Burnout in oncology: Magnitude, risk factors and screening among professionals from Middle East and North Africa (BOMENA study)

2021 ◽  
Author(s):  
Atlal Abusanad ◽  
Assia Bensalem ◽  
Emad Shash ◽  
Layth Mula‐Hussain ◽  
Zineb Benbrahim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Middle East ◽  
North Africa

scholarly journals Premature Myocardial Infarction in the Middle East and North Africa: Rationale for the Gulf PREVENT Study

Angiology ◽  
2019 ◽  
Vol 71 (1) ◽  
pp. 17-26
Author(s):  
Sagar B. Dugani ◽  
Waheed Murad ◽  
Karisamae Damilig ◽  
Jean Atos ◽  
Eshraga Mohamed ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Middle East ◽  
United Arab Emirates ◽  
North Africa ◽  
High Income ◽  
Lower Prevalence ◽  
Mena Region ◽  
Vascular Events ◽  
Coronary Syndrome

The Middle East and North Africa (MENA) region has a high burden of morbidity and mortality due to premature (≤55 years in men; ≤65 years in women) myocardial infarction (MI) and acute coronary syndrome (ACS). Despite this, the prevalence of risk factors in patients presenting with premature MI or ACS is incompletely described. We compared lifestyle, clinical risk factors, and biomarkers associated with premature MI/ACS in the MENA region with selected non-MENA high-income countries. We identified English-language, peer-reviewed publications through PubMed (up to March 2018). We used the World Bank classification system to categorize countries. Patients with premature MI/ACS in the MENA region had a higher prevalence of smoking than older patients with MI/ACS but a lower prevalence of diabetes, hypertension, and dyslipidemia. Men with premature MI/ACS had a higher prevalence of smoking than women but a lower prevalence of diabetes and hypertension. The MENA region had sparse data on lifestyle, diet, psychological stress, and physical activity. To address these knowledge gaps, we initiated the ongoing Gulf Population Risks and Epidemiology of Vascular Events and Treatment (Gulf PREVENT) case–control study to improve primary and secondary prevention of premature MI in the United Arab Emirates, a high-income country in the MENA region.

scholarly journals Prevalence of Helicobacter pylori Infection and Diagnostic Methods in the Middle East and North Africa Region

Medicina ◽  
2020 ◽  
Vol 56 (4) ◽  
pp. 169
Author(s):  
Faten A. S. Alsulaimany ◽  
Zuhier A. Awan ◽  
Ahmad M. Almohamady ◽  
Mohammed I. Koumu ◽  
Bassam E. Yaghmoor ◽  
...  
Keyword(s):  
Risk Factors ◽  
Helicobacter Pylori ◽  
Middle East ◽  
North Africa ◽  
Diagnostic Methods ◽  
Screening Methods ◽  
Mena Region ◽  
Screening Guidelines ◽  
Mena Countries ◽  
H Pylori

Background and Objectives: Helicobacter pylori (H. pylori) infection is common worldwide and may cause gastroduodenal complications, including cancer. In this review, we examine the prevalence and distribution of various H. pylori genotypes and the risk factors for H. pylori infection, particularly in the Middle East and North Africa (MENA) region. We also introduce different global screening methods and guidelines and compare them to those currently in use in the MENA region. Materials and Methods: We searched the Google Scholar, PubMed, and Saudi Digital Library (SDL) databases for clinical trials and articles published in English. The data collection was mainly focused on MENA countries. However, for H. pylori genotypes and diagnostic methods, studies conducted in other regions or reporting global practices and guidelines were also included to allow a comparison with those in the MENA region. We also included studies examining the prevalence of H. pylori infection in healthy participants. Results: H. pylori infection is highly prevalent in the MENA region, mainly because of the accumulation of risk factors in developing countries. Herein, we highlight a lack of good quality studies on the prevalence of various H. pylori genotypes in the MENA region as well as a need for standard diagnostic methods and screening guidelines. Due to the complications associated with H. pylori, we recommend routine screening for H. pylori infection in all gastroenterology patients admitted in the MENA region. Conclusion: Concerted effort will first be required to validate affordable, non-invasive, and accurate diagnostic methods and to establish local guidelines with adapted cut-off values for the interpretation of the test results.

The Prospective Epidemiological Research Studies in IrAN (PERSIAN) Birth Cohort protocol: rationale, design and methodology

2020 ◽  
Author(s):  
Mohammad Javad Zare Sakhvidi ◽  
Navid Danaei ◽  
Payam Dadvand ◽  
Amir Houshang Mehrparvar ◽  
Motahar Heidari-Beni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Middle East ◽  
Physical Health ◽  
Birth Cohort ◽  
North Africa ◽  
Developmental Origins ◽  
Epidemiological Research ◽  
Mother And Child ◽  
Health And Disease ◽  
Mental And Physical Health

Background: Birth cohorts are essential for developing evidence-based policies and advancing knowledge on different aspects of the concept of developmental origins of health and diseases (DOHaD). The Prospective Epidemiological Research Studies in IrAN (PERSIAN) is a multicentre cohort in Iran. It is one of the pioneers of DOHaD research in the Middle East and North Africa (MENA) region. This profile provides a brief overview of this birth cohort, focusing on the objectives and design of the study. The main objective of this birth cohort is to evaluate the associations of socio-economic characteristics, lifestyle, diet, environmental exposures and epigenetic factors with outcomes of: pregnancy; mother and child mental and physical health and well-being; child neurodevelopment; and the establishment of chronic disease risk factors.Methods: The enrolment of PERSIAN Birth Cohort participants is currently ongoing in five Iranian cities (Isfahan, Yazd, Semnan, Sari and Rafsanjan). We plan to recruit 15,000 mother–offspring pairs, and to follow them for at least ten years. Data collection consists of three consecutive phases: (1) periconception until birth; (2) infancy (0–2 years); and (3) childhood (3–11 years). We are collecting data on both ‘determinants of health’ and ‘health outcomes’. In addition to questionnaires and physical examination, various biological samples, including blood, urine, hair, nail, cord blood and breastmilk are being collected. Growth and neurodevelopment of children will be monitored. Appropriate data analysis schemes will be employed to assess the role of early life factors in health and disease that would facilitate international comparisons.<br />Key messages<br /><ul><li>This study provides the profile and objectives of the PERSIAN Birth Cohort ongoing in five cities in Iran.</li><br /><li>This cohort is one of the first longitudinal studies on the developmental origins of health and disease in the Middle East and North Africa.</li><br /><li>It aims to evaluate the effects of gene–environment interactions on pregnancy outcomes and on mother and child mental and physical health.</li><br /><li>The cohort aims to assess the life course establishment of risk factors of non-communicable diseases.</li></ul>

scholarly journals Understanding the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the Middle East and North Africa (MENA) region: A scoping review of the literature

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0260935
Author(s):  
Roula Kteily-Hawa ◽  
Aceel Christina Hawa ◽  
David Gogolishvili ◽  
Mohammad Al Akel ◽  
Nicole Andruszkiewicz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Middle East ◽  
Risk Behaviors ◽  
North Africa ◽  
Hiv Risk ◽  
Scoping Review ◽  
Risky Behaviors ◽  
Mena Region ◽  
Underlying Risk ◽  
Hiv Risk Factors

Introduction HIV is the second leading cause of death among young people globally, and adolescents are the only group where HIV mortality is not declining. Middle East and North Africa (MENA) is one of few regions seeing rapid increase of HIV infections (31.0%) since 2001. MENA youth are at particular risk of HIV due to dearth of research and challenges in accessing services. Objective The purpose of this scoping review is to establish the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the MENA region. Methods Online database searches were conducted using combination of search terms. Screening 5,853 citations, published between 1990–2019 with age groups 16 to 29, resulted in 57 studies included across 18 MENA countries. Results ‘Key populations’ engage in risky behaviors, including: overlapping risky behaviors among youth who inject drugs (PWID); lack of access to HIV testing, condomless sex, and multiple sex partners among young men who have sex with men (MSM); and high and overlapping risk behaviors among young sex workers. Challenges facing other youth groups and bridging populations include: peer pressure, inhibition about discussing sexual health, lack of credible sex education sources, low condom use, and lack of access to HIV protection/prevention services, especially testing. Conclusion Poor surveillance coupled with scarcity of rigorous studies limit what is known about epidemiology of HIV among youth in MENA. Homophobia, stigma around PWID, and illegal status of sex work promote non-disclosure of risk behaviors among youth and curtail serving this population.

Systematic Review of Environmental Risk Factors of Multiple Sclerosis in Middle East & North Africa Region

2020 ◽  
Vol 37 ◽  
pp. 101557
Author(s):  
Sharareh Eskandarieh ◽  
Hossein Maroufi ◽  
Seyyed Hosein Mortazavi ◽  
Mohammad Ali Sahraian
Keyword(s):  
Risk Factors ◽  
Multiple Sclerosis ◽  
Systematic Review ◽  
Middle East ◽  
North Africa ◽  
Environmental Risk ◽  
Environmental Risk Factors

scholarly journals Perinatal Mental Illness in the Middle East and North Africa Region—A Systematic Overview

2020 ◽  
Vol 17 (15) ◽  
pp. 5487 ◽  
Author(s):  
Sathyanarayanan Doraiswamy ◽  
Anupama Jithesh ◽  
Sonia Chaabane ◽  
Amit Abraham ◽  
Karima Chaabna ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mental Illness ◽  
Middle East ◽  
Systematic Reviews ◽  
North Africa ◽  
Screening Tools ◽  
Diagnostic Tools ◽  
Public Health Issue ◽  
Mena Region ◽  
Systematic Overview

Aims: Perinatal mental illness (PMI) is associated with a high risk of maternal and infant morbidity. Recently, several systematic reviews and primary studies have explored the prevalence and risk factors of PMI in the Middle East and North Africa (MENA) region. To our knowledge, there has been no critical analysis of the existing systematic reviews (SRs) on this topic in the MENA region. Our systematic overview primarily aimed to synthesize evidence from the published SRs on PMI in the MENA countries focusing on a) the prevalence of PMI and b) the risk factors associated with PMI. Methods: We conducted a systematic overview of the epidemiology of PMI in the Middle East and North Africa region by searching the PubMed, Embase, and PsycInfo databases for relevant publications between January 2008 and July 2019. In addition to searching the reference lists of the identified SRs for other relevant SRs and additional primary studies of relevance (those which primarily discussed the prevalence of PMI and/or risk and protective factors), between August and October 2019, we also searched Google Scholar for relevant studies. Results: After applying our inclusion and exclusion criteria, 15 systematic reviews (SRs) and 79 primary studies were included in our overview. Studies utilizing validated diagnostic tools report a PMI prevalence range from 5.6% in Morocco to 28% in Pakistan. On the other hand, studies utilizing screening tools to detect PMI report a prevalence range of 9.2% in Sudan to 85.6% in the United Arab Emirates. Wide variations were observed in studies reporting PMI risk factors. We regrouped the risk factors applying an evidence-based categorization scheme. Our study indicates that risk factors in the relational, psychological, and sociodemographic categories are the most studied in the region. Conversely, lifestyle-related risk factors were less studied. Conclusions: Our systematic overview identifies perinatal mental illness as an important public health issue in the region. Standardizing approaches for estimating, preventing, screening, and treating perinatal mental illness would be a step in the right direction for the region.

scholarly journals Environmental risk factors of multiple sclerosis in the Middle East and North Africa region: A systematic review

2021 ◽  
Author(s):  
Hossein Maroufi ◽  
Seyyed Hosein Mortazavi ◽  
Mohammad Ali Sahraian ◽  
Sharareh Eskandarieh
Keyword(s):  
Risk Factors ◽  
Multiple Sclerosis ◽  
Systematic Review ◽  
Risk Factor ◽  
Middle East ◽  
North Africa ◽  
Environmental Risk ◽  
Environmental Risk Factors ◽  
Sunlight Exposure ◽  
Stressful Events

Background: The environmental factors play a major role as risk factors of multiple sclerosis (MS). This study aimed at gathering environmental risk factors of MS in the Middle East and North Africa (MENA). Methods: We used MEDLINE and EMBASE databases by a systematic review method. Out of a total of 123 studies, 16 studies met the eligibility criteria. Results: Totally, 47 risk factors were assessed as follows: six studies found sunlight exposure as a protective factor with the odds ratio (OR) ranging from 0.06 to 0.57. Six studies evaluated smoking as a risk factor with the OR ranging from 1.69 in all patients to 6.48 in female patients. Four studies supported measles infection as a risk factor with the OR ranging from 1.60 to 3.77, and in 3 studies, stressful events had a significant association with the OR of 1.80, 1.90, and 32.57. Conclusion: Among 47 assessed risk factors, sunlight exposure, cigarette smoking, measles infection, Epstein-Barr virus (EBV) infection, and stressful events had a significant association with MS.  

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