Risk Factors of COVID-19 Critical Outcomes in the Eastern Mediterranean Region: A Multicountry Retrospective Study (Preprint)

2021 ◽  
Author(s):  
Faris Lami ◽  
Maisa Elfadul ◽  
Hiba Abdulrahman Rashak ◽  
Mohannad Al Nsour ◽  
Hashaam Akhtar ◽  
...  

BACKGROUND The establishment of empirical evidence in the Eastern Mediterranean Region (EMR) necessitates the implementation of wide-scale studies to describe the demographic, clinical features, and severity profile ofCOVID-19 patients. OBJECTIVE Hence, this study aimed to to assess the patterns of COVID-19 severity and mortality in seven countries and to determine the risk factors of COVID-19 severity and mortality. METHODS This multi-country study was based on a retrospective review of medical records of hospitalized patients confirmed to have COVID-19. This study included data from Iraq, Pakistan, Sudan, Somalia, Morocco, Egypt, and Yemen. All demographic and clinical data were extracted from hospital records (paper files) by trained data collectors. RESULTS A total of 4141 patients were included in this study from seven countries. Comorbidities were reported by nearly half of the patients, with hypertension (HT)(24.7%)and diabetes (22.7%) being the most common. Older age, diabetes mellitus, hypertension, and heart diseases were significantly associated with COVID-19 severity and mortality. Ever smoking and renal diseases were significantly associated with severity but not mortality, while male gender, respiratory diseases, and malignancy were significantly associated with mortality but not severity. CONCLUSIONS The study confirmed the role of comorbidities and demographic features on the severity and mortality of COVID-19. Understanding the contributing factors ensures attentive care and informs clinical management of patients with poorer prognosis in early stages of

2021 ◽  
Vol 4 (1) ◽  
pp. 225-331
Author(s):  
Dilehan Avşar ◽  
Gökhan Avşar

The number of women entrepreneurs who start a new business or own a business has been increasing rapidly in recent years. The aim of this study was to determine the problems faced by women entrepreneurs registered in the associations and chambers of business in the Eastern Mediterranean Region during their entrepreneurship and to examine the effects of these problems on women entrepreneurs. The main purpose of this study is to define the role of female labor force in the new sectoral structure in the changing labor market. In addition, it is aimed to identify the existing entrepreneurship activities, to examine the barriers to entrepreneurship and to propose solutions to the problems identified in line with the findings. The role of women entrepreneurs in the labor market is examined. Evaluating these factors, which are thought to affect the business life of women entrepreneurs, to develop suggestions that can contribute to their development and empowerment. Within the scope of this study, women entrepreneurs in the Eastern Mediterranean Region were investigated. In the preliminary study, women entrepreneurs registered as women entrepreneurs were identified by contacting the Chamber of Commerce, Chamber of Industry, Organized Industrial Zone and Commodity Exchange, and the research was conducted through face-to-face questionnaires with the entrepreneurs who accepted the interview in Eastern Mediterranean Region. At the end of the study, the most common problems faced by women engaged in entrepreneurship activity were; low level of education, insufficient financial support and lack of information. In developing countries such as Turkey, especially in terms of the effects of women's entrepreneurship development should not be ignored.


2019 ◽  
Author(s):  
Razieh Zahedi ◽  
Hossein Molavi Vardanjani ◽  
Mohammad Reza Baneshi ◽  
Ali Akbar Haghdoost ◽  
Reza Malekpour Afshar ◽  
...  

Abstract Background This study was conducted to determine the current Age Standardized Rate (ASR) of breast cancer and its trend from 1998 to 2018, and relational factors of countries’ development as risk factors in breast cancer occurrence in Eastern Mediterranean Region (EMR). Methods Using systematic review and meta-analysis method, data on incidence of breast cancer was collected from various sources including Pubmed, Embase, Web of Science, WHO from 1998 to 2018. Pooled ASR was calculated using subgroup analysis according to period of study and quality of data, by applying random effect meta-analysis method. Results 499 data points (76 studies) were analyzed. Pooled ASR of breast cancer for EMR during 2011-2018 was 39.8 per 100,000 person-years (95% confidence interval [CI], 36.01, 43.9). ASR of Breast cancer had an upward trend in EMR from 2005 to 2018; however, the increasing pattern had been somewhat different in various regions based on data quality groups 1998-2018. Pooled ASR had a significant association with Human Development Index [-6.6 (95%CI, -8.9, -4.3)] and obesity [0.1 (95% CI, 0.07, 0.1)]. Conclusion Pooled ASR of breast cancer in EMR is lower than the global average. The ASR value and incremental trend in low-quality data group is higher than others in recent years. The possible reasons for the incremental trend are data quality or physiological ones such as increasing obesity.


2020 ◽  
Vol 13 (3) ◽  
pp. 457-458
Author(s):  
Enjy Abdou ◽  
Amr Kandeel ◽  
Mohammad Al-Abdallat ◽  
Salah Al Awaidy ◽  
Ali Almahaqri ◽  
...  

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