3,185 results match your criteria Eastern Mediterranean Health Journal [Journal]


Tackling obesity in the Eastern Mediterranean Region.

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East Mediterr Health J 2019 Mar 19;25(2):142-143. Epub 2019 Mar 19.

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http://dx.doi.org/10.26719/2019.25.2.142DOI Listing

Ultrapure water in haemodialysis: a step towards better quality in Lebanon.

East Mediterr Health J 2019 Mar 19;25(2):134-141. Epub 2019 Mar 19.

General Director, Lebanese Ministry of Public Health Beirut, Lebanon.

Globally the nephrology community is witnessing an increased use of high-flux membranes and ultrapure water in haemodialysis (HD) units, and in low-and middle-income countries, data are lacking regarding HD water quality. In Lebanon the Ministry of Public Health released a decree calling for a progressive change in the HD water treatment system in order to implement ultrapure water in all dialysis facilities. This article reports on the problems previously encountered regarding water quality in Lebanon. Read More

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http://dx.doi.org/10.26719/emhj.18.032DOI Listing

A review of family planning policies and services in WHO Eastern Mediterranean Region Member States.

East Mediterr Health J 2019 Mar 19;25(2):127-133. Epub 2019 Mar 19.

World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Background: Family planning (FP) is a cost-effective public health and development intervention. Eastern Mediterranean Region (EMR), has one of the lowest contraceptive prevalence rate (CPR) and high unmet need for family planning.

Aims: The aim of this review is to assist Member States in highlighting those areas that need strengthening to improve quality of FP services in information and commodity supplies. Read More

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http://dx.doi.org/10.26719/emhj.18.023DOI Listing
March 2019
1 Read

Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997-2012.

East Mediterr Health J 2019 Mar 19;25(2):119-126. Epub 2019 Mar 19.

Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Islamic Republic of Iran.

Background: Nowadays, the significance of applying Geographic information system (GIS) to survey accessibility to hospitals and understanding disparities in this regard has increased.

Aims: The main aim of this descriptive-analytical research was to study the spatial accessibility of the population of Kermanshah for 3 years 1997 (n=693157), 2007 (n=794863), and 2012 (n=851 405) to hospitals based on age and gender groups through GIS.

Methods: The study was conducted based on network analysis models, mean centre, and standard distance in the environment of Arc/GIS. Read More

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http://dx.doi.org/10.26719/emhj.18.061DOI Listing
March 2019
2 Reads

Tobacco and waterpipe use among university students in Saudi Arabia: impact of tobacco sales ban.

East Mediterr Health J 2019 Mar 19;25(2):111-118. Epub 2019 Mar 19.

Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States of America.

Background: Waterpipe smoking is a method of tobacco consumption that continues to spread globally. In 2002, a ban of tobacco sales was adopted in the Saudi Arabian cites of Mecca and Medina.

Aims: This study aimed to examine prevalence of waterpipe and cigarette smoking among students of Taibah University, the biggest in Medina, where the tobacco sales ban has been implemented. Read More

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http://dx.doi.org/10.26719/emhj.18.021DOI Listing
March 2019
1 Read

A country-wide comparison of cost recovery and financing systems of blood and blood products.

East Mediterr Health J 2019 Mar 19;25(2):104-110. Epub 2019 Mar 19.

IQM Consulting for International Development of Quality Management in Transfusion Medicine, University of Groningen, Netherlands.

Background: As blood is a scarce and expensive resource, irrational blood usage places huge burden on health expenditures. In response to this challenge, governments and health care providers are developing different strategies to optimize blood utilization. Among these strategies is trying to raise the public awareness on the actual costs of the blood production and changing the cost recovery systems of blood and blood components. Read More

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http://dx.doi.org/10.26719/emhj.18.020DOI Listing
March 2019
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Antenatal care among Palestine refugees in Jordan: factors associated with UNRWA attendance.

East Mediterr Health J 2019 Mar 19;25(2):98-103. Epub 2019 Mar 19.

Health Department, Headquarters, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan.

Background: Maternal and neonatal mortality is a global issue acknowledged by the Sustainable Development Goals (SDGs). Adequate ante-natal care (ANC) is pivotal to reducing these mortality rates, while understanding why women don't attend ANC is crucial to addressing the SDGs.

Aims: Using routine primary health care data to determine the factors associated with inadequate attendance by Palestine refugees (PR) to ANC seeking facilities provided by the United Nations Relief and Works agency for Palestine Refugees in the Near East (UNRWA), Jordan. Read More

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http://dx.doi.org/10.26719/emhj.18.017DOI Listing

Assessment of device-associated infection rates in teaching hospitals in Islamic Republic of Iran.

East Mediterr Health J 2019 Mar 19;25(2):90-97. Epub 2019 Mar 19.

Department of Nursing, Sina Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: Surveillance of health care-associated infections (HCAIs) is an integral part of infection control programmes, especially in intensive care units (ICUs). Device-associated infections (DAIs) are a major threat to patient safety.

Aim: To measure DAI rates in ICUs. Read More

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http://dx.doi.org/10.26719/emhj.18.015DOI Listing
March 2019
2 Reads

Knowledge, practices and attitudes of physicians towards evidencebased medicine in Egypt.

East Mediterr Health J 2019 Mar 19;25(2):82-89. Epub 2019 Mar 19.

Public Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: Evidence-based medicine help clinicians deal with information overload, to distribute healthcare resources more equitably, help reduce healthcare costs, and justify treatment choices to the public.

Aims: This study aimed to assess evidence-based medicine (EBM) knowledge, practices and attitudes among physicians in Tanta University hospital, Tanta, Egypt.

Methods: A cross-sectional study was used. Read More

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http://dx.doi.org/10.26719/emhj.18.010DOI Listing
March 2019
1 Read

Eastern Mediterranean Health Journal reviewers' panel, 2018.

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East Mediterr Health J 2019 Mar 19;25(1):69-77. Epub 2019 Mar 19.

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Leishmaniasis among neighbouring endemic countries in the Eastern Mediterranean, African and European regions.

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East Mediterr Health J 2019 Mar 19;25(1):66-68. Epub 2019 Mar 19.

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http://dx.doi.org/10.26719/2019.25.1.66DOI Listing

Enhancing surveillance for early detection of Zika virus infection: strategies for the countries of Eastern Mediterranean Region.

East Mediterr Health J 2019 Mar 19;25(1):58-65. Epub 2019 Mar 19.

Infectious Hazard Management, Department of Health Emergency, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Background: Zika virus infection (ZIKV) has caused major outbreaks in tropic and sub-tropic areas. No case from ZIKV has yet been reported in the countries of the Eastern Mediterranean Region (EMR) despite the presence of competent vector Aedes mosquitoes in many of these countries.

Aims: This study addresses appropriate surveillance strategies for early detection of ZIKV infection, which is important for EMR countries with established Aedes populations, but with no known or documented autochthonous transmission of ZIKV. Read More

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http://dx.doi.org/10.26719/emhj.18.011DOI Listing
March 2019
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Global prevalence of chronic obstructive pulmonary disease: systematic review and meta-analysis.

East Mediterr Health J 2019 Mar 19;25(1):47-57. Epub 2019 Mar 19.

Non-Communicable Disease Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide.

Aims: To synthesize data on the worldwide prevalence and severity of COPD by geographical region, age groups, and smoking status in a systematic review.

Methods: A systematic search was performed following Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines. Read More

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http://dx.doi.org/10.26719/emhj.18.014DOI Listing
March 2019
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Knowledge, attitude and practice of travel medicine among primary care physicians in Oman: the need for intervention.

East Mediterr Health J 2019 Mar 19;25(1):40-46. Epub 2019 Mar 19.

Directorate General of Health Services, Muscat, Oman.

Background: Oman is witnessing an increase in outbound and inbound travelers.

Aims: This study was undertaken to assess the current knowledge, attitude, and practice of travel medicine among primary care physicians (PCPs) working in the Muscat Governorate.

Methods: We conducted a cross-sectional survey of 108 primary healthcare physicians in primary healthcare institutions in the Muscat Governorate in December 2014 using a self-administered questionnaire. Read More

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http://dx.doi.org/10.26719/emhj.18.027DOI Listing

Effect of fasting during Ramadan on thermal stress parameters.

East Mediterr Health J 2019 Mar 19;25(1):34-39. Epub 2019 Mar 19.

Sohar Aluminium, Sohar, Oman.

Background: High process temperatures associated with industrial operations augment risk of heat stress and illness, particularly during summer months in the Gulf Region. Lack of hydration and nutrition during day time, during Ramadan can subject workers to even greater risk of heat stress and illness.

Aims: To examine the physiological effects of prolonged fasting in thermally challenging conditions. Read More

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http://dx.doi.org/10.26719/emhj.18.013DOI Listing

Determinant factors in applying electronic medical records in healthcare.

East Mediterr Health J 2019 Mar 19;25(1):24-33. Epub 2019 Mar 19.

Department of Health Information Technology, School of Paramedical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Islamic Republic of Iran.

Background: Electronic Medical Record (EMR) offers remarkable facilities such as reducing medical errors, decreasing healthcare costs and promoting quality of healthcare services by collecting, storing and displaying information at the point of care.

Aims: This study was carried out to identify the determinants of electronic medical record (EMR) adoption by presenting a comprehensive model.

Methods: This was a cross-sectional study in which 330 healthcare personnel working in hospitals affiliated to Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran, were selected as the study sample. Read More

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http://dx.doi.org/10.26719/emhj.18.007DOI Listing

Nutritional risk screening of hospitalized children aged < 3 years.

East Mediterr Health J 2019 Mar 19;25(1):18-23. Epub 2019 Mar 19.

Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Background: Identification of children at risk of malnutrition is not easily achieved in hospital settings.

Aims: To assess the merits of using the Screening Tool for Risk on Nutritional status and Growth (STRONG) as a nutrition screening tool in hospitalized children aged < 3 years and correlate it with the severity of their nutritional derangements.

Methods: This cross-sectional study was conducted on 500 children aged < 3 years admitted to the Children's Hospital, Ain Shams University, Cairo, Egypt. Read More

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http://dx.doi.org/10.26719/emhj.18.019DOI Listing

National quality assessment questionnaire for physiotherapy centres: a pilot study in Lebanon.

East Mediterr Health J 2019 Mar 19;25(1):12-17. Epub 2019 Mar 19.

Quality Systems International, ClinGroup Holding, Hazmieh, Lebanon.

Background: Lebanon still lacks a unified platform upon which private physiotherapy practitioners can base and apply their knowledge and practice. Accreditation of physiotherapy centres would promote collaboration, boost consistency and enhance quality of services. The Order of Physiotherapists in Lebanon is called on to provide a high quality of service by focusing on standards. Read More

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http://dx.doi.org/10.26719/emhj.18.008DOI Listing

Industrial chemical accidents: a growing health hazard in the Islamic Republic of Iran.

East Mediterr Health J 2019 Mar 19;25(1):5-11. Epub 2019 Mar 19.

Department of Occupational Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Islamic Republic of Iran.

Background: Occupational chemical accidents have increased in recent years in the Islamic Republic of Iran. In June and August 2015, three large explosions occurred at chemical warehouses in Rey, Tehran Province, and toxic vapours were released.

Aims: This study reviewed the three chemical accidents and assessed the extent to which the requirements for chemical safety and preparedness for chemical incidents under the International Health Regulations (IHR) are in place, and implemented at local and national levels in the Islamic Republic of Iran. Read More

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http://dx.doi.org/10.26719/2019.25.1.5DOI Listing

Editorial.

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East Mediterr Health J 2019 Mar 19;25(1):3-4. Epub 2019 Mar 19.

This issue of the Eastern Mediterranean Health Journal covers a spectrum of public health research throughout the Region, much of which has direct relevance with the work of the World Health Organization. From industrial environmental health to vector control disease surveillance, the public health issues that currently afflict the Region are not necessarily unique, but certainly highlight areas of research that can have a particular urgency when considering the specific challenges faced by populations throughout the Middle East and North Africa.

Chemical accidents have the potential for immense destruction not only through potential loss of life, but also through the degradation of the environment and contamination of air, water and thus agriculture. Read More

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http://dx.doi.org/10.26719/2019.25.1.3DOI Listing

Engaging countries and strengthening partnerships towards better maternal and child health.

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East Mediterr Health J 2019 Feb 18;24(12):1181-1183. Epub 2019 Feb 18.

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http://applications.emro.who.int/emhj/v24/12/EMHJ_2018_24_12
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http://dx.doi.org/10.26719/2018.24.12.1181DOI Listing
February 2019
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Salt intake reduction strategies in the Eastern Mediterranean Region.

East Mediterr Health J 2019 Feb 18;24(12):1172-1180. Epub 2019 Feb 18.

Department of Nutrition and Food Science, Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon.

Background: The high burden of noncommunicable diseases (NCDs), particularly cardiovascular diseases (CVDs), in countries of the Eastern Mediterranean Region requires an immediate public health attention. The World Health Organization (WHO) has recommended salt reduction as a "best buy", recognizing it as one of the most cost-effective approaches in preventing NCDs and reducing CVDs and medical costs.

Aims: In the context of the global target to reduce salt intake by 30% by 2025, the objective of this review is to present an up-to-date overview of the current salt reduction initiatives in the Region by highlighting regional and national policies, strategies, and activities that aim at characterizing and/or reducing the intakes of dietary salt. Read More

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http://applications.emro.who.int/emhj/v24/12/EMHJ_2018_24_12
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http://dx.doi.org/10.26719/emhj.18.006DOI Listing
February 2019
2 Reads

Perceptions of Iranian women regarding breast cancer screening behaviour.

East Mediterr Health J 2019 Feb 18;24(12):1165-1171. Epub 2019 Feb 18.

Department of Communication Science, Amsterdam School of Communication Research, University of Amsterdam, Netherlands.

Background: Breast cancer is the leading cause of death among women aged 20-59 years worldwide, with 58% of deaths occurring in less-developed countries. In the Islamic Republic of Iran, breast cancer constitutes 21% of all cancers, with an incidence rate of 22 per 100 000 women.

Aims: Since research into breast cancer screening among Iranian women is scarce and results are contradictory, we aimed to explore women's' perceptions regarding breast cancer screening behaviour and provide insights into how breast cancer is perceived and approached. Read More

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http://dx.doi.org/10.26719/emhj.18.018DOI Listing
February 2019

Prevalence and workplace correlates of tobacco smoking among male expatriate workers in Riyadh, Saudi Arabia.

East Mediterr Health J 2019 Feb 18;24(12):1155-1164. Epub 2019 Feb 18.

Department of Public Health, Saudi Electronic University, Riyadh, Saudi Arabia.

Background: Immigrant populations in Saudi Arabia face significant health inequalities, including higher smoking prevalence and lower tobacco cessation rate, but little is known about smoking among expatriate workers.

Aims: To identify the prevalence and workplace correlates of current smoking to enable targeted anti-smoking interventions.

Methods: A cross-sectional survey of 4575 male expatriate workers was used to investigate the associations between self-reported tobacco smoking, sociodemographic characteristics, industry and occupation groups, health insurance status and overall health status using logistic regression analyses. Read More

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http://dx.doi.org/10.26719/emhj.18.005DOI Listing
February 2019
2 Reads

Northern Iranian growth charts for children aged 7-11 years: comparison with international reference curves.

East Mediterr Health J 2019 Feb 18;24(12):1146-1154. Epub 2019 Feb 18.

Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Mazandaran, Islamic Republic of Iran.

Background: Child body mass index (BMI) is an internationally accepted indicator to assess child health status. International BMI reference curves are available but their suitability for Iranian children in not known.

Aims: This study aimed to produce BMI-for-age growth curves for northern Iranian schoolchildren aged 7-11 years and compare them with the World Health Organization (WHO 2006) and Centers for Disease Control and Prevention (CDC 2000) reference curves. Read More

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http://dx.doi.org/10.26719/2018.24.12.1146DOI Listing
February 2019
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Knowledge by physicians concerning cervical cancer and testing: Benimellal province, Morocco.

East Mediterr Health J 2019 Feb 18;24(12):1135-1145. Epub 2019 Feb 18.

Laboratoire d'Épidémiologie, Faculté de Médecine et de Pharmacie, Casablanca (Maroc).

Background: Cervical cancer is the second most common cancer among women after skin cancer.

Aims: This study aimed to evaluate the knowledge of general practitioners with regard to cervical cancer in the province of Benimellal, Morocco.

Methods: A cross-sectional study using a self-reported questionnaire given to 71 general practitioners operating in public and private healthcare centres in the province of Benimellal. Read More

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http://dx.doi.org/10.26719/2018.24.12.1135DOI Listing
February 2019

Successful implementation of general health policies in the Islamic Republic of Iran: barriers and mechanisms.

East Mediterr Health J 2019 Feb 18;24(12):1127-1134. Epub 2019 Feb 18.

Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: The general health policies for the Islamic Republic of Iran were approved in April 2014.

Aims: This study examined the barriers currently faced by general health policies and the mechanisms required for the successful implementation of these polices.

Methods: This qualitative study was conducted as a two-phase project based on standard CAN-IMPLEMENT guidelines. Read More

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http://dx.doi.org/10.26719/emhj.18.009DOI Listing
February 2019

Assessment of undernutrition using Composite Index of Anthropometric Failure among children aged < 5 years in rural Yemen.

East Mediterr Health J 2019 Feb 18;24(12):1119-1126. Epub 2019 Feb 18.

Department of Pediatrics, Al-Sadaqa General Teaching Hospital, Aden, Yemen.

Background: Impaired nutritional status is a major health problem affecting young children in developing countries that has a significant impact on child morbidity and mortality.

Aims: This study aimed to assess the prevalence of undernutrition among children aged < 5 years, using conventional indices and the Composite Index of Anthropometric Failure (CIAF), and then comparing their estimated results.

Methods: A community-based cross-sectional study was conducted and information was collected through house-tohouse visits using precoded structured records. Read More

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http://dx.doi.org/10.26719/2018.24.12.1119DOI Listing
February 2019

Developing the Eastern Mediterranean Health Journal to support public health research in the Region (Editorial).

East Mediterr Health J 2019 Feb 18;24(12):1117-1118. Epub 2019 Feb 18.

Director, Department of Information, Evidence and Research, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Since 1995, the Eastern Mediterranean Health Journal (EMHJ) has sought to publish public health research, regionally and globally, in accordance with the mandate and goals of the World Health Organization (WHO). As part of a family of WHO journals, the EMHJ is an open access public health journal and makes no charge for review or publication of accepted papers, allowing research manuscripts as well as policy-related works from institutions with different financial status an opportunity to be published and remain freely accessible to all. Supporting countries that are developing their health research base remains an important focus for the EMHJ, in line with the WHO Thirteenth General Programme of Work 2019-2023 (GPW13), and its mandate to strengthen research on public health priorities. Read More

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http://dx.doi.org/10.26719/2018.24.12.1117DOI Listing
February 2019

A retrospective study of small molecule disorder types of metabolism in paediatric patients in intensive care.

East Mediterr Health J 2019 Jan 23;24(11):1103-1111. Epub 2019 Jan 23.

Department of Paediatrics, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Background: Although inborn errors of metabolism (IEM) are rare individually, collectively IEM cause substantial morbidity and mortality and the diagnosis is challenging.

Aims: To analyse epidemiological and clinical data, final diagnosis and clinical outcomes of patients with a suspected diagnosis of IEM (small molecule disorders type) admitted to a paediatric intensive care unit (PICU).

Methods: We collected and analysed medical records data of all patients admitted to the PICU at Alexandria University Children's Hospital, from January 2010 to December 2014, with a suspected or confirmed diagnosis of small molecule disorders, including clinical presentations, laboratory results and clinical outcomes. Read More

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http://dx.doi.org/10.26719/emhj.18.056DOI Listing
January 2019
2 Reads

Knowledge, attitudes, behaviours and practices towards diabetes mellitus in Kuwait.

East Mediterr Health J 2019 Jan 23;24(11):1098-1102. Epub 2019 Jan 23.

Dasman Diabetes Institute, Kuwait.

Background: Rates of diabetes in Kuwait are among the highest in the world.

Aims: To inform prevention initiatives, this study assessed diabetes knowledge, attitudes towards it, and personal behaviour relating to risk factors among the Kuwaiti population.

Methods: A cross-sectional knowledge, attitudes, beliefs and practices survey of 1124 people was performed between July and September 2015. Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/2018.24.11.1098DOI Listing
January 2019
8 Reads

Quality of life in Iranian elderly population using the SF-36 questionnaire: systematic review and meta-analysis.

East Mediterr Health J 2019 Jan 23;24(11):1088-1097. Epub 2019 Jan 23.

Department of Epidemiology, School of Public Health, Hamadan University of Medical Science, Hamadan, Islamic Republic of Iran.

Background: Ageing is a major known risk factor that is a threat to human health. To date, many studies have investigated quality of life (QOL) among the elderly population in the Islamic Republic of Iran. However, their results were inconsistent. Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/2018.24.11.1088DOI Listing
January 2019
10 Reads

Repellency effect of flumethrin pour-on formulation against vectors of Crimean-Congo haemorrhagic fever.

East Mediterr Health J 2019 Jan 23;24(11):1082-1087. Epub 2019 Jan 23.

Department of Medical Entomology and Vector Control, School of Public Health and National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: Ticks are able to transmit important diseases to humans, including Rocky Mountain spotted fever, Q fever, Crimean-Congo haemorrhagic fever, summer Russian encephalitis, and relapsing fever.

Aims: To determine the repellency effect of 1% flumethrin pour-on formulation against hard ticks.

Methods: The concentration of flumethrin pour-on formulation was 1 mg/10 kg body weight and was administered on the dorsal midline from the head to the base of the tail. Read More

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http://dx.doi.org/10.26719/emhj.18.004DOI Listing
January 2019
3 Reads

Study protocol for promoting physical activity among women based on the MAPP process.

East Mediterr Health J 2019 Jan 23;24(11):1074-1081. Epub 2019 Jan 23.

Nursing and Midwifery Care Research Center, Nursing and Midwifery School, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

Background: The participation of all stakeholders is necessary when a community-based intervention is designed. For running a practical intervention, it is necessary to have a framework to design the programme while considering all stages of planning, implementation and evaluation.

Aims: To describe a study protocol based on the MAPP process (Mobilizing for Action through Planning and Partnerships) for promoting physical activity (PA). Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/2018.24.11.1074DOI Listing
January 2019
8 Reads

Screening of congenital hyperthyroidism in Morocco: a pilot study.

East Mediterr Health J 2019 Jan 23;24(11):1066-1073. Epub 2019 Jan 23.

Service de la Santé publique, Direction régionale de la Santé de Fès-Boulemane, Fès (Maroc).

Background: In Morocco we have no reliable information on the incidence of congenital hypothyroidism (HC).

Aims: The aim of our study was to explore the feasibility of a neonatal screening program for this disease in Morocco.

Methods: We conducted a screening campaign in the HC 15 615 newborns in the wilaya of Fez in north-central Morocco. Read More

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http://dx.doi.org/10.26719/2018.24.11.1066DOI Listing
January 2019
2 Reads

Prevalence and determinants of Caesarean delivery in Punjab, Pakistan.

East Mediterr Health J 2019 Jan 23;24(11):1058-1065. Epub 2019 Jan 23.

Population Council, Islamabad, Pakistan.

Background: Caesarean section (C-section) is a life-saving obstetric procedure that reduces maternal mortality and improves reproductive health. Although, vaginal delivery is still an important safe and low-cost method of delivery, C-section is sometimes performed when it is not even required, which creates health challenges for pregnant women and their newborn infants.

Aims: To estimate the effect of a set of institutional, demographic, socioeconomic and spatial variables on C-section delivery (n = 2424) in Punjab, Pakistan. Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/2018.24.11.1058DOI Listing
January 2019
1 Read

Identifying hotspots of viral haemorrhagic fevers in the Eastern Mediterranean Region: perspectives for the Emerging and Dangerous Pathogens Laboratory Network.

East Mediterr Health J 2019 Jan 23;24(11):1049-1057. Epub 2019 Jan 23.

Department of Communicable Disease Prevention and Control, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Background: The emergence and re-emergence of viral haemorrhagic fevers (VHFs) is a growing concern worldwide. They are associated with major epidemics with an estimated 51-101 million cases each year, of which around 67 000 are fatal. In 2007, 13 countries in the Eastern Mediterranean Region reported VHF cases. Read More

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http://dx.doi.org/10.26719/emhj.18.002DOI Listing
January 2019
2 Reads

Characteristics of women applying for a legal abortion in the Islamic Republic of Iran.

East Mediterr Health J 2019 Jan 23;24(11):1040-1048. Epub 2019 Jan 23.

Iran Legal Medicine Organization Research Centre, Tehran, Islamic Republic of Iran.

Background: Legal abortion has been permitted in the Islamic Republic of Iran since 2003 if there is serious and incurable disease that would cause the mother or the fetus suffering.

Aims: This study evaluated the characteristics of women applying for a legal abortion licence to the Tehran Province General Office of Legal Medicine, and compared the findings with earlier studies to evaluate changes over time.

Methods: All women visiting the office between August 2011 and 2012 to apply for a legal abortion licence were interviewed and sociodemographic data, reason for the application and outcome of the application were recorded. Read More

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http://applications.emro.who.int/emhj/v24/11/EMHJ_2018_24_11
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http://dx.doi.org/10.26719/emhj.18.001DOI Listing
January 2019
10 Reads

The neglected role of stewardship in strategic purchasing of health services: who should buy?

East Mediterr Health J 2019 Jan 23;24(11):1038-1039. Epub 2019 Jan 23.

Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.

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http://dx.doi.org/10.26719/2018.24.11.1038DOI Listing
January 2019
2 Reads

WHO collaborating centres in the Eastern Mediterranean Region: an agenda for action and improvement (Editorial).

East Mediterr Health J 2019 Jan 23;24(11):1035-1037. Epub 2019 Jan 23.

Regional Director, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

The World Health Organization (WHO) is the key United Nations specialized agency dedicated to promoting population health and health outcomes. In order for the Organization to achieve its strategic objectives, WHO designates selected institutions as collaborating centres to assit with carrying out WHO core activities. The Eastern Mediterranean Region (EMR) currently hosts 45 collaborating centres (as of December 2018), which is only 5% of the 832 WHO collaborating centres located worldwide, and yet EMR countries host about 10% of the global population. Read More

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http://dx.doi.org/10.26719/2018.24.11.1035DOI Listing
January 2019

Improving access to assistive technology in the Eastern Mediterranean Region.

Authors:

East Mediterr Health J 2018 Dec 18;24(10):1030-1031. Epub 2018 Dec 18.

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http://dx.doi.org/10.26719/2018.24.10.1030DOI Listing
December 2018
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Challenges for pregnant Syrian refugees in Lebanon.

Authors:
Lena Abdin

East Mediterr Health J 2018 Dec 18;24(10):1026-1029. Epub 2018 Dec 18.

School of Advanced International Studies, Johns Hopkins University, Washington, United States of America.

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http://dx.doi.org/10.26719/2018.24.10.1026DOI Listing
December 2018
3 Reads

Use of complementary and alternative medicine among paediatric patients with hepatogastrointestinal diseases.

East Mediterr Health J 2018 Dec 18;24(10):1018-1025. Epub 2018 Dec 18.

Department of Paediatric Gastroenterology, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.

Background: The use of complementary and alternative medicine (CAM) is becoming increasingly popular in Middle Eastern countries; it is often used for paediatric medical conditions such as chronic gastrointestinal complaints and failure to thrive. It is also commonly used in patients with chronic hepatic conditions such as cirrhosis and in hepatic transplant patients.

Aims: This study aimed to evaluate the prevalence, types and associated factors of CAM use in children with hepatogastrointestinal disease in Shiraz, Islamic Republic of Iran. Read More

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http://dx.doi.org/10.26719/2018.24.10.1018DOI Listing
December 2018
1 Read

Trends in occupational injuries and diseases among Saudi and non-Saudi insured workers.

East Mediterr Health J 2018 Dec 18;24(10):1010-1017. Epub 2018 Dec 18.

Department of Environmental Sciences, Faculty of Sciences, University of Gujrat, Hafiz Hayat Campus, Jalalpur Road, Gujrat, Pakistan.

Background: The ongoing industrial and infrastructural development in Saudi Arabia carries a high risk of occupational injuries/diseases.

Aims: To compare trends in occupational injuries and diseases among Saudi and non-Saudi insured workers.

Methods: We used the index values method and slope (S) calculation to analyse the occupational injuries/diseases trends from data in the annual statistical reports published by the General Organization for Social Insurance between 2004 and 2014. Read More

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http://dx.doi.org/10.26719/2018.24.10.1010DOI Listing
December 2018
2 Reads

Effect of postpartum depression on women's mental and physical health four years after childbirth.

East Mediterr Health J 2018 Dec 18;24(10):1002-1009. Epub 2018 Dec 18.

Department of Psychiatry, Faculty of Medicine; and Psychiatry and Behavioral Sciences Research Center, Addiction Institute; Mazandaran University of Medical Sciences, Sari, Islamic Republic of Iran.

Background: Postpartum depression has been shown to affect women's health in the long term but no studies have assessed this in the Islamic Republic of Iran.

Aims: This study determined the prevalence of current depression and illness in women who had experienced postpartum depression four years after childbirth, and evaluated the factors associated with current depression.

Methods: In a cohort study in 2009, 1801 pregnant women without depression at 32-42 weeks of pregnancy attending Mazandaran primary healthcare centres were examined for postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS). Read More

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http://dx.doi.org/10.26719/2018.24.10.1002DOI Listing
December 2018
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Customary practices, domestic violence, and psychosomatic pain among adolescent mothers in Turkey.

East Mediterr Health J 2018 Dec 18;24(10):994-1001. Epub 2018 Dec 18.

Department of Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey.

Background: Adolescent motherhood is present in many societies worldwide, including Turkey.

Aims: We aimed to determine the demographical and cultural characteristics of adolescent mothers, lifetime domestic violence and history of miscarriage, and whether they suffer from any kind of medically unexplained (psychosomatic) pain in a study in south-eastern Turkey.

Methods: We included 501 mothers in this case-control study. Read More

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http://dx.doi.org/10.26719/2018.24.10.994DOI Listing
December 2018
3 Reads

Cost estimation of medical care management of lung cancer in Tunisia.

East Mediterr Health J 2018 Dec 18;24(10):988-993. Epub 2018 Dec 18.

Service d'Épidémiologie et de Statistique, Hôpital Mami, Ariana (Tunisie).

Background: Lung cancer management is very expensive for the Tunisian healthcare system.

Aim: The aim of this study was to evaluate the direct costs of treating lung cancer in Tunisia, and to identify the main treatment of high expenditure.

Methods: A retrospective study was conducted in 2012 including all patients admitted between 2008 and 2010 for lung cancer management. Read More

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http://dx.doi.org/10.26719/2018.24.10.988DOI Listing
December 2018
3 Reads

Assessment of overweight and obesity in Iranian adolescents: optimal cut-off values of anthropometric indices.

East Mediterr Health J 2018 Dec 18;24(10):975-987. Epub 2018 Dec 18.

Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran.

Background: Various indices have been used to estimate overweight and obesity; all have limitations and strengths. The prevalence of overweight and obesity may differ by ethnicity.

Aims: This study evaluated waist circumference (WC), waist-to-hip ratio (WHpR), waist-to-height ratio (WHtR) and neck circumference (NC) as reliable alternatives to body mass index for screening for overweight and obesity, and determined their optimum cut-off values in different ethnic groups. Read More

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http://dx.doi.org/10.26719/2018.24.10.975DOI Listing
December 2018
1 Read