governmental hospitals in the Hebron and Bethlehem governorates. Data were collected via face-to-face questionnaires, which included the EORTC QLQ-C30, the Cancer Coping Questionnaire (CCQ), sociodemographic and clinical characteristics, and social support. Results: Participants exhibited moderate QoL scores, with physical functioning scoring highest (67) and emotional functioning lowest (49). Fatigue, insomnia, and pain were the most common symptoms. Coping strategies were moderately utilized, and global QoL was significantly associated with these strategies. Hierarchical regression showed education had a small positive effect on global QoL (R² = 0.052, p = 0.005), while family support was a moderate predictor (R² = 0.080, p = 0.041). The CCQ coping score negatively impacted global QoL (R² = 0.186, p < 0.001), whereas CCQ positive focus (R² = 0.342, p < 0.001) and diversion techniques (R² = 0.406, p < 0.001) had substantial positive effects. Conclusions: Positive coping strategies, education, and family support play a vital role in enhancing QoL for newly diagnosed BC patients. Coping-focused interventions should be integrated into oncology care in Palestine to improve patient outcomes. Full article

Small and medium-sized enterprises (SMEs) in Palestine face significant challenges in risk management, in which safety culture, risk mitigation, and sustainability practices play a critical role in business performance. However, the ways these variables influence business performance through employee engagement are less explored. This study investigates the impact of safety culture, risk mitigation, and sustainability practices on the business performance of Palestinian SMEs, with a special emphasis on employee engagement’s mediating effect. The quantitative approach was adopted, and data were collected from 450 SME respondents within the main clusters of the West Bank (Ramallah, Hebron, Nablus, and Jericho) based on purposive sampling. The findings indicate that safety culture, risk mitigation, and sustainability practices positively and significantly impact business performance. Furthermore, employee engagement is a potent mediator that enhances these variables’ positive effects on business performance. These results have practical and theoretical implications for building a robust safety culture, possessing effective risk minimization measures, and incorporating sustainability practices to advance business performance in Palestinian SMEs. The study recommends that SME owners and managers prioritize employee engagement in addressing safety and sustainability matters to achieve long-term business growth. Full article

The 7 October 2023 attack by Hamas on Israeli civilians and Israel’s ensuing assault in Gaza caused immense public upheaval in Berlin, home of Europe’s largest Palestinian diaspora. This article shows how Palestinian families intergenerationally navigate the ensuing losses, protests and school unrests, which took place not just in response to the devastation in Gaza and the West Bank, but also to Germany’s unwavering support for Israel, while suppressing pro-Palestinian voices. For the families, this intensification of the protracted Israeli–Palestinian conflict deepened a state of chronic crises based on traumas, longstanding insecurity and increasing xenophobia in Germany. Drawing from 11 years of ethnographic research in Berlin–Neukölln, I show how events since 7 October drastically changed the neighborhood’s ethos, forcing a communal front of silence. The silence was a reaction to fears of being misrepresented in the media and threats of deportation and school expulsions. Examining prevailing sociopolitical influences, and what happens within families and between generations, I illustrate how families became more insular in their mourning and grief yet found ways to navigate their political views intergenerationally. My argument scrutinizes sociopolitical processes leading to increased polarization and highlights the importance of schools as safe spaces for identity formation and contemplation. Full article

It is well established that women’s representation in scientific and technical fields decreases with societal affluence, but the mechanisms underlying this so-called paradox remain contested. This study leverages distinctive features of the Israeli educational system to identify social psychological and organizational mechanisms driving contextual variability in the gendering of physics and computing subjects. Using in-depth interviews and original surveys, we compare gender gaps in ninth graders’ attitudes and aspirations across two highly segregated yet centrally administered state school sectors: one serving the socioeconomically marginalized Arab Palestinian minority, and one serving the Jewish secular majority. Results reveal curricular affinities, discourses, and course-taking patterns that are differentially gendered across school sectors. While boys and girls in Arab Palestinian schools report more instrumentalist motivations and more positive attitudes toward mathematically intensive fields, students in Jewish schools engage in highly gendered, self-reflexive discourses that support gendered course-taking. Findings support arguments positing gender-specific effects of postmaterialist, individualistic value systems, and suggest that the cultural and organizational processes that generate larger gender gaps in more affluent countries may also play out within countries. Full article

Accidents and injuries at work are unavoidable. Promoting corporate sustainability requires strategies concerning employees’ health and a safe work environment in light of social, environmental, and economic development. The purpose of this paper is to examine the significant association between Occupational Safety and Health Management (OSHM) and Corporate Sustainability (CS) in the context of West Bank industries in Palestine, bolstering the mediating role of Affective Commitment (AC) and Emotional Intelligence (EI). We sampled 126 executive and knowledgeable Palestinian employees in the region using a questionnaire for data collection. We used Smart PLS 4 to evaluate the study model and hypotheses. This study bridges the gap by investigating the relationship of the study constructs in Palestinian industries in the West Bank. This study contributes to the literature by demonstrating how OSH practices can improve CS by encouraging social engagement, economic performance, and environmental conservation. The study’s findings are consistent with the Sustainable Development Goals, especially SDG 3, which establishes policies to enhance public health and improve well-being for people at any age, and SDG 8, which advocates for sustainable progress in the economy, prolific employment, and decent job for everyone. The findings highlight how important it is for West Bank businesses to implement training in emotional intelligence and encourage affective commitment to improving safety and health strategies, ultimately resulting in increased corporate sustainability by considering social and environmental policies. Full article

This article examines Fatah’s strategic and ideological evolution during the 1970s and early 1980s, focusing on its adoption of Islamic discourse to strengthen internal cohesion and broaden its influence. It explores how this shift shaped Fatah’s political and military strategies, contributing to its identity formation and support within the Palestinian and Arab public. The findings underscore the role of ideological flexibility in navigating geopolitical dynamics and forging alliances with Islamist factions, including Hezbollah, highlighting the nuanced interplay between pragmatism and ideology in national liberation movements. The study focuses on understanding how Fatah’s adoption of Islamic discourse influenced its political and military strategies during this period. By incorporating Islamic myths and symbols, Fatah not only strengthened internal cohesion but also expanded its influence among young Islamists eager to engage in the Palestinian struggle. This research addresses the central question: How did the adoption of Islamic discourse shape Fatah’s political and military strategies during its transition from Jordan to Lebanon, and how did it contribute to the movement’s identity formation and its success in garnering support among the Palestinian and broader Arab public? Full article

In this study, we documented two relict traditional Palestinian orchards; one was abandoned following the 1948 war when the farmers were exiled to Lebanon and the second was tended by farmers up until the early 1970s. The orchards examined are located in two different Mediterranean phytogeographic regions, one in the hilly Upper Galilee and the other on the slopes of Mount Carmel in the hinterland of the Mediterranean coast. We found differences in the species composition and spatial layout of trees in each orchard which followed the dictates of the geographic settings, demonstrating the farmer’s knowledge of their environment. We discuss the importance of these orchards as part of the heritage horticultural systems of the region and explore possible measures that can be taken to preserve this unique historical arboricultural landscape and ways to empower local, traditional knowledge in promoting awareness for the conservation and preservation of heritage horticulture. Full article

Background and Objectives: Atrial fibrillation (AF) carries a huge socioeconomic burden as it is the most encountered cardiac arrhythmia with a significant morbidity. Echocardiographic (Echo) imaging is of monumental value in providing insight into assessing the cardiac function and anatomy, etiology, and risk stratification of AF patients, which will ultimately lead to the best management plan. Materials and Methods: A total of 2160 adult patients diagnosed with AF in 18 hospitals and 30 out-patient cardiology clinics in Jordan and 1 hospital in the Palestinian Territories were enrolled in this study from May 2019 to January 2021. Ultimately, 1776 patients were included in the analysis after going through the exclusion criteria. Results: The majority of our participants were found to have normal EF at the time of enrollment, with only 31.6% exhibiting a decreased EF. Only 40% of overall patients had Echo evidence of left ventricular hypertrophy (LVH). These patients were older (70.27 ± 10.1 vs. 66.0 ± 14.3, p < 0.001), more obese (45.2% vs. 37.3%, p-value < 0.001), and had a more frequent occurrence of HTN (89.0% vs. 65.6%, p < 0.001) and DM (49.2% vs. 40.1%, p < 0.001) when compared to patients without LVH. A proportion of 84.2% of female patients had abnormal left atrial (LA) size (>3.8 cm), in contrast to only 53.4% of males (LA > 4.2 cm). Pulmonary hypertension (PH) was only observed in 27.9% of our patients, and when comparing patients with PH vs. patients without PH, decreased EF (<50%) (36.9% vs. 20.6%, p = 0.001), a higher prevalence of OSA (6.7% vs. 3.8%, p = 0.009), female predominance (60.3% vs. 39.7%, p < 0.001), and older age (70.2 ± 10.7 vs. 66.7 ± 13.6, p < 0.001) were observed in patients with PH. Conclusion: This study provides the first reported insights on the atrial fibrillation-related echocardiographic findings in a Middle Eastern population. Notably, our study demonstrates that the majority of the studied population have no evidence of LVH and have preserved EF on baseline. However, LA enlargement was extremely frequent among females but not in males, warranting further evaluation to determine the factors contributing to such a difference. Full article