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Continuing the work of the late Dr Mahmoud Fikri, WHO Regional Director for the Eastern Mediterranean.
Authors: Mahjour J PMID: 29319142 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Prognostic Factors of Breast Cancer Survival in the Islamic Republic of Iran: an Additive Empirical Bayesian Approach.
Authors: Nematolahi S, Rezaianzadeh A, Zare N, Akrami M, Tahmasebi S Abstract Breast cancer is a public health challenge in the Islamic Republic of Iran. Relatively few studies have dealt with large dataset and advanced statistical methods. Therefore, we aimed to investigate the role of prognostic factors on breast cancer survival using Additive Empirical Bayesian model with large data set. Breast cancer data set included 1574 women diagnosed with breast cancer from 2002 to 2012 that registered from Cancer Registry in Fars Province, Islamic Republic of Iran. Overall survival rates at 2, 3, 5 and 10 years were 0.98,...
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Validity and reliability of the Farsi version of the ECOS-16 questionnaire for females with osteoporosis.
Authors: Moradzadeh R, Moghimi N, Nadrian H, Behrouzi F, Keshavarz T, Golmohammadi P Abstract The purpose of this study was to develop a Persian version of ECOS-16 Questionnaire and assess its reliability and validity. Two hundred and twenty women with postmenopausal osteoporosis were included in the study. Patients who were diagnosed as secondary osteoporosis by clinical and laboratory examinations were excluded. For reliability, an internal consistency (Cronbach's alpha coefficient) of ECOS-16 total score was calculated. The age of the study participants ranged from 50 to 75 years old (59.9 ± 7). Cronbach'...
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional survey.
Authors: Assaf G, Noureddine S, Kouyoumdjian SP, El Khoury J Abstract The study aims were to explore the knowledge, attitudes and behaviours of Lebanese medical students related to substance use and to determine prevalence and psychosocial predictors. A cross-sectional survey of 231 medical students (48.6% male; 53.1% preclinical, 46.9% clinical) was conducted during June 2012-July 2013. The questionnaire addressed knowledge and attitudes about substance use, religiosity, depression, anxiety and demographic characteristics. The knowledge score was 52.7% (standard deviation 14.4%), and was significantly lower in 2nd...
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Prevalence and predictors of over-the-counter medication use among adolescents in the United Arab Emirates.
The objectives of this study are: (1) to determine the profile of OTC use among UAE adolescents; and (2) to determine the biological or physical, psychological or behavioural, and social predictors of OTC use among the UAE adolescent population. Using a cross-sectional study design, data were collected on the prevalence of OTC use for a sample of 6363 adolescents. Overall, 51% of participants in this study reported OTC use. The most common form of OTC used was acetaminophen. Significant predictors of OTC use were: nationality (UAE, GCC, Arab / Middle East, Arab / Africa, Western, other); needed health care but did not rece...
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Factors associated with low birthweight in term pregnancies: a matched case-control study from rural Pakistan.
Authors: Habib MA, Greenow CR, Ariff S, Soofi S, Hussain A, Junejo Q, Hussain A, Shaheen F, Black KI Abstract Low birthweight (LBW) remains a significant public health problem in Pakistan and further understanding of factors associated with LBW is required. We conducted a hospital-based matched case control study to identify risk factors associated with LBW in a rural district of Pakistan. We found that illiteracy (AOR: 2.68; 95% CI: 1.59 - 4.38), nulliparity (AOR: 1.82; 95% CI: 1.26-2.44), having a previous miscarriage/abortion (AOR: 1.22; 95% CI: 1.06-2.35), having
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Bridging gaps in health information systems: a case study from Somaliland, Somalia.
Authors: Askar A, Ardakani M, Majdzade R Abstract Reliable and timely health information is fundamental for health information systems (HIS) to work effectively. This case study aims to assess Somaliland HIS in terms of its contextual situation, major weaknesses and proposes key evidence-based recommendations. Data were collected through national level key informants' interviews, observations, group discussion and scoring using the HIS framework and assessment tool developed by World Health Organization Health Metrics Network (WHO/HMN). The study found major weaknesses including: no policy, strategic plan and legal...
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Pr évalence et déterminants des troubles musculosquelettiques des membres supérieurs chez les artisans tunisiens.
We report the results of a cross-sectional survey of 334 craftsmen from the governorate of Monastir in Tunisia. The objectives of this study were to assess the prevalence of MSDs among these workers and determine their risk factors. A pre-established questionnaire based on the Nordic MSD questionnaires, Karassik and the one developed by Malchaire in 2000 was used. In the 12 months prior to the survey, the prevalence of MSDs was 92.0%. The risk factors identified were related to individual characteristics, psychosocial factors and work organization. Appropriate preventive measures seem necessary in this sector. PMID: 29...
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Report on paediatric care in the Moroccan military mission in the Gaza Strip.
This report aims to describe the epidemiologic findings of the workload associated with paediatric consultation of the Moroccan Military field hospital in the Gaza Strip. The patient Administration System and Biostatistics Activity database was reviewed and queried for all patients
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Blood and conflict: managing bleeding disorders in Gaza.
Authors: Borno H PMID: 29319151 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

WHO events addressing public health priorities.
Authors: PMID: 29319152 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Obituary.
Authors: PMID: 29319153 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - January 12, 2018 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Achieving the Sustainable Development Goal 3: challenges in HIV testing in the Eastern Mediterranean Region.
Authors: Hermez J, Khattabi H, Sabry A, Riedner G, Hajjeh R PMID: 29270963 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Drug utilization in primary healthcare centres in the Gaza Strip.
This study was carried out to analyse drug-prescribing practices in primary healthcare centres (PHCs) in the Gaza Strip. We retrospectively evaluated 2569 prescriptions from 22 PHCs during January-December 2014. Systematic random sampling was applied. Analysis followed the World Health Organization recommended core prescribing indicators. The mean number of drugs prescribed per encounter was 2 (standard deviation 0.9); the percentage of drugs prescribed by generic name was 10.1%; and 67.5% of prescriptions contained an antibiotic followed by analgesics (39.4%). Major omission errors were found in 89.5% of all prescriptions...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Effect of pre-pregnancy maternal body mass index on pregnancy outcomes in nulliparous women in the Islamic Republic of Iran.
This study was conducted to evaluate the effect of pre-pregnancy BMI on pregnancy outcomes. BMI was calculated measured in 360 nulliparous women. According to BMI, pregnant women were placed into three groups: group I (lean group BMI ≤ 19.8), group II (normal weight group BMI = 19.9-24.9), and group III (obese group BMI ≥ 25). Data were analyzed using SPSS 16. The mean duration of the first and the second stage of labour were significantly different between three groups (P
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Factors associated with folic acid knowledge and intake among pregnant women in Sudan.
This study assessed knowledge and determinants of awareness on folic acid use among pregnant women at Omdurman Maternity Hospital, Sudan during 2014. The standardized, anonymous questionnaire was used to collect data. Almost 80% of respondents had heard of folic acid. College-educated women (92.2%) knew more about folic acid and used it more often in the pre-conceptual period (8.3%). Doctors were the commonest source of information on folic acid (62%). Fewer subjects (8.9%) knew that it prevented birth defects, and 33.8% of subjects knew that green leafy vegetables are a source of folic acid. Of all subjects, only 3.2% use...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Developing a socioeconomic index for health research in Iraq.
Authors: Omer W, Al-Hadithi T Abstract Although socioeconomic status is one of the essential factors in much health research, it is one of the most difficult constructs to measure. The aim of this study was to develop a relatively accurate, easy-to-calculate method to estimate socioeconomic status (SES) for health research in Iraq as well as similar profile countries in the developing world. After reviewing various methods of calculating SES, a new method is proposed based on the 3 main variables: education, occupation and wealth/income. Additional refinement was done based on experience and job status. Content val...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Toxic metals in maternal blood, cord blood and meconium of newborn infants in Pakistan.
Authors: Aziz S, Ahmed S, Karim SA, Tayyab S, Shirazi A Abstract Toxic metals and deficiency/excess of trace elements can have adverse effects on health. The aim of this study was to quantify toxic metals lead, cadmium and trace elements zinc, copper, aluminium (Al) and Iron (Fe) levels in pregnant women, cord blood and meconium of new-born infants from industrial zones of Karachi, Pakistan. Analytical research was performed from 2011-2012 in low socio-economic pregnant mothers and newborn infants from 20 towns near Sindh Industrial Trading Estates, Federal B industrial area and Korangi industrial areas, Karachi, w...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Pregnancy outcome variables and associated factors in different nationalities living in Kuwait.
This study aimed to investigate differences in pregnancy outcome among various nationalities residing in Kuwait. Cross-sectional data were collected from 369 mother-infant dyads at delivery on mother height (MH), mother haemoglobin (mHb), child haemoglobin (cHb), mid-upper arm circumference (MUAC), gestational age (GA), placental weight (PW), birth weight (BW), crown-heal length (CHL), and head circumference (HC). Significant differences among various nationalities were observed in mHb, HC, CHL, PW and MH. Kuwaiti and Indian women had lower PW and their babies had lower HC and CHL. Prevalence of anaemia (Hb
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Near-miss cases admitted to a maternal intensive care unit, Alexandria, Egypt.
Authors: Sultan EA, Shehata SI, Shaarawy SS, Ashry MHH Abstract Survival of severe pregnancy complication is known as maternal near-miss; however, studies on maternal near-miss are few in the Eastern Mediterranean Region. To identify the predisposing factors and diagnoses of near-miss cases, patients admitted to the maternal intensive care unit of El-Shatby University Hospital in Alexandria, Egypt, were assessed. A prospective survey was conducted where 448 cases that fulfill the WHO criteria of near-miss and admitted to El Shatby maternal intensive care unit during 2014 were interviewed, their records were reviewe...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

First study in Qatar to reveal high Legionella counts in cooling towers.
Authors: AbuOdeh RO, Aziz HA, Moussa H, Hussien S, Hadwan T, Nasrallah GK Abstract Legionella spp. is transmitted from water to humans by aerosol-generating devices, including cooling towers (CTs). There have not been published reports about Legionella in these systems in Qatar. Ten CTs in Qatar University were sampled on a monthly basis. Bacteria were recovered from 90 water samples by filtration and concentration. Legionella DNA copy number (CN) was assessed by quantitative RT-PCR. Legionella DNA was detected in 100% of the samples. The bacterial counts ranged from 0.006 to 199.56 CFU/mL, and critical counts were...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Sodium chloride composition of commercial white bread in Morocco.
This study aimed to evaluate the amount of salt provided by the consumption of bread in daily food intake and compare it to recommended salt intake. Chloride ion concentrations were measured using Mohr's Method to indirectly quantify added salt in bread samples from 80 professional bakeries in Casablanca, Morocco. Results showed that the average amount of added salt during the preparation of white bread is 17.42 ± 1.28 g / kg, which is the equivalent of a daily intake of 8 to 9 g of salt through bread alone, and exceeds all recommendations. The high salt content of white bread might be a contributing factor to the h...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Assessment of World Health Organization Collaborating Centres in the Eastern Mediterranean Region.
Authors: Mandil A, ElFeky S, Rashidian A Abstract Following in-house training, there was a need for assessing perceived performance of World Health Organization (WHO) collaborating centres in the Eastern Mediterranean Region, with special relevance to WHO's programme of work. Thus, a questionnaire was shared with responsible officers covering: selection process, frequency of communication, monitoring mechanisms, key delivered activities, and identified gaps during implementation. These included: tendency to implement regular activities, weak technical capacity and communication, and discrepancies between planned ac...
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

WHO events addressing public health priorities.
Authors: PMID: 29270974 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - December 23, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

The push to eradicate poliomyelitis in the Eastern Mediterranean Region.
Authors: Maher C PMID: 29178113 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Outcomes of children with attention deficit/hyperactivity disorder: global functioning and symptoms persistence.
The objective of this study was to assess the global functioning and behaviour of children with ADHD growing into adolescence 10 years after initial diagnosis. Parents were interviewed using a structured questionnaire, Conner's Short Version Test and the Children's Global Assessment Scale. Nearly half of our sample had low academic achievement and 36% had no friends. A quarter of the cases were smokers, one admitted abusing drugs and one had attempted suicide. One third of the sample continued to have ADHD symptoms. Adolescents with ADHD had similar school performance and peer relationships to those reported previously, bu...
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Multiplex polymerase chain reaction-based serotype analysis of dengue virus during 2015 dengue outbreak in Pakistan.
Authors: Ghani E, Mushtaq S, Khan SA Abstract Dengue is one of the most important arthropod-borne viral diseases. It is endemic in> 125 countries including Pakistan, with a global incidence of 50-200 million. We determined the frequency of different serotypes of dengue virus to highlight its hyperendemicity in Rawalpindi, Pakistan. Between May and October 2015 we analysed the serum samples of 140 patients with a suspicion of dengue, using ELISA and multiplex polymerase chain reaction. One hundred and eight were infected with serotype 2, 16 with serotype 3, 7 with serotype 4 and 3 with serotype 1. Three patients ...
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Third study on WHO MPOWER Tobacco Control Scores in Eastern Mediterranean countries 2011-2015.
This study was conducted to quantify the implementation of the MPOWER policies and to assess any possible changes across Eastern Mediterranean Region (EMR) countries. In this comparative cross-sectional study based on 10 categories mentioned in MPOWER report 2015 a checklist was designed. Seven questions were scored from 0-4 and three from 0-3. The 22 EMR countries were ranked and compared by their total score on a scale of 0-37. The highest scores were achieved by Egypt and the Islamic Republic of Iran. Pakistan, Sudan and Yemen showed progress, while Bahrain, Jordan, Kuwait, Oman, and the Syrian Arab Republic had decreas...
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Mood and anxiety disorders among adolescent students in Jordan.
This study aimed to estimate the prevalence of mood and anxiety disorders and to investigate their association with gender and other socio-demographic factors among adolescent students. A descriptive cross-sectional design was used in this study. A sample of 1103 adolescent students was recruited from schools who completed the first two sections of Patient Health Questionnaire for Adolescents (PHQ-A). The prevalence of any mental disorders was 28.6%. The prevalence of mood and anxiety disorders was 22.4% and 16.3%, respectively. Significant associations were found between mental disorders and gender, age, living status wit...
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Midwives' educational needs and knowledge about sexually transmittable infections in the Islamic Republic of Iran.
This study aimed to evaluate the educational needs and knowledge about sexually transmittable infections (STIs) demonstrated by midwives. In a cross-sectional study in 2014, 144 midwives in Rasht, Islamic Republic of Iran, were surveyed. The Persian version of the Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ) and a researcher-made questionnaire to evaluate educational needs and profile were used. The participants obtained 74% of the total score of STD-KQ. Thirty-one percent of participants were categorized in high or very high need of education. Seventy percent of midwives mentioned they were trained on all...
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Development of an Eastern Mediterranean Region search strategy for biomedical citations indexed in PubMed.
Authors: Tadmouri GO, Mandil A, Rashidian A Abstract PubMed, a 'barrier-free' bibliographic database covering biomedical and health disciplines, has been successfully used to identify a multitude of indicators that assist in analyzing global trends for biomedical research productivity. The current study represents an original attempt to develop and optimize an Eastern Mediterranean Region (EMR) search strategy in PubMed to pave the way for subsequent descriptive analyses. The refined EMR search strategy contains elaborate syntaxes which facilitate controlling the search process and maintaining a proper balance betw...
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Awareness, attitudes and knowledge about evidencebased medicine among doctors in Gaza: a crosssectional survey.
Authors: Albarqouni L, Elessi K Abstract Evidence-based medicine (EBM) has emerged as a strategy to integrate research evidence within clinical decision-making. We have explored awareness, knowledge and attitudes about EBM among doctors in the Gaza Strip. In 2014, we conducted a cross-sectional survey among doctors working in health centres in Gaza, using a 20 item, web-based self-administered questionnaire. Approximately two thirds of the respondents welcomed EBM in principle, and believed that it could improve patient care. However, they had a relatively low level of knowledge about EBM. The main barriers to EBM ...
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Study of congenital heart diseases in patients with Down syndrome in Algeria.
In conclusion, our study will be helpful to demonstrate the current status of DS and to identify the distribution of CHD in patients with DS in Sétif, Algeria, for further study. PMID: 29178121 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Evaluation of biomedical waste management in primary health care centres in Saudi Arabia: a knowledge, attitudes and practices study.
This study aimed to determine the knowledge, attitudes and practices (KAP) about biomedical waste among health professionals in primary health care centres in Hail City, Saudi Arabia. The study included 135 of 155 professionals who dealt with biomedical waste from 16 out of 26 primary health care centres. Data were collected using a structured questionnaire. Overall 54.8%, 48.9% and 49.6% of the participants had good knowledge, attitudes and practices scores respectively. Profession, education and age were significantly associated with KAP level (P
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

WHO events addressing public health priorities.
Authors: PMID: 29178123 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - November 29, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Towards a renewed public health regulatory and surveillance role in water, sanitation and hygiene.
Authors: Bakir H, Hadi M, Jurdi M PMID: 29105042 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Quality of life among postmenopausal women in rural Minia, Egypt.
This study aimed to determine the prevalence and severity of menopausal symptoms and their effect on the quality of life of postmenopausal women in rural Minia. A cross-sectional study was conducted among 1 100 postmenopausal women aged 45-60 years selected by multistage random sampling. The menopause rating scale (MRS) was used to assess the menopausal symptoms. The mean age at menopause was 48.9 (SD 4) years. The most frequent symptoms were joint and muscle pain (82.1%), physical and mental exhaustion (69.6%) and hot flushes and sweating (49.2%). The mean MRS somatic score was 4.12 (SD 2.22), the psychological score was ...
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Raising awareness of health care providers about MERSCoV infection in public hospitals in Mecca, Saudi Arabia.
This study aimed to assess KAP of health care providers in public hospitals in Mecca about MERS-CoV infection and evaluate the effectiveness of a health education intervention to improve KAP. KAP was assessed among 281 participants using a self-administered questionnaire who then underwent the health education intervention using a combination of methods. After 3 months, 188 participants responded to the post-intervention evaluation. Significant post-intervention improvement was found in the median scores for knowledge (P
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Modifying attitude and intention toward regular physical activity using protection motivation theory: a randomized controlled trial.
Authors: Mirkarimi K, Eri M, Ghanbari MR, Kabir MJ, Raeisi M, Ozouni-Davaji RB, Aryaie M, Charkazi A Abstract We were guided by the Protection Motivation Theory to test the motivational interviewing effects on attitude and intention of obese and overweight women to do regular physical activity. In a randomized controlled trial, we selected using convenience sampling 60 overweight and obese women attending health centres. The women were allocated to 2 groups of 30 receiving a standard weight-control programme or motivational interviewing. All constructs of the theory (perceived susceptibility, severity, self-efficac...
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Nutritional knowledge and habits of adolescents aged 9 to 13 years in Sharjah, United Arab Emirates: a crosssectional study.
Authors: Al-Yateem N, Rossiter R Abstract Good nutritional knowledge and behaviour among adolescents is important to avoid health problems that can continue into adulthood. This cross-sectional study aimed to provide baseline data on nutritional knowledge and eating habits of adolescents in Sharjah. Data were collected from 300 adolescents aged 9-13 years attending 4 private schools using a validated self-administered questionnaire. Most students (86%) had poor nutritional knowledge, especially in key areas: nutritional terms, what constitutes healthy snacks and foods, daily nutritional requirements and components ...
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Hepatitis E virus seroprevalence in pregnant women in Pakistan: maternal and fetal outcomes.
Authors: Javed N, Ullah SH, Hussain N, Sheikh MA, Khan A, Ghafoor F, Firdous R, Uddin W, Saqib AN, Muhyudin G Abstract Hepatitis E virus (HEV) is endemic in Pakistan. Although otherwise asymptomatic, HEV infection becomes fatal in pregnancy, with considerable maternal and fetal morbidity and mortality. We conducted a descriptive study from April to October 2015 in 10 tertiary care hospitals throughout Pakistan to determine maternal and fetal morbidity and mortality in HEV-positive pregnant women with acute jaundice or raised liver function tests. Twenty-one of 135 women were HEV positive and in 3rd trimester except...
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Long-term care hospitals in Turkey: a review.
Authors: Dincer M, Kahveci K, Doger C, Yarici AK Abstract A long-term care hospital (LTCH) is a specialized facility for patients with serious health problems who require continuous and intensive care but not comprehensive diagnostic methods. LTCHs provide prolonged complex care and wound care in the period following the acute stage of disease. When intensive care unit (ICU) stay is prolonged in the United States of America, the patients may be transferred to an LTCH. Medicare suggests hospitalization> 25 days in LTCHs. The LTC system in Europe differs from that in other non-European countries and differences ar...
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Perceptions of use of a case-based, integrated national electronic public health surveillance system in Jordan.
Authors: Khorma R, Hammad FA, Samouh S, Mahmoud RI, Zindah M, Sheikhali SA, Assayideh A, Al Qaseer B, Rø G, Haskew J Abstract Collection of real-time, standardized data remains a challenge for public health surveillance systems. The use of mobile information technology may facilitate this. A national case-based public health surveillance system was introduced in Jordan in 2015 using mobile tablets and an online framework. After training on the system, users were surveyed about their perceptions of it. Of 596 participants attending the training, 580 (97.3%) completed the survey. The majority of users were nur...
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Knowledge and awareness of radiation hazards among Palestinian radio technologists.
This study investigated 94.4% of Palestinian radio technologists and the mean percentage of correct answers for knowledge and awareness questions was 26.4%. The percentage of correct answers for questions testing knowledge of the ALARA (As Low As Reasonably Achievable) principle and hormesis hypothesis was 66.5% and 17.2%, respectively. Radio technologists with education level higher than bachelor degree and
Source: Eastern Mediterranean Health Journal - November 8, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Eliminating hepatitis from the Eastern Mediterranean Region.
Authors: Fikri M PMID: 28853128 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - August 31, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Patients' attitudes and perceptions regarding research and their rights: a pilot survey study from the Middle East.
Authors: Hifnawy T, Kobrosly S, Edwards H, Anwar M, Zahran D, Silverman H Abstract Ethical and regulatory oversight of research may be suboptimal in low- and middle-income countries. To determine patients' attitudes and perceptions toward research participation and perceptions of their rights, we recruited 202 participants from hospitals in Egypt, Lebanon, Saudi Arabia and Sudan and asked them to complete a questionnaire assessing attitudes and perceptions. Around 20% believed that doctors sometimes perform research on patients without their knowledge and 35% believed that if participants withdrew from the research...
Source: Eastern Mediterranean Health Journal - August 31, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Urbanization and noncommunicable disease (NCD) risk factors: WHO STEPwise Iranian NCD risk factors surveillance in 2011.
This study was conducted to examine the relationship between urbanization and risk factors of noncommunicable diseases (NCDs) according to the World Health Organization stepwise approach to surveillance of NCDs. This study is part of a NCD risk factor surveillance of 10 069 individuals in all provinces of the Islamic Republic of Iran, aged over 20 years, during 2011. By utilizing 2011 census data, urbanization levels were determined in all provinces and logistics regression was used to examine the relationship between urbanization and risk factors. Among males, urbanization had a positive correlation with low physical acti...
Source: Eastern Mediterranean Health Journal - August 31, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Implementation of a peer-mediated health education model in the United Arab Emirates: addressing risky behaviours among expatriate adolescents.
Authors: Stanley ZD, Asfour LW, Weitzman M, Sherman SE Abstract Tobacco use among young people is increasing in the United Arab Emirates, and the country is ranked 15th in the world for prevalence of type II diabetes. Expatriates comprise a majority of the population, making them an important subset to study. We aimed to test whether an educational intervention would be effective in this cultural setting. We designed 2 peer-to-peer health workshops: tobacco use and nutrition/physical activity. One workshop was randomly assigned to 18 classrooms in private schools in Abu Dhabi. Surveys were administered before and a...
Source: Eastern Mediterranean Health Journal - August 31, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Prevalence of attention deficit hyperactivity disorder among school-aged children in Jordan.
Authors: Al Azzam M, Al Bashtawy M, Tubaishat A, Batiha AM, Tawalbeh L Abstract The purpose of this study was to determine the prevalence of attention deficit hyperactivity disorder (ADHD) symptoms among school children in Jordan and the probable associated risk factors. This was a crosssectional descriptive study and simple random sampling was used to select 480 students, aged 6-12 years, from government primary schools in Mafraq City, Jordan. Data were collected using the modified Arabic version of the Attention Deficit Disorder Evaluation Scale (ADDES) school version and parental questionnaire. Prevalence rates ...
Source: Eastern Mediterranean Health Journal - August 31, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Prevalence and preventability of sentinel events in Saudi Arabia: analysis of reports from 2012 to 2015.
This study aimed to assess the pattern of sentinel events reported to Ministry of Health of Saudi Arabia from January 2012 to June 2015. Sentinel event reports were examined for patient characteristics, type of event, outcome, cause and preventability. There were 433 sentinel events: 58.2% were deaths, 14.8% were unexpected loss of a limb or a function, 7.4% major medication errors and 7.4% retained instruments or sponges. Among the reported events, 44% were associated with surgical interventions and most were classified as preventable (91.6%). Age 19-64 years was significantly associated with death as an outcome (P = 0.02...
Source: Eastern Mediterranean Health Journal - August 31, 2017 Category: Middle East Health Tags: East Mediterr Health J Source Type: research