scholarly journals Changing the landscape of stroke in Egypt

Author(s):  
Hany Aref ◽  
Magd Zakaria ◽  
Hossam Shokri ◽  
Tamer Roushdy ◽  
Ahmed El Basiouny ◽  
...  

Egypt, a low–middle-income country, is the most populated nation in the Middle East. In Egypt, the overall crude prevalence rate of stroke is high (963/100,000 inhabitants), and the incidence of stroke annually is approximately 150 000 to 210 000. The official national statistics indicate that diseases of the circulatory system, including stroke, are the primary cause of death in Egypt, where stroke accounts for 6.4% of all deaths and ranks third after cardiovascular and gastrointestinal diseases. Although the number of deaths attributed to stroke have declined in many countries, in Egypt, it was relatively unchanged in the past 10 years.

2020 ◽  
Author(s):  
AISDL

Vietnam is one of the fastest growing economies in the world. Over the past 30 years, Vietnam has transformed itself from one of the world’s poorest nations to a lower-middle income country ripe with investment opportunities. Yet despite these economic achievements, this one-party state still encounters significant obstacles to sustained and democratic political development in each of the USAID’s five key elements of democracy, human rights and governance: consensus, inclusion, competition and political accountability, rule of law and human rights, and government responsiveness and effectiveness.


Author(s):  
Osama D. Sweidan

AbstractThis paper explores the link between political instability and economic growth in Jordan, which is a lower middle-income country located at the heart of the Middle East. Historically, this region has been living under protracted wars, clashes, violence and terrorist attacks. We can expect these events to influence economic growth via their effect on government spending. We employ two econometric techniques: ARDL model (OLS) and Kalman filter (ML) and use data over the period 1967–2009. We find political instability has a statistically significant negative effect on economic growth as well as on real government expenditures.


2019 ◽  
Vol 5 (2) ◽  
pp. 11-15
Author(s):  
A. V. Maksimov ◽  
S. A. Kuchuk

The article presents the results of the analysis of the dynamics of the discrepancy between the final and forensic diagnoses in the Moscow region in cases of death from diseases for the period 2014–2018. The scope of the study was 3114 cases of deaths in hospitals of medical organizations and aimed at forensic research to determine the cause of death. The study found that in the Moscow region over the past five years there has been an improvement in the diagnosis of diseases of the circulatory system, respiration, digestion, tumors and tuberculosis. In the analyzed period of time there was a decrease in the specific weight of the discrepancy of diagnoses in cases of death from diseases from 63.7 % to 48.4 %.


2021 ◽  
Vol 10 (2) ◽  
pp. 21-31
Author(s):  
L.M. Mikhaleva ◽  
◽  
A.G. Konoplyannikov ◽  
Y.Y. Kudryavtseva ◽  
A.S. Olenev ◽  
...  

Introduction. Diseases directly related to pregnancy are still leading the maternеal mortality structure, al-though in many countries there is an increase in the number of deaths from extragenital pathology among pregnant women. A significant number of lethal cases in this group are associated with environmental factors, lifestyle, and the overall increase in somatic diseases. The aim of the study was to determine the main causes of maternal mortality and investigate the role of extragenital pathology based on autopsy data. Materials and methods. The study included 29 autopsy observations. We studied medical records, autopsy protocols of deceased pregnant women, women in labor, and puerperant women. Each cause of death was classified according to ICD-10. A clinical and morphological study was also carried out using additional histochemical and immunohistochemical staining methods. Results. The data from pathological studies show that in Moscow, extragenital pathology accounts for up to 40% of maternal deaths. The leading cause of death is circulatory system diseases, including an arteriovenous malformation; a myocardial infarction; a congenital heart disease (patent foramen ovale); cerebral, aortic, and splenic artery aneurysms. The second most common one is other specified diseases and conditions com-plicating pregnancy. This group of diseases included malignant neoplasms. Less common causes of death are gastrointestinal diseases, other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism that complicate pregnancy, and also respiratory diseases. A single case is associated with a generalized viral infection. Conclusion. Extragenital pathology remains an important obstetric problem, and the management of pregnant women with systemic diseases requires a multidisciplinary treatment approach. Keywords: maternal mortality, extragenital pathology, arteriovenous malformation, cerebral aneurysm, antiphospholipid syndrome


2021 ◽  
pp. 10-17
Author(s):  
Oguz Turkozan

A cycle of glacial and interglacial periods in the Quaternary caused species’ ranges to expand and contract in response to climatic and environmental changes. During interglacial periods, many species expanded their distribution ranges from refugia into higher elevations and latitudes. In the present work, we projected the responses of the five lineages of Testudo graeca in the Middle East and Transcaucasia as the climate shifted from the Last Glacial Maximum (LGM, Mid – Holocene), to the present. Under the past LGM and Mid-Holocene bioclimatic conditions, models predicted relatively more suitable habitats for some of the lineages. The most significant bioclimatic variables in predicting the present and past potential distribution of clades are the precipitation of the warmest quarter for T. g. armeniaca (95.8 %), precipitation seasonality for T. g. buxtoni (85.0 %), minimum temperature of the coldest month for T. g. ibera (75.4 %), precipitation of the coldest quarter for T. g. terrestris (34.1 %), and the mean temperature of the driest quarter for T. g. zarudyni (88.8 %). Since the LGM, we hypothesise that the ranges of lineages have either expanded (T. g. ibera), contracted (T. g. zarudnyi) or remained stable (T. g. terrestris), and for other two taxa (T. g. armeniaca and T. g. buxtoni) the pattern remains unclear. Our analysis predicts multiple refugia for Testudo during the LGM and supports previous hypotheses about high lineage richness in Anatolia resulting from secondary contact.


Author(s):  
Malik Daham Mata’ab

Oil has formed since its discovery so far one of the main causes of global conflict, has occupied this energy map a large area of conflict the world over the past century, and certainly this matter will continue for the next period in our century..


2019 ◽  
Author(s):  
Quan-Hoang Vuong

Valian rightly made a case for better recognition of women in science during the Nobel week in October 2018 (Valian, 2018). However, it seems most published views about gender inequality in Nature focused on the West. This correspondence shifts the focus to women in the social sciences and humanities (SSH) in a low- and middle-income country (LMIC).


Author(s):  
Farhad Khosrokhavar

The creation of the Islamic State in Iraq and Sham (ISIS) changed the nature of jihadism worldwide. For a few years (2014–2017) it exemplified the destructive capacity of jihadism and created a new utopia aimed at restoring the past greatness and glory of the former caliphate. It also attracted tens of thousands of young wannabe combatants of faith (mujahids, those who make jihad) toward Syria and Iraq from more than 100 countries. Its utopia was dual: not only re-creating the caliphate that would spread Islam all over the world but also creating a cohesive, imagined community (the neo-umma) that would restore patriarchal family and put an end to the crisis of modern society through an inflexible interpretation of shari‘a (Islamic laws and commandments). To achieve these goals, ISIS diversified its approach. It focused, in the West, on the rancor of the Muslim migrants’ sons and daughters, on exoticism, and on an imaginary dream world and, in the Middle East, on tribes and the Sunni/Shi‘a divide, particularly in the Iraqi and Syrian societies.


Author(s):  
Bridget Pratt

Health research funded by organizations from HICs and conducted in low- and middle-income countries has grown significantly since 1990. Power imbalances and inequities frequently (but not always) exist at each stage of the international research process. Unsurprisingly then, a variety of ethical concerns commonly arise in the context of international health research, such as inequities in funding, the semi-colonial nature of international research models, the brain drain of low- and middle-income country researchers, and inequities in partnerships between HIC and low- and middle-income country researchers. In this chapter, these (and other) ethical concerns are introduced and the following ethical concepts to address the concerns are then discussed: responsiveness, standard of care, benefit sharing, community engagement, and social value. Existing guidance and remaining debates about how to specify each of the concepts are summarized. The chapter concludes by highlighting the existence of epistemic injustices within the field of international research ethics.


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