scholarly journals Clinical Assessment and Management of Spondyloarthritides in the Middle East: A Multinational Investigation

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Mohammed Hammoudeh ◽  
Hanan Al Rayes ◽  
Adel Alawadhi ◽  
Kamel Gado ◽  
Khalid Shirazy ◽  
...  
Keyword(s):  
Middle East ◽  
Disease Burden ◽  
Clinical Laboratory ◽  
Management Strategies ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
East Region ◽  
Appropriate Treatment ◽  
Treatment Data ◽  
Middle East Region

Data on spondyloarthritis (SpA) from the Middle East are sparse and the management of these diseases in this area of the world faces a number of challenges, including the relevant resources to enable early diagnosis and referral and sufficient funds to aid the most appropriate treatment strategy. The objective was to report on the characteristics, disease burden, and treatment of SpA in the Middle East region and to highlight where management strategies could be improved, with the overall aim of achieving better patient outcomes. This multicenter, observational, cross-sectional study collected demographic, clinical, laboratory, and treatment data on 169 consecutive SpA patients at four centers (Egypt, Kuwait, Qatar, and Saudi Arabia). The data collected presents the average time from symptom onset to diagnosis along with the presence of comorbidities in the region and comparisons between treatment with NSAIDs and biologics. In the absence of regional registries of SpA patients, the data presented here provide a rare snapshot of the characteristics, disease burden, and treatment of these patients, highlighting the management challenges in the region.

scholarly journals Prevalence of Depression and Anxiety among Patients with Multiple Sclerosis Attending the MS Clinic at Sheikh Khalifa Medical City, UAE: Cross-Sectional Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Taoufik Alsaadi ◽  
Khadija El Hammasi ◽  
Tarek M. Shahrour ◽  
Mustafa Shakra ◽  
Lamya Turkawi ◽  
...  
Keyword(s):  
Major Depression ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
East Region ◽  
Prevalence Of Depression ◽  
Medical City ◽  
Standardized Screening ◽  
Middle East Region

Depression and anxiety are reported to be prevalent in patients with MS, with prevalence rates ranging from 20% to 50%. Unfortunately, the rates, patterns, and risk factors are not well studied in our Middle East region, and, to our knowledge, not at all in UAE. Using standardized screening tools, we observed that 17% and 20% of 80 patients seen in MS clinic had scores consistent with major depression and anxiety disorders, respectively, at a rate that was not statistically different when compared to age and sex matched controls. None of the studied variables including duration of the disease, EDSS scores, age, gender, and the level of education had any significant correlation with the rates of both disorders. Almost two-thirds of the patients with scores consistent with major depression and anxiety were not on antidepressant and antianxiety medications.

Clinical and Laboratory Correlates Of Depression among Kidney Disease Patients: A Cross-Sectional Study

2021 ◽  
Vol 6 (03) ◽  
pp. 192-196
Author(s):  
Mark S. Ezeme ◽  
Umezurike H. Okafor ◽  
Samuel O. Edeh
Keyword(s):  
Kidney Disease ◽  
Clinical Laboratory ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Appropriate Treatment ◽  
Treatment Of Depression ◽  
Spearman Correlation Test ◽  
Sociodemographic Profile ◽  
Predictors Of Depression

Background: Even though depression is one of the most common psychiatric disorders complicating physical illnesses, not many studies have elucidated the clinical and laboratory correlates and predictors of depression in patients with kidney disease. Method: Data was collected from 153 consented participants with chronic kidney disease (CKD) in a cross-sectional study using depression module of MINI International Neuropsychiatric Inventory (MINI). Clinical, laboratory and sociodemographic profile of each participant were obtained from patient`s folder. Analysis was done with descriptive statistics, Spearman correlation test and Logistic regression test. Result: Eight-nine (58.12%) participants were depressed; and depression positively correlated with one having being transfused blood; having received Erythropoietin (EPO), parenteral Iron; having being on Dialysis; Urea and Creatinine levels. Also found was negative correlation of depression with Packed Cell Volume (PCV) and Estimated Glomerular Filtration Rate (EGFR) levels. However, only the EGFR level and having being on dialysis were predictors of depression in CKD. Conclusion: Depression was highly prevalent among the participants, and clinicians should watch closely the above identified clinical and laboratory correlates and predictors so that early detection and appropriate treatment of depression in kidney disease patients may be enhanced.

In Quest of a Second Boom

2018 ◽  
Vol 11 (1-2) ◽  
pp. 257-278 ◽  
Author(s):  
Shirzad Azad
Keyword(s):  
Foreign Policy ◽  
Middle East ◽  
Crucial Role ◽  
Gulf Cooperation Council ◽  
East Region ◽  
Personal Motivation ◽  
Policy Measures ◽  
The Republic ◽  
Middle East Region ◽  
Different Parts

In spite of her troubled presidency at home and premature, ignominious exit from power, Park Geun-hye made serious attempts to bolster the main direction of the Republic of Korea’s (ROK) foreign policy toward the Middle East. A collaborative drive for accomplishing a new momentous boom was by and large a dominant and recurring theme in the Park government’s overall approach to the region. Park enjoyed both personal motivation as well as politico-economic justifications to push for such arduous yet potentially viable objective. Although the ROK’s yearning for a second boom in the Middle East was not ultimately accomplished under the Park presidency, nonetheless, the very aspiration played a crucial role in either rekindling or initiating policy measures in South Korea’s orientation toward different parts of a greater Middle East region, extending from the Gulf Cooperation Council (GCC) to Morocco.

Regional and international strategic visions of actors In the Middle East

2019 ◽  
pp. 581
Author(s):  
Mohammed Moazaz Iskandar Al - Hadithi
Keyword(s):  
Middle East ◽  
East Region ◽  
Middle East Region

The Middle East region is of great importance in the strategic realization of regional and international actors. Therefore, the hypothesis that the research tries to prove is that the Middle East region is of great strategic importance due to the set of constituents, whether civilizational, economic or geopolitical. The emergence of different strategic visions, whether regional or international actors in the region.

US and Russian policies and strategies in the Middle East: Iraq and Syria as a model

2019 ◽  
pp. 220
Author(s):  
Esraa Aladdin Noori ◽  
Nasser Zain AlAbidine Ahmed
Keyword(s):  
Middle East ◽  
East Asia ◽  
Balance Of Power ◽  
Western World ◽  
International Conflicts ◽  
The South ◽  
The West ◽  
The North ◽  
East Region ◽  
Middle East Region

The Russian-American relations have undergone many stages of conflict and competition over cooperation that have left their mark on the international balance of power in the Middle East. The Iraqi and Syrian crises are a detailed development in the Middle East region. The Middle East region has allowed some regional and international conflicts to intensify, with the expansion of the geopolitical circle, which, if applied strategically to the Middle East region, covers the area between Afghanistan and East Asia, From the north to the Maghreb to the west and to the Sudan and the Greater Sahara to the south, its strategic importance will seem clear. It is the main lifeline of the Western world.

Turkey’s foreign policy priorities in the Middle East and Afghanistan

2020 ◽  
Vol 2020 (10-3) ◽  
pp. 228-237
Author(s):  
Marina Shpakovskaya ◽  
Oleg Barnashov ◽  
Arian Mohammad Hassan Shershah ◽  
Asadullah Noori ◽  
Mosa Ziauddin Ahmad
Keyword(s):  
United States ◽  
Foreign Policy ◽  
Middle East ◽  
The United States ◽  
Turkish Foreign Policy ◽  
Security Issues ◽  
New Approaches ◽  
East Region ◽  
History Of ◽  
Middle East Region

The article discusses the features and main approaches of Turkish foreign policy in the Middle East. Particular attention is paid to the history of the development of Turkish-American relations. The causes of the contradictions between Turkey and the United States on the security issues of the Middle East region are analyzed. At the same time, the commonality of the approaches of both countries in countering radical terrorism in the territories adjacent to Turkey is noted. The article also discusses the priority areas of Turkish foreign policy, new approaches and technologies in the first decade of the XXI century.

THE SITUATION OF RECOGNITION OF SOME NON-COMMUNICABLE DISEASES AND TREATMENT AND PREVENTIVE BEHAVIORS OF PEOPLE IN THUA THIEN HUE PROVINCE

2019 ◽  
pp. 80-86
Author(s):  
Phuoc Thuoc Doan ◽  
Thi Huong Nguyen ◽  
Thi Thanh Nhan Tran ◽  
Thi Phuong Thao Nguyen ◽  
Thi Thuy Hang Nguyen ◽  
...  
Keyword(s):  
Dietary Habits ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Sectional Study ◽  
Preventive Behaviors ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Treatment And Prevention ◽  
Knowing That ◽  
Appropriate Treatment

Background: Non-communicable diseases seriously affect public health and socio-economic development of the country due to the high number of people suffering from diseases, being disabled and mortal. However, the proportion of people who recognized themselves a suffering from non-communicable diseases such as hypertension, diabetes and dyslipidemia is not high. For cases that their disease situations have been identified, there are not appropriate treatment and preventive behaviors. Objectives: 1) To determine the proportion of 25 - 84 years old peoplewho identified themselves as suffering from hypertension, diabetes and dyslipidemia. 2) To learn treatment and preventive behaviors in the group of people who identified themselves as suffering from diseases. Methods: A cross-sectional study was conducted with a randomly selected sample of 1600 residents in Thua Thien Hue province. Results: The proportion of people knowing that they are suffering from hypertension, diabetes and dyslipidemia was 29.4%; 3.2% and 7.8% respectively. Among them, the proportion of people who did not treat and treated irregularly accounted for 42.7%; 13.7% and 75.2% respectively; the proportion of people who did not change their lifestyles and dietary habits accounted for 50.1%; 5.9% and 56.8% respectively. Conclusions: The proportion of people who identified themselves as suffering from some non-communicable diseases without appropriate treatment and preventive behaviors is alarming. Interventions are needed to help people realize the importance of treatment and prevention effectively. Key words: Non-communicable diseases, hypertension, diabetes, dyslipidemia

Comparison of Non-radiographic Axial Spondyloarthritis and Ankylosing Spondyltis from a Single Rheumatology Hospital in Morocco

2020 ◽  
Vol 16 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Nessrine Akasbi ◽  
Siar Nihad ◽  
Zoukal Sofia ◽  
El Kohen Khadija ◽  
Harzy Taoufik
Keyword(s):  
Disease Burden ◽  
Axial Spondyloarthritis ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Low Back ◽  
New Classification ◽  
Cross Sectional ◽  
Asas Criteria ◽  
History Of ◽  
High Level

Background: According to the new classification criteria developed by The Assessment of SpondyloArthritis International Society, patients with axial spondyloarthritis (axSpA) can be classified in 2 subgroups: Patients with radiographic axial spondyloarthritis: ankylosing spondylitis patients (AS) and those with non-radiographic axial spondyloarthritis (nr-axSpA). Objective: The aim of the present study is to describe and discuss the differences and similarities between the two subgroups. Patients and Methods: A cross-sectional study was conducted in a single rheumatology hospital in Morocco. These included patients diagnosed as having axial spondyloarthritis according to ASAS criteria 2010, during a period of 6 years. The AS and the nr-axSpA subgroups were compared for the various axSpA-related variables. Results: Of the 277 patients with a diagnosis of axial SpA who were included in this study, 160 had AS and 117 had nr-axSpA. AS and nr-ax-SpA shared a similar age at diagnosis, similar prevalence of low back pain, lumbar stiffness, extra-articular manifestations, BASDAI and BASFI. In the multivariate analysis, AS patients were mainly male with cervical stiffness, enthesitis, coxitis and high level of ESR (erythrocyte sedimentation rate). The females generally had a family history of SpA and arthritis and were associated to the nr-axSpA form in the univariate analysis. Conclusion: This was the first study to characterise patients with AS and nr-axSpA in Morocco. Consistent with other studies published, this study showed that patients with nr-axSpA and patients with AS shared a comparable degree of disease burden.

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