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COVID-19 burden among medical student learning

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University of Baghdad
College of Medicine
Shams Salah Mukhlif
Karrar Raafat Arif
Mohammed Nasrat Suliman
Supervisor:
Assis...
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Table of content
Table of figure
Figure number Page number
Figure 1 16
Figure 2 19
Acknowledgment: firstly, we would lik...
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Background: for a long time, Humans have suffered from several infectious diseases.
COVID-19 is one of them, which is a ...
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COVID-19 burden among medical student learning

  1. 1. University of Baghdad College of Medicine Shams Salah Mukhlif Karrar Raafat Arif Mohammed Nasrat Suliman Supervisor: Assistant Prof. Dr. Najah Kadhum Mohammad
  2. 2. 1 Table of content Table of figure Figure number Page number Figure 1 16 Figure 2 19 Acknowledgment: firstly, we would like to express our deep and sincere gratitude to our research supervisor, Assistant prof. Dr. Najah Kadhum Mohammad for his continued support and encouragement. Secondly, we would like to record our thanks and appreciation for all people who helped a lot in finalizing this project directly or indirectly. Content Page number Introduction 4 Sample and Methods 7 Result 11 Discussion 21 Limitation, conclusion and recommendations 24 References 25
  3. 3. 2 Background: for a long time, Humans have suffered from several infectious diseases. COVID-19 is one of them, which is a member of the family coronaviridae. public health and educational systems are collapsing under coronavirus spread worldwide. The pandemic and social distancing application has made the education to be taken online. In the other hand, it had disturbed the traditional medical training of medical students. Aim of the study: To illustrate the effect of skipping the live sessions as an important educational way on the scientific level of the undergraduate medical students in Baghdad. Sample & Methods: A sample of 352 of medical students from different universities all settled in Baghdad governorate, Iraq republic. The study targeted those students whose education was affected during COVID-19 pandemic. The study involved students from 3rd,4th,5th and 6th stages only. Results: The study results showed that there is statistically significant positive moderate relationship (p<0.01) between online education (the independent variable) and the student scientific level (the dependent variable), and this relationship is functional. In another word, the online education is an influencing factor and it has a statistically significant effect(p<0.01) on the scientific level of students. Conclusion: Online teaching is a quickly growing educational approach. it has enabled the continuation of medical education during these unprecedented times. The study results showed that there is a statistically significant positive moderate relationship between online education and the scientific level of medical students. Moreover, the online education is an influencing factor which has a statistically significant effect on the scientific level of students. Keywords: COVID-19, online education, scientific level, live session, medical students. Abstract
  4. 4. 3 Research methodology Chapter one Introduction
  5. 5. 4 Introduction Humans have suffered from lethal infectious diseases, including viral outbreaks, for a long time. The newly identified coronavirus which was named “COVID-19”by the WHO is a member of the family coronaviridae the same family of severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV). COVID-19 was first recognized in Wuhan, Hubei Province, in China in December 2019 and may be originated from eating wildlife. the virus has spread worldwide that the WHO declared this disease to be a public health emergency of international concern, considered as a pandemic. It results in a severe threat to public health and safety. Although the route for viral transmission remains a mystery, COVID19 may have originated in an animal reservoir, likely that of bat. The clinical features of COVID-19, such as fever, cough, shortness of breath, and fatigue, are similar to those of many acute respiratory infections. There is currently no specific treatment for COVID19, but antiviral therapy combined with supportive care is the main strategy (1) . According to the WHO, COVID-19 virus spreads primarily through droplets of saliva or discharge from the nose when an infected person coughs or sneezes, as a result the best way to prevent and slow down transmission is by social distancing (2) . The nationwide lockdown restrictions to control the spread of disease and flatten the curve have affected all aspects of life (3) . The COVID-19 pandemic has caused a sudden shift towards the online teaching, considered as the primary source of medical education and enabling students to continue to learn remotely (4) . The UNESCO reported that 192 countries had applied the lockdown closures, affecting about 99.9% of the world students populations (5) . Therefore, it is likely that e-learning and online teaching will continue to form vital sources of medical education (6) . .
  6. 6. 5 The pandemic has disrupted the traditional medical training of medical students. Suspension of large-group, on-site lectures is certainly needed to flatten the curve of COVID-19 transmission. Therefore, on-site sessions have been suspended to keep learners safe and clinical medicine is increasingly being practiced virtually, with the onsite sessions restricted. Another key component of medical education for trainees is hands-on patient care applied by teaching rounds, this aspect is best accomplished through face to face interaction (6) . The pandemic has limited the availability of bedside teaching opportunities for medical students. As the education has become online, another challenge has arisen which is the poor internet connection that became a new obstacle facing the online educational system (7) . The COVID-19 pandemic has put us in a unique situation to evaluate the significance of online teaching platforms in medical education. till now no study has investigated the outlook of medical students on the effect of these changes in Iraq, Thus we aim to examine the effect of online education on the students understanding and education since no previous time in history had such a sudden shift to e-learning (8) . Although there are certain deficiencies such as the weakness of online infrastructure, the inexperience of lecturers regarding online teaching, the stressful situation with which we are dealing and etc., but in the other hand there are some positive features of online education like it is less time consuming process regarding the time wasted in crowded traffics, the student is in a more comfortable place at home and so on. Other study found that having an idea about the student’s opinion about online education will makes considerable contribution through its findings by revealing the difference between various groups of students and their opinion regarding online education. This will present important information to educational authorities and lecturers about the importance of online modes of education as a means of up-skilling the online teaching abilities and to strengthen the educational program (9) .
  7. 7. 6 *the questionnaire and the coding table links will be provided with the “supplementary data” . Chapter two Sample & Methods
  8. 8. 7 Sample & Methods A sample of 352 students from different Iraqi universities in Baghdad governorate, as the study was meant to target undergraduate students who are studying medicine specifically. The study included third, fourth, fifth and sixth grades students only. The universities involved were 6 include (University of Baghdad college of medicine, University of Baghdad Al-Kindy college of medicine, University of Nahrain college of medicine, University of Mustanseria college of medicine, Iraqia University college of medicine, Ibn Sina University college of medicine ) all settled in Baghdad governorate. This is a cross-sectional study conducted via an online survey, A 20-item questionnaire was devised to explain the effect of online education during COVID-19 pandemic on the Iraqi medical students in Baghdad. the sample was meant to be convenient sample The questionnaire* was designed by the authors of the study using ‘Google forms’ platform. and distributed through social media in order to facilitate participation maintaining social distancing and health guidelines . The questionnaire was accessible for students to fill it for only 3 days period (from 03 February 2021 to 06 February 2021). Later on, the data were collected and analyzed statistically using IBM SPSS statistics program version 22 to exclude final results that will give an indication for the acceptance or rejection of the research hypotheses. The questions were divided into three sections, the first one consist of 4 questions with different patterns and this section targeted some personal information of the participants (such as name, gender, stage that they belong to, and current university). The second section of the questionnaire involved 8 questions refers to students perception and reliance on online education(such as participation ,interaction and etc.). However, the last section that which also consist of 8 questions were designated to measure the students
  9. 9. 8 own knowledge and scientific level according to their education during the pandemic including the benefits and barriers of online education ”E-learning”. Both sections two and three were designed in form of 5-point Likert-type questions, ranging from strongly disagree to strongly agree. Inclusion criteria: This study was conducted among • Undergraduate medical students. • Those who belong to 3rd , 4th ,5th and 6th grades only. Exclusion criteria: the following criteria were eliminated by the researchers for being non-eligible to be included. • Those who are not being undergraduate medical students. • 1st and 2nd grade students. • Those who are not studying medicine in Baghdad. Ethical issues: Consents were taken from participants, and they were informed prior to starting the survey that all data collected was non-identifiable and would only be used for research purposes.
  10. 10. 9 Analytic approach: The study aims to find out if there is a relationship between the study variables these are the online education -as an independent variable- and the scientific level -as a dependent variable- of medical students in Baghdad during COVID-19 pandemic. To prove this, The researchers stated two main hypotheses as follows: 1- HO = There is NO statistically significant relationship between the 2 variables. HA = There is statistically significant relationship between the 2 variables. 2- HO = the online education has NO statistically significant effect on the scientific level. HA = the online education has a statistically significant effect on the scientific level. At first, data was exported from google forms to Microsoft Excel. in Excel, the whole data were encoded* by specific numbers to be managed in SPSS later on. The analysis models that were used in the study to exclude results are: 1- Descriptive statistics: used to outline the general details for the sample under study accomplished with accomplished with graphs and charts that exhibit the exact frequency and percentage for each variable. 2- Simple linear correlation: used to check weather if there is a relationship between the study variables or not. 3- Simple linear regression: the researchers fit a regression model to assess the strength and nature of the relationship between the study variables.
  11. 11. 10 Research methodology Chapter three Results
  12. 12. 11 Results From a sample of 352 medical students from different Iraqi universities in Baghdad governorate, data were collected and analyzed using SPSS program to get study outcomes. Undesirable responses were eliminated as being ineligible. A- Descriptive statistics: Gender Table(1) frequency of males and females among study population Frequency Percent Cumulative Percent Male 133 37.8 37.8 Female 219 62.2 100.0 Total 352 100.0 Table(1): from a sample of 352 student ,the table above shows that the percentage of male respondents to the questionnaire amounted to 37.8% and this represents only 133 from total, while the percentage of females who participated in answering the questionnaire from various medical colleges in Iraqi universities in Baghdad was 62.2% and this represents 219 from the total. As a result females participants were more than males.
  13. 13. 12 University Table(2) Frequency of universities of students (study population). Frequency Percent Cumulative Percent University of Baghdad COM 171 48.6 48.6 University of Al-Mustansiriya COM 85 24.1 72.7 University of Baghdad Al-Kindy COM 63 17.9 90.6 University of Al-Nahrain COM 21 6.0 96.6 Al-Iraqia University COM 10 2.8 99.4 Ibn Sina University for medical sciences 2 .6 100.0 Total 352 100.0 Table(2): from the table above above the results shows that University of Baghdad occupied the first place with 171 students (48.6%) out from total number of participants.in the second place came University of Mustanseria with 85 students(24.1%).Gradually the third university was University of Baghdad Al-Kindy with 63 student(17.9%).fourth place went to University of Nahrain with 21 students(6%).at fifth place Iraqi University with 10 students(2.8%).While Ibn Sina University for medical sciences came in the last place with only 2 students(0.6%) out of total number of participant from all universities.
  14. 14. 13 Table(3): From the table above, it is clear that the number of respondents from the third stage students is the most numerous, as they included the number of 147 students (41.8%), then came in second place the students of the fourth stage with a number of 131 students (37.2%) of the total number of students participating in the questionnaire and came in the third place the students of the fifth stage With 58 students (16.5%) of the total number of participating students, and sixth grade students with 16 students (4.5%) of the total number of students participating in the questionnaire. Stage Table(3) Stages of students (study population). Frequency Percent Cumulative Percent Third(3rd) stage 147 41.8 41.8 Forth(4th) stage 131 37.2 79.0 Fifth(5th) stage 58 16.5 95.5 Sixth(6th) stage 16 4.5 100.0 Total 352 100.0
  15. 15. 14 B- Analytic Statistics: 1- Simple linear correlation: This type of analysis was used for the purpose of measuring a specific coefficient which is the linear or Pearson correlation coefficient(R), this coefficient is useful in the measurement of linear relationship between the scientific level of students and online education. (Table4): from the table above the mean of answers that refers to the independent variable which is the online education was 2.80 with a standard deviation of 0.75 that means there is a near consensus in students responses on learning online during COVID- 19 pandemic. While mean of responses on the dependent variable which is the scientific level of students was 3.16 with st.deviation of 0.53. again, this is a small value of deviation in responses that belongs to the scientific level of students. With taking into consideration that there are some responses that deviate significantly from each variable mean. And this will be explained in figure(1) clearly. Bivariate simple linear correlation Table(4) Descriptive Statistics Mean St. Deviation N Online education mean 2.802 .74844 352 Student scientific level mean 3.1637 .53465 352
  16. 16. 15 (Table5): from the table above, the linear correlation coefficient equals +0.429, and (P<0.001).from these results we can confidently say that there is a statistically significant Positive Moderate linear relationship between the study variables those are the online education and the student scientific level at significant level of 0.01. as a result we reject the first null hypothesis and accept the alternative hypothesis. Table(5) Correlations Online education mean Student scientific level mean Online education mean Pearson Correlation 1 .429** Sig. (2-tailed) .000 N 352 352 St. scientific level mean Pearson Correlation .429** 1 Sig. (2-tailed) .000 N 352 352 ** Correlation is significant at the 0.01 level (2-tailed).
  17. 17. 16 Figure(1)dependent and independent means distribution(Study variables) (Figure1): the figure above gives an idea for R value and the nature of relationship between the variables understudy. each dot those who are distributed in the scatter diagram reflects the mean of participants’ responses. In summary we can say that there is a positive moderate correlation between the variables those are the online education and the students scientific level.
  18. 18. 17 2- Simple linear regression: A regression model has already used in this study to see if the online education successfully predicts an outcome or the scientific level of students. regression in concept is an analysis to explore a functional relationship between variables. Simple linear regression Table(6) Model Summary Model R R Square Adjusted R Square Std. Error of the Estimate 1 .429 a .184 .181 .48372 a. Predictors: (Constant), online education mean (Table6): from table above R value represents the simple linear correlation coefficient value that equals 0.429. R square is the determination coefficient in this out put it equals 0.184 or 18.4%. therefore, we can say 18.4% of variance in the scientific level of medical students can be explained by online education. Therefore, the online education is a predictor that really affects the scientific level of students.
  19. 19. 18 Table(7) ANOVAb (F-test) Model Sum of Squares df Mean Square F Sig. Regression 18.438 1 18.438 78.802 .000a Residual 81.894 350 .234 Total 100.332 351 a. Predictors: (Constant), education b. Dependent Variable: level (Table7): ANOVA model tests the statistical significance of the regression model. as p<0.05 then we reject the second main research null hypothesis which states that online education variable has NO statistically significant effect on the scientific level variable. And accept the alternative hypothesis which states that the online education variable has a statistically significant effect on the scientific level of students.
  20. 20. 19 (Figure2): Each dot in the scatter diagram above Represents the responses of students and how it is deviated from the regression trend. We can easily notice the homogeneity of most of responses along with the trend. This gives an indication for the agreement of most respondents that there is a real effect of online education on their scientific level.
  21. 21. 20 Research methodology Chapter four Discussion
  22. 22. 21 Discussion The rise of COVID-19 results in shifting the education system to online teaching and learning all over the world (11) . Medical education needs face to face interaction especially in practical sessions and because of the application of online education and social distancing instructions, the online education had affected somehow in students’ scientific level. Up to our knowledge, till now no study has investigated the perspective of medical students on the effect of these changes in Iraq. Thus the study aims to examine the effect of online education on the medical students scientific level since no previous time in history had such a sudden shift to e-learning. This study recruited 352 medical students from different universities in Baghdad, Iraq. While Al-Balas study “Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives” recruited around 652 students from all medical universities in Jordan (10) . Dost S, Hossain A, Shehab M, et al. Conducted a study in UK about “Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross- sectional survey of 2721 UK medical students” and the sample size was 2721 medical students across 39 medical school responded (11) . The sample of this study is fair enough because it was conducted among medical students from 3rd to 6th stages and among medical students in Baghdad only through an online questionnaire and unlike this study, the studies mentioned above were conducted among medical students in all stages and among medical students in whole universities of the country. In the other hand, a study from Saudi Arabia “Medical students’ acceptance and perceptions of e-learning during the Covid-19 closure time in King Abdul-Aziz University, Jeddah” the sample size was 340 medical students, although the sample was collected from one university (12) .
  23. 23. 22 We think that this was because the researcher was a professor in the university and this will increase the acceptance of students to participate in the study. This study is investigating the perspective of undergraduate medical students about the presence of relationship between online education and scientific level. The results has shown that there is a positive moderate linear relationship(P<0.01) between online education and the student scientific level. The results revealed that the online education can statistically effect on the medical students scientific level with a percentage of 18.4% with highly significant level(P<0.01). Finally, this study reject the null hypotheses. As mentioned previously there is positive effect of online education on scientific level of students since there is no other solution in this situation other than e-learning. Similarly, study from Saudi Arabia “Medical students’ acceptance and perceptions of elearning during the Covid-19 closure time in King Abdul-Aziz University, Jeddah” found that the participants agreed that e-learning substituted on-class learning during the closure time (12) . However, Khalil et al. Found that there is overall high satisfaction with e-learning (13) . Another reason of positive effect of online education that it is less time consuming educational process. As Jordanian study reported that the main advantage of e-learning from the perspective of their students was the time saving (10) . Additionally, the rise in external resources and teaching programs such as osmosis, pathoma lectures, lecturio, khan academy etc. had an impact in facilitating the learning process to the students. Al-Balas study suggest that one of the most important advantage of e-learning is the easier and faster update and distribution of educational content in comparison to printed references (10) . Furthermore, online education has given the chance to the students to ask questions freely without feeling stressed or anxious (14) . The effect of online education on improvement of scientific level of students was not very remarkable since there were some barriers. The most important one is poor internet
  24. 24. 23 connection and technical errors. Khalil et al. Found that one of the most common barrier was technical insufficiency including poor internet connectivity and deficits in educators' basic computer skills (13) . Furthermore, Gaikwad, et al. Suggests that the lack of adequate personal computer skills was an obstacle (15) . Lakbala reported that the lack of proper training on e-learning and the limited communication with the instructor were the most critical barrier (16) . Another important disadvantage is the restriction of clinical and practical sessions that are important in medical practice especially for gaining important medical skills and self confidence in front of the patient. Khalil, et al. Suggest that nothing can replace seeing patients because clinical experience and human interaction are extremely important for the practice of medicine (13) . Study from Saudi Arabia “Medical students’ acceptance and perceptions of e-learning during the Covid-19 closure time in King Abdul-Aziz University, Jeddah”, found that clinical skills is the most challenging learning outcome and might be not suitable for e-learning (12) , This result agrees with the result of Regmi and Jones (17) . Also online education affected the self-discipline of the students since there is no follow-up by their supervisors, agrees with the result of Regmi and Jones (17) . Moreover, the pandemic and social distancing might affect the psychological status of the students due to lack of interactions with friends and colleagues leading to the feeling of anxiety. Cao W, Fang Z, Hou G, et al. Found that the mental health of students, recently shown to be impacted by the COVID-19 (18) . Of all the reasons that have been mentioned in this chapter, all of them are considered as obstacles that may stand in the way of education of medical students.
  25. 25. 24 Limitations: the sample size could be a limitation for some reasons including study population was only restricted to Baghdad governorate. However, Some medical colleges may have been disproportionately represented with larger numbers of responses from some colleges, for example, University of Baghdad COM compared with Ibn Sina or Al- Iraqia University COM. This condition called sample bias. so that the study results may not be generalizable to whole community population. Conclusion and Recommendations: Online teaching is a quickly growing educational approach. it has enabled the continuation of medical education during these unprecedented times. The study results showed that there is a statistically significant positive moderate relationship between online education and the scientific level of medical students. Moreover, the online education is an influencing factor which has a statistically significant effect on the scientific level of students. Additionally, Researchers recommend medical students to adapt and depend more on online education. the sample size is suggested to be increased and include more student from different universities in Iraq in order increase the accuracy of study results and decrease sample bias That researchers may encounter. future studies should highlight other factors that may affect the medical students scientific level and education such as their mental and physical status. Finally, in order to improve the efficacy of medical education in the future, medical colleges should depend on blended learning and resort to teaching formats like team-based learning.
  26. 26. 25 References: 1- Tang D, Comish P, Kang R. The hallmarks of COVID-19 disease. PLOS Pathogens. Epub 2020 May22;16(5). [online], available at: <https://doi.org/10.1371/journal.ppat.1008536>. 2- Coronavirus [Internet]. World Health Organization; [cited 2021Mar1]. Available at: <https://www.who.int/health-topics/coronavirus#tab=tab_1>. 3- Johnson B. , Prime Minister's Office, Prime Minister's statement on coronavirus (COVID-19): [Internet]. GOV.UK; Epub 2020 March23 [cited 2021Mar1]. Available at: <https://www.gov.uk/government/speeches/pm-address-to-the-nation- on-coronavirus-23-march-2020>. 4- Evans DJR, Bay BH, Wilson TD, et al. Going Virtual to Support Anatomy Education: A STOPGAP in the Midst of the Covid-19 Pandemic,13(3):P279-283.. Anat. Sci. educ. U.S. National Library of Medicine; Epub 2020 May05 [cited 2021Mar1]. Available at: <https://pubmed.ncbi.nlm.nih.gov/32277598/> . 5- COVID-19 Educational Disruption and Response [Internet]. IIEP; Epub 2021Feb 23 [cited 2021Mar1]. Available at:< http://www.iiep.unesco.org/en/covid-19- educational-disruption-and-response-13363>. 6- Gina A. Suh, Aditya S. Shah, Mary J. Kasten, et al. Avoiding a Medical Education Quarantine During the Pandemic,95(9):P63-65,doi:10.1016/j.mayocp.2020.06.011. Mayo Clinic Proceedings; Epub Sep 2020. available at: <https://www.sciencedirect.com/science/article/pii/S0025619620306145>. 7- Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, et al. Impact of the COVID-19 pandemic on medical education: Medical students’ knowledge, attitudes, and practices regarding electronic learning. 15(11),DOI:10.1371/journal.pone.0242905 PLOS ONE. Epub 2020 Nov25. Available at: <https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0242905>. 8- Jowsey T, Foster G, Cooper-Ioelu P, Jacobs S. Blended learning via distance in pre- registration nursing education: A scoping review. Nurse Educ Pract. 2020;44(102775):102775. Epub 2020 Mar 25. Available at: <https://pubmed.ncbi.nlm.nih.gov/32247200/> . 9- Ali W. Online and remote learning in higher education institutes: A necessity in light of COVID-19 pandemic. High Educ Stud. 2020;10(3):16.Epub 2020 May18. Available at: < https://doi.org/10.5539/hes.v10n3p16> .
  27. 27. 26 10- Al-Balas M, Al-Balas HI, Jaber HM, Obeidat K et al. Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives. BMC Med Educ. 2020;20(1):341.Epub 2020 Oct02. Available at: < https://doi.org/10.1186/s12909-020-02257-4> . 11- Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross- sectional survey of 2721 UK medical students. BMJ Open. 2020;10(11):e042378. Epub 2020 Nov06. Available at: < https://www.researchgate.net/publication/345367258> . 12- Ibrahim NK, Al Raddadi R, AlDarmasi M, Al Ghamdi A, et al. Medical students’ acceptance and perceptions of e-learning during the Covid-19 closure time in King Abdulaziz University, Jeddah. J Infect Public Health. 2021;14(1):P17–23.available at: < https://doi.org/10.1016/j.jiph.2020.11.007> . 13- Khalil R, Mansour AE, Fadda WA, Almisnid K, Aldamegh M, Al-Nafeesah A, et al. The sudden transition to synchronized online learning during the COVID-19 pandemic in Saudi Arabia: a qualitative study exploring medical students’ perspectives. BMC Med Educ. 2020;20(1):285.Epub 2020 Aug28. Available at:< https://doi.org/10.1186/s12909-020-02208-z> . 14- Ni AY. Comparing the effectiveness of classroom and online learning: Teaching research methods. J. of Public Affairs Educ. 2013;19(2):P199–215.Epub 2018 Apr 18.available at: <https://doi.org/10.1080/15236803.2013.12001730>. 15- Gaikwad N, Tankhiwale S. Interactive E-learning module in pharmacology: a pilot project at a rural medical college in India. Perspect Med Educ. 2014;3(1):15– 30.Epub 2013 Sep27. Available at: <https://doi.org/10.1007/s40037-013-0081-0> . 16- Lakbala P. Barriers in implementing E-learning in Hormozgan University of Medical Sciences. Glob J Health Sci. 2015;8(7):83–92.Epub 2015 Nov03. available at: < http://www.ccsenet.org/journal/index.php/gjhs/article/view/49041> . 17- Regmi K, Jones L. A systematic review of the factors - enablers and barriers - affecting e-learning in health sciences education. BMC Med Educ. 2020;20(1):91.Epub 2020 March30. 18- Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020;287:112934.Epub 2020 March20.
  28. 28. 27 Supplementary data: 1- Questionnaire:https://docs.google.com/forms/d/1pPDxg6IhQ5xicX5VY8e-1Dd- WL0UPuurespwwYm_pGQ/ . 2- Coding table: https://docs.google.com/document/d/1tCYa4iNASDsxzdJL358PxuJXTgy1tDO5/ .
  29. 29. 28 ‫ﻋ‬ ‫ﻨ‬ ‫ﻮ‬ ‫ا‬ ‫ن‬ ‫ا‬ ‫ﻟ‬ ‫ﺒ‬ ‫ﺤ‬ ‫ﺚ‬ : ‫ﺗ‬ ‫ﺄ‬ ‫ﺛ‬ ‫ﯿ‬ ‫ﺮ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ا‬ ‫ﻻ‬ ‫ﻟ‬ ‫ﻜ‬ ‫ﺘ‬ ‫ﺮ‬ ‫و‬ ‫ﻧ‬ ‫ﻲ‬ ‫ﻋ‬ ‫ﻠ‬ ‫ﻰ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ى‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﻤ‬ ‫ﻲ‬ ‫ﻟ‬ ‫ﻠ‬ ‫ﻄ‬ ‫ﻼ‬ ‫ب‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﯿ‬ ‫ﺠ‬ ‫ﺔ‬ ‫ﺟ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﺤ‬ ‫ﺔ‬ ‫ﻛ‬ ‫ﻮ‬ ‫ر‬ ‫و‬ ‫ﻧ‬ ‫ﺎ‬ ‫ﺑ‬ ‫ﯿ‬ ‫ﻦ‬ ‫ﻋ‬ ‫ﯿ‬ ‫ﻨ‬ ‫ﺔ‬ ‫ﻣ‬ ‫ﻦ‬ ‫ط‬ ‫ﻼ‬ ‫ب‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺐ‬ ‫ا‬ ‫ﻟ‬ ‫ﺠ‬ ‫ﺎ‬ ‫ﻣ‬ ‫ﻌ‬ ‫ﯿ‬ ‫ﯿ‬ ‫ﻦ‬ ‫ﻓ‬ ‫ﻲ‬ ‫ﺑ‬ ‫ﻐ‬ ‫ﺪ‬ ‫ا‬ ‫د‬ . ‫ا‬ ‫ﻟ‬ ‫ﺨ‬ ‫ﻼ‬ ‫ﺻ‬ ‫ﺔ‬ : ‫ا‬ ‫ﻟ‬ ‫ﺨ‬ ‫ﻠ‬ ‫ﻔ‬ ‫ﯿ‬ ‫ﺔ‬ : ‫ﻋ‬ ‫ﺎ‬ ‫ﻧ‬ ‫ﻰ‬ ‫ا‬ ‫ﻟ‬ ‫ﺒ‬ ‫ﺸ‬ ‫ﺮ‬ ‫ﻟ‬ ‫ﻔ‬ ‫ﺘ‬ ‫ﺮ‬ ‫ة‬ ‫ط‬ ‫ﻮ‬ ‫ﯾ‬ ‫ﻠ‬ ‫ﺔ‬ ‫ﻣ‬ ‫ﻦ‬ ‫ﻋ‬ ‫ﺪ‬ ‫ة‬ ‫أ‬ ‫ﻣ‬ ‫ﺮ‬ ‫ا‬ ‫ض‬ ‫ﻣ‬ ‫ﻌ‬ ‫ﺪ‬ ‫ﯾ‬ ‫ﺔ‬ . ‫ﻛ‬ ‫ﻮ‬ ‫ﻓ‬ ‫ﯿ‬ ‫ﺪ‬ - ١٩ ‫ھ‬ ‫ﻮ‬ ‫و‬ ‫ا‬ ‫ﺣ‬ ‫ﺪ‬ ‫ﻣ‬ ‫ﻨ‬ ‫ﮭ‬ ‫ﻢ‬ ، ‫و‬ ‫ھ‬ ‫ﻮ‬ ‫ﻋ‬ ‫ﻀ‬ ‫ﻮ‬ ‫ﻓ‬ ‫ﻲ‬ ‫ﻋ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﻠ‬ ‫ﺔ‬ ‫ا‬ ‫ﻟ‬ ‫ﻔ‬ ‫ﺎ‬ ‫ﯾ‬ ‫ﺮ‬ ‫و‬ ‫ﺳ‬ ‫ﺎ‬ ‫ت‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ﺟ‬ ‫ﯿ‬ ‫ﺔ‬ . ‫ﺗ‬ ‫ﻨ‬ ‫ﮭ‬ ‫ﺎ‬ ‫ر‬ ‫أ‬ ‫ﻧ‬ ‫ﻈ‬ ‫ﻤ‬ ‫ﺔ‬ ‫ا‬ ‫ﻟ‬ ‫ﺼ‬ ‫ﺤ‬ ‫ﺔ‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﺎ‬ ‫ﻣ‬ ‫ﺔ‬ ‫و‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ﻓ‬ ‫ﻲ‬ ‫ظ‬ ‫ﻞ‬ ‫ا‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺸ‬ ‫ﺎ‬ ‫ر‬ ‫ﻓ‬ ‫ﯿ‬ ‫ﺮ‬ ‫و‬ ‫س‬ ‫ﻛ‬ ‫ﻮ‬ ‫ر‬ ‫و‬ ‫ﻧ‬ ‫ﺎ‬ ‫ﻓ‬ ‫ﻲ‬ ‫ﺟ‬ ‫ﻤ‬ ‫ﯿ‬ ‫ﻊ‬ ‫أ‬ ‫ﻧ‬ ‫ﺤ‬ ‫ﺎ‬ ‫ء‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﺎ‬ ‫ﻟ‬ ‫ﻢ‬ . ‫ﻟ‬ ‫ﻘ‬ ‫ﺪ‬ ‫أ‬ ‫د‬ ‫ى‬ ‫ﺗ‬ ‫ﻄ‬ ‫ﺒ‬ ‫ﯿ‬ ‫ﻖ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﺒ‬ ‫ﺎ‬ ‫ﻋ‬ ‫ﺪ‬ ‫ا‬ ‫ﻻ‬ ‫ﺟ‬ ‫ﺘ‬ ‫ﻤ‬ ‫ﺎ‬ ‫ﻋ‬ ‫ﻲ‬ ‫ا‬ ‫ﻟ‬ ‫ﻰ‬ ‫ﺟ‬ ‫ﻌ‬ ‫ﻞ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ا‬ ‫ﻟ‬ ‫ﻜ‬ ‫ﺘ‬ ‫ﺮ‬ ‫و‬ ‫ﻧ‬ ‫ﯿ‬ ‫ﺎ‬ ً . ‫ﻣ‬ ‫ﻦ‬ ‫ﻧ‬ ‫ﺎ‬ ‫ﺣ‬ ‫ﯿ‬ ‫ﺔ‬ ‫أ‬ ‫ﺧ‬ ‫ﺮ‬ ‫ى‬ ، ‫ﻓ‬ ‫ﻘ‬ ‫ﺪ‬ ‫أ‬ ‫ﺛ‬ ‫ﺮ‬ ‫ﻋ‬ ‫ﻠ‬ ‫ﻰ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﺪ‬ ‫ر‬ ‫ﯾ‬ ‫ﺐ‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺒ‬ ‫ﻲ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻘ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﺪ‬ ‫ي‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﻼ‬ ‫ب‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺐ‬ . ‫ھ‬ ‫ﺪ‬ ‫ف‬ ‫ا‬ ‫ﻟ‬ ‫ﺪ‬ ‫ر‬ ‫ا‬ ‫ﺳ‬ ‫ﺔ‬ : ‫ﺗ‬ ‫ﻮ‬ ‫ﺿ‬ ‫ﯿ‬ ‫ﺢ‬ ‫أ‬ ‫ﺛ‬ ‫ﺮ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ا‬ ‫ﻻ‬ ‫ﻟ‬ ‫ﻜ‬ ‫ﺘ‬ ‫ﺮ‬ ‫و‬ ‫ﻧ‬ ‫ﻲ‬ ‫ﻋ‬ ‫ﻠ‬ ‫ﻰ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ى‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﻤ‬ ‫ﻲ‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﻠ‬ ‫ﺒ‬ ‫ﺔ‬ ‫ﻛ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﺔ‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺐ‬ ‫ﻓ‬ ‫ﻲ‬ ‫ﺑ‬ ‫ﻐ‬ ‫ﺪ‬ ‫ا‬ ‫د‬ . ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﯿ‬ ‫ﻨ‬ ‫ﺔ‬ ‫و‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺮ‬ ‫ﯾ‬ ‫ﻘ‬ ‫ﺔ‬ : ‫ﻋ‬ ‫ﯿ‬ ‫ﻨ‬ ‫ﺔ‬ ‫ﻣ‬ ‫ﻦ‬ 352 ‫ﻣ‬ ‫ﻦ‬ ‫ط‬ ‫ﻼ‬ ‫ب‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺐ‬ ‫ﻣ‬ ‫ﻦ‬ ‫ﺟ‬ ‫ﺎ‬ ‫ﻣ‬ ‫ﻌ‬ ‫ﺎ‬ ‫ت‬ ‫ﻣ‬ ‫ﺨ‬ ‫ﺘ‬ ‫ﻠ‬ ‫ﻔ‬ ‫ﺔ‬ ‫ﻓ‬ ‫ﻲ‬ ‫ﻣ‬ ‫ﺤ‬ ‫ﺎ‬ ‫ﻓ‬ ‫ﻈ‬ ‫ﺔ‬ ‫ﺑ‬ ‫ﻐ‬ ‫ﺪ‬ ‫ا‬ ‫د‬ ، ‫ﺟ‬ ‫ﻤ‬ ‫ﮭ‬ ‫ﻮ‬ ‫ر‬ ‫ﯾ‬ ‫ﺔ‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﺮ‬ ‫ا‬ ‫ق‬ . ‫ا‬ ‫ﺳ‬ ‫ﺘ‬ ‫ﮭ‬ ‫ﺪ‬ ‫ﻓ‬ ‫ﺖ‬ ‫ا‬ ‫ﻟ‬ ‫ﺪ‬ ‫ر‬ ‫ا‬ ‫ﺳ‬ ‫ﺔ‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﻼ‬ ‫ب‬ ‫ا‬ ‫ﻟ‬ ‫ﺬ‬ ‫ﯾ‬ ‫ﻦ‬ ‫ﺗ‬ ‫ﺄ‬ ‫ﺛ‬ ‫ﺮ‬ ‫ﺗ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻤ‬ ‫ﮭ‬ ‫ﻢ‬ ‫ﺧ‬ ‫ﻼ‬ ‫ل‬ ‫ﺟ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﺤ‬ ‫ﺔ‬ ‫ﻛ‬ ‫ﻮ‬ ‫ﻓ‬ ‫ﯿ‬ ‫ﺪ‬ - ١٩ . ‫ا‬ ‫ﺷ‬ ‫ﺘ‬ ‫ﻤ‬ ‫ﻠ‬ ‫ﺖ‬ ‫ا‬ ‫ﻟ‬ ‫ﺪ‬ ‫ر‬ ‫ا‬ ‫ﺳ‬ ‫ﺔ‬ ‫ﻋ‬ ‫ﻠ‬ ‫ﻰ‬ ‫ط‬ ‫ﻼ‬ ‫ب‬ ‫ﻣ‬ ‫ﻦ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺮ‬ ‫ا‬ ‫ﺣ‬ ‫ﻞ‬ ‫ا‬ ‫ﻟ‬ ‫ﺜ‬ ‫ﺎ‬ ‫ﻟ‬ ‫ﺜ‬ ‫ﺔ‬ ‫و‬ ‫ا‬ ‫ﻟ‬ ‫ﺮ‬ ‫ا‬ ‫ﺑ‬ ‫ﻌ‬ ‫ﺔ‬ ‫و‬ ‫ا‬ ‫ﻟ‬ ‫ﺨ‬ ‫ﺎ‬ ‫ﻣ‬ ‫ﺴ‬ ‫ﺔ‬ ‫و‬ ‫ا‬ ‫ﻟ‬ ‫ﺴ‬ ‫ﺎ‬ ‫د‬ ‫ﺳ‬ ‫ﺔ‬ ‫ﻓ‬ ‫ﻘ‬ ‫ﻂ‬ . ‫ا‬ ‫ﻟ‬ ‫ﻨ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﺞ‬ : ‫أ‬ ‫ظ‬ ‫ﮭ‬ ‫ﺮ‬ ‫ت‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﺞ‬ ‫ا‬ ‫ﻟ‬ ‫ﺪ‬ ‫ر‬ ‫ا‬ ‫ﺳ‬ ‫ﺔ‬ ‫و‬ ‫ﺟ‬ ‫ﻮ‬ ‫د‬ ‫ﻋ‬ ‫ﻼ‬ ‫ﻗ‬ ‫ﺔ‬ ‫ﻣ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ﺳ‬ ‫ﻄ‬ ‫ﺔ‬ ‫ﻣ‬ ‫ﻮ‬ ‫ﺟ‬ ‫ﺒ‬ ‫ﺔ‬ ‫ﺑ‬ ‫ﯿ‬ ‫ﻦ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ﻋ‬ ‫ﺒ‬ ‫ﺮ‬ ‫ا‬ ‫ﻹ‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺮ‬ ‫ﻧ‬ ‫ﺖ‬ ) ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺘ‬ ‫ﻐ‬ ‫ﯿ‬ ‫ﺮ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺘ‬ ‫ﻘ‬ ‫ﻞ‬ ( ‫و‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ى‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﻤ‬ ‫ﻲ‬ ‫ﻟ‬ ‫ﻠ‬ ‫ﻄ‬ ‫ﺎ‬ ‫ﻟ‬ ‫ﺐ‬ ) ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺘ‬ ‫ﻐ‬ ‫ﯿ‬ ‫ﺮ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ﺑ‬ ‫ﻊ‬ ( . ‫ﺑ‬ ‫ﻌ‬ ‫ﺒ‬ ‫ﺎ‬ ‫ر‬ ‫ة‬ ‫أ‬ ‫ﺧ‬ ‫ﺮ‬ ‫ى‬ ، ‫ﯾ‬ ‫ﻌ‬ ‫ﺪ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ﻋ‬ ‫ﺒ‬ ‫ﺮ‬ ‫ا‬ ‫ﻹ‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺮ‬ ‫ﻧ‬ ‫ﺖ‬ ‫ﻋ‬ ‫ﺎ‬ ‫ﻣ‬ ‫ﻼ‬ ً ‫ﻣ‬ ‫ﺆ‬ ‫ﺛ‬ ‫ﺮ‬ ً ‫ا‬ ‫و‬ ‫ﻟ‬ ‫ﮫ‬ ‫ﺗ‬ ‫ﺄ‬ ‫ﺛ‬ ‫ﯿ‬ ‫ﺮ‬ ‫ﻋ‬ ‫ﻠ‬ ‫ﻰ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ى‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﻤ‬ ‫ﻲ‬ ‫ﻟ‬ ‫ﻠ‬ ‫ﻄ‬ ‫ﻼ‬ ‫ب‬ . ‫ا‬ ‫ﻻ‬ ‫ﺳ‬ ‫ﺘ‬ ‫ﻨ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ج‬ : ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﺪ‬ ‫ر‬ ‫ﯾ‬ ‫ﺲ‬ ‫ﻋ‬ ‫ﺒ‬ ‫ﺮ‬ ‫ا‬ ‫ﻹ‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺮ‬ ‫ﻧ‬ ‫ﺖ‬ ‫ھ‬ ‫ﻮ‬ ‫ﻧ‬ ‫ﮭ‬ ‫ﺞ‬ ‫ﺗ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻤ‬ ‫ﻲ‬ ‫ﺳ‬ ‫ﺮ‬ ‫ﯾ‬ ‫ﻊ‬ ‫ا‬ ‫ﻟ‬ ‫ﻨ‬ ‫ﻤ‬ ‫ﻮ‬ . ‫ﻟ‬ ‫ﻘ‬ ‫ﺪ‬ ‫ﻣ‬ ‫ﻜ‬ ‫ﻨ‬ ‫ﺖ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺒ‬ ‫ﻲ‬ ‫ﻣ‬ ‫ﻦ‬ ‫ا‬ ‫ﻻ‬ ‫ﺳ‬ ‫ﺘ‬ ‫ﻤ‬ ‫ﺮ‬ ‫ا‬ ‫ر‬ ‫ﺧ‬ ‫ﻼ‬ ‫ل‬ ‫ھ‬ ‫ﺬ‬ ‫ه‬ ‫ا‬ ‫ﻷ‬ ‫و‬ ‫ﻗ‬ ‫ﺎ‬ ‫ت‬ ‫ﻏ‬ ‫ﯿ‬ ‫ﺮ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺒ‬ ‫ﻮ‬ ‫ﻗ‬ ‫ﺔ‬ . ‫أ‬ ‫ظ‬ ‫ﮭ‬ ‫ﺮ‬ ‫ت‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﺞ‬ ‫ا‬ ‫ﻟ‬ ‫ﺪ‬ ‫ر‬ ‫ا‬ ‫ﺳ‬ ‫ﺔ‬ ‫أ‬ ‫ن‬ ‫ھ‬ ‫ﻨ‬ ‫ﺎ‬ ‫ك‬ ‫ﻋ‬ ‫ﻼ‬ ‫ﻗ‬ ‫ﺔ‬ ‫ﻣ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ﺳ‬ ‫ﻄ‬ ‫ﺔ‬ ‫إ‬ ‫ﯾ‬ ‫ﺠ‬ ‫ﺎ‬ ‫ﺑ‬ ‫ﯿ‬ ‫ﺔ‬ ‫ذ‬ ‫ا‬ ‫ت‬ ‫د‬ ‫ﻻ‬ ‫ﻟ‬ ‫ﺔ‬ ‫إ‬ ‫ﺣ‬ ‫ﺼ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﯿ‬ ‫ﺔ‬ ‫ﺑ‬ ‫ﯿ‬ ‫ﻦ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ﻋ‬ ‫ﺒ‬ ‫ﺮ‬ ‫ا‬ ‫ﻹ‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺮ‬ ‫ﻧ‬ ‫ﺖ‬ ‫و‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ى‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﻤ‬ ‫ﻲ‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﻼ‬ ‫ب‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﺐ‬ . ‫ﻋ‬ ‫ﻼ‬ ‫و‬ ‫ة‬ ‫ﻋ‬ ‫ﻠ‬ ‫ﻰ‬ ‫ذ‬ ‫ﻟ‬ ‫ﻚ‬ ، ‫ﯾ‬ ‫ﻌ‬ ‫ﺪ‬ ‫ا‬ ‫ﻟ‬ ‫ﺘ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻢ‬ ‫ﻋ‬ ‫ﺒ‬ ‫ﺮ‬ ‫ا‬ ‫ﻹ‬ ‫ﻧ‬ ‫ﺘ‬ ‫ﺮ‬ ‫ﻧ‬ ‫ﺖ‬ ‫ﻋ‬ ‫ﺎ‬ ‫ﻣ‬ ‫ﻼ‬ ً ‫ﻣ‬ ‫ﺆ‬ ‫ﺛ‬ ‫ﺮ‬ ً ‫ا‬ ‫ﻟ‬ ‫ﮫ‬ ‫ﺗ‬ ‫ﺄ‬ ‫ﺛ‬ ‫ﯿ‬ ‫ﺮ‬ ‫ﻣ‬ ‫ﮭ‬ ‫ﻢ‬ ‫إ‬ ‫ﺣ‬ ‫ﺼ‬ ‫ﺎ‬ ‫ﺋ‬ ‫ﯿ‬ ً ‫ﺎ‬ ‫ﻋ‬ ‫ﻠ‬ ‫ﻰ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺴ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ى‬ ‫ا‬ ‫ﻟ‬ ‫ﻌ‬ ‫ﻠ‬ ‫ﻤ‬ ‫ﻲ‬ ‫ﻟ‬ ‫ﻠ‬ ‫ﻄ‬ ‫ﻼ‬ ‫ب‬ . ‫أ‬ ‫ﺳ‬ ‫ﻤ‬ ‫ﺎ‬ ‫ء‬ ‫ا‬ ‫ﻟ‬ ‫ﻄ‬ ‫ﻠ‬ ‫ﺒ‬ ‫ﺔ‬ : ‫ﺷ‬ ‫ﻤ‬ ‫ﺲ‬ ‫ﺻ‬ ‫ﻼ‬ ‫ح‬ ‫ﻣ‬ ‫ﺨ‬ ‫ﻠ‬ ‫ﻒ‬ ‫ﻣ‬ ‫ﺤ‬ ‫ﻤ‬ ‫ﺪ‬ ‫ﻧ‬ ‫ﺼ‬ ‫ﺮ‬ ‫ت‬ ‫ﺳ‬ ‫ﻠ‬ ‫ﯿ‬ ‫ﻤ‬ ‫ﺎ‬ ‫ن‬ ‫ﻛ‬ ‫ﺮ‬ ‫ا‬ ‫ر‬ ‫ر‬ ‫أ‬ ‫ﻓ‬ ‫ﺖ‬ ‫ﻋ‬ ‫ﺎ‬ ‫ر‬ ‫ف‬ ‫ا‬ ‫ﻷ‬ ‫ﺳ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ذ‬ ‫ا‬ ‫ﻟ‬ ‫ﻤ‬ ‫ﺸ‬ ‫ﺮ‬ ‫ف‬ : ‫أ‬ ‫ﺳ‬ ‫ﺘ‬ ‫ﺎ‬ ‫ذ‬ ‫ﻣ‬ ‫ﺴ‬ ‫ﺎ‬ ‫ﻋ‬ ‫ﺪ‬ . ‫ا‬ ‫ﻟ‬ ‫ﺪ‬ ‫ﻛ‬ ‫ﺘ‬ ‫ﻮ‬ ‫ر‬ ‫ﻧ‬ ‫ﺠ‬ ‫ﺎ‬ ‫ح‬ ‫ﻛ‬ ‫ﺎ‬ ‫ظ‬ ‫ﻢ‬ ‫ﻣ‬ ‫ﺤ‬ ‫ﻤ‬ ‫ﺪ‬
  30. 30. 29

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