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What started as a cluster of patients with a mysterious respiratory illness in Wuhan, China, in December 2019, was later determined to be coronavirus disease 2019 (COVID-19). The pathogen severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel Betacoronavirus, was subsequently isolated as the causative agent. SARS-CoV-2 is transmitted by respiratory droplets and fomites and presents clinically with fever, fatigue, myalgias, conjunctivitis, anosmia, dysgeusia, sore throat, nasal congestion, cough, dyspnea, nausea, vomiting, and/or diarrhea. In most critical cases, symptoms can escalate into acute respiratory distress syndrome accompanied by a runaway inflammatory cytokine response and multiorgan failure. As of this article's publication date, COVID-19 has spread to approximately 200 countries and territories, with over 4.3 million infections and more than 290,000 deaths as it has escalated into a global pandemic. Public health concerns mount as the situation evolves with an increasing number of infection hotspots around the globe. New information about the virus is emerging just as rapidly. This has led to the prompt development of clinical patient risk stratification tools to aid in determining the need for testing, isolation, monitoring, ventilator support, and disposition. COVID-19 spread is rapid, including imported cases in travelers, cases among close contacts of known infected individuals, and community-acquired cases without a readily identifiable source of infection. Critical shortages of personal protective equipment and ventilators are compounding the stress on overburdened healthcare systems. The continued challenges of social distancing, containment, isolation, and surge capacity in already stressed hospitals, clinics, and emergency departments have led to a swell in technologically-assisted care delivery strategies, such as telemedicine and web-based triage. As the race to develop an effective vaccine intensifies, several clinical trials of antivirals and immune modulators are underway, though no reliable COVID-19-specific therapeutics (inclusive of some potentially effective single and multi-drug regimens) have been identified as of yet. With many nations and regions declaring a state of emergency, unprecedented quarantine, social distancing, and border closing efforts are underway. Implementation of social and physical isolation measures has caused sudden and profound economic hardship, with marked decreases in global trade and local small business activity alike, and full ramifications likely yet to be felt. Current state-of-science, mitigation strategies, possible therapies, ethical considerations for healthcare workers and policymakers, as well as lessons learned for this evolving global threat and the eventual return to a “new normal” are discussed in this article.

هناك مجموعة من المعايير الأخلاقية التي لو تم انفصال الفرد عنها سيؤدي ذلك إلى شعوره بتأنيب الذات، إلا أنه بإمكانه تجنب ذلك من خلال التحرر من النتائج السلبية للسلوك غير المقبول، وجعله سلوكاً يبدو مقبولاً أخلاقياً من خلال استعماله لآليات التحرر الأخلاقي التي حددها باندورا بثمانية ميكانزمات، ومن خلالها يتخلص الفرد من السلوك المتناقض دون الشعور بتأنيب الضمير، لذا هدف البحث الحالي الى: التعرف على التحرر الأخلاقي لدى طلبة الجامعة، ولغرض تحقيق هدف البحث قام الباحثان باعتماد مقياس التحرر الأخلاقي لباندورا (1996) بعد إجراء صدق الترجمة، وتكيفه للبيئة العراقية، ولقياس ا لتحرر الاخلاقي لدى طلبة الجامعة، قام الباحثان باستخراج الخصائص السيكومترية من صدق وثبات، حيث قدم مقياس التحرر الأخلاقي بصيغته النهائية من (32) فقرة موزعة على (8) مجالات، لكل مجال (4) فقرات مع تدرج خماسي ، وطبق المقياس على عينة البحث بصيغتها النهائية، وحللت البيانات إحصائياً باستعمال الحقيبة الإحصائية للعلوم الاجتماعية (SPSS) وأظهرت عدة نتائج من اهمها: إن عينة البحث ككل من طلبة الجامعة تبعاً للجنس (ذكور- إناث) وتبعاً للتخصص (علمي- إنساني) لديهم تحرر أخلاقي. ومن خلال النتائج التي توصل إليها الباحثان وضعت جملة من الاستنتاجات والتوصيات والمقترحات على أساس نتائج البحث.

Purpose: This study aimed to evaluate the utilization of telerehabilitation services in Egypt and to investigate the concerns and barriers faced by Egyptian physiotherapists for implementation., Methods: This cross-sectional study recruited 306 Egyptian physiotherapists who were asked to complete an online survey including questions about the utilization of telerehabilitation services, awareness, perception, and attitude., Results: A total of 299 physiotherapists completed the online survey. Within the sample, 38.5% utilized telerehabilitation at work. Telerehabilitation was used frequently to deliver patient advice (17.6%), follow-up (16%), and exercise prescription (15.2%). Pain (16.2%) was the most common outcome assessed utilizing telerehabilitation. Additionally, 85.3% of physiotherapists agreed that the inclusion of telerehabilitation during the rehabilitation program is effective. The main barriers to implementing telerehabilitation in Egypt were lack of awareness (59.9%) and technical issues (58.2%)., Conclusion: This study sheds light on the trends and challenges in utilizing telerehabilitation and may help in shaping the future of telerehabilitation in Egypt., (Copyright © 2025 Olfat Ibrahim Ali, Omnia Mustafa Salem, Salma Ashraf Abdelaziz Mohamed, Sabah Abdlnaser Hassan Ali, Eman Ahmed Embaby.)