Prevalence and risk factors of burnout among female oncology professionals from the Middle East and North Africa (MENA).

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 11016-11016
Author(s):  
Atlal Abusanad ◽  
Assia Bensalem ◽  
Emad Shash ◽  
Layth Y.I. Mula-Hussain ◽  
Zineb Benbrahim ◽  
...  
Keyword(s):  
Middle East ◽  
North Africa ◽  
Maslach Burnout Inventory ◽  
African Countries ◽  
Mena Region ◽  
Cross Sectional Survey ◽  
Or Education ◽  
Related Factors ◽  
Increased Risk ◽  
Female Professionals

11016 Background: Burnout (BO) is a recognized challenge among oncology workforce. It affects both genders with a higher frequency among women. This study examined the factors contributing to the development of burnout among women in oncology from the Middle East and North Africa (MENA). Methods: An online cross-sectional survey was distributed to oncology professionals from different countries in the MENA region. The validated Maslach Burnout Inventory (MBI) of emotional exhaustion (EE), Depersonalization (DE), and Personal Achievement (PA) plus questions about demography/work-related factors and attitudes toward oncology were included. Data were analyzed to measure BO prevalence and related factors. Results: Between February 10 and March 15, 2020, 545 responses were submitted by female professionals. The responses pre-dated the COVID-19 pandemic emergence in the region. BO prevalence was 71% among female professionals. Women aged < 44 years represented 85% of the cohort. Sixty-two percent were married, 52% with children and one-third practiced a hobby. Two-thirds worked in medical oncology, worked for < 10 years and 35% worked in academia. The majority (73%) spent > 25% on administrative work daily. Nearly half of the respondents (49%) expressed a recurring thought of quitting oncology and 70% had no burnout support or education. Inability to deliver optimal care was reported as distressing for career development in 82%. Factors significantly influencing the BO risk are listed in Table. Marital status, having children, academia and years in practice did not impact the risk of BO among female oncologists form MENA. Conclusions: High BO prevalence was reported among female oncology professionals from MENA. The majority of women oncology workforce were young and early- to mid-career in this cohort. Younger age, practicing in North African countries, high administrative load and the recurring thought of quitting were associated with increased risk of burnout. Whereas, practicing a hobby and enjoying oncology communication decreased the BO risk. Burnout support and education specifically for women in oncology is needed.[Table: see text]

scholarly journals Environmental Performance and Economic Growth in Middle East and North Africa Countries

2019 ◽  
Vol 9 (24) ◽  
Author(s):  
Hichem Dkhili
Keyword(s):  
Economic Growth ◽  
Middle East ◽  
North Africa ◽  
Environmental Performance ◽  
Middle Eastern ◽  
Smooth Transition ◽  
African Countries ◽  
Mena Region ◽  
Mena Countries ◽  
The Impact

Background. Studies on environmental performance/quality and economic growth show inconclusive results. Objective. The aim of the present study is to assess the non-linear relationship between environmental performance and economic growth in the Middle East and North Africa (MENA) region from 2002–2018. Methods. A sample of fourteen (14) MENA countries was used in the present analysis. However, due to important differences between countries in this region, the whole sample was divided into two sub-samples; nine Middle Eastern countries (MEAS) and five North African countries (NAF). We performed the panel smooth transition regression model as an econometric approach. Discussion. Empirical results indicate a threshold effect in the environmental performance and economic growth relationship. The threshold value differs from one group of countries to another. More specifically, we found that the impact of environmental performance and economic growth is positive and significant only if a certain threshold level has been attained. Until then, the effect remains negative. Conclusions. The findings of the present study are of great importance for policymakers since they determine the optimal level of environmental performance required to act positively on the level of economic growth. MENA countries should seek to improve their environmental performance index in order to grow output. Competing Interests. The authors declare no competing financial interests.

scholarly journals Determinants of dental caries in children in the Middle East and North Africa region:  A systematic review based on literature published from 2000 to 2019

2021 ◽  
Author(s):  
Amal Elamin ◽  
Malin Garemo ◽  
Anzelle Mulder
Keyword(s):  
Middle East ◽  
Dental Caries ◽  
Infant Feeding ◽  
North Africa ◽  
World Health ◽  
Caries Prevalence ◽  
Mena Region ◽  
Oral Habits ◽  
Socioeconomic Determinants ◽  
Increased Risk

Abstract Background Dental caries risk factors have been expanded to not only emphasize biology and dietary and oral habits but also broader social determinants such as socioeconomic factors and the utilization of health services. The aim was to review sociobehavioural/cultural and socioeconomic determinants of dental caries in children residing in the Middle East and North Africa (MENA) region. Methods A search was conducted in the PubMed/Medline database and Google Scholar to identify studies published from 2000–2019 covering children using key search terms. In the initial stages, titles, abstracts and, if needed, full articles were screened for eligibility. In the final stage, all included articles were reassessed and read, and relevant data were extracted. Results Out of 600 initial articles, a total of 77 were included in this review, of which 74 were cross-sectional, 2 were longitudinal and one was a case-control study. The studies included a total of 94,491 participants in 14 countries across the MENA region. A majority used the World Health Organization scoring system to assess dental caries. The caries prevalence ranged between 17.2–88.8%, early childhood caries between 3–57% and decayed missing filled teeth (dmft) varied between 0.6–8.5 across the various age groups. Increased age, low maternal education, low overall socioeconomic status, decreased frequency of tooth brushing, low parental involvement, poor oral habits, infant feeding practices and sugar were among the most prevalent determinants for increased risk of caries in the reviewed studies. Conclusions Dental caries was found to be high among children in many of the studies published from MENA. The key determinants of dental caries were found to include factors related to child characteristics, family background, oral hygiene and infant feeding and eating habits. The high dental caries prevalence emphasises the need to address the prevailing modifiable sociobehavioural and socioeconomic determinants by translating them into effective oral health prevention policies and programmes.

scholarly journals Barriers to and Facilitators of Adherence to Clinical Practice Guidelines in the Middle East and North Africa Region: A Systematic Review

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 564
Author(s):  
Saja H. Almazrou ◽  
Sarah I. Alfaifi ◽  
Sumayyah H. Alfaifi ◽  
Lamees E. Hakami ◽  
Sinaa A. Al-Aqeel
Keyword(s):  
Clinical Practice ◽  
Middle East ◽  
Environmental Factors ◽  
Clinical Practice Guidelines ◽  
North Africa ◽  
Practice Guidelines ◽  
Financial Incentives ◽  
English Language ◽  
Mena Region ◽  
Related Factors

The current review aims to investigate the barriers to and facilitators of the adherence to clinical practice guidelines (CPGs) in the Middle East and North Africa (MENA) region. English language studies published between January 2010 and May 2019 were searched on PubMed, Embase, and EBSCO. The barriers were categorized as clinician-related factors, such as lack of awareness of familiarity with the CPGs, and external factors, such as patients, guidelines, and environmental factors. The search identified 295 titles, out of which 15 were included. Environmental factors, specifically lack of time, resources, incentives, availability, and costs of treatment or diagnostic tests, training, and dissemination plans were the most commonly identified barriers. The familiarity with or awareness of healthcare professionals about the guideline, guideline characteristics, lack of agreement with the guidelines and preference in clinical judgment, physician self-efficacy, and motivation were reported to a lesser extent. Few studies reported on the compliance of facilitators with the guidelines including disseminating and advertising guideline materials, education and training on the guidelines, regulatory and financial incentives, and support from institutions. The review highlights that the studies on barriers to and facilitators of compliance with CPGs in the MENA region are limited in number and quality.

Transitions Within Queer North African Cinema

Screen Bodies ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 64-77 ◽  
Author(s):  
Walter S. Temple
Keyword(s):  
Social Media ◽  
Middle East ◽  
North Africa ◽  
Film Festivals ◽  
Global Awareness ◽  
Critical Factors ◽  
North African ◽  
Mena Region ◽  
African Cinema ◽  
Queer Cinema

In recent years, North African queer cinema has become increasingly visible both within and beyond Arabo-Orientale spaces. A number of critical factors have contributed to a global awareness of queer identities in contemporary Maghrebi cinema, including the dissemination of films through social media outlets and during international film festivals. Such tout contemporain representations of queer sexuality characterize a robust wave of films in the Middle East and North Africa (MENA) region, inciting a new discourse on the condition of the marginalized traveler struggling to locate new forms of self and being—both at home and abroad.

scholarly journals Influence of COVID-19 on lifestyle behaviors in the Middle East and North Africa Region: a survey of 5896 individuals

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Mohamed Abouzid ◽  
◽  
Dina M. El-Sherif ◽  
Nael Kamel Eltewacy ◽  
Nesrine Ben Hadj Dahman ◽  
...  
Keyword(s):  
Social Media ◽  
Middle East ◽  
Food Consumption ◽  
North Africa ◽  
Fast Food ◽  
Online Survey ◽  
Eating Habits ◽  
Lifestyle Behaviors ◽  
Mena Region ◽  
The Impact

Abstract Background Coronavirus disease (COVID-19) pandemic has affected health and lifestyle behaviors of people globally. This project aims to identify the impact of COVID-19 on lifestyle behavior of individuals in the Middle East and North Africa (MENA) region during confinement. Methods We conducted an online survey in 17 countries (Egypt, Jordan, United Arab Emirates, Kuwait, Bahrain, Saudi Arabia, Oman, Qatar, Yemen, Syria, Palestine, Algeria, Morocco, Libya, Tunisia, Iraq, and Sudan) from the MENA region on August and September 2020. The questionnaire included self-reported information on lifestyle behaviors, including physical activity, eating habits, smoking, watching television, social media use and sleep before and during the pandemic. Logistic regression was performed to analyze the impact of COVID-19 on lifestyle behaviors. Results A total of 5896 participants were included in the final analysis and 62.8% were females. The BMI of the participants was 25.4 ± 5.8 kg/m2. Around 38.4% of the participants stopped practicing any physical activities during the confinement (P < 0.001), and 57.1% reported spending more than 2 h on social media (P < 0.001). There were no significant changes in smoking habits. Also, 30.9% reported an improvement in their eating habits compared with 24.8% reported worsening of their eating habits. Fast-food consumption decreased significantly in 48.8% of the study population. This direct/indirect exposure to COVID-19 was associated with an increased consumption of carbohydrates (OR = 1.09; 95% CI = 1.02–1.17; P = 0.01), egg (OR = 1.08; 95% CI = 1.02–1.16; P = 0.01), sugar (OR = 1.09; 95% CI = 1.02–1.16; P = 0.02), meat, and poultry (OR = 1.13; 95% CI = 1.06–1.20; P < 0.01). There was also associated increase in hours spent on watching television (OR = 1.07; 95% CI = 1.02–1.12; P < 0.01) and social media (OR = 1.09; 95% CI = 1.01–1.18; P = 0.03). However, our results showed a reduction in sleeping hours among those exposed to COVID-19 infection (OR = 0.85; 95% CI = 0.77–0.94; P < 0.01). Conclusions The COVID-19 pandemic was associated with an increase in food consumption and sedentary life. Being exposed to COVID-19 by direct infection or through an infected household is a significant predictor of amplifying these changes. Public health interventions are needed to address healthy lifestyle behaviors during and after the COVID-19 pandemic.

Party systems and ideological cleavages in the Middle East and North Africa

2020 ◽  
pp. 135406881989429
Author(s):  
Abdullah Aydogan
Keyword(s):  
Middle East ◽  
North Africa ◽  
Political Party ◽  
Party Systems ◽  
Party Competition ◽  
Right Wing ◽  
Left Wing ◽  
Mena Region ◽  
Quantitative Evidence ◽  
Mena Countries

Previous studies have contrasted the political party systems in the Middle East and North Africa (MENA) with those in more democratic countries, raising three important points: (1) the religious–secular dimension, rather than the economic or social left–right, explains the underlying political party competition; (2) left-wing politics is relatively weaker than right-wing politics; and (3) parties that are traditionally known as rightist take left-leaning positions on numerous issue dimensions, and vice versa. Even though this particular literature on party politics in the MENA has greatly improved our understanding of political dynamics in the region, these studies have either lacked quantitative evidence to support these points or their evidence was limited to single-country cases. This study aims to address this issue by analyzing original expert survey data of the ideological positions of political parties in the MENA region. Results show that in addition to the religious–secular dimension, the economic left–right divide and the pace of political reforms are highly important dimensions. The study also provides numerous examples showing that the policy stances of leftist and rightist parties are significantly reversed when MENA countries are compared with more developed democracies.

Geopolitics of Conflicts and Refugees in the Middle East and North Africa

2018 ◽  
Vol 5 (3) ◽  
pp. 258-274 ◽  
Author(s):  
AKM Ahsan Ullah
Keyword(s):  
Middle East ◽  
North Africa ◽  
Arab Spring ◽  
Complex Relationship ◽  
Refugee Policy ◽  
Mena Region ◽  
Political Dynamics ◽  
Refugee Protection ◽  
Border Conflicts ◽  
The Arab Spring

Geopolitically intertwined and strategically significant refugee policy in the MENA region is frequently analyzed in light of well-documented ethnic, religious, class, and border conflicts. However, the policy is also inexorably linked to the broader geopolitics of the global refugee protection regime and discourse. This article analyzes the complex relationship between geopolitics, domestic political dynamics, and their attendant crises in the MENA region. The complex set of political shockwaves of the Arab Spring induced massive mobility of people which may compound incipient political tensions between and within MENA states.

scholarly journals Diet, Genetics, and Disease: A Focus on the Middle East and North Africa Region

2012 ◽  
Vol 2012 ◽  
pp. 1-19 ◽  
Author(s):  
Akl C. Fahed ◽  
Abdul-Karim M. El-Hage-Sleiman ◽  
Theresa I. Farhat ◽  
Georges M. Nemer
Keyword(s):  
Middle East ◽  
Chronic Diseases ◽  
North Africa ◽  
Genetic Factors ◽  
Future Research ◽  
Micronutrient Deficiencies ◽  
Mena Region ◽  
Mena Countries ◽  
Nutritional Genomics

The Middle East and North Africa (MENA) region suffers a drastic change from a traditional diet to an industrialized diet. This has led to an unparalleled increase in the prevalence of chronic diseases. This review discusses the role of nutritional genomics, or the dietary signature, in these dietary and disease changes in the MENA. The diet-genetics-disease relation is discussed in detail. Selected disease categories in the MENA are discussed starting with a review of their epidemiology in the different MENA countries, followed by an examination of the known genetic factors that have been reported in the disease discussed, whether inside or outside the MENA. Several diet-genetics-disease relationships in the MENA may be contributing to the increased prevalence of civilization disorders of metabolism and micronutrient deficiencies. Future research in the field of nutritional genomics in the MENA is needed to better define these relationships.

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