Comparative analysis of essential medicines for cardiovascular diseases in countries of the WHO Eastern Mediterranean Region.
Conclusions: Countries should improve the selection of essential medicines for cardiovascular diseases to promote access to therapy.
PMID: 30043961 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - July 27, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research
Systematic overview of hepatitis C infection in the Middle East and North Africa.
CONCLUSION: A substantial proportion of the reported outcomes may not help policymakers to develop micro-elimination strategies with precise HCV infection prevention and treatment programs in the region, as nowcasting HCV epidemiology using these data is potentially difficult. In addition to providing accurate information on HCV epidemiology, outcomes should also demonstrate practical and clinical significance and relevance. Based on the available data, most countries in the region have low to moderate anti-HCV prevalence. To achieve HCV elimination by 2030, up-to-date, good quality data on HCV epidemiology are required fo...
Source: World Journal of Gastroenterology : WJG - July 21, 2018 Category: Gastroenterology Authors: Chaabna K, Cheema S, Abraham A, Alrouh H, Lowenfels AB, Maisonneuve P, Mamtani R Tags: World J Gastroenterol Source Type: research
The effect of excess iodine intake from iodized salt and/or groundwater iodine on thyroid function in non-pregnant and pregnant women, infants and children: a multicenter study in East Africa.
Conclusions Although iodine intakes were excessive and Tg concentrations were elevated, there was little impact on thyroid function. Chronic excess iodine intakes thus appear to be well-tolerated by women, infants and children. However, such high iodine intakes are unnecessary and should be avoided. Careful evaluation of contributions from both iodized salt and groundwater iodine is recommended before any review of iodization policy is considered.
PMID: 30019625 [PubMed - as supplied by publisher] (Source: Thyroid : official journal of the American Thyroid Association)
Source: Thyroid : official journal of the American Thyroid Association - July 20, 2018 Category: Endocrinology Tags: Thyroid Source Type: research
What specific modes of internationalization influence SME innovation in Sub-Saharan least developed countries (LDCs)?
Publication date: Available online 31 May 2018Source: TechnovationAuthor(s): Yazid Abdullahi Abubakar, Chris Hand, David Smallbone, George SaridakisAbstractSmall and medium sized enterprises (SMEs) located in the least developed countries (LDCs), operate in distinctively hostile institutional environments compared to those in developed economies. Better understanding of the determinants of SME innovation in such environments is important for the development of private sector in LDCs, because innovative SMEs are crucial for sustainable economic growth. Yet, determinants of SME innovation in LDCs have hardly been studied. Co...
Source: Technovation - July 11, 2018 Category: Science Source Type: research
What specific modes of internationalization influence SME innovation in Sub-Saharan least developed countries (LDCs)?
Publication date: Available online 31 May 2018 Source:Technovation Author(s): Yazid Abdullahi Abubakar, Chris Hand, David Smallbone, George Saridakis Small and medium sized enterprises (SMEs) located in the least developed countries (LDCs), operate in distinctively hostile institutional environments compared to those in developed economies. Better understanding of the determinants of SME innovation in such environments is important for the development of private sector in LDCs, because innovative SMEs are crucial for sustainable economic growth. Yet, determinants of SME innovation in LDCs have hardly been studied. Co...
Source: Technovation - May 31, 2018 Category: Science Source Type: research
Review of the nutrition situation in the Eastern Mediterranean Region.
Authors: Nasreddine L, Ayoub JJ, Al Jawaldeh A
Abstract
This situation analysis for the World Health Organization Eastern Mediterranean Region focuses on specific nutrition indicators, namely low birth weight, exclusive breastfeeding, under- and overnutrition (anthropometric indicators) and anaemia. The regional average prevalence of low birth weight and exclusive breastfeeding was estimated at 19.31% and 29.3%, respectively. Stunting, wasting and underweight had an average prevalence of 28%, 8.69% and 18%, respectively. Afghanistan, Djibouti, Pakistan, Sudan and Yemen had the highest burden of stunting (&...
Source: Eastern Mediterranean Health Journal - April 18, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research
Mapping the burden of cholera in sub-Saharan Africa and implications for control: an analysis of data across geographical scales
Publication date: Available online 1 March 2018 Source:The Lancet Author(s): Justin Lessler, Sean M Moore, Francisco J Luquero, Heather S McKay, Rebecca Grais, Myriam Henkens, Martin Mengel, Jessica Dunoyer, Maurice M'bangombe, Elizabeth C Lee, Mamoudou Harouna Djingarey, Bertrand Sudre, Didier Bompangue, Robert S M Fraser, Abdinasir Abubakar, William Perea, Dominique Legros, Andrew S Azman Background Cholera remains a persistent health problem in sub-Saharan Africa and worldwide. Cholera can be controlled through appropriate water and sanitation, or by oral cholera vaccination, which provides transient...
Source: The Lancet - March 2, 2018 Category: General Medicine Source Type: research
Power in participatory processes: reflections from multi-stakeholder workshops in the Horn of Africa
This article draws on the critical tradition of political science and sociology to examine how power dynamics are inherent to, and should always be a concern during, participatory processes. This also applies for sustainability science research and the implementation of sustainable development projects, especially in developing contexts such as those of Africa. While local participation enhances the voices of local stakeholders, power dynamics between them and the researchers driving these processes can dampen local voices or elide critical pieces of information. Using evidence from participatory workshops in Djibouti and ...
Source: Sustainability Science - February 26, 2018 Category: Science Source Type: research
Thromboelastographic study of the snakebite-related coagulopathy in Djibouti
Hemostasis disorders are one of the major clinical conditions of snakebites and are because of mechanisms which may disrupt vessels, platelets, clotting factors and fibrinolysis. Thromboelastography (TEG) could help to understand these effects in the clinical practice. A retrospective study reports a series of patients presenting a snakebite-related coagulopathy, treated with antivenom and monitored with conventional tests and TEG in a French military treatment facility (Republic of Djibouti, East Africa) between August 2011 and September 2013. Conventional coagulation assays (platelets, prothrombin time, activated partial...
Source: Blood Coagulation and Fibrinolysis - February 9, 2018 Category: Hematology Tags: Original Articles Source Type: research
[Articles] A cluster of multidrug-resistant Mycobacterium tuberculosis among patients arriving in Europe from the Horn of Africa: a molecular epidemiological study
Our data suggest that source cases are linked to an M tuberculosis clone circulating in northern Somalia or Djibouti and that transmission probably occurred en route before arrival in Europe. We hypothesise that the shared mutation of tlyA is a drug resistance mutation and phylogenetic marker, the first of its kind in M tuberculosis sensu stricto. (Source: The Lancet Infectious Diseases)
Source: The Lancet Infectious Diseases - January 8, 2018 Category: Infectious Diseases Authors: Timothy M Walker, Matthias Merker, Astrid M Knoblauch, Peter Helbling, Otto D Schoch, Marieke J van der Werf, Katharina Kranzer, Lena Fiebig, Stefan Kr öger, Walter Haas, Harald Hoffmann, Alexander Indra, Adrian Egli, Daniela M Cirillo, Jérôme Robert, Tags: Articles Source Type: research
First Wave of the 2016-17 Cholera Outbreak in Hodeidah City, Yemen – Acf Experience and Lessons Learned
Discussion
Timeliness of the intervention
Our intervention started around two weeks after the first cholera cases were confirmed. However, this was already after the peak of the epicurve. This delay highlights the need to strengthen preparedness, including early detection and prompt response.
Case definition
Thanks to the Hodeidah central laboratory, eight cholera cases were officially confirmed in Al Hali, Al Hawak and Al Mina, during calendar week 42 in 2016.19 According to the WHO Standard case definition of cholera,20 all “AWD cases aged 5 years or more” should have been counted as suspected cases fro...
Source: PLOS Currents Outbreaks - October 13, 2017 Category: Epidemiology Authors: Mathias Altmann Source Type: research
Acquired Idiopathic True Transverse Leukonychia.
Abstract
A 34-year-old man from Djibouti presented with a 14-year history of relapsing and remitting transverse white bands on the fingernails with sparing of the toenails. Examination revealed several transverse, white bands following the contour of the lunula on seven of his fingernails that did not fade upon compression of the digits (Figure). There was no onycholysis. No other skin lesions were noted. The patient reported having lived for 4 years (2000-2004) in a house that had well water as its primary water supply. This 4-year period was a stressful point in our patient's life. During that time, he h...
Source: Skinmed - September 3, 2017 Category: Dermatology Authors: Hadi A, Stern D Tags: Skinmed Source Type: research
Health production and determinants of health systems performance in WHO Eastern Mediterranean Region.
Authors: Pourreza A, Alipour V, Arabloo J, Bayati M, Ahadinezhad B
Abstract
This descriptive-analytical study used data envelopment analysis to evaluated the technical efficiency (TE) of health systems in Member States of the World Health Organization Eastern Mediterranean Region during 2004-2011. Life expectancy and infant mortality were used as outputs. Per capita total expenditure on health, and number of physicians, nurses and midwives and hospital beds per 1000 people were used as inputs. The determinants of TE of the health systems were examined using a regression model. United Arab Emirates and Soma...
Source: Eastern Mediterranean Health Journal - July 22, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research
Extended spectrum of antibiotic susceptibility for tuberculosis, djibouti
• An updated epidemiology of pulmonary tuberculosis in Djibouti is presented.• Mycobacterium canettii is one mycobacterium responsible for pulmonary tuberculosis in Djibouti.• A second “Mycobacterium simulans” worldwide isolate was identified in Djibouti.• Antileprosy, sulfamides and chl oramphenicol drugs indicate no drug-resistant tuberculosis in Djibouti. (Source: International Journal of Antimicrobial Agents)
Source: International Journal of Antimicrobial Agents - July 12, 2017 Category: Drugs & Pharmacology Authors: F ériel Bouzid, Hélène Astier, Djaltou Aboubaker Osman, Emilie Javelle, Mohamed Osman Hassan, Fabrice Simon, Eric Garnotel, Michel Drancourt Tags: Short Communication Source Type: research
