A Contribution To The Understanding Of Middle Eastern and Muslim Exceptionalism

DEFF Research Database (Denmark)

Hariri, Jacob Gerner

2015-01-01

The democratic deficit in the Middle East and the Muslim world is well-established. No study has, however, identified what it is about being a Middle Eastern or Muslim-majority country that impedes democracy. The explanatory deficit has given rise to an idea of Middle Eastern....... If they were colonized, territories with more developed state structures were more likely to experience an indirect form of colonial rule. Such territories, including the Islamic heartland in the Middle East, experienced less European settlement and colonial rule through local intermediaries and were therefore...

Watermarks within the Middle Eastern Manuscript Collection of the Baillieu Library

Science.gov (United States)

Lewincamp, Sophie

2012-01-01

The University of Melbourne's Middle Eastern Manuscript collection housed at the Baillieu Library was acquired by Professor John Bowman in the 1950s as part of a teaching collection to promote greater learning of Middle Eastern culture and civilisation (Pryde 2007, 3). The collection is a rare example within Australia and represents many different…

A focused ethnographic assessment of Middle Eastern mothers' infant feeding practices in Canada.

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Jessri, Mahsa; Farmer, Anna P; Olson, Karin

2015-10-01

The aim of this study was to examine the barriers to following complementary feeding guidelines among Middle Eastern mothers and the cultural considerations of practitioners from an emic perspective. This is a two-phase focused ethnographic assessment of infant feeding among 22 Middle Eastern mothers in Western Canada who had healthy infants aged foods was whether or not foods were Halal, while food allergens were not causes for concern. Vitamin D supplements were not fed to 18/22 of infants, and mashed dates (Halawi), rice pudding (Muhallabia/Ferni) and sugared water/tea were the first complementary foods commonly consumed. Through constant comparison of qualitative data, three layers of influence emerged, which described mothers' process of infant feeding: socio-cultural, health care system and personal factors. Culture was an umbrella theme influencing all aspects of infant feeding decisions. Mothers cited health care professionals' lack of cultural considerations and lack of relevance and practicality of infant feeding guidelines as the main reasons for ignoring infant feeding recommendations. Early introduction of pre-lacteal feeds and inappropriate types of foods fed to infants among immigrant/refugee Middle Eastern mothers in Canada is cause of concern. Involving trained language interpreters in health teams and educating health care staff on cultural competency may potentially increase maternal trust in the health care system and eventually lead to increased awareness of and adherence to best practices with infant feeding recommendations. © 2013 John Wiley & Sons Ltd.

AN ECOLOGICAL BACKGROUND OF THE DECLINE OF THE MIDDLE EASTERN CHRISTIANITY

Directory of Open Access Journals (Sweden)

K. A. PANCHENKO

2007-11-01

Full Text Available In article is devoted to the decline of the Oriental Christianity in the Middle Ages inconnection with a seriuos ecological crisis of the Near Eastern region (degradation of vegeta-tion, soil erosion, expansion of the desert, nomadization, deurbanization. An attempt ismade to reconstruct the process of decline of Syrian agriculture and Middle Eastern Christiancivilization respectively.

Rhinoplasty in the Middle Eastern nose.

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Apaydin, Fazil

2014-08-01

In this article, the main characteristics of Middle Eastern patients seeking rhinoplasty are reported. Besides the preoperative preparation, surgical techniques that can be used to obtain good results are discussed. The pitfalls of profile alignment, tip procedures and skin have been noted as well. Copyright © 2014 Elsevier Inc. All rights reserved.

Middle Eastern power systems

International Nuclear Information System (INIS)

Anon.

1992-01-01

Middle Eastern Power systems have evolved independently of each other over many decades. The region covers a wide geographical area of over 4 million square kilometers with an estimated population in 1990 of over 120 million people. This paper discusses the present status and future power system developments in the Middle East with emphasis on the Mashrequ Arab Countries (MAC). MAC consists of Egypt, Iraq, Jordan, Lebanon, Syria, Yemen, and the six Gulf Cooperation Council (GCC) countries, namely, Bahrain, Kuwait, Qatar, Saudi Arabia, Oman, and the United Arab Emirates (UAE). Interconnections within MAC and possible extensions to Turkey, Europe, and Central Africa are discussed. A common characteristic of the MAC power systems is that they are all operated by government or semi-government bodies. The energy resources in the region are varied. Countries such as Iraq, Egypt, and Syria have significant hydro power resources. On the other hand, the GCC countries and Iraq have abundant fossil fuel reserves

The late Middle Pleistocene hominin fossil record of eastern Asia: synthesis and review.

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Bae, Christopher J

2010-01-01

Traditionally, Middle Pleistocene hominin fossils that cannot be allocated to Homo erectus sensu lato or modern H. sapiens have been assigned to different specific taxa. For example, in eastern Asia, these hominin fossils have been classified as archaic, early, or premodern H. sapiens. An increasing number of Middle Pleistocene hominin fossils are currently being assigned to H. heidelbergensis. This is particularly the case for the African and European Middle Pleistocene hominin fossil record. There have been suggestions that perhaps the eastern Asian late Middle Pleistocene hominins can also be allocated to the H. heidelbergensis hypodigm. In this article, I review the current state of the late Middle Pleistocene hominin fossil record from eastern Asia and examine the various arguments for assigning these hominins to the different specific taxa. The two primary conclusions drawn from this review are as follows: 1) little evidence currently exists in the eastern Asian Middle Pleistocene hominin fossil record to support their assignment to H. heidelbergensis; and 2) rather than add to the growing list of hominin fossil taxa by using taxonomic names like H. daliensis for northeast Asian fossils and H. mabaensis for Southeast Asian fossils, it is better to err on the side of caution and continue to use the term archaic H. sapiens to represent all of these hominin fossils. What should be evident from this review is the need for an increase in the quality and quantity of the eastern Asian hominin fossil data set. Fortunately, with the increasing number of large-scale multidisciplinary paleoanthropological field and laboratory research projects in eastern Asia, the record is quickly becoming better understood. Copyright © 2010 Wiley-Liss, Inc.

Epidemiological studies of cognitive impairment and dementia across Eastern and Middle European countries (epidemiology of dementia in Eastern and Middle European Countries).

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Kiejna, A; Frydecka, D; Adamowski, T; Bickel, H; Reynish, E; Prince, M; Caracciolo, B; Fratiglioni, L; Georges, J

2011-02-01

To determine the availability and the consistency of prevalence findings of epidemiological studies on cognitive impairment and dementia conducted in Eastern and Middle Europe. We adopted a stepwise multimethod study approach consisting of iterative literature searches for epidemiological articles published between 1990 and 2006 and subsequent data analyses of published material, reanalyses of existing accessible epidemiological data sets and expert inquiries in Eastern and Middle European countries. Systematic computer-assisted searches used the keywords: "dementia", "Alzheimer", "cognitive impairment", "incidence", "prevalence", "epidemiology" in combination with the name of the relevant countries or "Europe" in English and Polish language. We supplemented the literature search with a review of the references in the articles that were identified during the initial search. We were able to find few regional and country-specific epidemiological studies of various kinds (population-based, cohort, cross-sectional studies) and conducted on different restricted population groups of patients (from neurological units, out-patients units, residential homes). No studies were identified from most of the countries taken under consideration and the ones we found were characterized by an immense diversity with a considerable degree of clinical and methodological variations. The few studies that there are suggest prevalence rates of dementia in Eastern Europe similar to those in Western Europe. There is strong need for epidemiological studies in Eastern and Middle Europe, as well as for greater coordination and standardization of methods to improve the quality and comparability of epidemiological data to determine the prevalences' rates of dementia in all the EU countries. Copyright © 2010 John Wiley & Sons, Ltd.

Counseling and Psychotherapy with Clients of Middle Eastern Descent: A Qualitative Inquiry

OpenAIRE

Boghosian, Sara

2011-01-01

It is becoming increasingly important for clinical and counseling psychologists to have multicultural competence skills for treating an increasingly diverse client population. The psychology literature related to culturally competent treatment with persons of Middle Eastern descent is currently limited. In this study, qualitative methodology was utilized to explore the mental health attitudes and psychotherapy experiences of clients of Middle Eastern descent. Participants described culturally...

Quantity, Type, and Correlates of Physical Activity among American Middle Eastern University Students

Science.gov (United States)

Kahan, David

2009-01-01

The prevalence of hypokinetic disease among persons of Middle Eastern heritage is higher than whites and research on American young adults of this population is limited. Therefore 214 tertiary students of Middle Eastern descent self-reported their physical activity (PA) over a 1-week monitoring period using pedometers and daily activity logs.…

The prevalence of middle eastern extremist ideologies among some canadian offenders.

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Loza, Wagdy

2010-05-01

The Belief Diversity Scale (BDS) was administered to 89 male Canadian offenders of different religious backgrounds. The BDS is a 33-item, sixsubscale instrument designed to quantitatively measure the religious attitudes, beliefs, and ideologies of Middle Eastern extremists on risk areas described in the literature. Results indicated that the Muslim offenders scored much higher than and significantly different from both the Christian and atheist groups on the BDS. Results also suggested the prevalence of Middle Eastern extremist ideologies among the Muslim offenders involved in this study.

Culture and Language Learning: Middle Eastern Students.

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Magrath, Douglas

Middle Eastern students face cultural conflicts in adapting to the western value system. While feeling obligated to maintain their native culture they also need to feel comfortable with the culture of their target language. In attempting to identify with a new group, ESL students may sense a loss of membership in their native group. Culture stress…

Modern Middle Eastern Fiction: An Approach to Studying the Area.

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Stone, Frank A., Comp.

The annotated listing cites Middle Eastern fiction which has been translated into English and can be used in humanities or social studies classes at the secondary level. The eight works of fiction listed contain materials that can be used to investigate the following topics: 1) contrasts between urban and village styles of life in the Middle East;…

Uterine Transplantation: Ethical Considerations within Middle Eastern Perspectives.

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Altawil, Zaid; Arawi, Thalia

2016-08-01

The field of reproductive medicine witnessed a breakthrough in September 2014 with the first successful live birth post uterine transplantation. This success represents the culmination of decades' worth of research on infertility and reproductive medicine. This subject of infertility gathers special attention in the Middle East, as childbearing is given paramount importance in the family unit. And as with any new medical advancement, Middle Eastern people look to their religious authorities for guidance. This paper describes the various ethical quandaries related to uterine transplantation, from a perspective of the religious and societal factors that are unique to the Middle East, and embeds them within the conversation of its alternative solutions. © 2015 John Wiley & Sons Ltd.

The Middle Eastern Wealth Management Industry: Boon or Bust?

OpenAIRE

Michael, Bryane; Apostoloski, Nenad

2014-01-01

The wealth management industry in the Middle East and North Africa (MENA) represents a roughly $800 billion opportunity. Yet, tapping this opportunity will require new strategies by the wirehouses looking to penetrate into this market. In this paper, we argue that Middle-Eastern policymakers and bankers will need to develop an indigenous wealth management industry which keeps the super-wealthy’s investments at home. Developing a local national wealth management industry requires letting in fo...

Review of Middle Eastern Cities 1900-1950. Public Places and Public Spheres in Transformation

DEFF Research Database (Denmark)

Vacher, Helene

2004-01-01

Hans Chr. Korsholm and Jacob Skovgaard Petersen (Ed.)Middle Eastern Cities 1900-1950. Public Places and Public Spheres in Transformation.Proceedings of the Danish Institute in Damascus I. Aarhus, Aarhus University Press, 2001......Hans Chr. Korsholm and Jacob Skovgaard Petersen (Ed.)Middle Eastern Cities 1900-1950. Public Places and Public Spheres in Transformation.Proceedings of the Danish Institute in Damascus I. Aarhus, Aarhus University Press, 2001...

A survey of the current use of neuromuscular blocking drugs among the Middle Eastern anesthesiologists

Directory of Open Access Journals (Sweden)

Abdelazeem Eldawlatly

2013-01-01

Full Text Available Background: This survey aimed to assess the extent of practice of the Middle Eastern anesthesiologists in the use of neuromuscular blocking agents (NMB in 2012. Methods: We distributed an electronic survey among 577 members of the Triple-M Middle Eastern Yahoo anesthesia group, enquiring about their practice in the use of neuromuscular blocking agents. Questions concerned the routine "first choice" use of NMB, choice for tracheal intubation, the use of neuromuscular monitoring (NMT, type of NMB used in difficult airway, frequency of using suxamethonium, cisatracurium, rocuronium and sugammadex, observed side effects of rocuronium, residual curarization, and the reversal of residual curarization of rocuronium. Results: A total of 71 responses from 22 Middle Eastern institutions were collected. Most of the Middle Eastern anesthesiologists were using cisatracurium and rocuronium frequently for tracheal intubation (39% and 35%, respectively. From the respondents, 2/3 were using suxamethonium for tracheal intubation in difficult airway, 1/3 were using rocuronium routinely and 17% have observed hypersensitivity reactions to rocuronium, 54% reported residual curarization from rocuronium, 78% were routinely using neostigmine to reverse the rocuronium, 21% used sugammadex occasionally, and 35% were using NMT routinely during the use of NMB. Conclusions: We believe that more could be done to increase the awareness of the Middle Eastern anesthesiologists about the high incidence of PROC (>20% and the need for routine monitoring of neuromuscular function. This could be accomplished with by developing formal training programs and providing official guidelines.

A survey of the current use of neuromuscular blocking drugs among the Middle Eastern anesthesiologists.

Science.gov (United States)

Eldawlatly, Abdelazeem; El-Tahan, Mohamed R

2013-04-01

This survey aimed to assess the extent of practice of the Middle Eastern anesthesiologists in the use of neuromuscular blocking agents (NMB) in 2012. We distributed an electronic survey among 577 members of the Triple-M Middle Eastern Yahoo anesthesia group, enquiring about their practice in the use of neuromuscular blocking agents. Questions concerned the routine first choice use of NMB, choice for tracheal intubation, the use of neuromuscular monitoring (NMT), type of NMB used in difficult airway, frequency of using suxamethonium, cisatracurium, rocuronium and sugammadex, observed side effects of rocuronium, residual curarization, and the reversal of residual curarization of rocuronium. A total of 71 responses from 22 Middle Eastern institutions were collected. Most of the Middle Eastern anesthesiologists were using cisatracurium and rocuronium frequently for tracheal intubation (39% and 35%, respectively). From the respondents, 2/3 were using suxamethonium for tracheal intubation in difficult airway, 1/3 were using rocuronium routinely and 17% have observed hypersensitivity reactions to rocuronium, 54% reported residual curarization from rocuronium, 78% were routinely using neostigmine to reverse the rocuronium, 21% used sugammadex occasionally, and 35% were using NMT routinely during the use of NMB. We believe that more could be done to increase the awareness of the Middle Eastern anesthesiologists about the high incidence of PROC (>20%) and the need for routine monitoring of neuromuscular function. This could be accomplished with by developing formal training programs and providing official guidelines.

Pollybeak Deformity in Middle Eastern Rhinoplasty: Prevention and Treatment.

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Hussein, Wael K A; Foda, Hossam M T

2016-08-01

The pollybeak deformity is one of the commonest causes of revision rhinoplasty. The Middle Eastern nose has certain criteria that predispose to the development of pollybeak deformity. The aim of this study is to detect the factors contributing to the development of pollybeak deformity in the Middle Eastern nose and methods used to prevent as well as to treat such deformity. Out of the 1,160 revision patients included in this study, 720 (62%) patients had a pollybeak deformity. The commonest contributing factors included underprojected tip with poor support in 490 (68%) patients, excessive supratip scarring in 259 (36%) patients, overresected bony dorsum in 202 (28%) patients, and high anterior septal angle in 173 (24%) patients. The methods used by the authors to treat the pollybeak deformity are described, along with the local steroid injection protocol used to guard against the recurrence of pollybeak deformity. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Exploring Middle-Eastern mothers' perceptions and experiences of breastfeeding in Canada: an ethnographic study.

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Jessri, Mahsa; Farmer, Anna P; Olson, Karin

2013-01-01

The aim of this study was to explore from the Middle-Eastern mothers' perspective, the experience of breastfeeding and their perceptions of attributes of the health care system, community and society on their feeding decisions after migration to Canada. New immigrant mothers from the Middle East (n = 22) were recruited from community agencies in Edmonton, Canada. Qualitative data were collected through four focus groups using an ethnographic approach to guide concurrent data collection and analysis. Survey data were collected on socio-demographic characteristics via pre-tested questionnaires. All mothers, but one who was medically exempt, breastfed their infants from birth and intended to continue for at least 2 years. Through constant comparison of data, five layers of influence emerged which described mothers' process of decision making: culture/society, community, health care system, family/friends and mother-infant dyad. Religious belief was an umbrella theme that was woven throughout all discussions and it was the strongest determining factor for choosing to breastfeed. However, cultural practices promoted pre-lacteal feeding and hence, jeopardising breastfeeding exclusivity. Although contradicted in Islamic tradition, most mothers practised fasting during breastfeeding because of misbeliefs about interpretations regarding these rules. Despite high rates of breastfeeding, there is a concern of lack of breastfeeding exclusivity among Middle-Eastern settlers in Canada. To promote successful breastfeeding in Muslim migrant communities, interventions must occur at different levels of influence and should consider religious beliefs to ensure cultural acceptability. Practitioners may support exclusive breastfeeding through cultural competency, and respectfully acknowledging Islamic beliefs and cultural practices. © 2012 Blackwell Publishing Ltd.

Sexual sensation seeking and Internet sex-seeking of Middle Eastern men who have sex with men.

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Matarelli, Steven A

2013-10-01

Despite recent evidence of stabilization in many developed nations, new human immunodeficiency virus (HIV) infections remain a public health concern globally. Efforts remain fragile in a number of world regions due to incomplete or inconsistent social policies concerning HIV, criminalization of same-sex encounters, social stigma, and religious doctrine. Middle Eastern men who have sex with men (MSM) remain one of the most hidden and stigmatized of all HIV risk groups. High-risk sexual bridging networks from these men to low prevalence populations (e.g., to spouse to offspring) are emerging HIV transmission pathways throughout the region. This cross-sectional, exploratory study investigated Sexual Sensation Seeking Scale (SSSS) scores to predict numbers of recent MSM sexual activities and to predict any recent unprotected receptive anal intercourse (URAI) activities in 86 Middle Eastern MSM who resided in the Middle East and who used the Internet to sex-seek. In a multivariate hierarchical regression, higher SSSS scores predicted higher numbers of recent MSM sexual activities (p = .028) and URAI (p = .022). In a logistic regression, higher SSSS scores increased the likelihood of engaging in URAI activities threefold (OR 3.0, 95 % CI 1.15-7.85, p = .025). Age and drug/alcohol use during sexual activities served as covariates in the regression models and were not significant in any analyses. Despite numerous hurdles, adopting Internet-based, non-restricted HIV education and prevention public health programs in the Middle East could instrumentally enhance efforts toward reducing the likelihood of new HIV transmissions in MSM and their sexual partners, ultimately contributing to an improved quality of life.

Globalization and gametes: reproductive 'tourism,' Islamic bioethics, and Middle Eastern modernity.

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Inhorn, Marcia C

2011-04-01

'Reproductive tourism' has been defined as the search for assisted reproductive technologies (ARTs) and human gametes (eggs, sperm, embryos) across national and international borders. This article conceptualizes reproductive tourism within 'global reproscapes,' which involve the circulation of actors, technologies, money, media, ideas, and human gametes, all moving in complicated manners across geographical landscapes. Focusing on the Muslim countries of the Middle East, the article explores the Islamic 'local moral worlds' informing the movements of Middle Eastern infertile couples. The ban on third-party gamete donation in Sunni Muslim-majority countries and the recent allowance of donor technologies in the Shia Muslim-majority countries of Iran and Lebanon have led to significant movements of infertile couples across Middle Eastern national borders. In the new millennium, Iran is leading the way into this 'brave new world' of high-tech, third-party assisted conception, with Islamic bioethical discourses being used to justify various forms of technological assistance. Although the Middle East is rarely regarded in this way, it is a key site for understanding the intersection of technoscience, religious morality, and modernity, all of which are deeply implicated in the new world of reproductive tourism.

Preferred nasolabial angle in Middle Eastern population.

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Alharethy, Sami

2017-05-01

To define the preferred nasolabial angle measurement in Middle Eastern population. An observational study was conducted from January 2012 to January 2016 at the Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. A total of 1027 raters, 506 males, and 521 females were asked to choose the most ideal nasolabial angle for 5 males and 5 females lateral photographs whose nasolabial angle were modified with Photoshop into the following angles (85°, 90°, 95°, 100°, 105°, and 110°). Male raters preferred the angle of 89.5° ± 3.5° (mean ± SD) for males and 90.8° ± 5.6° for females. While female raters preferred the angle of 89.3° ± 3.8° for males and 90.5° ± 4.8° for females. ANOVA test compare means among groups: p: 0.342, and there is no statistically significant difference between groups. The results of our study showed an even more acute angles than degrees found in the literature. It shows that what young generation in our region prefers and clearly reflects that what could be explained as under rotation of the nasal tip in other cultures is just the ideal for some Middle Eastern population.

Quantity, type, and correlates of physical activity among American Middle Eastern university students.

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Kahan, David

2009-09-01

The prevalence of hypokinetic disease among persons of Middle Eastern heritage is higher than whites and research on American young adults of this population is limited. Therefore 214 tertiary students of Middle Eastern descent self-reported their physical activity (PA) over a 1-week monitoring period using pedometers and daily activity logs. Daily step count averaged 9,256 (SD = 3,084) steps, while daily energy expenditure averaged 6.26 kcal/kg (SD = 4.92). Most participants reported no weekly engagement in sport (69.2%) and walk/run (52.8%) activities, and at least once-weekly engagement in conditioning (68.7%) activities. Moderately religious and highly acculturated men, and Muslims, and moderately/highly acculturated persons were more likely to average > or = 10,000 steps/day and engage in at least one sport activity per week, respectively. These findings may be related to religious and cultural issues unique to Middle Eastern American college students whose collectivist social affiliations with family and community members may facilitate or inhibit various aspects of PA behavior.

The impact of acculturation and religious identification on perceived discrimination for Arab/Middle Eastern Americans.

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Awad, Germine H

2010-01-01

The aim of the current study was to determine the impact of acculturation, ethnic identity, and religious affiliation on perceived discrimination for persons of Arab and Middle Eastern descent. Two aspects of acculturation (ethnic society immersion and dominant society immersion), religious affiliation, and ethnic identity were measured using a final sample of 177 individuals of Arab or Middle Eastern descent. Results indicated that Arab/Middle Eastern Americans who reported lower levels of dominant society immersion tended to report higher levels of discrimination. Furthermore, Muslims reported a higher level of discrimination than Christians but this finding was moderated by level of acculturation. Specifically, Muslims who reported a high level of dominant society immersion experienced the most discrimination, whereas Christians who reported a high level of dominant society immersion reported less discrimination. Study implications are discussed. (c) 2009 APA, all rights reserved.

The Middle Eastern Regional Irrigation Management Information Systems project-update

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The Middle Eastern Regional Irrigation Management Information Systems Project (MERIMIS) was formulated at a meeting of experts from the region in Jordan in 2003. Funded by the U.S. Department of State, it is a cooperative regional project bringing together participants from Israel, Jordan, Palestini...

Depression in Cardiovascular Patients in Middle Eastern Populations: A Literature Review.

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Donnelly, Tam Truong; Al Suwaidi, Jassim Mohd; Al-Qahtani, Awad; Asaad, Nidal; Qader, Najlaa Abdul; Singh, Rajvir; Fung, Tak Shing; Mueed, Irem; Sharara, Shima; El Banna, Noha; Omar, Sarah

2015-08-01

Cardiovascular disease (CVD) is increasing in Middle Eastern countries. Depression is associated with increased morbidity and mortality rates among cardiovascular (CV) patients. Early detection of and intervention for depression among CV patients can reduce morbidity and mortality and save health care costs. Public information on mental health care needs of Arab CV patients living in Middle East regions is scattered and limited. This literature review surveyed and summarized research studies to learn what is known about the relationship between depression and CVD in Middle Eastern populations. The information will raise awareness among health care professionals and policy makers regarding the clinical significance of depression in Arab CV patients. It might contribute to development of culturally appropriate and effective mental health care services. Multiple databases were searched and 60 articles were assessed, including studies that investigated depression in Arab CV patient populations, physiological mechanisms of depression-CVD comorbidity, and intervention strategies that affect CV risk in depressed Arab patients. We discuss the extent to which this issue has been explored in Arab populations living in Middle East regions and Arab populations living abroad. We recommend that more comprehensive and in-depth research studies be conducted with Arab cardiac patients to enable implementation of culturally appropriate and effective mental health care interventions.

Competent Counseling for Middle Eastern American Clients: Implications for Trainees

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Soheilian, Sepideh S.; Inman, Arpana G.

2015-01-01

The authors used a factorial multivariate analysis of variance (MANOVA) to determine whether counselor trainees' group differences on measures of multicultural competence, empathy, and multicultural counseling self-efficacy (CSE) when working with Middle Eastern American (MEA) clients were moderated by trainee race. Two hundred and fifty-six…

The Prevalence of Extreme Middle Eastern Ideologies around the World

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Loza, Wagdy; Abd-El-Fatah, Youssef; Prinsloo, Johan; Hesselink-Louw, Anni; Seidler, Katie

2011-01-01

The Belief Diversity Scale (BDS) was administered to Australian, Canadian, Egyptian, and South African participants of different religious backgrounds. The BDS is a 33-item, six subscale instrument that is designed to quantitatively measure Middle Eastern extremist ideologies on risk areas that are reported in the literature. Results demonstrated…

Rabi Rashidi (Rashidi Quarters): a late thirteen to early fourteenth century Middle Eastern Medical School.

Science.gov (United States)

Abbasnejad, Feridoon; Shoja, Mohammadali M; Agutter, Paul S; Alakbarli, Farid; Loukas, Marios; Shokouhi, Ghaffar; Khalili, Majid; Tubbs, R Shane

2012-11-01

Following the Mongolian invasion of the Middle East in the thirteenth century, a regional power called the Ilkhanid emerged and was ruled by the heirs of Temujin from Mongolia. Embracing present-day Iran, Iraq, Afghanistan, Azerbaijan, areas of Russia, Turkey, and Pakistan, and nearby Middle Eastern territories, the Ilkhanid state patronized medicine and various other professions. Centered in Tabriz (Tauris), a city in the northwest of present-day Iran, was a non-profit-making educational and medical complex founded by Grand Minister Rashid al-Din Fazlollah Hamadani. This paper reviews the literature regarding the rise and fall of the thirteenth century university and the Rabi Rashidi, emphasizing the structure of its medical school. The background training of Rashid al-Din and his keen interest in science turned this complex, Rabi Rashidi (literally meaning the Rashidi Quarters), into a cosmopolitan university that freely trained medical scholars nationally and internationally. The possibility that Rashid al-Din was inspired by university developments in Europe is discussed.

Gauging proximities: an inquiry into a possible nexus between Middle Eastern and Western painting

NARCIS (Netherlands)

Emir-Sayers, E.

2012-01-01

The purpose of this paper is to explore the boundaries between the Middle Eastern Miniature tradition and 20th-century Western philosophy of art. Orhan Pamuk's novel, My Name is Red, provides the initial inspiration for such a project. In order to investigate possible proximities between Middle

Concepts of Culture in Middle Eastern and Islamic Studies

OpenAIRE

Pierre Hecker; Igor Johannsen

2017-01-01

Introducing the seventh issue of META, this editorial discusses prevalent concepts of culture in Islamic and Middle Eastern Studies. Different conceptualizations of culture that explicitly or implicitly contain qualitative differentiations between cultures are revisited and discussed. Bearing considerable weight in the respective disciplines, the Islam-andthe-West paradigm, the delineation of diverging cultures along ethnic lines, the equation of culture with art or religion, and the culture-...

Sociocultural dimensions of HIV/AIDS among Middle Eastern immigrants in the US: bridging culture with HIV/AIDS programmes.

Science.gov (United States)

Ehsanzadeh-Cheemeh, Parvaneh; Sadeque, Abul; Grimes, Richard M; Essien, E James

2009-09-01

The population of Middle Eastern immigrants in the US has been increasing dramatically over the past 30 years, growing from 200,000 in 1970 to 1.5 million in 2000. These immigrants and their descendants constitute an important new population of interest for public health and other social programmes. With this addition to the cultural diversity of American society, it is important for healthcare programmes to be responsive to the unique cultural needs of those of Middle Eastern origin and to include them in healthcare curricula. This need is particularly imperative for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) intervention programmes, where the reduction of risky behaviours is essential to controlling the epidemic. When Middle Easterners emigrate to the US they must adjust to the American culture, which leads to preservation of some aspects of their culture and adjustment of behaviors to match American customs. This article aims to present sociocultural factors of HIV risk behaviours that are specific to Middle Eastern culture. The article also provides recommendations for HIV/AIDS-culturally appropriate intervention programmes.

Forests of the tropical eastern Andean flank during the middle Pleistocene

NARCIS (Netherlands)

Cárdenas, M.L.; Gosling, W.D.; Pennington, R.T.; Poole, I.; Sherlock, S.C.; Mothes, P.

2014-01-01

Inter-bedded volcanic and organic sediments from Erazo (Ecuador) indicate the presence of four different forest assemblages on the eastern Andean flank during the middle Pleistocene. Radiometric dates (40Ar-39Ar) obtained from the volcanic ash indicate that deposition occurred between 620,000 and

Ancient and recent Middle Eastern maternal genetic contribution to North Africa as viewed by mtDNA diversity in Tunisian Arab populations.

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Elkamel, Sarra; Boussetta, Sami; Khodjet-El-Khil, Houssein; Benammar Elgaaied, Amel; Cherni, Lotfi

2018-05-01

Through previous mitochondrial DNA studies, the Middle Eastern maternal genetic contribution to Tunisian populations appears limited. In fact, most of the studied communities were cosmopolitan, or of Berber or Andalusian origin. To provide genetic evidence for the actual contribution of Middle Eastern mtDNA lineages to Tunisia, we focused on two Arab speaking populations from Kairouan and Wesletia known to belong to an Arab genealogical lineage. A total of 114 samples were sequenced for the mtDNA HVS-I and HVS-II regions. Using these data, we evaluated the distribution of Middle Eastern haplogroups in the study populations, constructed interpolation maps, and established phylogenetic networks allowing estimation of the coalescence time for three specific Middle Eastern subclades (R0a, J1b, and T1). Both studied populations displayed North African genetic structure and Middle Eastern lineages with a frequency of 12% and 28.12% in Kairouan and Wesletia, respectively. TMRCA estimates for haplogroups T1a, R0a, and J1b in Tunisian Arabian samples were around 15 000 YBP, 9000 to 5000 YBP, and 960 to 600 YBP, respectively. The Middle Eastern maternal genetic contribution to Tunisian populations, as to other North African populations, occurred mostly in deep prehistory. They were brought in different migration waves during the Upper Paleolithic, probably with the expansion of Iberomaurusian culture, and during Epipaleolithic and Early Neolithic periods, which are concomitant with the Capsian civilization. Middle Eastern lineages also came to Tunisia during the recent Islamic expansion of the 7th CE and the subsequent massive Bedouin migration during the 11th CE. © 2018 Wiley Periodicals, Inc.

The HBsAg Prevalence Among Blood Donors From Eastern Mediterranean and Middle Eastern Countries: A Systematic Review and Meta-Analysis.

Science.gov (United States)

Babanejad, Mehran; Izadi, Neda; Najafi, Farid; Alavian, Seyed Moayed

2016-03-01

The world health organization (WHO) recommends that all blood donations should be screened for evidence of infections, such as hepatitis B. The present study aimed to determine the prevalence of hepatitis B surface antigen (HBsAg) in blood donors at the eastern Mediterranean region office (EMRO) of the WHO and middle eastern countries. A meta-analysis was carried out based on the results of an electronic literature search of PubMed, Ovid, Scopus, and Google Scholar for articles published from January 1, 2000, to August 31, 2015. In accordance with a significant homogeneity test and a large value of I2, the random effects model was used to aggregate data from the studies and produce the pooled estimates using the "Metan" command. We included 66 eligible studies. The pooled prevalence of HBsAg in blood donors of both EMRO and middle eastern (E and M) countries was 2.03% (95% confidence interval [CI]: 1.79 - 2.26). In addition, the prevalence rates in the EMRO countries was 1.99% (95% CI: 1.84 - 2.14) and 1.62% in the Middle Eastern countries (95% CI: 1.36 - 1.88). The prevalence among blood donors with more than one study was 1.58% in Egypt, 0.58% in Iran, 0.67% in Iraq, 2.84% in Pakistan, 3.02% in Saudi Arabia, 1.68% in Turkey, and 5.05% in Yemen. Based on the WHO classification of hepatitis B virus (HBV) prevalence, the prevalence of HBsAg in blood donors from E and M countries reached an intermediate level. However, there were low prevalence levels in some E and M countries.

Clinical nursing and midwifery research in Middle Eastern and North African Countries: A Scoping Review

Directory of Open Access Journals (Sweden)

Malak Alashal Alhusaini

2016-01-01

Full Text Available The professions of nursing and midwifery currently face many challenges, such as an increasing number of patients with communicable and non-communicable diseases, which strains resources and requires nurses and midwives to develop their knowledge and skills to a higher level. This is also true in the Middle East, including the Mediterranean East and North African regions, which means it is vitally important that nurses and midwives have access to and use current research to inform their practice, with research targeting the most relevant issues, including complex humanitarian emergency situations that increase health issues and challenge health infrastructure. For this to be achieved, a scoping review of the indexed clinical nursing and midwifery literature in the Middle East was performed to identify gaps in clinical nursing and midwifery research and areas requiring focus. A search of PubMed, CINAHL/EBSCO, EMBASE, the Jordanian Database for Nursing Research resulted in 210/1398 articles which met the inclusion criteria: (1 original research, (2 conducted in Middle Eastern countries as defined by the World Health Organization, (3 had at least one nurse or midwife author (but not limited to nurses in Middle Eastern countries, (4 published in an indexed, peer-reviewed journal between January 1, 2000, and December 31, 2015, (5 included patient outcomes in the results, (6 written in English or Arabic and (7 included an abstract. Studies were found from 10 of the 22 countries; the majority (n = 199; 94.76% was conducted in three countries: Jordan, Iran and Lebanon. Most studies (n = 158, 75.24% used quantitative designs, primarily cross-sectional, descriptive studies (n = 106 and the most frequently researched topics were related to maternal child health and women′s health (n = 95, 48.5%. Strategies are needed to encourage collaboration between nursing and midwifery faculty members including clinicians to assure that clinical research is

The Middle Eastern Biodiversity Network: Generating and sharing knowledge for ecosystem management and conservation

Directory of Open Access Journals (Sweden)

Friedhelm Krupp

2009-12-01

Full Text Available Despite prevailing arid conditions, the diversity of terrestrial and freshwater biota in the Middle East is amazingly high and marine biodiversity is the second highest on Earth. Throughout the region, threats to the environment are moderate to severe. Despite the outstanding economic and ecological importance of biological diversity, the capacity in biodiversity-related research and education is inadequate in most parts of the Middle East. The ";;Middle Eastern Biodiversity Network";; (MEBN, founded in 2006 by six universities and research institutes in Iran, Jordan, Germany, Lebanon and Yemen was designed to fill this gap. An integrated approach is taken to upgrade biodiversity research and education to improve regional ecosystem conservation and management capacities. A wide range of activities are carried out in the framework of the Network, including capacity building in biological collection management and professional natural history curatorship, developing university curricula in biodiversity, conducting scientific research, organising workshops and conferences on Middle Eastern biodiversity, and translating the results of biodiversity research into conservation and sustainable development.

The Prevalence of Middle Eastern Extremist Ideologies among Some Canadian Offenders

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Loza, Wagdy

2010-01-01

The Belief Diversity Scale (BDS) was administered to 89 male Canadian offenders of different religious backgrounds. The BDS is a 33-item, six-subscale instrument designed to quantitatively measure the religious attitudes, beliefs, and ideologies of Middle Eastern extremists on risk areas described in the literature. Results indicated that the…

The Prevalence of the Middle-Eastern Extreme Ideologies among Some Canadians

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Loza, Wagdy

2011-01-01

A total of 183 Canadian participants of different religious backgrounds completed the Belief Diversity Scale (BDS). The BDS is an 80-item, 6-subscale instrument designed to quantitatively measure the religious attitudes, beliefs, and ideologies of Middle-Eastern extremists' on risk areas that are reported in the literature. The results…

Uncovering Problems and Identifying Coping Strategies of Middle Eastern University Students

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Alazzi, Khaled; Chiodo, John J.

2006-01-01

For international college students, the failure to achieve their educational goals regarding their program of study creates a large amount of stress. These international students experience pressure to succeed from their families, sponsoring agencies, or even the communities from their home country. For Middle Eastern students who come to study at…

Abraham's children in the genome era: major Jewish diaspora populations comprise distinct genetic clusters with shared Middle Eastern Ancestry.

Science.gov (United States)

Atzmon, Gil; Hao, Li; Pe'er, Itsik; Velez, Christopher; Pearlman, Alexander; Palamara, Pier Francesco; Morrow, Bernice; Friedman, Eitan; Oddoux, Carole; Burns, Edward; Ostrer, Harry

2010-06-11

For more than a century, Jews and non-Jews alike have tried to define the relatedness of contemporary Jewish people. Previous genetic studies of blood group and serum markers suggested that Jewish groups had Middle Eastern origin with greater genetic similarity between paired Jewish populations. However, these and successor studies of monoallelic Y chromosomal and mitochondrial genetic markers did not resolve the issues of within and between-group Jewish genetic identity. Here, genome-wide analysis of seven Jewish groups (Iranian, Iraqi, Syrian, Italian, Turkish, Greek, and Ashkenazi) and comparison with non-Jewish groups demonstrated distinctive Jewish population clusters, each with shared Middle Eastern ancestry, proximity to contemporary Middle Eastern populations, and variable degrees of European and North African admixture. Two major groups were identified by principal component, phylogenetic, and identity by descent (IBD) analysis: Middle Eastern Jews and European/Syrian Jews. The IBD segment sharing and the proximity of European Jews to each other and to southern European populations suggested similar origins for European Jewry and refuted large-scale genetic contributions of Central and Eastern European and Slavic populations to the formation of Ashkenazi Jewry. Rapid decay of IBD in Ashkenazi Jewish genomes was consistent with a severe bottleneck followed by large expansion, such as occurred with the so-called demographic miracle of population expansion from 50,000 people at the beginning of the 15th century to 5,000,000 people at the beginning of the 19th century. Thus, this study demonstrates that European/Syrian and Middle Eastern Jews represent a series of geographical isolates or clusters woven together by shared IBD genetic threads.

Finger Counting Habits in Middle Eastern and Western Individuals: An Online Survey

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Lindemann, O.; Alipour, A.; Fischer, M.H.

2011-01-01

The current study documents the presence of cultural differences in the development of finger counting strategies. About 900 Middle Eastern (i.e., Iranian) and Western (i.e., European and American) individuals reported in an online survey how they map numbers onto their fingers when counting from 1

Refractive errors in students from Middle Eastern backgrounds living and undertaking schooling in Australia.

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Azizoglu, Serap; Junghans, Barbara M; Barutchu, Ayla; Crewther, Sheila G

2011-01-01

  Environmental factors associated with schooling systems in various countries have been implicated in the rising prevalence of myopia, making the comparison of prevalence of refractive errors in migrant populations of interest. This study aims to determine the prevalence of refractive errors in children of Middle Eastern descent, raised and living in urban Australia but actively maintaining strong ties to their ethnic culture, and to compare them with those in the Middle East where myopia prevalence is generally low.   A total of 354 out of a possible 384 late primary/early secondary schoolchildren attending a private school attracting children of Middle Eastern background in Melbourne were assessed for refractive error and visual acuity. A Shin Nippon open-field NVision-K5001 autorefractor was used to carry out non-cycloplegic autorefraction while viewing a distant target. For statistical analyses students were divided into three age groups: 10-11 years (n = 93); 12-13 years (n = 158); and 14-15 years (n = 102).   All children were bilingual and classified as of Middle Eastern (96.3 per cent) or Egyptian (3.7 per cent) origin. Ages ranged from 10 to 15 years, with a mean of 13.17 ± 0.8 (SEM) years. Mean spherical equivalent refraction (SER) for the right eye was +0.09 ± 0.07 D (SEM) with a range from -7.77 D to +5.85 D. The prevalence of myopia, defined as a spherical equivalent refraction 0.50 D or more of myopia, was 14.7 per cent. The prevalence of hyperopia, defined as a spherical equivalent refraction of +0.75 D or greater, was 16.4 per cent, while hyperopia of +1.50 D or greater was 5.4 per cent. A significant difference in SER was seen as a function of age; however, no significant gender difference was seen.   This is the first study to report the prevalence of refractive errors for second-generation Australian schoolchildren coming from a predominantly Lebanese Middle Eastern Arabic background, who endeavour to maintain their ethnic ties. The

The Importance of "Wasta" in the Career Success of Middle Eastern Managers

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Tlaiss, Hayfaa; Kauser, Saleema

2011-01-01

Purpose: Frequently used in fostering the career progression of individuals this paper aims to explore the concept of "wasta" and its significance in the career advancement of individuals in the Middle Eastern region. The paper also seeks to compare "wasta" with networking and mentoring. Design/methodology/approach: The…

Common geriatric emergencies in a rural hospital in South‑Eastern ...

African Journals Online (AJOL)

Common geriatric emergencies in a rural hospital in South‑Eastern Nigeria. ... by emergency health conditions that predispose them to higher risk of disability and ... The geriatric patients seen within the study period who met the selection ...

Review of middle eastern hydro climatology and seasonal tele connections

International Nuclear Information System (INIS)

Pagano, T. C.; Mahani, S.; Nazemosadat, M. J.; Sorooshian, S.

2003-01-01

International hydro climatic variability in the Middle East is explored. A review is done on studies linking local climate with large-scale tele connections. These studies suggest that El Nino has a weak tendency of bringing better than normal conditions to the region during fall / winter. This signal is unstable in time and has considerable decadal variability. No consensus exists on the general start and end dates of various climate epochs, nor is there an explanation of the physical causes of the decad al variability, suggesting that the inter annual signal of El Nino in the Middle East may be transient and difficult to predict. In contrast, the influence of the North Atlantic Oscillation on temperature, precipitation and strea flow is strong, with high North Atlantic Oscillation winters favoring dry and cool conditions in the region. Recommendations are made on how to improve the ability to understand and forecast Middle Eastern inter annual variability, namely, 1) improve access to instrumental data, 2) coordinate research, forecasts and user involvement through a regional forum and 3) further explore the impacts of North Atlantic Oscillation in the Middle East

Implementation and evaluation of critical thinking strategies to enhance critical thinking skills in Middle Eastern nurses.

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Simpson, Elaine; Courtney, Mary

2008-12-01

The purpose of this study was to develop, implement and evaluate critical thinking strategies to enhance critical thinking skills in Middle Eastern nurses. Critical thinking strategies such as questioning, debate, role play and small group activity were developed and used in a professional development programme, which was trialled on a sample of Middle Eastern nurses (n = 20), to promote critical thinking skills, encourage problem solving, development of clinical judgment making and care prioritization in order to improve patient care and outcomes. Classroom learning was transformed from memorization to interaction and active participation. The intervention programme was successful in developing critical thinking skills in both the nurse educators and student nurses in this programme. This programme successfully integrated critical thinking strategies into a Middle Eastern nursing curriculum. Recommendations are as follows: (1) utilize evidence-based practice and stem questions to encourage the formulation of critical thinking questions; (2) support the needs of nurse educators for them to effectively implement teaching strategies to foster critical thinking skills; and (3) adopt creative approaches to (i) transform students into interactive participants and (ii) open students' minds and stimulate higher-level thinking and problem-solving abilities.

Prescribed journeys through life: Cultural differences in mental time travel between Middle Easterners and Scandinavians.

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Ottsen, Christina Lundsgaard; Berntsen, Dorthe

2015-12-01

Mental time travel is the ability to remember past events and imagine future events. Here, 124 Middle Easterners and 128 Scandinavians generated important past and future events. These different societies present a unique opportunity to examine effects of culture. Findings indicate stronger influence of normative schemas and greater use of mental time travel to teach, inform and direct behaviour in the Middle East compared with Scandinavia. The Middle Easterners generated more events that corresponded to their cultural life script and that contained religious words, whereas the Scandinavians reported events with a more positive mood impact. Effects of gender were mainly found in the Middle East. Main effects of time orientation largely replicated recent findings showing that simulation of future and past events are not necessarily parallel processes. In accordance with the notion that future simulations rely on schema-based construction, important future events showed a higher overlap with life script events than past events in both cultures. In general, cross-cultural discrepancies were larger in future compared with past events. Notably, the high focus in the Middle East on sharing future events to give cultural guidance is consistent with the increased adherence to normative scripts found in this culture. Copyright © 2015 Elsevier Inc. All rights reserved.

Prevalence of asthma among Middle Eastern children: A systematic review.

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Mirzaei, Masoud; Karimi, Mehran; Beheshti, Shima; Mohammadi, Masoud

2017-01-01

Background: The prevalence of asthma and allergy has increased during the last decades, especially in children. However, little is known about it in the Middle East region. This systematic review is aimed to estimate the prevalence of asthma among the Middle Eastern children. Methods: Local and international scientific databases including SID, Iranmedex, Medline and Science Direct were systematically searched for relevant keywords including; asthma, prevalence, children, International Study of Asthma and Allergies in Childhood (ISACC) and the names of Middle Eastern countries for the period of 1996-2011. Papers in Persian and English which met the defined criteria were included into the study. Bibliographies of the extracted articles were also searched. After extraction of data, heterogeneity between studies and publication bias were measured using Egger's-test. Effect size was pooled by the random-effect model. Since significant heterogeneity was found between studies, univariate meta-regression analyses were done to assess the association of variables with the overall results. Results: Fifty studies in the Middle East examined the prevalence of asthma and allergy in children under the age of 18 years according to the ISAAC criteria and were included. A total number of 289,717 children were examined in the included studies and the prevalence varied from 0.7 % in Isfahan to 22.3 % in Bagdad. The total prevalence of diagnosed asthma was calculated 7.53 % (95% Cl: 6.38-8.75). Prevalence of asthma in the 13-14 years age group was 7.57% (95% Cl: 5.78-9.29) and in 6-7 years age group was 7.43% (95% Cl: 5.75-9.10). The prevalence of asthma among girls, based on random effect model, was 6.30% (95% Cl: 4.97-7.61) and among boys, it was 8.91% (95% Cl: 6.80-11.04). Conclusion: The prevalence of asthma in the Middle East is lower than most developed countries. However, there is not enough longitudinal data to estimate the trend over time. In order to have more accurate

Distribution and clinal trends of the ABO and Rh genes in select Middle Eastern countries.

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AlSuhaibani, E S; Kizilbash, N A; Afshan, K; Malik, S

2015-09-09

An understanding of the ABO and Rh blood group systems is important for blood transfusions and is also pertinent due to their potential association with certain morbidities and susceptibilities to infections. To investigate the diversity and differentiation of the ABO and Rh loci in Middle Eastern populations, data from twelve representative Middle Eastern populations were analyzed. Six populations were in conformity with Hardy-Weinberg equilibrium at the ABO locus. The pooled heterozygosity at both loci was calculated to be highest in the sample from Jordan and lowest in Bahrain. Heterogeneity was pronounced in the Northern compared to the Southern Middle Eastern populations. Overall, the absolute gene diversity was 0.0046 and gene differentiation was calculated to be 0.0100. Genetic diversity of the studied loci across all populations (HT) was estimated to be 0.4594, while the diversity within the populations (HS) was 0.4548. Nei's genetic distance analyses revealed highest affinities between the populations of Kuwait and Qatar, Oman and Yemen, and between Qatar and the United Arab Emirates. These results were displayed through a UGPMA dendrogram and principal component analyses, which established clustering of certain populations. Clinal trends of the allelic systems were observed by generating contour maps that allow a detailed appreciation of the distributions of alleles across the geography of the Arabian Peninsula and the Middle East. Taken together, these analyses are helpful in understanding the differentiation of blood group loci and for designing prospective studies for establishing the associations of these loci with health variables in the populations studied.

Patients' management of type 2 diabetes in Middle Eastern countries: review of studies.

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Alsairafi, Zahra Khalil; Taylor, Kevin Michael Geoffrey; Smith, Felicity J; Alattar, Abdulnabi T

2016-01-01

The increased prevalence of diabetes in Middle Eastern countries is a health policy priority. Important risk factors for diabetes have been identified. Lifestyle interventions and adherence to medications are central to disease prevention and management. This review focuses on the management of type 2 diabetes mellitus in Middle Eastern countries. The aim is to identify the ways in which knowledge, health beliefs, and social and cultural factors influence adherence to medication and lifestyle measures. Thirty-four studies were identified following a systematic search of the literature. The studies describe the influence of knowledge, health beliefs, culture, and lifestyle on the management of type 2 diabetes mellitus in the Middle East. Findings indicate a lack of health knowledge about diabetes among populations, which has implications for health behaviors, medication adherence, and treatment outcomes. Many identified health beliefs and cultural lifestyle factors, such as religious beliefs, beliefs about fasting during Ramadan, and sedentary lifestyles played a role in patients' decisions. For better management of this disease, a collaborative approach between patients, their families, health care professionals, and governments should be adopted. Implementing behavioral strategies and psychological interventions that incorporate all health care professionals in the management process have been shown to be effective methods. Such services help patients change their behavior. However, the utilization of such services and interventions is still limited in Arabian countries. Physicians in the Middle East are the health care professionals most involved in the care process.

The Impactof the Kurdish Question on Turkey's Relations with its Middle Eastern neighbors

OpenAIRE

Asil, Muhammet Ali

2013-01-01

Tezin basılısı İstanbul Şehir Üniversitesi Kütüphanesi'ndedir. This dissertation analyzes the “Kurdish Question” from an International Relations perspective. Focusing on the impact of the Kurdish question on Turkey’s relations in the last decade with its Middle Eastern neighbors, i.e. Iran, Syria, and Iraq, and with the European Union; this study shows how Turkey-Middle East and Turkey-EU relations are shaped differently. In the search for reasons for this difference, Realist and Liberal I...

Helicobacter pylori Infection in the general population: A Middle Eastern perspective.

Science.gov (United States)

Khedmat, Hossein; Karbasi-Afshar, Reza; Agah, Shahram; Taheri, Saeed

2013-01-01

Helicobacter pylori (H.pylori) infection is probably the most important factor that has been associated with the development of gastric cancers in human populations. However, there are no reliable data on the prevalence of this infection in the Middle East. In this article, based on a comprehensive literature review, we aimed to evaluate the situation in this region. The literature has been searched for the incidence and prevalence of H.pylori infection by Pubmed and Google Scholar. Search was repeated for each of the Middle Eastern countries, and to empower the method, citations of each found article were searched for the related studies. Seventy seven reports from the countries of the Middle East region had been reviewed and they all indicated a high rate of infection either in the general population or in the dyspeptic patients, the rate seemed to be higher in patients with dyspepsia, in patients with histologically confirmed gastritis and in patients of older age groups.

Marlboro and Other Usual Brand Choices by Youth Smokers in Middle Eastern Countries

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Page, Randy M.

2012-01-01

This study analyzed data from 118,743 adolescents completing 30 different Global Youth Tobacco Surveys conducted in 15 different Middle Eastern countries between 1999 and 2007 to determine the proportion of young smokers who usually smoked Marlboro, other cigarette brands, or no usual brand smoked in these countries. Marlboro was the most…

Child Physical Abuse Prevalence, Characteristics, Predictors, and Beliefs about Parent-Child Violence in South Asian, Middle Eastern, East Asian, and Latina Women in the United States

Science.gov (United States)

Maker, Azmaira H.; Shah, Priti V.; Agha, Zia

2005-01-01

The present study examined the prevalence, characteristics, beliefs, and demographic predictors of parent-child physical violence among South Asian, Middle Eastern, East Asian, and Latina women in the United States. Two hundred fifty-one college-educated women from a middle to high SES (South Asian/Middle Eastern, n = 93; East Asian, n = 72;…

Anesthesia for thoracic surgery: A survey of middle eastern practice

Science.gov (United States)

Eldawlatly, Abdelazeem; Turkistani, Ahmed; Shelley, Ben; El-Tahan, Mohamed; Macfie, Alistair; Kinsella, John

2012-01-01

Purpose: The main objective of this survey is to describe the current practice of thoracic anesthesia in the Middle Eastern (ME) region. Methods: A prospective online survey. An invitation to participate was e-mailed to all members of the ME thoracic-anaesthesia group. A total of 58 members participated in the survey from 19 institutions in the Middle East. Questions concerned ventilation strategies during one-lung ventilation (OLV), anesthesia regimen, mode of postoperative analgesia, use of lung isolation techniques, and use of i.v. fluids. Results: Volume-controlled ventilation was favored over pressure-controlled ventilation (62% vs 38% of respondents, Panesthesia practice. Failure to pass a DLT and difficult airway are the most commonly cited indications for BB use. Regarding postoperative analgesia, the majority 61.8% favor thoracic epidural analgesia over other techniques (P<0.05). Conclusions: Our survey provides a contemporary snapshot of the ME thoracic anesthetic practice. PMID:23162388

Effect of bariatric surgery on adiposity and metabolic profiles: A prospective cohort study in Middle-Eastern patients.

Science.gov (United States)

Mazidi, Mohsen; Rezaie, Peyman; Jangjoo, Ali; Tavassoli, Alireza; Rajabi, Mohammad Taghi; Kengne, Andre Pascal; Nematy, Mohsen

2017-07-15

To investigate changes in adiposity and cardio-metabolic risk profile following Roux-en-Y gastric bypass in patients of Middle Eastern ethnicity with severe obesity. This prospective cohort study involved 92 patients who met the indications of bariatric surgery. Post-procedure markers of obesity and cardiometabolic profile were monitored regularly for a year. Mean body mass index decreased by 29.5% from 41.9 to 29.5 kg/m 2 between baseline and 12-mo follow-up, while mean fat mass decreased by 45.9% from 64.2 kg to 34.7 kg. An improvement was also observed in the gluco-metabolic profile with both fasting glucose and HbA1c substantially decreasing ( P Middle Eastern ethnicity.

Concepts of Culture in Middle Eastern and Islamic Studies

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Pierre Hecker

2017-01-01

Full Text Available Introducing the seventh issue of META, this editorial discusses prevalent concepts of culture in Islamic and Middle Eastern Studies. Different conceptualizations of culture that explicitly or implicitly contain qualitative differentiations between cultures are revisited and discussed. Bearing considerable weight in the respective disciplines, the Islam-andthe-West paradigm, the delineation of diverging cultures along ethnic lines, the equation of culture with art or religion, and the culture-as-civilization paradigm are being scrutinized. Serving as an example for the confusion and lack of clarity regarding the concept of "culture", the book The Culture of Ambiguity by the German scholar of Islamic Studies Thomas Bauer is analyzed regarding its use of the term.

Identification of novel BRCA founder mutations in Middle Eastern breast cancer patients using capture and Sanger sequencing analysis.

Science.gov (United States)

Bu, Rong; Siraj, Abdul K; Al-Obaisi, Khadija A S; Beg, Shaham; Al Hazmi, Mohsen; Ajarim, Dahish; Tulbah, Asma; Al-Dayel, Fouad; Al-Kuraya, Khawla S

2016-09-01

Ethnic differences of breast cancer genomics have prompted us to investigate the spectra of BRCA1 and BRCA2 mutations in different populations. The prevalence and effect of BRCA 1 and BRCA 2 mutations in Middle Eastern population is not fully explored. To characterize the prevalence of BRCA mutations in Middle Eastern breast cancer patients, BRCA mutation screening was performed in 818 unselected breast cancer patients using Capture and/or Sanger sequencing. 19 short tandem repeat (STR) markers were used for founder mutation analysis. In our study, nine different types of deleterious mutation were identified in 28 (3.4%) cases, 25 (89.3%) cases in BRCA 1 and 3 (10.7%) cases in BRCA 2. Seven recurrent mutations identified accounted for 92.9% (26/28) of all the mutant cases. Haplotype analysis was performed to confirm c.1140 dupG and c.4136_4137delCT mutations as novel putative founder mutation, accounting for 46.4% (13/28) of all BRCA mutant cases and 1.6% (13/818) of all the breast cancer cases, respectively. Moreover, BRCA 1 mutation was significantly associated with BRCA 1 protein expression loss (p = 0.0005). Our finding revealed that a substantial number of BRCA mutations were identified in clinically high risk breast cancer from Middle East region. Identification of the mutation spectrum, prevalence and founder effect in Middle Eastern population facilitates genetic counseling, risk assessment and development of cost-effective screening strategy. © 2016 UICC.

A new short-rostrum odontocete (Mammalia: Cetacea) from the middle Miocene of the Eastern Netherlands

NARCIS (Netherlands)

Bianucci, G.; Landini, W.

2002-01-01

An incomplete odontocete (Mammalia, Cetacea) skull from Middle Miocene Miste Bed (near Winterswijk in the eastern part of The Netherlands) is described as Vanbreenia trigonia, a new genus and species. The skull exhibits a short rostrum with only two maxillary teeth for each toothrow and with narrow

Motor vehicle injuries in Qatar: time trends in a rapidly developing Middle Eastern nation

Science.gov (United States)

Al-Thani, Mohammed H; Al-Thani, Al-Anoud Mohammed; Sheikh, Javaid I; Lowenfels, Albert B

2011-01-01

Despite their wealth and modern road systems, traffic injury rates in Middle Eastern countries are generally higher than those in Western countries. The authors examined traffic injuries in Qatar during 2000–2010, a period of rapid population growth, focusing on the impact of speed control cameras installed in 2007 on overall injury rates and mortality. During the period 2000–2006, prior to camera installation, the mean (SD) vehicular injury death rate per 100 000 was 19.9±4.1. From 2007 to 2010, the mean (SD) vehicular death rates were significantly lower: 14.7±1.5 (p=0.028). Non-fatal severe injury rates also declined, but mild injury rates increased, perhaps because of increased traffic congestion and improved notification. It is possible that speed cameras decreased speeding enough to affect the death rate, without affecting overall injury rates. These data suggest that in a rapidly growing Middle Eastern country, photo enforcement (speed) cameras can be an important component of traffic control, but other measures will be required for maximum impact. PMID:21994881

Motor vehicle injuries in Qatar: time trends in a rapidly developing Middle Eastern nation.

Science.gov (United States)

Mamtani, Ravinder; Al-Thani, Mohammed H; Al-Thani, Al-Anoud Mohammed; Sheikh, Javaid I; Lowenfels, Albert B

2012-04-01

Despite their wealth and modern road systems, traffic injury rates in Middle Eastern countries are generally higher than those in Western countries. The authors examined traffic injuries in Qatar during 2000-2010, a period of rapid population growth, focusing on the impact of speed control cameras installed in 2007 on overall injury rates and mortality. During the period 2000-2006, prior to camera installation, the mean (SD) vehicular injury death rate per 100,000 was 19.9±4.1. From 2007 to 2010, the mean (SD) vehicular death rates were significantly lower: 14.7±1.5 (p=0.028). Non-fatal severe injury rates also declined, but mild injury rates increased, perhaps because of increased traffic congestion and improved notification. It is possible that speed cameras decreased speeding enough to affect the death rate, without affecting overall injury rates. These data suggest that in a rapidly growing Middle Eastern country, photo enforcement (speed) cameras can be an important component of traffic control, but other measures will be required for maximum impact.

The IGF1 small dog haplotype is derived from Middle Eastern grey wolves

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Ostrander Elaine A

2010-02-01

Full Text Available Abstract Background A selective sweep containing the insulin-like growth factor 1 (IGF1 gene is associated with size variation in domestic dogs. Intron 2 of IGF1 contains a SINE element and single nucleotide polymorphism (SNP found in all small dog breeds that is almost entirely absent from large breeds. In this study, we surveyed a large sample of grey wolf populations to better understand the ancestral pattern of variation at IGF1 with a particular focus on the distribution of the small dog haplotype and its relationship to the origin of the dog. Results We present DNA sequence data that confirms the absence of the derived small SNP allele in the intron 2 region of IGF1 in a large sample of grey wolves and further establishes the absence of a small dog associated SINE element in all wild canids and most large dog breeds. Grey wolf haplotypes from the Middle East have higher nucleotide diversity suggesting an origin there. Additionally, PCA and phylogenetic analyses suggests a closer kinship of the small domestic dog IGF1 haplotype with those from Middle Eastern grey wolves. Conclusions The absence of both the SINE element and SNP allele in grey wolves suggests that the mutation for small body size post-dates the domestication of dogs. However, because all small dogs possess these diagnostic mutations, the mutations likely arose early in the history of domestic dogs. Our results show that the small dog haplotype is closely related to those in Middle Eastern wolves and is consistent with an ancient origin of the small dog haplotype there. Thus, in concordance with past archeological studies, our molecular analysis is consistent with the early evolution of small size in dogs from the Middle East. See associated opinion by Driscoll and Macdonald: http://jbiol.com/content/9/2/10

Alcohol-related Injuries at an Emergency Department in Eastern Taiwan

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Yin-Ming Li

2006-01-01

Conclusion: Injuries were alcohol related in one out of seven patients this study from an emergency department in eastern Taiwan. Ongoing epidemiologic monitoring of the prevalence and nature of alcohol abuse among patients visiting the ED are urgently needed.

Influencing the Self-Efficacy of Middle Eastern Women through the Use of a Bulletin Board

Science.gov (United States)

Alkhalifa, Eshaa

2008-01-01

Gender studies across the world have produced a wealth of information generated by studies that seek to investigate the existence of a distinction between genders in mathematical-based courses, such as Computer Science courses. However, the Middle Eastern Region remained unexplored largely throughout this effort due to gender segregation during…

Critical Reflections of Action Research Used for Professional Development in a Middle Eastern Gulf State

Science.gov (United States)

McGee, Alyson

2008-01-01

This article describes and critically reflects on an action research project used for professional development purposes in a Middle Eastern Gulf State. The aim of the project was to improve professional development experiences for a group of in-service teacher educators, who were English as Second Language advisers. The initial discussion…

The changing nature of jobs in Central and Eastern Europe

OpenAIRE

Lewandowski, Piotr

2017-01-01

Job polarization can pose serious problems for emerging economies that rely on worker reallocation from low-skilled to middle-skilled jobs to converge toward advanced economies. Evidence from Central and Eastern European (CEE) countries shows that structural change and education expansion can prevent polarization, as they enable a shift from manual to cognitive work and prevent the “hollowing out” of middle-skilled jobs. However, in CEE countries they have also led to a high routine cognitive...

Middle Eastern Students Shut Out of the U.S. Turn to Australia and New Zealand

Science.gov (United States)

Cohen, David

2007-01-01

This article reports on the increase of Middle Eastern students in universities in Australia and New Zealand because of difficulties in getting visas for the United States and Britain. Difficulties in securing visas, combined with more aggressive recruiting by higher-education institutions in New Zealand and Australia, have led a growing number of…

Higher Education and Middle Eastern Studies following September 11, 2001: Four Presidents Speak Out for Academic Freedom.

Science.gov (United States)

Academe, 2002

2002-01-01

The presidents of the University of California Berkeley, Central Connecticut State University, Colorado College, and the University of North Carolina explain their actions to support academic freedom in controversies concerning Middle Eastern studies at their respective institutions. (EV)

The influence of 19th century Dutch Colonial Orientalism in spreading Kubah (Islamic Dome) and Middle-Eastern architectural styles for mosques in Sumatra

OpenAIRE

Kemas Ridwan Kurniawan; Ratu Arum Kusumawardhani

2012-01-01

This paper researches the possible representation of Orientalism and the spread of Middle Eastern inspired architecture in Indonesia, particularly in Dutch colonial practices in the 19th-century. It challenges the dominant opinion of the people that the Middle Eastern merchants in the East Indies were the only ones that introduced the use of kubah (dome) shape to mosque architecture in Indonesia. Consequently, this paper has two objectives: firstly, by looking at the historical relationship b...

Middle atmospheric thermal structures in Eastern and Western hemispheres over a solar cycle

International Nuclear Information System (INIS)

Mohanakumar, K.; Devanarayanan, S.

1987-01-01

Temperature variations of the 25-60 km region of the atmosphere over stations in the Eastern and Western Hemispheres were compared for an 11-year solar cycle period (1971-1981). The temperature of the two hemispheres did not show similar variations at the same height and time. A cross-correlation analysis between the variations in temperature of the two hemispheres showed insignificant correlation, except at 30 km over the tropics and at 40 km over the midlatitude. Up to 40 km, the temperature changes in the two hemispheres are identical. At higher levels, Western Hemispheric temperatures were higher than those of the Eastern Hemisphere. The diurnal variation of minor constituents and their vertical transport in the middle atmosphere might be responsible for the differences in temperature observed in the two hemispheres. (author)

The Determinants of Transportation Mode Choice in the Middle Eastern Cities: the Kerman Case, Iran

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Hamid Soltanzadeh

2014-07-01

Full Text Available Having a precise understanding of the determinants of transportation mode choices and decisions can be under the influence of regional and cultural aspects. This paper outlines such determinants in the Iranian city of Kerman as a representative of the similar Middle Eastern cities located in hot-arid climates and Moslem cultures. The descriptive analysis of the results derived from a short survey that was a part of a larger study conducted in the second half of 2013 indicated that adding to accessibility to public transportation and the convenience of using it can persuade people to shift from car driving to public transit use. The main barriers to bicycling are socio-cultural aspects, while for walking the obstacles are physical and objective. Increasing the quality of pedestrian infrastructure and spaces is a stronger deterrent than personal attitudes against walking. Such findings show slight dissimilarities from the results of some of the western studies that find the built environment more effective. These findings can be a general guide for the Middle Eastern planners to promote walking, biking, and public transport use.

Bovine besnoitiosis emerging in Central-Eastern Europe, Hungary

OpenAIRE

Hornok, Sándor; Fedák, András; Baska, Ferenc; Hofmann-Lehmann, Regina; Basso, Walter

2014-01-01

BACKGROUND: Besnoitia besnoiti, the cause of bovine besnoitiosis, is a cyst-forming coccidian parasite that has recently been shown to be spreading in several Western and Southern European countries. FINDINGS: Clinical cases of bovine besnoitiosis were confirmed for the first time in Hungary, by histological, serological and PCR analyses. CONCLUSIONS: This is the first report of autochthonous bovine besnoitiosis in Central-Eastern Europe. The emergence of bovine besnoitiosis in this region re...

Agreement for the Establishment in Cairo of a Middle Eastern Regional Radioisotope Centre for the Arab Countries

Energy Technology Data Exchange (ETDEWEB)

NONE

1962-10-18

On 14 September 1962 the Board of Governors approved an Agreement for the establishment in Cairo of a Middle Eastern regional radioisotope centre for the Arab countries. The text of this Agreement is reproduced in this document for the information of all Members.

Agreement for the Establishment in Cairo of a Middle Eastern Regional Radioisotope Centre for the Arab Countries

International Nuclear Information System (INIS)

1962-01-01

On 14 September 1962 the Board of Governors approved an Agreement for the establishment in Cairo of a Middle Eastern regional radioisotope centre for the Arab countries. The text of this Agreement is reproduced in this document for the information of all Members

3D Crustal Velocity Structure Model of the Middle-eastern North China Craton

Science.gov (United States)

Duan, Y.; Wang, F.; Lin, J.; Wei, Y.

2017-12-01

Lithosphere thinning and destruction in the middle-eastern North China Craton (NCC), a region susceptible to strong earthquakes, is one of the research hotspots in solid earth science. Up to 42 wide-angle reflection/refraction deep seismic sounding (DSS) profiles have been completed in the middle-eastern NCC, we collect all the 2D profiling results and perform gridding of the velocity and interface depth data, and build a 3D crustal velocity structure model for the middle-eastern NCC, named HBCrust1.0, using the Kriging interpolation method. In this model, four layers are divided by three interfaces: G is the interface between the sedimentary cover and crystalline crust, with velocities of 5.0-5.5 km/s above and 5.8-6.0 km/s below. C is the interface of the upper and lower crust, with velocity jump from 6.2-6.4 km/s to 6.5-6.6 km/s. M is the interface between the crust and upper mantle, with velocity 6.7-7.0 km/s at the crust bottom and 7.9-8.0 km/s on mantle top. Our results show that the first arrival time calculated from HBCust1.0 fit well with the observation. It also demonstrates that the upper crust is the main seismogenic layer, and the brittle-ductile transition occurs at depths near interface C. The depth of interface Moho varies beneath the source area of the Tangshan earth-quake, and a low-velocity structure is found to extend from the source area to the lower crust. Based on these observations, it can be inferred that stress accumulation responsible for the Tangshan earthquake may have been closely related to the migration and deformation of the mantle materials. Comparisons of the average velocities of the whole crust, the upper and the lower crust show that the average velocity of the lower crust under the central part of the North China Basin (NCB) in the east of the craton is obviously higher than the regional average, this high-velocity probably results from longterm underplating of the mantle magma. This research is founded by the Natural Science

Il commercio nell’area mediorientale: perché è così limitato? (Intra-Middle Eastern Trade: Why Is It so Low?

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Hossein Askari

2003-06-01

Full Text Available The Middle East has one of the highest ratios of exports to GDP in the world, yet intra-regional trade level is one of the lowest. Intra-Middle Eastern trade is examined in detail to assess the reasons for the low level of regional trade and to recommend policies for promoting trade within the area.

Child physical abuse: prevalence, characteristics, predictors, and beliefs about parent-child violence in South Asian, Middle Eastern, East Asian, and Latina women in the United States.

Science.gov (United States)

Maker, Azmaira H; Shah, Priti V; Agha, Zia

2005-11-01

The present study examined the prevalence, characteristics, beliefs, and demographic predictors of parent-child physical violence among South Asian, Middle Eastern, East Asian, and Latina women in the United States. Two hundred fifty-one college-educated women from a middle to high SES (South Asian/Middle Eastern, n = 93; East Asian,n = 72; Latina,n = 86) completed a self-report survey on childhood experiences and beliefs regarding physical abuse. Seventy-three percent of the South Asian and Middle Eastern sample, 65% of the East Asian sample, and 78% of the Latina sample reported experiencing at least one type of physical abuse. Significant differences in characteristics and perpetrators of abuse were found across groups. Demographic factors did not predict physical abuse. Experiencing physical abuse was the only predictor for acceptance of physical discipline and as a parental privilege or right across groups. Implications of alternate cultural models of family violence based on beliefs and exposure to violence are discussed.

"When You Come Here, It Is Still Like It Is 'Their' Space": Exploring the Experiences of Students of Middle Eastern Heritages in Post-9/11 U.S. Higher Education

Science.gov (United States)

Neider, Xyanthe N.

2011-01-01

The aftermath of September 11, 2001 complicated how students of Middle Eastern heritages are perceived, treated, and constructed in U.S. institutions of higher education. However, research and scholarship has ignored how students of Middle Eastern heritages experience higher education in the current socio-political United States context. Borrowing…

"When You Come Here, It Is Still Like It Is Their Space": Exploring the Experiences of Students of Middle Eastern Heritages in Post-9/11 U.S. Higher Education

Science.gov (United States)

Neider, Xyanthe Nicole

2010-01-01

The aftermath of September 11, 2001 complicated how students of Middle Eastern heritages are perceived, treated, and constructed in U.S. institutions of higher education. However, research and scholarship has ignored how students of Middle Eastern heritages experience higher education in the current socio-political United States context. Borrowing…

Effect of culture on acceptance of telemedicine in Middle Eastern countries: case study of Jordan and Syria.

Science.gov (United States)

Alajlani, Mohannad; Clarke, Malcolm

2013-04-01

We investigated issues that affect the use and adoption of telemedicine in Middle Eastern countries, taking the Hashemite Kingdom of Jordan and the Syrian Arab Republic as case studies. Our study is based on interviews with key stakeholders (including doctors, technicians, engineers, and decision makers) and questionnaires administered to key stakeholders (including patients), ensuring opinion was gained from people from a full range of backgrounds and roles in the healthcare system. We found doctor and patient resistance was a major issue preventing the adoption of telemedicine in both countries, followed by poor infrastructure, lack of funding, and lack of information technology training. Our research identifies that culture is a greater issue than technical matters for the adoption of telemedicine in Middle Eastern countries. Based on our preliminary results we developed a guideline framework for each country that might be applied to telemedicine projects at the pre-implementation phase. The proposed guideline framework was validated through a return visit to the stakeholders and seeking further opinion.

The reciprocal constitutive features of a Middle Eastern partnership: The Russian–Syrian bilateral relations

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Theodor Tudoroiu

2015-07-01

Full Text Available Using the concept of reciprocal socialization, this article argues that the Damascus–Moscow partnership has been since 1970 a reciprocal constitutive relation that has influenced considerably the actions, interests, and identities of the two partners. During the last two decades of the Cold War it represented an almost ideal-type example of a relationship between a super-power and its regional ally that, through its complex consequences, shaped significantly the two partners themselves, the Middle Eastern political and security environment, and the international system as a whole. Post-2003 developments and especially the present Syrian crisis also have influenced considerably the two states' identity-building processes. After the US invasion of Iraq, the patterns of renewed bilateral cooperation have mirrored, at least in part, the Cold War ones. The Arab Spring enforced this trend. Yet, today the International Relations identity of Russia is quite different from the Soviet era one. The main consequence is that Moscow's new identity prevents it from supporting the regime in Damascus at any cost. If military operations take a turn threatening seriously the survival of that regime, it is likely that the Kremlin will not escalate its pro-al-Asad involvement, thus accepting the possible fall of its Middle Eastern ally.

Australian Middle Eastern parents' perceptions and practices of children's weight-related behaviours: Talking with Parents' Study.

Science.gov (United States)

Hardy, Louise L; Hector, Debra; Saleh, Shay; King, Lesley

2016-09-01

The home environment is associated with obesity-related behaviours among children, and research in Australia has shown that some of these behaviours are more prevalent among children from particular cultural backgrounds including Middle Eastern. This study presents findings from face-to-face, semi-structured interviews conducted in April 2013 with a convenience sample of Middle Eastern parents of primary school-age children at an Islamic private school in Sydney, Australia. The interviews explored parental perceptions and practices regarding state government health messages addressing children's eating, physical activity and screen time. The purpose of the study was to investigate whether the content of these generic public health messages is relevant and acceptable to Middle Eastern parents of young children, and to identify any enablers and barriers to adopting these healthy practices at home. Thematic analysis identified predominant themes. In total, 21 interviews were conducted (reference children: 12 boys/9 girls, aged 5-12 years). The content of current health messages regarding children's weight-related behaviours was familiar to respondents, and accepted as relevant for guiding their parenting practices. Parents perceived that they typically encouraged healthy behaviours, although they also reported making regular exemptions, in response to various circumstances. Overall, the perceptions and reported practices of the parents were consistent with other studies with Australian parents. There were no apparent culturally specific barriers or enablers to children's weight-related behaviours. There is however scope for health promoters to provide more precise information on health recommendations, health risks and benefits, and to provide more specific ideas for ways in which parents can act on these health messages within the home and family environment, to encourage and support healthy behaviours in their children. © 2015 John Wiley & Sons Ltd.

Supertall Asia/Middle East: Technological Responses and Contextual Impacts

Directory of Open Access Journals (Sweden)

Kyoung Sun Moon

2015-07-01

Full Text Available Supported by rapid economic growth, major cities in Asia and the Middle East have been rising as new centers for tall buildings. This article reviews the state of tall building developments in Asian and Middle Eastern countries with an emphasis on supertall buildings, with their greater urban and global impacts. Focusing primarily on physical construction, this article examines technological responses for building tall in Asian and Middle Eastern contexts. The architectural transformation and globalization of what was once called the “American Building Type” in Asian and Middle Eastern countries is studied. Sustainable design technology transfer and adjustment in Asian and Middle Eastern climates are presented. Further, future prospects on supertall design in Asian and Middle Eastern contexts are discussed.

Biosimilars in rheumatology: recommendations for regulation and use in Middle Eastern countries.

Science.gov (United States)

El Zorkany, Bassel; Al Ani, Nizar; Al Emadi, Samar; Al Saleh, Jamal; Uthman, Imad; El Dershaby, Yasser; Mounir, Mohamed; Al Moallim, Hani

2018-05-01

The increasing availability of biosimilar medicines in Middle Eastern regions may provide an opportunity to increase the number of rheumatology patients who have access to traditionally more expensive biologic medicines. However, as well as a lack of real-world data on the use of biosimilar medicines in practice, the availability of intended copies in the region may undermine physician confidence in prescribing legitimate biosimilar medicines. There is a need for regional recommendations for healthcare professionals to ensure that biosimilar drugs can be used safely. Therefore, a literature search was performed with the aim of providing important recommendations for the regulation and use of biosimilar medicines in the Middle East from key opinion leaders in rheumatology from the region. These recommendations focus on improving the availability of relevant real-world data, ensuring that physicians are aware of the difference between intended copies and true biosimilars and ensuring that physicians are responsible for making any prescribing and switching decisions.

Middle Eastern Conflicts: Implications for Refugee Health in the European Union and Middle Eastern Host Countries.

Science.gov (United States)

Silbermann, Michael; Daher, Michel; Kebudi, Rejin; Nimri, Omar; Al-Jadiry, Mazin; Baider, Lea

2016-12-01

Until very recently, health care in conflict settings was based on a model developed in the second half of the twentieth century. Things have changed, and present civil wars, such as those that are currently taking place in the Middle East, do not address the complexity of the ongoing armed conflicts in countries such as Syria, Iraq, and Afghanistan. These conflicts have caused a significant increase in the number of refugees in the region, as well as in Europe. Hundreds of thousands of refugees succeed in settling in mid- and north-European countries, and their health issues are becoming of great importance. Refugees in Europe in the twenty-first century do not suffer so much from infectious diseases but more from noninfectious chronic diseases such as diabetes, cardiac disease, and cancer. These facts profoundly alter the demographics and disease burden of hostility-derived migrants. Thus, host European countries face situations they have never faced before. Hence, new approaches and strategies are urgently needed to cope with this new situation. The efforts to absorb refugees of different traditions and cultural backgrounds often cause increasing ethnic and religious tensions, which frequently escort the emergence of social violence. To date, little attention has been paid to the overall load of distress being experienced, especially among the first-generation refugees. The current ongoing hostilities in the Middle East induce a long-term health impact on people expelled from their homes, communities, traditions, and cultural environment. The realization of collective suffering forces communities and governmental health agencies to develop new programs that include social determinants to overcome the severe cultural gaps of the newcomers in their new European host countries.

Preliminary comparative study of middle Anisian vertebrate ichnoassociation from South-Eastern Alps

Science.gov (United States)

Valdiserri, D.; Todesco, R.; Avanzini, M.

2009-04-01

Anisian vertebrate tracks from the south-eastern Alps are known since the first decades of 1900s (Abel, 1926). The sedimentary units yielding footprints are characterized by the alternation of limestone influenced by terrigenous supply with mere marine and volcanic layers allowing a precise dating. In this study, we compare four different ichnoassociations from three different outcrops in the South-Eastern Alps correlating them chronologically and sedimentologically. They were found to be subsequent in time from Lower Pelsonian (Bad Gfrill-Voltago Conglomerate; Todesco, 2007) through middle Pelsonian (Bad Gfrill- Giovo Formation) (Valdiserri et al., 2006) and basal Illyrian (Piz da Peres- Richthofen Conglomerate; Todesco et al., 2008) to the middle Illyrian (Val Duron-Morbiac Limestone; Avanzini et al., 2007). In all these ichno-associations, Rhynchosauroides, an ichno-genus referable to a lizard - like trackmaker well known in the European Anisian, is dominant. Within this group at least four different morphotypes are known, probably reflecting both intraspecific variation (i.e. sexual dimorphism) and different ichnospecies. Although the Chirotheridae group, referred to Archosaurian trackmakers Synaptichnium is represented in both Pelsonian ichnoassociation of the Bad Gfrill outcrop, while Chirotherium , Isochirotherium and Brachichirotherium are recognized both in Pelsonian and in Illyrian ichnosites with a incremental presence in the Illyrian The ichofamiliae Rotodactylidae und Procolophonidae seem well represented in the Pelsonian strata but absent in the Illyrian ones. The preliminarly comparative analysis of these four correlated ichnosites and the comparision with the yet known ones (Avanzini and Mietto 2008) pointed out the expected predominance of the Lepidosaurian-Archosaurian association typical for the middle Triassic ichnofauna. The incremental presence of the Chirotherian track in Illyrian and the presence of the Procolophonichium just in the

Middle Eastern solutions

International Nuclear Information System (INIS)

Boersma, M.

2001-01-01

The need to consider the Middle East as a group of distinct countries and not as one single market and to tailor the services offered by companies is stressed. The cultures, political and social conditions, forms of the oil and gas industry in the countries making up the Middle East and their technology requirements are different and vary widely. The approach taken by Shell Global Solutions to these differences is described and illustrated with Shell's experiences in Oman and Saudi Arabia. Shell has found that Omanis are keen to work in their oil and gas industry, and to protect their country's natural environment. Saudi also have intense pride in their oil industry and here Shell supports refinery operators reduce costs while maintaining strict quality control. Shell has been selected to help Saudi Arabia develop its natural gas reserves; as part of the Core Venture 3 project, Shell will build a power desalination plant

Echogenic intracardiac focus on second trimester ultrasound: prevalence and significance in a Middle Eastern population.

Science.gov (United States)

Mirza, Fadi G; Ghulmiyyah, Labib; Tamim, Hani; Bou Hamdan, Farah; Breidy, Juliana; Geagea, Sandra; Usta, Ihab; Adra, Abdallah; Nassar, Anwar H

2016-01-01

The association between echogenic intracardiac focus (EIF) and trisomy 21 is well established, with a recognized ethnic variation. Our study aimed to determine the prevalence of EIF in a Middle Eastern population and to examine its association with trisomy 21 and other adverse pregnancy outcomes. Retrospective case-control study of second-trimester obstetric sonograms (16-28 weeks) performed at a tertiary care center over a 5-year period. Cases with EIF were retrieved, and a matched control group with no EIF was identified. The incidence of trisomy 21 and other adverse pregnancy outcomes was compared. A total of 9270 obstetric sonograms were examined, with an EIF prevalence of 2.5% (95% CI: 2.2-2.8%). Of patients with available outcome data, EIF was not associated with trisomy 21 (0/163 versus 1/163; p value = 1.00). Additionally, EIF was not associated with trisomy 18, trisomy 13, small for gestational age, preterm birth, fetal demise, cesarean delivery, operative vaginal delivery, or admission to the neonatal intensive care unit. In a contemporary Middle Eastern population, EIF is a rare occurrence. As an isolated finding, it is not associated with aneuploidy or other adverse pregnancy outcomes. EIF appears to be incidental with no impact on clinical practice.

Communication and integration: a qualitative analysis of perspectives among Middle Eastern oncology healthcare professionals on the integration of complementary medicine in supportive cancer care.

Science.gov (United States)

Ben-Arye, Eran; Popper-Giveon, Ariela; Samuels, Noah; Mutafoglu, Kamer; Schiff, Elad; Omran, Suha; Charalambous, Haris; Dweikat, Tahani; Ghrayeb, Ibtisam; Turker, Ibrahim; Hassan, Azza; Hassan, Esmat; Nimri, Omar; Kebudi, Rejin; Silbermann, Michael

2016-05-01

The use of complementary and traditional medicine (CTM ) in Middle Eastern countries is widespread, including among patients with cancer. Perspectives of oncology healthcare professionals (HCPs) in this region regarding the integration of CTM within conventional supportive cancer care were explored. An 11-item questionnaire with an open-ended question asking respondents to comment about the integration of CTM within supportive cancer care was sent to Middle Eastern oncology HCPs, using snowball sampling methodology. The narratives provided were examined using thematic analysis. A total of 339 oncology HCPs completed and returned the study tool (80.3 % response rate ), of which 178 from 15 Middle Eastern countries responded to the open-ended question. The majority of respondents are in favor of the integration of CTM within supportive cancer care, though ideas on how this should be implemented varied. Thematic analysis identified multifactorial barriers to integration, which focused on HCPs' perspectives (e.g., a lack of knowledge and training; a skeptical approach to CTM), attitudes of patients and caregivers (e.g., unrealistic expectations regarding the outcomes of CTM treatments) and HCP-patient communication. In order to overcome these barriers, respondents suggested education and training programs for oncology HCPs which would focus on improving patients' quality-of-life-related outcomes. Middle Eastern oncology HCPs support the integration of CTM within supportive cancer care, while recognizing the need for education and training in this field. A better understanding of CTM would provide the knowledge and skills which would promote a non-judgmental, evidence-based approach, fostering better communication with patients.

Multi-method chronological investigation of a Middle Paleolithic stratigraphic context in Eastern Transylvania, Romania

Science.gov (United States)

Veres, Daniel; Cosac, Marian; Muratoreanu, George; Niţǎ, Loredana; Schmidt, Christoph; Hambach, Ulrich; Hubay, Katalin; Alexandru, Radu; Cuculici, Roxana; Lucian Buzea, Dan; Dumitraşcu, Valentin

2016-04-01

The Middle to Upper Paleolithic transition is one of the crucial periods of change in the prehistory of Europe due to the full emergence, continent-wide, of modern human technologies, detrimental of Neanderthal survival. Knowledge about the transition is vast, however, the evidence for cultural and technological developments in the Carpathian - Lower Danube area is still rather sparse. Here we discuss latest results arising from an archaeological-chronological investigation of a Middle Paleolithic context within the Varghis karst, eastern Transylvania, Romania. Combining our results with these of previous excavations, we can distinguish several stages of habitation in the area comprising a rock shelter connected to a newly discovered filled-in cave entrance. Reanalysis of the deeper stratigraphy previously unexcavated shows that at least two main habitation levels have been preserved. In both levels, the bone assemblages (Bos/Bison, Capra, Canis lupus, Ursus spaeleus) directly associated with lithics point to human-accumulation of material. In order to augment the typological cultural considerations, we applied direct radiocarbon dating on bones from within the occupation layers and on scattered charcoal, for the latter following a two-step combustion protocol (1). Radiocarbon dating on bones suggests the lowermost occupation layer is >43.4 radiocarbon kyr BP old, whereas the preliminary infrared stimulated luminescence (IRSL) ages on the lowermost productive layer and above it indicate surprisingly old ages of ca. 120 kyr and respectively, ca. 70 kyr. Multiple-protocol dating of charcoal found within the two habitation layers produced ages >38 radiocarbon kyr BP, suggesting that the lowermost habitation layer unequivocally pertains to the Middle Paleolithic industries. For the upper productive layer, radiocarbon dating of charcoal found 20 cm above it produced a surprisingly young age of 17.4 radiocarbon kyr BP. However, as the carbon content of this sample was

The NPT and the Middle East

International Nuclear Information System (INIS)

Freier, S.

1987-01-01

Written by an Israeli, this article looks at the nuclear proliferation risks in the Middle Eastern area. It firsts sets the Middle Eastern political scene, then discusses the Non-Proliferation Treaty as perceived in Israel. The nuclear capabilities and intentions of the Middle Eastern Countries are examined and an assessment made of the prospects for non-proliferation. The author is not optimistic as it is felt that Iraq, Iran and possibly Egypt will all want to develop a nuclear weapon capability in spite of their formal commitment to the NPT. (U.K.)

Developing a food exchange list for Middle Eastern appetizers and desserts commonly consumed in Jordan.

Science.gov (United States)

Bawadi, Hiba A; Al-Shwaiyat, Naseem M; Tayyem, Reema F; Mekary, Rania; Tuuri, Georgianna

2009-03-01

AIM: This study was conducted to develop a meal-planning exchange list for Middle Eastern foods commonly included in the Jordanian cuisine. Forty types of appetizers and another 40 types of desserts were selected; with five different recipes for each item. Recipes were collected from different housewives and Arabic cookbooks. Ingredients' weight and dish net weight were recorded based on an average recipe, and dishes were prepared accordingly. Dishes were proximately analyzed following the AOAC procedures. Proximate analysis was compared to the WHO-food composition tables (FCT) for the use in the Middle East, and with food analysis software (ESHA). RESULTS: Significant correlations (P desserts and appetizers is now available and ready to be used by dietitians and health care providers in Jordan and Arab World.

Whole-exome sequencing identifies common and rare variant metabolic QTLs in a Middle Eastern population.

Science.gov (United States)

Yousri, Noha A; Fakhro, Khalid A; Robay, Amal; Rodriguez-Flores, Juan L; Mohney, Robert P; Zeriri, Hassina; Odeh, Tala; Kader, Sara Abdul; Aldous, Eman K; Thareja, Gaurav; Kumar, Manish; Al-Shakaki, Alya; Chidiac, Omar M; Mohamoud, Yasmin A; Mezey, Jason G; Malek, Joel A; Crystal, Ronald G; Suhre, Karsten

2018-01-23

Metabolomics-genome-wide association studies (mGWAS) have uncovered many metabolic quantitative trait loci (mQTLs) influencing human metabolic individuality, though predominantly in European cohorts. By combining whole-exome sequencing with a high-resolution metabolomics profiling for a highly consanguineous Middle Eastern population, we discover 21 common variant and 12 functional rare variant mQTLs, of which 45% are novel altogether. We fine-map 10 common variant mQTLs to new metabolite ratio associations, and 11 common variant mQTLs to putative protein-altering variants. This is the first work to report common and rare variant mQTLs linked to diseases and/or pharmacological targets in a consanguineous Arab cohort, with wide implications for precision medicine in the Middle East.

Potential risks associated with traditional herbal medicine use in cancer care: A study of Middle Eastern oncology health care professionals.

Science.gov (United States)

Ben-Arye, Eran; Samuels, Noah; Goldstein, Lee Hilary; Mutafoglu, Kamer; Omran, Suha; Schiff, Elad; Charalambous, Haris; Dweikat, Tahani; Ghrayeb, Ibtisam; Bar-Sela, Gil; Turker, Ibrahim; Hassan, Azza; Hassan, Esmat; Saad, Bashar; Nimri, Omar; Kebudi, Rejin; Silbermann, Michael

2016-02-15

The authors assessed the use of herbal medicine by Middle Eastern patients with cancer, as reported by their oncology health care professionals (HCPs). Herbal products identified by the study HCPs were evaluated for potential negative effects. Oncology HCPs from 16 Middle Eastern countries received a 17-item questionnaire asking them to list 5 herbal products in use by their patients with cancer. A literature search (PubMed, Micromedex, AltMedDex, and the Natural Medicine Comprehensive Database) was conducted to identify safety-related concerns associated with the products listed. A total of 339 HCPs completed the study questionnaire (response rate of 80.3%), identifying 44 herbal and 3 nonherbal nutritional supplements. Safety-related concerns were associated with 29 products, including herb-drug interactions with altered pharmacodynamics (15 herbs), direct toxic effects (18 herbs), and increased in vitro response of cancer cells to chemotherapy (7 herbs). Herbal medicine use, which is prevalent in Middle Eastern countries, has several potentially negative effects that include direct toxic effects, negative interactions with anticancer drugs, and increased chemosensitivity of cancer cells, requiring a reduction in dose-density. Oncology HCPs working in countries in which herbal medicine use is prevalent need to better understand the implications of this practice. The presence of integrative physicians with training in complementary and traditional medicine can help patients and their HCPs reach an informed decision regarding the safety and effective use of these products. © 2015 American Cancer Society.

The concept and contribution of the Federal Government as regards the improvement of reactor safety in Middle and Eastern Europe

International Nuclear Information System (INIS)

Gast, K.; Breest, H.C.

1992-01-01

An increase in information on reactor safety in the Middle and Eastern European countries makes it clear that extensive assistance measures are urgently needed. This assistance can only be given on the basis of extensive international collaboration. A differenciated analysis and organization of the necessary assistance measures with specific reference to the countries and the facilities in question must be carried out. Within the framework of international assistance programmes, appropriate coordinating commissions in which banks with international experience are involved should be established. On the whole, the imperative increase in the safety of reactors in Middle and Eastern Europe will be a difficult and expensive task which can only be mastered if a joint effort is made within the framework of an international commission which addresses itself to the problem of reactor safety. (orig./HSCH) [de

Echinococcus multilocularis: An Emerging Pathogen in Hungary and Central Eastern Europe?

Science.gov (United States)

Sréter, Tamás; Széll, Zoltán; Egyed, Zsuzsa

2003-01-01

Echinococcus multilocularis, the causative agent of human alveolar echinococcosis, is reported for the first time in Red Foxes (Vulpes vulpes) in Hungary. This parasite may be spreading eastward because the population of foxes has increased because of human interventions, and this spread may result in the emergence of alveolar echinococcosis in Central Eastern Europe. PMID:12643838

The Effect of Firm Strategy and Corporate Performance on Software Market Growth in Emerging Regions

Science.gov (United States)

Mertz, Sharon A.

2013-01-01

The purpose of this research is to evaluate the impact of firm strategies and corporate performance on enterprise software market growth in emerging regions. The emerging regions of Asia Pacific, Eastern Europe, the Middle East and Africa, and Latin America, currently represent smaller overall markets for software vendors, but exhibit high growth…

Position of the Patella among Emirati Adult Knees. Is Insall-Salvati Ratio Applicable to Middle-Easterners?

Directory of Open Access Journals (Sweden)

Saeed Althani

2016-04-01

Full Text Available Background: Abnormal patellar height is associated with anterior knee pain and several conditions that affect the patellofemoral joint. The aim of this study was to 1 report the incidence of patella alta and patella baja and 2 investigate whether the normal limits of the Insall-Salvati ratio is applicable in adult Middle-Easterners. Methods: A radiographic review of the lateral radiographs of 736 Middle-Eastern knees were performed. Patellar tendon length (TL and the patellar length (TP was digitally measured and the ratios of these measures was used to calculate the Insall-Salvati ratio. Results: The overall mean TL/PL ratio was 1.20±0.17. The Insall-Salvati ratio was higher (p=0.0013 in males (1.22± 0.12 than in females (1.18±0.17. According to our measurement, the recommended levels for defining abnormal patellar position should be 0.86 for patella baja and 1.54 for patella alta. Conclusion: The use of TL/PL ratio demonstrated a higher incidence of patella alta and a higher mean TL/PL ratio compared to other techniques. The normal ranges for the TL/PL differs from western populations and may be attributed to lifestyle differences.

Muslim Middle Eastern clients' reflections on their relationship with their occupational therapists in mental health care.

Science.gov (United States)

Pooremamali, Parvin; Eklund, Mona; Östman, Margareta; Persson, Dennis

2012-07-01

Persons with a Middle Eastern background represent a minority in Sweden which has significantly increased in size over recent years. The purpose of the present study was to explore the elements that shape the experiences and perceptions of clients with a Middle Eastern background living by Muslim norms who received occupational therapy in mental health care at the time of participating in the study. The study included interviews with 11 clients who received occupational therapy in mental health care. Data collection and analysis were carried out in accordance with the grounded theory approach. One core category, desiring a union, described the clients' desire for an alliance with the therapists that encompassed the realities and truths embedded in their values, preferences, world-views, and belief systems, as well as a wish to reconstruct their abilities to function and perform daily life tasks within their cultural contexts. The core category included sub-categories: desiring relationship, desiring affiliation, and desiring affirmation as well as some related components. The overall findings showed a tentative model in which the notion of mahram affinity was embedded. The results demonstrated that the clients' views regarding desiring a union had their support in collectivistic world-views that often clash with those of the therapists.

A new hereditary colorectal cancer network in the Middle East and eastern mediterranean countries to improve care for high-risk families.

Science.gov (United States)

Ghorbanoghli, Zeinab; Jabari, Carol; Sweidan, Walid; Hammoudeh, Wail; Cortas, George; Sharara, Ala I; Abedrabbo, Amal; Hourani, Ijad; Mahjoubi, Bahareh; Majidzadeh, Keivan; Tözün, Nurdan; Ziada-Bouchaar, Hadia; Hamoudi, Waseem; Diab, Osama; Khorshid, Hamid Reza Khorram; Lynch, Henry; Vasen, Hans

2018-04-01

Colorectal cancer (CRC) has a very high incidence in the western world. Data from registries in the Middle East showed that the incidence of CRC is relatively low in these countries. However, these data also showed that CRC incidence has increased substantially over the past three decades and that a high proportion of cases are diagnosed at an early age (Middle East was discussed and the idea was conceived to establish a network on hereditary colorectal cancer (HCCN-ME) with the goal of improving care for high-risk groups in the Middle East and (Eastern) Mediterranean Countries.

Cultural perspectives in cancer care: impact of Islamic traditions and practices in Middle Eastern countries.

Science.gov (United States)

Silbermann, Michael; Hassan, Esmat A

2011-10-01

People's attitudes to cancer and its treatment are influenced by the patient's and his family's faith, beliefs, societal traditions, and cultural taboos and stigmatism. In most Middle Eastern countries Islam is the dominant religion, yet there are differences as to people's acceptance of cancer, starting with the realization of the diagnosis and the subsequent treatment planning. In many societies in the Middle East, patients prefer that their families will be the first to know about the disease and to agree to the planned treatment protocols. Whereas in Western societies the patient is usually the first to know, understand, and agree to the proposed therapeutic procedures; this is not the case in various Muslim societies. Health care professionals have to accept these kinds of practices and find ways to cope with their patients' sensitivities, thereby preserving their dignity and faith.

Integrated stratigraphy and 40Ar/39Ar chronology of the Early to Middle Miocene Upper Freshwater Molasse in eastern Bavaria (Germany)

NARCIS (Netherlands)

Abdul Aziz, H.; Böhme, M.; Rocholl, A.; Zwing, A.; Prieto, J.; Wijbrans, J.R.; Heissig, K.; Bachtadse, V.

2008-01-01

A detailed integrated stratigraphic study was carried out on middle Miocene fluvial successions of the Upper Freshwater Molasse (OSM) from the North Alpine Foreland Basin, in eastern Bavaria, Germany. The biostratigraphic investigations yielded six new localities thereby refining the OSM

The Middle East competitiveness report: regional and territorial analysis

OpenAIRE

Huggins, R; Mahroum, S; Thompson, P

2016-01-01

This report explores the extent to which Middle Eastern regions have generated relatively high or low levels of competitiveness. Whilst many Middle Eastern regions may owe some of their competitiveness to the natural advantages of oil reserves, for others their competitiveness has been achieved through other means. Their small size and high degree of autonomy means that many of the regions are effectively independent states. Middle Eastern nations and their regions have been characterized by ...

Y-chromosome and mtDNA genetics reveal significant contrasts in affinities of modern Middle Eastern populations with European and African populations.

Science.gov (United States)

Badro, Danielle A; Douaihy, Bouchra; Haber, Marc; Youhanna, Sonia C; Salloum, Angélique; Ghassibe-Sabbagh, Michella; Johnsrud, Brian; Khazen, Georges; Matisoo-Smith, Elizabeth; Soria-Hernanz, David F; Wells, R Spencer; Tyler-Smith, Chris; Platt, Daniel E; Zalloua, Pierre A

2013-01-01

The Middle East was a funnel of human expansion out of Africa, a staging area for the Neolithic Agricultural Revolution, and the home to some of the earliest world empires. Post LGM expansions into the region and subsequent population movements created a striking genetic mosaic with distinct sex-based genetic differentiation. While prior studies have examined the mtDNA and Y-chromosome contrast in focal populations in the Middle East, none have undertaken a broad-spectrum survey including North and sub-Saharan Africa, Europe, and Middle Eastern populations. In this study 5,174 mtDNA and 4,658 Y-chromosome samples were investigated using PCA, MDS, mean-linkage clustering, AMOVA, and Fisher exact tests of F(ST)'s, R(ST)'s, and haplogroup frequencies. Geographic differentiation in affinities of Middle Eastern populations with Africa and Europe showed distinct contrasts between mtDNA and Y-chromosome data. Specifically, Lebanon's mtDNA shows a very strong association to Europe, while Yemen shows very strong affinity with Egypt and North and East Africa. Previous Y-chromosome results showed a Levantine coastal-inland contrast marked by J1 and J2, and a very strong North African component was evident throughout the Middle East. Neither of these patterns were observed in the mtDNA. While J2 has penetrated into Europe, the pattern of Y-chromosome diversity in Lebanon does not show the widespread affinities with Europe indicated by the mtDNA data. Lastly, while each population shows evidence of connections with expansions that now define the Middle East, Africa, and Europe, many of the populations in the Middle East show distinctive mtDNA and Y-haplogroup characteristics that indicate long standing settlement with relatively little impact from and movement into other populations.

Hominin teeth from the Middle Pleistocene site of Yiyuan, Eastern China.

Science.gov (United States)

Xing, Song; Sun, Chengkai; Martinón-Torres, María; Bermúdez de Castro, José María; Han, Fei; Zhang, Yingqi; Liu, Wu

2016-06-01

In 1981-1982, some hominin fossils, including a relatively complete skull and seven isolated teeth, were recovered from the Middle Pleistocene site of Yiyuan in Eastern China. In the present study we provide a detailed metric and morphological comparison of the Yiyuan dental sample in order to characterize better the variability of the human populations that inhabited China during the Middle Pleistocene. Aside from taxonomic and phylogenetic questions, the lack of understanding and/or knowledge about the morphological variability of these populations have caused concern about the human versus non-human nature of some of the hominin dental remains found in East Asia during the Early and the Middle Pleistocene. Thus, our study aims to present a detailed description and comparison of the Yiyuan isolated teeth to 1) discuss and support their human nature and 2) to explore their taxonomic affinities with regard to other penecontemporaneous populations from Asia. Our results clearly differentiate the Yiyuan sample from Pongo specimens and support a human attribution for the Yiyuan material. Our analyses also suggest that the Yiyuan teeth form a morphologically coherent group together with samples from Zhoukoudian, Chaoxian and Hexian. They are different from the more derived specimens from Panxian Dadong, suggesting a pattern of biogeographic isolation and different evolutionary trends between northern and southern China during the Middle Pleistocene. In addition, and despite sharing a common morphological bauplan with Homo erectus sensu stricto (s.s.), the Yiyuan, Zhoukoudian and Hexian teeth are also different from the Indonesian Early Pleistocene samples. In particular, the expression of a highly crenulated or dendritic enamel-dentine surface could be unique to these groups. Our study supports the notion that the taxonomy of the Pleistocene hominins from Asia may have been oversimplified. Future studies should explore the variability of the Asian specimens and

The age of the hominin fossils from Jebel Irhoud, Morocco, and the origins of the Middle Stone Age.

Science.gov (United States)

Richter, Daniel; Grün, Rainer; Joannes-Boyau, Renaud; Steele, Teresa E; Amani, Fethi; Rué, Mathieu; Fernandes, Paul; Raynal, Jean-Paul; Geraads, Denis; Ben-Ncer, Abdelouahed; Hublin, Jean-Jacques; McPherron, Shannon P

2017-06-07

The timing and location of the emergence of our species and of associated behavioural changes are crucial for our understanding of human evolution. The earliest fossil attributed to a modern form of Homo sapiens comes from eastern Africa and is approximately 195 thousand years old, therefore the emergence of modern human biology is commonly placed at around 200 thousand years ago. The earliest Middle Stone Age assemblages come from eastern and southern Africa but date much earlier. Here we report the ages, determined by thermoluminescence dating, of fire-heated flint artefacts obtained from new excavations at the Middle Stone Age site of Jebel Irhoud, Morocco, which are directly associated with newly discovered remains of H. sapiens. A weighted average age places these Middle Stone Age artefacts and fossils at 315 ± 34 thousand years ago. Support is obtained through the recalculated uranium series with electron spin resonance date of 286 ± 32 thousand years ago for a tooth from the Irhoud 3 hominin mandible. These ages are also consistent with the faunal and microfaunal assemblages and almost double the previous age estimates for the lower part of the deposits. The north African site of Jebel Irhoud contains one of the earliest directly dated Middle Stone Age assemblages, and its associated human remains are the oldest reported for H. sapiens. The emergence of our species and of the Middle Stone Age appear to be close in time, and these data suggest a larger scale, potentially pan-African, origin for both.

Emerging Administrations and Sustainable Development in South-Eastern Europe. Case study: Romania and Bulgaria

Directory of Open Access Journals (Sweden)

Bogdan Berceanu

2012-12-01

Full Text Available Fifteen years ago, Agenda 21, the United Nations' call to action for sustainable development, envisaged that the necessary harmonization and extension of existing policies and plans would occur through the adoption of an identifiable strategy for sustainable development. Since then, sustainable development is a widely used phrase and idea and it has many different meanings and therefore provokes many different responses. The aim of the article is to explore the role of the emerging South-Eastern administrations in the sustainable development under the changes and rules imposed by the European Union pressure. We will analyze both concepts, emerging administrations and sustainable development from the perspective of system theory and we will make the link with the concept of emergence, which is utilized to research and to analyze the nature of the changes in the public administration starting from the approach of the systemic theory. The research will be focused on the states form the south-eastern Europe, thus in the case study we will make a comparison between Romania and Bulgaria, as new member states of the European Union.

Gender differences in risk profile and outcome of Middle Eastern patients undergoing percutaneous coronary intervention.

Science.gov (United States)

Jarrah, Mohamad I; Hammoudeh, Ayman J; Al-Natour, Dalal B; Khader, Yousef S; Tabbalat, Ramzi A; Alhaddad, Imad A; Kullab, Susan M

2017-02-01

To determine the gender differences in cardiovascular risk profile and outcomes among patients undergoing percutaneous coronary intervention (PCI). Methods: In a prospective multicenter study of consecutive Middle Eastern patients managed with PCI from January 2013 to February 2014 in 12 tertiary care centers in Amman and Irbid, Jordan. Clinical and coronary angiographic features, and major cardiovascular events were assessed for both genders from hospital stay to 1 year. Results: Women comprised 20.6% of 2426 enrolled patients, were older (mean age 62.9 years versus 57.2 years), had higher prevalence of hypertension (81% versus 57%), diabetes (66% versus 44%), dyslipidemia (58% versus 46%), and obesity (44% versus 25%) compared with men, p less than 0.001. The PCI for ST-segment elevation myocardial infarction was indicated for fewer women than men (23% versus 33%; p=0.001). Prevalence of single or multi-vessel coronary artery disease was similar in women and men. More women than men had major bleeding during hospitalization (2.2% versus 0.6%; p=0.003) and at one year (2.5% versus 0.9%; p=0.007). There were no significant differences between women and men in mortality (3.1% versus 1.7%) or stent thrombosis (2.1% versus 1.8%) at 1 year. Conclusion: Middle Eastern women undergoing PCI had worse baseline risk profile compared with men.Except for major bleeding, no gender differences in the incidence of major adverse cardiovascular events were demonstrated.

Chronology of the Acheulean to Middle Stone Age transition in eastern Africa

Science.gov (United States)

Deino, Alan L.; Behrensmeyer, Anna K.; Brooks, Alison S.; Yellen, John E.; Sharp, Warren D.; Potts, Richard

2018-04-01

The origin of the Middle Stone Age (MSA) marks the transition from a highly persistent mode of stone toolmaking, the Acheulean, to a period of increasing technological innovation and cultural indicators associated with the evolution of Homo sapiens. We used argon-40/argon-39 and uranium-series dating to calibrate the chronology of Acheulean and early MSA artifact–rich sedimentary deposits in the Olorgesailie basin, southern Kenya rift. We determined the age of late Acheulean tool assemblages from 615,000 to 499,000 years ago, after which a large technological and faunal transition occurred, with a definitive MSA lacking Acheulean elements beginning most likely by ~320,000 years ago, but at least by 305,000 years ago. These results establish the oldest repository of MSA artifacts in eastern Africa.

Middle Eastern mothers in Sweden, their experiences of the maternal health service and their partner's involvement

Directory of Open Access Journals (Sweden)

D Karlsson Elisabeth

2007-10-01

Full Text Available Abstract Background Traditional patterns relating to how to handle pregnancy and birth are often challenged due to migration. The purpose of this study was to describe Middle Eastern mothers' experiences of the maternal health care services in Sweden and the involvement of their male partner. Methods Thirteen immigrant mothers from the Middle East who had used the maternal health services in Sweden were interviewed using focus group discussions and individual interviews. These were taped, transcribed and analysed according to Content analysis. Results The four main categories that developed were: • Access to the professional midwife • Useful counselling • Stable motherhood in transition • Being a family living in a different culture Conclusion According to the respondents in this study, understanding the woman's native language or her culture was not vital to develop a good relationship with the midwife. Instead the immigrant woman developed trust in the midwife based on the knowledge and the empathy the midwife imparted. Increasing the amount of first trimester antenatal visits could avoid spontaneous visits to the emergency clinic. There was a greater need for involvement and support by the father during the perinatal period, such as caring for older children and carrying out household chores since the mothers' earlier female network was often lost. Clinical implications There is a need to involve immigrant parents in the available parental education in order to prepare them for parenthood in their new country as well as to explore their altered family situation. Collecting immigrant women and their partner's, experiences of maternal health care services offers a possibility to improve the existing care, both in content, access and availability where the timing of visits and content require further evaluation.

The Middle East Content Priority Teaching Guide.

Science.gov (United States)

Fix, Jerrold E.

Variations of a social studies unit on Middle Eastern culture, history, and geography are presented to aid secondary school classroom teachers as they develop and implement Middle Eastern area studies educational programs. The guide is presented in four parts, each of which represents one version of the unit. Teachers are directed to select the…

The influence of 19th century Dutch Colonial Orientalism in spreading Kubah (Islamic Dome and Middle-Eastern architectural styles for mosques in Sumatra

Directory of Open Access Journals (Sweden)

Kemas Ridwan Kurniawan

2012-12-01

Full Text Available This paper researches the possible representation of Orientalism and the spread of Middle Eastern inspired architecture in Indonesia, particularly in Dutch colonial practices in the 19th-century. It challenges the dominant opinion of the people that the Middle Eastern merchants in the East Indies were the only ones that introduced the use of kubah (dome shape to mosque architecture in Indonesia. Consequently, this paper has two objectives: firstly, by looking at the historical relationship between religious architecture and colonial politics, especially in the construction of the Baiturrahman Mosque in Aceh and secondly, by considering Orientalism (besides those beliefs existing in Moslem communities to be one of important intellectual agencies for mixing architectural cultural symbols. The socio-political narrative is analyzed in the context of an Indonesian-Islamic building typology and the relationship between space, people, power, and time. The research itself is based on literature searches specifically related to colonialism and orientalism, along with archive studies and field investigations, including interviews with related historical experts. In order to replace 'non-architectural' traditional roofs, which were considered as representing a less-developed civilization, Dutch political interests were instrumental in bringing the universally-styled Middle Eastern architectural elements into mosque architecture of the Netherland Indies. This political motivation ultimately led to the spread of kubah (dome as an architectonic element in Indonesian mosque architecture throughout the archipelago, specifically in Sumatra.

Far East and Middle East: An Investigation of Strategic Linkages

National Research Council Canada - National Science Library

Hassig, Kongdan

2002-01-01

.... Key factors linking the two regions include Muslim populations in China, China and the DPRK's need for Middle Eastern oil, the pursuit of several Middle Eastern states for weapons of mass destruction...

Contribution of Arab countries to breast cancer research: comparison with non-Arab Middle Eastern countries.

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Sweileh, Waleed M; Zyoud, Sa'ed H; Al-Jabi, Samah W; Sawalha, Ansam F

2015-01-01

Breast cancer is one of the most common types of cancers affecting women worldwide. The main objective of this study was to assess and compare research activity in breast cancer in Arab countries with non-Arab Middle Eastern countries. Publications about "breast cancer" as a research topic were retrieved using the ISI Web of Science database. Analysis was confined to original research and review articles. Research productivity was assessed by assessing number of publications and time trend of these publications, names of journals, citation analysis, top 10 active institutions as well as country contribution to breast cancer research. The quantity and quality of publications from Arab countries in addition to 3 other Middle East countries (Turkey, Iran and Israel) were assessed and compared using the h-index tool. A total of 1658 original research and review articles about "breast cancer" were published from Arab countries. Annual research productivity from Arab countries in the field of "breast cancer" was negligible but showed a significant increase in the last decade. Retrieved documents had relatively high citation parameters as measured by h-index of 61 and average citations of 17.46 per document. The highest research productivity was from Egypt with a total publication of 582 (35.10%). Cairo University with a total of 149 (8.99%) publications had the highest research productivity among institutions in Arab world. Forty four documents (2.65%) of breast cancer documents were published in Saudi Medical Journal. Arab researchers collaborated mostly with researchers from the United States of America (305; 18.40%) in breast cancer research. Compared with other non-Arab Middle Eastern countries, Arab countries had higher research productivity than some countries and lower than others, particularly Israel. The present data reveals a good contribution of some Arab countries to the field of "breast cancer" research. There is a gap between Arab countries and Israel in

BMI and waist circumference cut-offs for corresponding levels of insulin sensitivity in a Middle Eastern immigrant versus a native Swedish population - the MEDIM population based study.

Science.gov (United States)

Bennet, Louise; Stenkula, Karin; Cushman, Samuel W; Brismar, Kerstin

2016-12-09

The aim of this study was to identify corresponding body mass index (BMI) and waist circumference cut-offs for equivalent levels of insulin sensitivity in a Middle Eastern immigrant population compared with native Swedes. Citizens of Malmö, Sweden aged 30 to 75 years, who were born in Iraq or Sweden, were in 2010-2012 invited to participate in a health examination including anthropometrics, oral glucose tolerance test, fasting samples and interviews concerning sociodemographic factors and lifestyle behaviours. In total, 1176 individuals born in Iraq and 688 born in Sweden, without previously diagnosed type 2 diabetes, participated in the study. In normal weight participants (BMI Middle Eastern populations.

Patterns of death in the first and second generation immigrants from selected Middle Eastern countries in California.

Science.gov (United States)

Nasseri, Kiumarss; Moulton, Lawrence H

2011-04-01

Migrant studies in the United States (US) have rarely covered the Middle Eastern population (ME), and have never distinguished the first and second generations born in the US. This study aims to describe the mortality patterns of ME immigrants by origin, acculturation, and generation. Death certificates issued from 1997 through 2004 were used to calculate, for Middle Eastern immigrants, the proportional odds ratios (POR) for major causes of death, with comparison to non-Hispanic Whites born in the US to US-born parents. First generation immigrants had higher odds for colorectal cancers, diabetes, and diseases of the heart, while their odds for chronic obstructive pulmonary disease (COPD) and suicide were lower. Men had higher odds for all cancers combined, cancers of the lymphatics, and pancreas. Women had lower odds for lung cancer, and dementia, and higher odds for breast cancer. The second generation men had higher odds for all cancers combined, and diseases of the heart, whereas women had lower odds for lung cancer and cerebrovascular accidents. Higher odds for colorectal cancers and lower odds for COPD were noted in both sexes. Some of the observed differences may be based on ethnic characteristics, including genetic makeup, early exposures, and culturally determined values. Time since immigration is associated with convergence of most odds to that of the native population.

Cynicism and other attitudes towards patients in an emergency department in a middle eastern tertiary care center.

Science.gov (United States)

Batley, Nicholas J; Nasreddine, Zeina; Chami, Ali; Zebian, Dina; Bachir, Rana; Abbas, Hussein A

2016-01-29

A caring, compassionate practitioner of the medical arts is the idealized version of what makes a good doctor. If asked to think of a painting of a doctor we most likely conjure an image of a physician sitting at a patient's bedside checking the pulse with a concerned look on his face. The reality is however that cynicism, among other negative attitudes, is becoming more prominent among physicians and medical staff. The causes and extent of cynicism likely vary among medical departments and different cultures. In this study, we aimed to assess attitudes of medical students and physicians in an Emergency Department (ED) in Lebanon that accommodates both local patients and is also known to attract patients from around the Middle East. A total of 30 students, residents and attending physicians at the American University of Beirut Medical Center were invited to participate. All participants underwent semi-structured interviews that were recorded, transcribed and then analyzed for common themes. More negative emotions were expressed among participants than positive ones. Negative emotions were more frequently expressed among medical students, interns and residents than attending physicians. Cynicism in the ED was commonly reported however, maintenance of professionalism and adequate patient care were underscored. While empathy was recurrently found among participants, a trend towards a decrease in empathy with career progression was noted among attending physicians. Further, negative feelings towards patient families were prominent. Participants tended to categorize patients based on willingness to cooperate, gender, age, case acuity, ethnic origins and social status. Cynicism emerged as a prominent theme among medical students and staff in our study. However, participants were also empathetic. These attitudes were generally attributed to the peculiar stressors associated with the Lebanese culture, low acuity cases and "VIP" patients. It is crucial to explore methods in

Human Resource Education in the Middle East Region

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Dirani, Khalil M.; Hamie, Christine Silva

2017-01-01

Purpose: The purpose of this paper is to provide an overview of human resource development (HRD) education in Middle Eastern countries. In particular, the authors discuss the current state of HRD education, country readiness and challenges that hinder HRD progress in Middle Eastern countries. They argue that HRD programs need to prepare young…

Capacity development in food composition database management and nutritional research and education in Central and Eastern European, Middle Eastern and North African countries.

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Gurinović, M; Witthöft, C M; Tepšić, J; Ranić, M; Hulshof, P J M; Hollman, P C; Porubska, J; Gohar, A; Debeljak-Martačić, J; Petrović-Oggiano, G; Novaković, R; Glibetić, M; Oshaug, A

2010-11-01

Capacity development (CD) in food and nutrition is much more than formal training and includes human resource development, and organisational, institutional and legal framework development with the aim of enhancing nutrition-relevant knowledge and skills to support infrastructural development. The goal of the European Food Information Resource (EuroFIR) Network of Excellence has been to develop and integrate food composition data throughout Europe. EuroFIR joined forces in CD with the United Nations (UN) University and UN System Standing Committee on Nutrition, the Network for Capacity Development in Nutrition in Central and Eastern Europe, the Central and Eastern European Countries Food Data Systems network and with the Middle East and North African Capacity Building Initiative. The aim of this paper is to discuss an inventory of the status of food composition databases (FCDBs) and the training needs of compilers in non-EuroFIR countries in Central and Eastern Europe (CEE) and in the Middle East and North Africa (MENA), and to present the CD achieved through EuroFIR and other network collaborations. Two online questionnaires were created addressing the FCDB status and specific training needs in countries of the targeted regions. Data were collected during 2006-2008 and then analysed. Subsequently, CD activities were organised. Contacts were established in 19 CEE and 7 MENA countries, of which several had national food composition tables, but no electronic versions. Education, training, workshops, networking and the sharing of experiences were uniformly requested. Subsequently, CD activities in EuroFIR were organised focussing on food composition courses, exchange visits, workshops and individual training for PhD students, junior scientists and other staff categories, as well as conferences linked to food composition research and food information. To facilitate CD activities, EuroFIR has signed a Memorandum of Understanding with the Czech Republic, Hungary

Predictors of Vascular Cognitive Impairment Poststroke in a Middle Eastern (Bahrain) Cohort: A Proposed Case-Control Comparison.

Science.gov (United States)

Donnellan, Claire; Al Banna, Mona; Redha, Noor; Al Jishi, Adel; Al Sharoqi, Isa; Taha, Safa; Bakhiet, Moiz; Abdulla, Fatema; Walsh, Patrick

2016-11-28

Poststroke dementia and cognitive impairment are associated with poor long-term outcomes after stroke. The contribution of genetic factors such as the presence of apolipoprotein (ApoE) ɛ4 allele and its association with cognitive impairment poststroke remains inconclusive, particularly in Middle Eastern regions. The aim of this study is to examine all correlates and potential predictors of cognitive impairment including self-awareness and regulation deficits in stroke patients and compare these functions with healthy older adults from a Middle Eastern population. A prospective stroke sample of 200 patients (case group) and 100 healthy aging individuals (control group) will be recruited from the largest medical complex in Bahrain. A neuropsychological battery of cognitive assessments (global, executive, and metacognition) will be conducted on all participants. Participants will be categorized into 4 subgroups (nonvascular cognitive impairment, vascular cognitive impairment with no dementia, vascular dementia, and mixed dementia) using standardized cognitive assessment scores and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, dementia criteria. Biomarkers will include ApoE genotype, soluble form of receptor for advanced glycation end products, neprilysin, beta-secretase 1, biochemistry, and hematology measurements. The primary study outcome is to determine early risk factors for cognitive impairment after stroke in a Bahraini cohort. The study has received full ethical approval from the Bahrain Ministry of Health and from the affiliated university. With increasing stroke incidence rates in the Middle East, this research study will provide useful biological and epidemiological data for future development and planning of health policies and guidelines for stroke care within the Gulf region. ©Claire Donnellan, Mona Al Banna, Noor Redha, Adel Al Jishi, Isa Al Sharoqi, Safa Taha, Moiz Bakhiet, Fatema Abdulla, Patrick Walsh. Originally

Erect penile dimensions in a cohort of 778 Middle Eastern men: establishment of a nomogram.

Science.gov (United States)

Habous, Mohamad; Tealab, Alaa; Williamson, Ben; Binsaleh, Saleh; El Dawy, Sherif; Mahmoud, Saad; Abdelwahab, Osama; Nassar, Mohammed; Mulhall, John P; Veale, David; Muir, Gordon

2015-06-01

Accurate data regarding the size of the erect penis are of great importance to several disciplines working with male patients, but little high-quality research exists on the subject, particularly in different ethnic groups and for erect penis size. The aim of this study was to create a nomogram of erect penile dimensions in a large sample of Middle Eastern men. A retrospective cohort study of 778 men (mean age 43.7; range 20-82) attending urological outpatient clinics in Saudi Arabia was conducted. Exclusion criteria were age under 18 years, a presenting complaint of small or short penis, Peyronie's disease or complaint of congenital curvature, clinical hypogonadism, and previous penile surgery or trauma. Three erect penile dimensions following induction of erection using intracavernosal injection of Quadrimix. Mean patient body mass index (BMI) was 29.09 (standard deviation [SD] 5.76). The mean suprapubic skin-to-penile tip erect length was 12.53 cm (SD 1.93); the mean erect length from the symphysis pubis to the penile tip was 14.34 cm (SD 1.86); and the mean erect shaft circumference was 11.50 cm (SD 1.74). A nomogram was constructed and statistical analysis performed, demonstrating a weak negative correlation between BMI and erect penile length measured from the suprapubic skin (r = -0.283, P Middle Eastern men can be used as a standard when advising men with small penis anxiety. The importance of measuring erect size and allowing for infra-pubic fat interference in measurement is emphasized. We envisage that this tool can be used to educate and reassure concerned men about the size of their penises. © 2015 International Society for Sexual Medicine.

Fighting rabies in Eastern Europe, the Middle East and Central Asia--experts call for a regional initiative for rabies elimination.

Science.gov (United States)

Aikimbayev, A; Briggs, D; Coltan, G; Dodet, B; Farahtaj, F; Imnadze, P; Korejwo, J; Moiseieva, A; Tordo, N; Usluer, G; Vodopija, R; Vranješ, N

2014-05-01

MEEREB is an informal network of rabies experts from the Middle East, Eastern Europe and Central Asia, seeking to eliminate rabies from the region. They met for the second time to review the current rabies situation, both globally and in their respective countries, highlighting current rabies control problems and potential solutions. Success stories in Latin America, in Western Europe, in some Asian countries, as well as in Croatia and Serbia prove that elimination of human rabies is achievable in the MEEREB region. It requires political willingness and cooperation of all stakeholders, including Ministries of Health and of Agriculture; adequate management of animal bites through post-exposure prophylaxis; pre-exposure prophylaxis for populations at high risk of rabies exposure, animal vaccination and humane control of stray dog populations. MEEREB members called for a regional initiative for rabies elimination in Eastern Europe and the Middle East. They are confident that the elimination of human rabies of canine origin can be achieved in the region through adopting a One Health approach, and that campaigns for rabies elimination will have significant benefit for public health, including strengthening the structure for control of other zoonoses. © 2013 Blackwell Verlag GmbH.

Sequence stratigraphy and a revised sea-level curve for the Middle Devonian of eastern North America

Science.gov (United States)

Brett, Carlton E.; Baird, G.C.; Bartholomew, A.J.; DeSantis, M.K.; Ver Straeten, C.A.

2011-01-01

The well-exposed Middle Devonian rocks of the Appalachian foreland basin (Onondaga Formation; Hamilton Group, Tully Formation, and the Genesee Group of New York State) preserve one of the most detailed records of high-order sea-level oscillation cycles for this time period in the world. Detailed examination of coeval units in distal areas of the Appalachian Basin, as well as portions of the Michigan and Illinois basins, has revealed that the pattern of high-order sea-level oscillations documented in the New York-Pennsylvania section can be positively identified in all areas of eastern North America where coeval units are preserved. The persistence of the pattern of high-order sea-level cycles across such a wide geographic area suggests that these cycles are allocyclic in nature with primary control on deposition being eustatic sea-level oscillation, as opposed to autocylic controls, such as sediment supply, which would be more local in their manifestation. There is strong evidence from studies of cyclicity and spectral analysis that these cycles are also related to Milankovitch orbital variations, with the short and long-term eccentricity cycles (100. kyr and 405. kyr) being the dominant oscillations in many settings. Relative sea-level oscillations of tens of meters are likely and raise considerable issues about the driving mechanism, given that the Middle Devonian appears to record a greenhouse phase of Phanerozoic history. These new correlations lend strong support to a revised high-resolution sea-level oscillation curve for the Middle Devonian for the eastern portion of North America. Recognized third-order sequences are: Eif-1 lower Onondaga Formation, Eif-2: upper Onondaga and Union Springs formations; Eif-Giv: Oatka Creek Formation; Giv-1: Skaneateles, Giv-2: Ludlowville, Giv-3: lower Moscow, Giv-4: upper Moscow-lower Tully, and Giv-5: middle Tully-Geneseo formations. Thus, in contrast with the widely cited eustatic curve of Johnson et al. (1985), which

Discrimination, religious and cultural factors, and Middle Eastern/Arab Americans' psychological distress.

Science.gov (United States)

Ikizler, Ayse S; Szymanski, Dawn M

2018-01-11

We investigated (1) the moderating role of religiosity in the link between religious affiliation and ethnic discrimination and (2) the moderating roles of religiosity, ethnic identity, and family connectedness in the relations between ethnic discrimination and psychological distress. Our sample consisted of 122 (60% women, 40% men) Middle Eastern/Arab Americans (MEAAs), ranging in age from 18 to 82 years old, who completed an online survey. Muslim identification predicted discrimination for MEAAs with high but not low religiosity. Higher levels of discrimination, more family connectedness, the interaction of discrimination and religiosity, and the interaction of discrimination and family connectedness were unique predictors of psychological distress. Religiosity is a risk factor for experiencing ethnic discrimination among Muslim identified MEAAs. MEAAs who have high religiosity and low to moderate levels of family connectedness are vulnerable to psychological distress associated with ethnic discrimination. © 2018 Wiley Periodicals, Inc.

Validation of the close-to-delivery prediction model for vaginal birth after cesarean delivery in a Middle Eastern cohort.

Science.gov (United States)

Abdel Aziz, Ahmed; Abd Rabbo, Amal; Sayed Ahmed, Waleed A; Khamees, Rasha E; Atwa, Khaled A

2016-07-01

To validate a prediction model for vaginal birth after cesarean (VBAC) that incorporates variables available at admission for delivery among Middle Eastern women. The present prospective cohort study enrolled women at 37weeks of pregnancy or more with cephalic presentation who were willing to attempt a trial of labor (TOL) after a single prior low transverse cesarean delivery at Al-Jahra Hospital, Kuwait, between June 2013 and June 2014. The predicted success rate of VBAC determined via the close-to-delivery prediction model of Grobman et al. was compared between participants whose TOL was and was not successful. Among 203 enrolled women, 140 (69.0%) had successful VBAC. The predicted VBAC success rate was higher among women with successful TOL (82.4%±13.1%) than among those with failed TOL (67.7%±18.3%; P30%-40% to >90%-100%, the actual success rate was 20%, 30.7%, 38.5%, 59.1%, 71.4%, 76%, and 84.5%, respectively (r=0.98, P=0.013). The close-to-delivery prediction model was found to be applicable to Middle Eastern women and might predict VBAC success rates, thereby decreasing morbidities associated with failed TOL. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Migration and mental health: a study of low-income Ethiopian women working in Middle Eastern countries.

Science.gov (United States)

Anbesse, Birke; Hanlon, Charlotte; Alem, Atalay; Packer, Samuel; Whitley, Rob

2009-11-01

Few studies have explored influences on mental health of migrants moving between non-Western countries. Focus group discussions were used to explore the experiences of Ethiopian female domestic migrants to Middle Eastern countries, comparing those who developed severe mental illness with those remaining mentally well. Prominent self-identified threats to mental health included exploitative treatment, enforced cultural isolation, undermining of cultural identity and disappointment in not achieving expectations. Participants countered these risks by affirming their cultural identity and establishing socio-cultural supports. Mental health of migrant domestic workers may be jeopardized by stressors, leading to experience of social defeat.

Partnerships in the Middle East: Interventionist Endeavors?

DEFF Research Database (Denmark)

Aarøe Jørgensen, Jakob

2014-01-01

This chapter aims to analyse NATO’s two Middle Eastern and North African (MENA)1 partnership programmes – the Mediterranean Dialogue (MD) and the Istanbul Cooperation Initiative (ICI). The chapter aims to answer the questions: (1) why does NATO engage with MENA partners; (2) what are the obstacles...... that MD and ICI face, and; (3) is the new flexible partnership policy a step towards more constructive Middle Eastern partnerships?...

K-Ar and Rb-Sr dating results of the Malyshevsky leucogranite massif (eastern slope of the Middle Urals)

International Nuclear Information System (INIS)

Smirnov, V.N.; Ivanov, K.S.; Ronkin, Yu.L.; Levin, V.Ya.; Bushlyakov, I.N.; Lepikhina, O.P.; Popova, O.Yu.

2005-01-01

The age of leucogranites and minerals forming the Malyshevsky massif was identified by the methods of K-Ar- and Rb-Sr dating for refining the sequence of magmatic complexes formation on the eastern slope of the Middle Urals. The obtained isotope age values, i.e. 229-277 mln. years (K-Ar) and 277.1±1.1 mln. years (Rb-Sr), permit considering the age of 277 mln. years as the period of the leucogranites formation and of the associated molybdenum mineralization [ru

A framework guiding critical thinking through reflective journal documentation: a Middle Eastern experience.

Science.gov (United States)

Simpson, Elaine; Courtney, Mary

2007-08-01

The purpose of this paper is to present a framework to guide critical thinking through reflective journaling, and describe how a group of 20 Middle Eastern nurses used reflective journaling to enhance their practice. Journal documentation was used during clinical practicum to foster the development of critical thinking in order to assist nurses when analysing and evaluating their clinical experiences. The findings from this study demonstrated that nurses accepted the framework for journal documentation because it provided structure for reflection, speculation, synthesis and metacognition of events experienced during clinical practice. Journaling gave nurses the opportunity to transfer thoughts onto paper and write down subjective and objective data, and created dialogue between the nurse educators and nurses. They were engaged in productive and positive activity to enhance their nursing practice. Nurses also commented that writing helped to develop their confidence in writing English.

Chronology of the Acheulean to Middle Stone Age transition in eastern Africa.

Science.gov (United States)

Deino, Alan L; Behrensmeyer, Anna K; Brooks, Alison S; Yellen, John E; Sharp, Warren D; Potts, Richard

2018-04-06

The origin of the Middle Stone Age (MSA) marks the transition from a highly persistent mode of stone toolmaking, the Acheulean, to a period of increasing technological innovation and cultural indicators associated with the evolution of Homo sapiens We used argon-40/argon-39 and uranium-series dating to calibrate the chronology of Acheulean and early MSA artifact-rich sedimentary deposits in the Olorgesailie basin, southern Kenya rift. We determined the age of late Acheulean tool assemblages from 615,000 to 499,000 years ago, after which a large technological and faunal transition occurred, with a definitive MSA lacking Acheulean elements beginning most likely by ~320,000 years ago, but at least by 305,000 years ago. These results establish the oldest repository of MSA artifacts in eastern Africa. Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

Coronary artery disease prevalence and outcome in patients hospitalized with acute heart failure: an observational report from seven Middle Eastern countries.

Science.gov (United States)

Salam, Amar M; Sulaiman, Kadhim; Al-Zakwani, Ibrahim; Alsheikh-Ali, Alawi; Aljaraallah, Mohammed; Al Faleh, Husam; Elasfar, Abdelfatah; Panduranga, Prasanth; Singh, Rajvir; Abi Khalil, Charbel; Al Suwaidi, Jassim

2016-12-01

The purpose of this study was to report prevalence, clinical characteristics, precipitating factors, management and outcome of patients with coronary artery disease (CAD) among patients hospitalized with heart failure (HF) in seven Middle Eastern countries and compare them to non-CAD patients. Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multicenter study of 5005 consecutive patients hospitalized with acute HF during February-November 2012 in 7 Middle Eastern countries. The prevalence of CAD among Acute Heart Failure (AHF) patients was 60.2% and varied significantly among the 7 countries (Qatar 65.7%, UAE 66.6%, Kuwait 68.0%, Oman 65.9%, Saudi Arabia 62.5%, Bahrain 52.7% and Yemen 49.1%) with lower values in the lower income countries. CAD patients were older and more likely to have diabetes, hypertension, dyslipidemia and chronic kidney disease. Moreover, CAD patients were more likely to have history of cerebrovascular and peripheral vascular disease when compared to non-CAD patients. In-hospital mortality rates were comparable although CAD patients had more frequent re-hospitalization and worse long-term outcome. However, CAD was not an independent predictor of poor outcome. The prevalence of CAD amongst patients with HF in the Middle East is variable and may be related to healthcare sources. Regional and national studies are needed for assessing further the impact of various etiologies of HF and for developing appropriate strategies to combat this global concern.

Systematic Review of Breast Cancer Biology in Developing Countries (Part 1): Africa, the Middle East, Eastern Europe, Mexico, the Caribbean and South America

International Nuclear Information System (INIS)

Bhikoo, Riyaz; Srinivasa, Sanket; Yu, Tzu-Chieh; Moss, David; Hill, Andrew G

2011-01-01

There has been no systematic appraisal of ethnicity-based variations in breast cancer (BC) biology amongst women from developing countries. A qualitative systematic review was conducted of breast cancer size, stage, grade, histological type, extra-mammary involvement, hormone receptor status as well as patient demographics. This review includes patients from Africa, the Middle East, Eastern Europe, Mexico, the Caribbean and South America. BC in these regions present at an earlier age with large aggressive tumours. Distant metastases are frequently present at the time of diagnosis. African women have a higher frequency of triple negative tumours. Over half of Middle Eastern women have lymph node involvement at the time of diagnosis. Despite experiencing a lower incidence compared to the Ashkenazi Jewish population, Palestinian women have poorer five-year survival outcomes. The majority of women from Mexico and South America have stage two or three disease whilst over sixty percent of women from Eastern Europe have either stage one or stage two disease. The biological characteristics of BC in the Caribbean cannot be fully assessed due to a paucity of data from the region. BC amongst the developing world is characterised by an early peak age of onset with aggressive biological characteristics. Strategies that improve breast cancer awareness, address amenable risk factors and improve early detection are essential

Step-change: how micro-entrepreneurs enter the upcoming middle-class market in developing and emerging countries

NARCIS (Netherlands)

Babah Daouda, Falylath

2017-01-01

In developing and emerging (D&E) countries, the large number of poor people, most of whom are female, earn a living based on small-scale self-employed units established in subsistence marketplaces in the large informal sector. With the recent rise of middle-classes in developing and emerging

One for All and All for One: Using Multiple Identification Theory Simulations to Build Cooperative Attitudes and Behaviors in a Middle Eastern Conflict Scenario

Science.gov (United States)

Williams, Robert Howard; Williams, Alexander Jonathan

2010-01-01

The authors previously developed multiple identification theory (MIT) as a system of simulation game design intended to promote attitude change. The present study further tests MIT's effectiveness. The authors created a game (CULTURE & CREED) via MIT as a complex simulation of Middle Eastern conflict resolution, designed to change attitudes…

Economic crisis in Asia and Middle Eastern economy; Ajia keizai kiki to chuto keizai

Energy Technology Data Exchange (ETDEWEB)

Ishinoda, Toru

1999-02-01

Economic crisis in Asia and its influences on Middle Eastern economy are explained based on statistics. In Asian countries domestic energy demand has increased rapidly with recent high rate of economic growth for a background. Crisis on currency and finance originated in Thailand in the second half of 1997 has spread to neighboring countries of Malaysia, Indonesia, Philippine and Republic of Korea, then economic depression and confusion has propagated all over Asia, and decrease in oil demands has caused sudden drop of oil price, which has an important effect upon economy of oil producing countries of Middle East. Drastic decrease in oil and gas income has resulted in downward modification of budget, cut down of expenditure and reexamination of investment projects, including suspension. Statistical data were shown on trades with Asian countries, effects of sudden drop in oil price in Iran and Saudi arabia and its deficit in finance. Recovery of Asian economy being slow, sharp increase in demand for oil and turn over of oil price can't be expected, and it seems that oil producing countries, who have economic structure of depending much on export of oil products such as crude oil, petroleum products and natural gas, will stay in distress for the time being. (NEDO)

Outcomes of Middle Eastern Patients Undergoing Percutaneous Coronary Intervention: The Primary Analysis of the First Jordanian PCI Registry.

Science.gov (United States)

Alhaddad, Imad A; Tabbalat, Ramzi; Khader, Yousef; Al-Mousa, Eyas; Izraiq, Mahmoud; Nammas, Assem; Jarrah, Mohammad; Saleh, Akram; Hammoudeh, Ayman

2017-01-01

This is a prospective multicenter registry designed to evaluate the incidence of adverse cardiovascular events in Middle Eastern patients undergoing percutaneous coronary interventions (PCI). The registry was also designed to determine the predictors of poor outcomes in such patients. We enrolled 2426 consecutive patients who underwent PCI at 12 tertiary care centers in Jordan between January 2013 and February 2014. A case report form was used to record data prospectively at hospital admission, discharge, and 12 months of follow-up. Mean age was 56 ± 11 years, females comprised 21% of the study patients, 62% had hypertension, 53% were diabetics, and 57% were cigarette smokers. Most patients (77%) underwent PCI for acute coronary syndrome. In-hospital and 1-year mortality rates were 0.78% and 1.94%, respectively. Definite or probable stent thrombosis occurred in 9 patients (0.37%) during hospitalization and in 47 (1.94%) at 1 year. Rates of target vessel repeat PCI and coronary artery bypass graft surgery at 1 year were 3.4% and 0.6%, respectively. The multivariate analysis revealed that cardiogenic shock, congestive heart failure, ST-segment deviation, diabetes, and major bleeding were significantly associated with higher risk of 1-year mortality. In this first large Jordanian registry of Middle Eastern patients undergoing PCI, patients treated were relatively young age population with low in-hospital and 1-year adverse cardiovascular events. Certain clinical features were associated with worse outcomes and may warrant aggressive therapeutic strategies.

Sequence stratigraphy and tectonosedimentary history of the Upper Jurassic of the Eastern Paris Basin (Lower and Middle Oxfordian, Northeastern France)

Science.gov (United States)

Carpentier, Cédric; Lathuilière, Bernard; Ferry, Serge; Sausse, Judith

2007-04-01

In the present study, the difficulty which lies in the identification of sea-level fall discontinuities in deep depositional environments led the authors to use the transgressive surfaces (i.e. the most noticeable surfaces in the present case) to determine depositional cycles. Four (3rd order?) Lower and Middle Oxfordian cycles were identified (S1, S2, S3, and S4) in the Eastern Paris Basin. These four cycles can be organised into two lower frequency cycles (So I and So II) which comprise the S1, S2 and the S3, S4 cycles respectively. During the time intervals of the S1, S2, and S3 cycles, sedimentation occurred along a southward dipping carbonate-siliciclastic ramp, prograding from the northern Ardennes area. The S4 cycle shows the development of a reefal distally steepened ramp which subsequently evolved into a flat-topped platform as a result of the compensation infill of the available accommodation space by the carbonate production during a climatic warming, in this case reef growth. Isopach and facies maps suggest synsedimentary activities of hercynian faults coevals with the floodings of the So I and So II cycles. One of these events generated a diachronism of the maximum flooding (Plicatilis Zone) during the So II cycle between the northwestern and southeastern parts of the studied area. The depositional patterns found in the Eastern Paris Basin and the Swiss Jura show great similarities for the Early-Middle Oxfordian. Both regions were probably connected and recorded the same tectonosedimentary evolution. In contrast a tectonic control certainly generated differences between the sequence-stratigraphic framework of the Eastern Paris Basin and the eustatic chart.

Carbon emissions-income relationships with structural breaks: the case of the Middle Eastern and North African countries.

Science.gov (United States)

El Montasser, Ghassen; Ajmi, Ahdi Noomen; Nguyen, Duc Khuong

2018-01-01

This article revisits the carbon dioxide (CO 2 ) emissions-GDP causal relationships in the Middle Eastern and North African (MENA) countries by employing the Rossi (Economet Theor 21:962-990, 2005) instability-robust causality test. We show evidence of significant causality relationships for all considered countries within the instability context, whereas the standard Granger causality test fails to detect causal links in any direction, except for Egypt, Iran, and Morocco. An important policy implication resulting from this robust analysis is that the income is not affected by the cuts in the CO 2 emissions for only two MENA countries, the UAE and Syria.

Mechanisms of innate immune evasion in re-emerging RNA viruses.

Science.gov (United States)

Ma, Daphne Y; Suthar, Mehul S

2015-06-01

Recent outbreaks of Ebola, West Nile, Chikungunya, Middle Eastern Respiratory and other emerging/re-emerging RNA viruses continue to highlight the need to further understand the virus-host interactions that govern disease severity and infection outcome. As part of the early host antiviral defense, the innate immune system mediates pathogen recognition and initiation of potent antiviral programs that serve to limit virus replication, limit virus spread and activate adaptive immune responses. Concordantly, viral pathogens have evolved several strategies to counteract pathogen recognition and cell-intrinsic antiviral responses. In this review, we highlight the major mechanisms of innate immune evasion by emerging and re-emerging RNA viruses, focusing on pathogens that pose significant risk to public health. Copyright © 2015 Elsevier B.V. All rights reserved.

Re-Emerging Vaccine-Preventable Diseases in War-Affected Peoples of the Eastern Mediterranean Region—An Update

Directory of Open Access Journals (Sweden)

Rasha Raslan

2017-10-01

Full Text Available For the past few decades, the Eastern Mediterranean Region has been one area of the world profoundly shaped by war and political instability. On-going conflict and destruction have left the region struggling with innumerable health concerns that have claimed the lives of many. Wars, and the chaos they leave behind, often provide the optimal conditions for the growth and re-emergence of communicable diseases. In this article, we highlight a few of the major re-emerging vaccine preventable diseases in four countries of the Eastern Mediterranean Region that are currently affected by war leading to a migration crisis: Iraq, South Sudan, Syria, and Yemen. We will also describe the impact these infections have had on patients, societies, and national health care services. This article also describes the efforts, both local and international, which have been made to address these crises, as well as future endeavors that can be done to contain and control further devastation left by these diseases.

The Possibility of Central and Eastern European Countries' Joining the EMU: Prospects and Implications for Korea

Directory of Open Access Journals (Sweden)

Jeong-Cheol Han

1999-03-01

Full Text Available The old socialistic states of Middle and Eastern Europe is positively trying to accede to the EMU in order to enjoy the manifold rights of joining currency combination, not mention the political and diplomatic purposes. The EU brought forward the regulation of macro-economic reduction, system and law terms as the requirement of the entrance of those Middle and Eastern Europe countries. According to a survey, including Poland and Hungary, countries which took the lead in reforming agreed with EU on most of EU’ requirements about acceding to EMU. However, because of the domestic and foreign economic conditions, in the next 1 or 2years, none of the Middle and Eastern Europe countries could meet the requirement of reducing macro-economy. Whereas the degree of fulfillment of the economy reducing requirement and the factor that the Middle and Eastern Europe countries could accede to EU after 2003, it was predicted that those countries could accede to EMU only after 2005. With the coming on of EMU, the Middle and Eastern countries will accelerate the activity of currency combination. The South Korean government and enterprises also should intensify the prediction and precaution to the systems, policy change and other economic effects of these Middle and Eastern Europe countries.

TOURISM INDUSTRY DEVELOPMENT IN THE EMERGING ECONOMIES OF CENTRAL AND EASTERN EUROPE (HUNGARY, BULGARIA, ROMANIA

Directory of Open Access Journals (Sweden)

Alina-Petronela HALLER

2016-07-01

Full Text Available Emerging Economies from Central and Eastern Europe take steps to ensure growth through tourism. Although they do not have the cultural, historical and artistic potential of the most famous tourist destinations, these economies promote forms of tourism for which they have suitable conditions. For example, Hungary is famous for health tourism, Bulgaria has made progress in terms of coastal tourism and Romania tries to make known the rural area although it has all conditions for practicing a wide diversified range of tourism forms. In this paper we present statistics showing how the tourism industry looks for three Central and Eastern European countries and we do a brief comparative analysis.

Phylogenetic Distinctiveness of Middle Eastern and Southeast Asian Village Dog Y Chromosomes Illuminates Dog Origins

Science.gov (United States)

Brown, Sarah K.; Pedersen, Niels C.; Jafarishorijeh, Sardar; Bannasch, Danika L.; Ahrens, Kristen D.; Wu, Jui-Te; Okon, Michaella; Sacks, Benjamin N.

2011-01-01

Modern genetic samples are commonly used to trace dog origins, which entails untested assumptions that village dogs reflect indigenous ancestry or that breed origins can be reliably traced to particular regions. We used high-resolution Y chromosome markers (SNP and STR) and mitochondrial DNA to analyze 495 village dogs/dingoes from the Middle East and Southeast Asia, along with 138 dogs from >35 modern breeds to 1) assess genetic divergence between Middle Eastern and Southeast Asian village dogs and their phylogenetic affinities to Australian dingoes and gray wolves (Canis lupus) and 2) compare the genetic affinities of modern breeds to regional indigenous village dog populations. The Y chromosome markers indicated that village dogs in the two regions corresponded to reciprocally monophyletic clades, reflecting several to many thousand years divergence, predating the Neolithic ages, and indicating long-indigenous roots to those regions. As expected, breeds of the Middle East and East Asia clustered within the respective regional village dog clade. Australian dingoes also clustered in the Southeast Asian clade. However, the European and American breeds clustered almost entirely within the Southeast Asian clade, even sharing many haplotypes, suggesting a substantial and recent influence of East Asian dogs in the creation of European breeds. Comparison to 818 published breed dog Y STR haplotypes confirmed this conclusion and indicated that some African breeds reflect another distinct patrilineal origin. The lower-resolution mtDNA marker consistently supported Y-chromosome results. Both marker types confirmed previous findings of higher genetic diversity in dogs from Southeast Asia than the Middle East. Our findings demonstrate the importance of village dogs as windows into the past and provide a reference against which ancient DNA can be used to further elucidate origins and spread of the domestic dog. PMID:22194840

Decreased live births among women of Middle Eastern/North African ethnicity compared to Caucasian women.

Science.gov (United States)

Salem, W H; Abdullah, A; Abuzeid, O; Bendikson, K; Sharara, F I; Abuzeid, M

2017-05-01

The objective of this study is to determine if IVF outcome disparities exist among MENA women in the USA in comparison to a control group of Caucasian women. A retrospective cohort study comparing MENA (N = 190) and Caucasian (N = 200) women undergoing their first IVF cycle between 5/2006 and 5/2014 was carried out at an academically affiliated fertility practice. All MENA cycles during that time period undergoing IVF/ICSI using autologous embryos and blastocyst transfers were compared to a control group of Caucasian women. MENA women were significantly younger (32.9 vs 34.5, P Middle Eastern/North African women have worse IVF outcomes with decreased live birth rates per blastocyst transfer and increased miscarriage rates compared to Caucasian women.

78 FR 42779 - Authorization of Emergency Use of an In Vitro Diagnostic for Detection of Middle East Respiratory...

Science.gov (United States)

2013-07-17

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-0754] Authorization of Emergency Use of an In Vitro Diagnostic for Detection of Middle East Respiratory Syndrome... Authorization) for an in vitro diagnostic device for detection of Middle East Respiratory Syndrome Coronavirus...

Women’s bodies and Men’s Honour : Supporting Middle eastern migrant women who have experienced honour violence

OpenAIRE

Al, S.

2017-01-01

This thesis is a study of gender and honour, focusing on NGO’s who work to support women in Sweden who have escaped honour violence. The purpose of this thesis is to find out and explain how they make sense of honour and more specifically, to investigate how does Swedish authorities can help the Middle Eastern women who are victims under this tradition. My focus through this thesis will be on the data analysis, moreover, using intersectionality as an analytical tool will help to explain the i...

Energy privatization in the Middle East

International Nuclear Information System (INIS)

Tetreault, M.A.

1997-01-01

The issue of energy privatization in the Middle East was discussed with particular examples from Kuwait. The development of Kuwait's domestic political institutions is unique in the Arab Gulf which makes privatization more complicated than in other Middle Eastern countries. The major issue in Kuwait is whether foreign investors and domestic private investors will be allowed equity participation in oil and gas production projects. It was suggested that the answer depends on general assessments of national financial and state security interests and on individual case judgements respecting each potential partnership. Historically, one of the main reasons for nationalization of private investment in oil and gas in the Middle East was the desire of governments to increase state revenues. Nationalization permitted states to set prices and production levels themselves and to keep the difference between costs and prices instead of sharing it with corporate owners. However, nationalization is not without its problems as indicated by the difficulties encountered by governments in trying to make the the OPEC-managed hydrocarbon regime work. The three main reasons for the current willingness of Middle Eastern governments to consider re-admitting private companies as equity participants in their energy industries, namely market share and terms of access, interstate disputes, and desire to minimize corruption, were also discussed. It was suggested that these are strong arguments that support taking another look at privatization as a strategy that is in the long-term interest of Middle Eastern oil producing states. 19 refs

A Primer of Middle Eastern Leadership Culture

Directory of Open Access Journals (Sweden)

Sheldon Greaves

2012-01-01

Full Text Available It is natural for someone looking in on a foreign culture from the outside to interpret what they see and frame their reactions based on their own background and assumptions. With cultures as a different as those of the Middle East and the West, the potential for blunders increases dramatically, made worse by the high political, diplomatic, military, and commercial stakes involved. Leadership culture in this region has been shaped over centuries through a variety of factors, such as reputation, family, and religion, which continue to influence decision making. The present study posits that an understanding of these factors and how they work is crucial for intelligence analysts, policy and decision makers, strategists, and scholars who must find their way through a very unfamiliar cultural landscape in the Middle East. It is hoped that this discussion will in some way assist in the creation of more effective interaction, policies, and analysis associated with the Middle East.

Atrial fibrillation in the Middle East: unmapped, underdiagnosed, undertreated.

Science.gov (United States)

Al-Shamkhani, Warkaa; Ayetey, Harold; Lip, Gregory Y H

2018-05-01

Atrial fibrillation (AF) is the commonest persistent cardiac arrhythmia with an estimated incidence rate of between 1.5-2% and an important cause of strokes. Few epidemiological studies and clinical trials on the management of AF have been conducted outside Europe and North America. These gaps in our understanding of AF likely lead to sub-optimal management of patients with AF in the rest of the world. Areas covered: We discuss the epidemiology, treatment and clinical outcomes for AF in the Middle East after systematic review of published work for AF from the Middle East. We also discuss important clinical trials on AF conducted in the West in the same period to help contextualize our findings. Expert commentary: The few available Middle East studies suggest important epidemiological differences between Middle Eastern and Western AF populations. In particular, the Middle Eastern AF population is younger and have more co-morbidities than patients in the West. We find that significant numbers of moderate to high risk patients with AF are either undertreated or untreated placing them at increased risk of complications such as stroke. More studies in the Middle Eastern population are required to aid the development of region-specific clinical guidelines to improve patient care.

Urban hydrology in mountainous middle eastern cities

Science.gov (United States)

Grodek, T.; Lange, J.; Lekach, J.; Husary, S.

2011-03-01

The Mediterranean climate together with the type of urban setting found in mountainous Middle Eastern cities generate much lower runoff yields than previously reported and than usually estimated for urban design. In fact, a close analysis shows that most of the rainwater remains within the cities as a possible source for urban groundwater recharge. The present study examined two locales - Ramallah, an old traditional Palestinian Arab town, and Modiin, a new township in Israel - both situated on the karstic Yarkon Taninim aquifer. This aquifer supplies the only high-quality drinking water in the region (one quarter of the Israeli-Palestinian water demand), which is characterized by dense populations and limited water resources. This paper provides the first measured information on the hydrological effects of urbanization in the area. It was found that the shift of the mountainous natural steep slopes into a series of closed-terraces with homes and gardens create areas that are disconnected from the urban runoff response. Roofs drained into the attached gardens create favorable recharge units. Mainly low-gradient roads became the principal source for urban runoff already following 1-4 mm of rainfall. Parallel roads converted single peak hydrographs towards multi-peak runoff responses, increasing flow duration and reducing peak discharges. The remaining urban area (public parks, natural areas, etc.) generated runoff only as a result of high-magnitude rainstorms. All of the above conditions limited urban runoff coefficients to an upper boundary of only 35% and 30% (Ramallah and Modiin, respectively). During extreme rainstorms (above 100 mm) similar runoff coefficients were measured in urban and natural catchments as a result of the limited areas contributing to runoff in the urban areas, while natural terrain does not have these artificial limits. Hence, the effects of urbanization decrease with event magnitude and there is significant potential for urban groundwater

Urban hydrology in mountainous middle eastern cities

Directory of Open Access Journals (Sweden)

T. Grodek

2011-03-01

Full Text Available The Mediterranean climate together with the type of urban setting found in mountainous Middle Eastern cities generate much lower runoff yields than previously reported and than usually estimated for urban design. In fact, a close analysis shows that most of the rainwater remains within the cities as a possible source for urban groundwater recharge. The present study examined two locales – Ramallah, an old traditional Palestinian Arab town, and Modiin, a new township in Israel – both situated on the karstic Yarkon Taninim aquifer. This aquifer supplies the only high-quality drinking water in the region (one quarter of the Israeli-Palestinian water demand, which is characterized by dense populations and limited water resources.

This paper provides the first measured information on the hydrological effects of urbanization in the area. It was found that the shift of the mountainous natural steep slopes into a series of closed-terraces with homes and gardens create areas that are disconnected from the urban runoff response. Roofs drained into the attached gardens create favorable recharge units. Mainly low-gradient roads became the principal source for urban runoff already following 1–4 mm of rainfall. Parallel roads converted single peak hydrographs towards multi-peak runoff responses, increasing flow duration and reducing peak discharges. The remaining urban area (public parks, natural areas, etc. generated runoff only as a result of high-magnitude rainstorms. All of the above conditions limited urban runoff coefficients to an upper boundary of only 35% and 30% (Ramallah and Modiin, respectively. During extreme rainstorms (above 100 mm similar runoff coefficients were measured in urban and natural catchments as a result of the limited areas contributing to runoff in the urban areas, while natural terrain does not have these artificial limits. Hence, the effects of urbanization decrease with event magnitude and there is significant

Emerging and Reemerging Diseases in the World Health Organization (WHO Eastern Mediterranean Region—Progress, Challenges, and WHO Initiatives

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Evans Buliva

2017-10-01

Full Text Available The Eastern Mediterranean Region (EMR of the World Health Organization (WHO continues to be a hotspot for emerging and reemerging infectious diseases and the need to prevent, detect, and respond to any infectious diseases that pose a threat to global health security remains a priority. Many risk factors contribute in the emergence and rapid spread of epidemic diseases in the Region including acute and protracted humanitarian emergencies, resulting in fragile health systems, increased population mobility, rapid urbanization, climate change, weak surveillance and limited laboratory diagnostic capacity, and increased human–animal interaction. In EMR, several infectious disease outbreaks were detected, investigated, and rapidly contained over the past 5 years including: yellow fever in Sudan, Middle East respiratory syndrome in Bahrain, Oman, Qatar, Saudi Arabia, United Arab Emirates, and Yemen, cholera in Iraq, avian influenza A (H5N1 infection in Egypt, and dengue fever in Yemen, Sudan, and Pakistan. Dengue fever remains an important public health concern, with at least eight countries in the region being endemic for the disease. The emergence of MERS-CoV in the region in 2012 and its continued transmission currently poses one of the greatest threats. In response to the growing frequency, duration, and scale of disease outbreaks, WHO has worked closely with member states in the areas of improving public health preparedness, surveillance systems, outbreak response, and addressing critical knowledge gaps. A Regional network for experts and technical institutions has been established to facilitate support for international outbreak response. Major challenges are faced as a result of protracted humanitarian crises in the region. Funding gaps, lack of integrated approaches, weak surveillance systems, and absence of comprehensive response plans are other areas of concern. Accelerated efforts are needed by Regional countries, with the continuous

Emerging and Reemerging Diseases in the World Health Organization (WHO) Eastern Mediterranean Region-Progress, Challenges, and WHO Initiatives.

Science.gov (United States)

Buliva, Evans; Elhakim, Mohamed; Tran Minh, Nhu Nguyen; Elkholy, Amgad; Mala, Peter; Abubakar, Abdinasir; Malik, Sk Md Mamunur Rahman

2017-01-01

The Eastern Mediterranean Region (EMR) of the World Health Organization (WHO) continues to be a hotspot for emerging and reemerging infectious diseases and the need to prevent, detect, and respond to any infectious diseases that pose a threat to global health security remains a priority. Many risk factors contribute in the emergence and rapid spread of epidemic diseases in the Region including acute and protracted humanitarian emergencies, resulting in fragile health systems, increased population mobility, rapid urbanization, climate change, weak surveillance and limited laboratory diagnostic capacity, and increased human-animal interaction. In EMR, several infectious disease outbreaks were detected, investigated, and rapidly contained over the past 5 years including: yellow fever in Sudan, Middle East respiratory syndrome in Bahrain, Oman, Qatar, Saudi Arabia, United Arab Emirates, and Yemen, cholera in Iraq, avian influenza A (H5N1) infection in Egypt, and dengue fever in Yemen, Sudan, and Pakistan. Dengue fever remains an important public health concern, with at least eight countries in the region being endemic for the disease. The emergence of MERS-CoV in the region in 2012 and its continued transmission currently poses one of the greatest threats. In response to the growing frequency, duration, and scale of disease outbreaks, WHO has worked closely with member states in the areas of improving public health preparedness, surveillance systems, outbreak response, and addressing critical knowledge gaps. A Regional network for experts and technical institutions has been established to facilitate support for international outbreak response. Major challenges are faced as a result of protracted humanitarian crises in the region. Funding gaps, lack of integrated approaches, weak surveillance systems, and absence of comprehensive response plans are other areas of concern. Accelerated efforts are needed by Regional countries, with the continuous support of WHO, to

Health related quality of life in Middle Eastern children with beta-thalassemia.

Science.gov (United States)

Caocci, Giovanni; Efficace, Fabio; Ciotti, Francesca; Roncarolo, Maria Grazia; Vacca, Adriana; Piras, Eugenia; Littera, Roberto; Markous, Raji Suleiman Dawood; Collins, Gary Stephen; Ciceri, Fabio; Mandelli, Franco; Marktel, Sarah; La Nasa, Giorgio

2012-06-22

Thalassemia is a common disorder worldwide with a predominant incidence in Mediterranean countries, North Africa, the Middle East, India, Central Asia, and Southeast Asia. Whilst substantial progress has been made towards the improvement of Health related quality of life (HRQoL) in western countries, scarce evidence-based data exists on HRQol of thalassemia children and adolescents living in developing countries. We studied 60 thalassemia children from Middle Eastern countries with a median age of 10 years (range 5 to 17 years). HRQoL was assessed with the Pediatric Quality of Life Inventory (PedsQL) 4.0. The Questionnaire was completed at baseline by all patients and their parents. The agreement between child-self and parent-proxy HRQoL reports and the relationship between HRQoL profiles and socio-demographic and clinical factors were investigated. The scores of parents were generally lower than those of their children for Emotional Functioning (mean 75 vs 85; p = 0.002), Psychosocial Health Summary (mean 70.3 vs 79.1; p = 0.015) and the Total Summary Score (mean 74.3 vs 77.7 p = 0.047). HRQoL was not associated with ferritin levels, hepatomegaly or frequency of transfusions or iron chelation therapy. Multivariate analysis showed that a delayed start of iron chelation had a negative impact on total PedsQL scores of both children (p = 0.046) and their parents (p = 0.007). The PedsQL 4.0 is a useful tool for the measurement of HRQoL in pediatric thalassemia patients. This study shows that delayed start of iron chelation has a negative impact on children's HRQoL.

REPTILE SPECIES COMPOSITION IN THE MIDDLE GURGUÉIA AND COMPARISON WITH INVENTORIES IN THE EASTERN PARNAÍBA RIVER BASIN, STATE OF PIAUÍ, BRAZIL

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CLÁUDIA RENATA MADELLA-AURICCHIO

Full Text Available ABSTRACT The reptile diversity of the Middle Gurguéia River Basin in southern Piauí, Brazil, is little known. The rapid expansion of agriculture in the region is converting the Cerrado and Caatinga into large farming areas, which threatens biodiversity and hastens its loss. In this study, 68 specimens of reptiles from a university collection were examined, comprising 29 species: ten lizards, one amphisbaenian, 15 snakes, two turtles and one crocodilian. They were collected from five locations in the Middle Gurguéia Basin, a region not previously evaluated for reptiles. The most abundant species is a member of Tropidurus. Comparison with eight other areas in the eastern Parnaíba Basin indicated that the diversity of reptiles in the Middle Gurguéia is similar to that in other Caatinga-Cerrado ecotone areas. The reptile assemblage in the eastern Parnaíba Basin comprises 100 species of reptiles: 39 lizards, five amphisbaenians, 50 snakes, four chelonians and two crocodilians. This study expanded the known distributions of some reptiles and recorded the first occurrence of Helicops leopardinus (Schlegel, 1837 for Piauí. A cluster analysis showed that the reptile composition concords with the habitat where species were found, i.e. Cerrado, Caatinga or ecotone. Studies that associate habitat structure with each species are essential to propose efficient strategies for reptile management and conservation for the entire Parnaíba River Basin, mostly in areas that are not yet protected.

Middle Jurassic-Early Cretaceous foraminiferal biozonation of the Amran Group, eastern Sana'a Basin, Yemen

Science.gov (United States)

Al-Wosabi, Mohammed; El-Anbaawy, Mohammed; Al-Thour, Khalid

2017-06-01

Two sections of strata assigned to the Amran Group at Jabal Salab and Jabal Yam in the eastern Sana'a governorate were sampled and correlated. These sections are part of a carbonate platform that extends from the city of Marib in the east to Naqil Ibn Ghailan, 20 km east of the city of Sana'a to the west. Palaeontological analysis of samples recovered has resulted in identification of 123 foraminiferal species, which are used to subdivide the sequence of the Amran Group into five biostratigraphic zones, aged between Bathonian (Middle Jurassic) and Berriasian (Early Cretaceous). The proposed biozones are those of Riyadhella rotundata, Kurnubia jurassica, Ammomarginulina sinaica, Alveosepta jaccardi and Pseudocyclammina sulaiyana/Furitilla caspianseis. These biozones were constructed and correlated with the equivalent zones reported from several localities.

Middle Jurassic–Early Cretaceous foraminiferal biozonation of the Amran Group, eastern Sana’a Basin, Yemen

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Al-Wosabi Mohammed

2017-06-01

Full Text Available Two sections of strata assigned to the Amran Group at Jabal Salab and Jabal Yam in the eastern Sana’a governorate were sampled and correlated. These sections are part of a carbonate platform that extends from the city of Marib in the east to Naqil Ibn Ghailan, 20 km east of the city of Sana’a to the west. Palaeontological analysis of samples recovered has resulted in identification of 123 foraminiferal species, which are used to subdivide the sequence of the Amran Group into five biostratigraphic zones, aged between Bathonian (Middle Jurassic and Berriasian (Early Cretaceous. The proposed biozones are those of Riyadhella rotundata, Kurnubia jurassica, Ammomarginulina sinaica, Alveosepta jaccardi and Pseudocyclammina sulaiyana/Furitilla caspianseis. These biozones were constructed and correlated with the equivalent zones reported from several localities.

A nuclear-weapon-free Middle East

International Nuclear Information System (INIS)

Jortner, Joshua

1986-01-01

The paper examines the issue of nuclear-weapon States involvement in regional conflicts, and whether such a conflict in the Middle East could trigger a nuclear war between the Super-Powers. Comments on the Middle Eastern situation are given, along with a discussion of the Non-Proliferation Treaty (NPT) and the Middle East, Israel and the NPT, and the nuclear potential in Arab countries. The proposal, by Israel, of a nuclear weapon-free zone in the Middle East is outlined. (UK)

A Middle Eastern Founder Mutation Expands the Genotypic and Phenotypic Spectrum of Mitochondrial MICU1 Deficiency: A Report of 13 Patients.

Science.gov (United States)

Musa, Sara; Eyaid, Wafaa; Kamer, Kimberli; Ali, Rehab; Al-Mureikhi, Mariam; Shahbeck, Noora; Al Mesaifri, Fatma; Makhseed, Nawal; Mohamed, Zakkiriah; AlShehhi, Wafaa Ali; Mootha, Vamsi K; Juusola, Jane; Ben-Omran, Tawfeg

2018-05-03

MICU1 encodes a Ca 2+ sensing, regulatory subunit of the mitochondrial uniporter, a selective calcium channel within the organelle's inner membrane. Ca 2+ entry into mitochondria helps to buffer cytosolic Ca 2+ transients and also activates ATP production within the organelle. Mutations in MICU1 have previously been reported in 17 children from nine families with muscle weakness, fatigue, normal lactate, and persistently elevated creatine kinase, as well as variable features that include progressive extrapyramidal signs, learning disabilities, nystagmus, and cataracts. In this study, we report the clinical features of an additional 13 patients from consanguineous Middle Eastern families with recessive mutations in MICU1. Of these patients, 12/13 are homozygous for a novel founder mutation c.553C>T (p.Q185*) that is predicted to lead to a complete loss of function of MICU1, while one patient is compound heterozygous for this mutation and an intragenic duplication of exons 9 and 10. The founder mutation occurs with a minor allele frequency of 1:60,000 in the ExAC database, but in ~1:500 individual in the Middle East. All 13 of these patients presented with developmental delay, learning disability, muscle weakness and easy fatigability, and failure to thrive, as well as additional variable features we tabulate. Consistent with previous cases, all of these patients had persistently elevated serum creatine kinase with normal lactate levels, but they also exhibited elevated transaminase enzymes. Our work helps to better define the clinical sequelae of MICU1 deficiency. Furthermore, our work suggests that targeted analysis of the MICU1 founder mutation in Middle Eastern patients may be warranted.

Emergency oil stocks in Southeastern and Eastern Europe: What explains variation in convergence towards the EU model?

International Nuclear Information System (INIS)

Tosun, Jale

2012-01-01

The accumulation and maintenance of emergency oil stocks in accordance with the requirements of the European Union involve changes in legislation, the strengthening of national stockholding institutions and the attraction of investment. Despite these challenges, almost all Southeastern and Eastern European countries have begun to align their oil stockholding arrangements with the European model, albeit there is variation in the actual degree of convergence. The greatest convergence is observed for Croatia and the Former Yugoslav Republic of Macedonia. In marked contrast, the oil stockholding system of Moldova continues to be different from the European model. This study provides an overview of the Southeastern and Eastern European countries’ progress in approximating the European requirements for emergency oil stocks and identifies the factors responsible for the cross-country variation. The differences observed stem from the extent to which the countries are legally obliged to comply with the European provisions, their membership aspirations, levels of energy-related investment from the European Union, and dependence on oil imports. - Highlights: ► Southeastern and Eastern European countries are approaching the European stockholding model. ► Croatia and Macedonia demonstrate the highest degree of convergence. ► Moldova displays the greatest distance to the European model. ► Variation in convergence is determined by legal obligation, membership aspiration, investment and dependence on oil.

Resources for Middle Eastern patients: online resources for culturally and linguistically appropriate services in home healthcare and hospice, part 3.

Science.gov (United States)

Young, Judith S

2013-01-01

As the population of patients for whom English is not their primary language grows, home care and hospice clinicians are challenged to provide culturally respectful and acceptable patient-centered care for cultures and languages unfamiliar to them. This article identifies resources for understanding the culture of Middle Eastern-born patients and appropriate patient education materials in most of the languages spoken by this population. The resources have been made available for free on the Web by healthcare professionals, government agencies, and support organizations from around the world.

Health related quality of life in Middle Eastern children with beta-thalassemia

Directory of Open Access Journals (Sweden)

Caocci Giovanni

2012-06-01

Full Text Available Abstract Background Thalassemia is a common disorder worldwide with a predominant incidence in Mediterranean countries, North Africa, the Middle East, India, Central Asia, and Southeast Asia. Whilst substantial progress has been made towards the improvement of Health related quality of life (HRQoL in western countries, scarce evidence-based data exists on HRQol of thalassemia children and adolescents living in developing countries. Methods We studied 60 thalassemia children from Middle Eastern countries with a median age of 10 years (range 5 to 17 years. HRQoL was assessed with the Pediatric Quality of Life Inventory (PedsQL 4.0. The Questionnaire was completed at baseline by all patients and their parents. The agreement between child-self and parent-proxy HRQoL reports and the relationship between HRQoL profiles and socio-demographic and clinical factors were investigated. Results The scores of parents were generally lower than those of their children for Emotional Functioning (mean 75 vs 85; p = 0.002, Psychosocial Health Summary (mean 70.3 vs 79.1; p = 0.015 and the Total Summary Score (mean 74.3 vs 77.7 p = 0.047. HRQoL was not associated with ferritin levels, hepatomegaly or frequency of transfusions or iron chelation therapy. Multivariate analysis showed that a delayed start of iron chelation had a negative impact on total PedsQL scores of both children (p = 0.046 and their parents (p = 0.007. Conclusions The PedsQL 4.0 is a useful tool for the measurement of HRQoL in pediatric thalassemia patients. This study shows that delayed start of iron chelation has a negative impact on children’s HRQoL.

Complex emergencies in the Eastern Mediterranean Region: Impact on tuberculosis control.

Science.gov (United States)

Seita, Akihiro

2016-12-01

The Eastern Mediterranean Region (EMR) has witnessed the largest refugee crisis in history. Overall, 70% of the global refugee populations are from Palestine, Syria, Afghanistan, or Somalia. We reviewed the possible impact of such crisis on the tuberculosis situation in EMR. We used the available data and information from the World Health Organization and other international and national institutions. Overall, 15 out of 22 countries in the EMR are either engulfed in complex emergencies (10 countries) or suffering from their neighbors' complex emergencies (7 countries), whereas two countries suffer from both. Eighty-five percent of the total population (636 million) in the region lives in these 15 countries. For tuberculosis, these 15 countries account for a significant burden in EMR: 94% of the estimated total incidence of 740,000 cases a year and 95% of the estimated total mortality of 91,000 a year. These countries have yet to show the significant negative impact on tuberculosis epidemiology as such changes take considerable time to manifest. Still, there are reports on health systems impact: access to health facilities, destruction of health facilities, health staff casualties, and shortage of medicines. Complex emergencies pose a significant negative impact on tuberculosis in the EMR. This issue should be raised in the global health and political arena. This is a time bomb for tuberculosis. Copyright © 2016.

Emergency general surgery in a low-middle income health care setting: Determinants of outcomes.

Science.gov (United States)

Shah, Adil A; Latif, Asad; Zogg, Cheryl K; Zafar, Syed Nabeel; Riviello, Robert; Halim, Muhammad Sohail; Rehman, Zia; Haider, Adil H; Zafar, Hasnain

2016-02-01

Emergency general surgery (EGS) has emerged as an important component of frontline operative care. Efforts in high-income settings have described its burden but have yet to consider low- and middle-income health care settings in which emergent conditions represent a high proportion of operative need. The objective of this study was to describe the disease spectrum of EGS conditions and associated factors among patients presenting in a low-middle income context. March 2009-April 2014 discharge data from a university teaching hospital in South Asia were obtained for patients (≥16 years) with primary International Classification of Diseases, 9(th) revision, Clinical Modification diagnosis codes consistent with an EGS condition as defined by the American Association for the Surgery of Trauma. Outcomes included in-hospital mortality and occurrence of ≥1 major complication(s). Multivariable analyses were performed, adjusting for differences in demographic and case-mix factors. A total of 13,893 discharge records corresponded to EGS conditions. Average age was 47.2 years (±16.8, standard deviation), with a male preponderance (59.9%). The majority presented with admitting diagnoses of biliary disease (20.2%), followed by soft-tissue disorders (15.7%), hernias (14.9%), and colorectal disease (14.3%). Rates of death and complications were 2.7% and 6.6%, respectively; increasing age was an independent predictor of both. Patients in need of resuscitation (n = 225) had the greatest rates of mortality (72.9%) and complications (94.2%). This study takes an important step toward quantifying outcomes and complications of EGS, providing one of the first assessments of EGS conditions using American Association for the Surgery of Trauma definitions in a low-middle income health care setting. Further efforts in varied settings are needed to promote representative benchmarking worldwide. Copyright © 2016 Elsevier Inc. All rights reserved.

The effect of patient origin and relevance of contact on patient and caregiver satisfaction in the emergency room

DEFF Research Database (Denmark)

Mygind, Anna; Nørredam, Marie Louise; Nielsen, Anette S

2008-01-01

AIMS: This study examined (1) whether patient and caregiver satisfaction in the emergency room (ER) varies according to patient origin, and (2) whether relevance of visit can explain any variation. METHODS: Data were obtained from a questionnaire survey of walk-in patients and their caregivers...... at four ERs in Copenhagen. The patient questionnaire was available in nine languages, and addressed patient satisfaction. The caregiver questionnaire addressed caregiver satisfaction and relevance of the patient contact in the ER. A total of 3,809 patients and 3,905 caregivers responded. The response rate...... satisfaction rates when patients were of Middle Eastern compared with Danish origin. Satisfaction of both groups was associated with the relevance of the visit as assessed by the caregiver. Visits by patients of Middle Eastern origin were less often assessed as being relevant, but caregivers were less...

Preliminary Report on the Middle Neolithic Well from Sajószentpéter (North-Eastern Hungary

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Ágnes Király

2016-02-01

Full Text Available In November 2012, during a preventive archaeological excavation necessitated by the construction of a new highway bypassing Sajószentpéter (Borsod-Abaúj-Zemplén county, North-Eastern Hungary, a Middle Neolithic water well with astonishing wooden lining was uncovered by the archaeologists of Herman Ottó Museum, Miskolc. The 60 cm high remains of the tube-like wooden structure was made from a single oak tree with a total diameter of 90 cm. The trunk had been initially cut into four pieces (panels that were later bond together with trusses of twisted rods. The wooden structure had amazing tool-marks on the entire surface that could be related to at least 3 different chisels/axes and bear fundamental information regarding the chaine opératoire.

Eastern Kentucky Teacher and Administrative Stress: Part II

Science.gov (United States)

Wright, Sam; Ballestero, Victor

2012-01-01

The purpose of this research was to survey selected Eastern Kentucky Teachers (Elementary, Middle, and High School) to collect data about stress in public schools. This was a continuation study for Eastern Kentucky that collected data on how men and women teachers and men and women administrators handle stress. A stress survey (Appendix C) was…

The Distribution of Hepatitis C Virus Genotypes in Middle Eastern Countries: A Systematic Review and Meta-Analysis.

Science.gov (United States)

Ghaderi-Zefrehi, Hossein; Gholami-Fesharaki, Mohammad; Sharafi, Heidar; Sadeghi, Farzin; Alavian, Seyed Moayed

2016-09-01

The hepatitis C virus (HCV) is classified into seven genotypes and more than 100 subtypes. The treatment regimen, duration and efficacy of HCV therapy may vary according to the HCV genotype. Therefore, the HCV genotype should be determined prior to antiviral therapy. The objective of the current study was to review systematically all studies reporting the distribution of HCV genotypes in the countries that make up the Middle East. Articles were identified by searching electronic databases, including Scopus, PubMed and Google scholar, with timeline limits (articles published between 1995 and 2016). We carried out a systematic search regarding the distribution of HCV genotypes in Middle Eastern countries. A total of 579 studies were identified by the electronic search. Of these, a total of 187 were identified as eligible papers including 60,319 patients who were meta-analyzed for pooled distribution of HCV genotypes. In Turkey, Israel, Cyprus, and Iran, genotype 1 was the most prevalent HCV genotype with rates of 82% (95% CI, 82%-83%), 68% (95% CI, 67%-69%), 68% (95% CI, 59%-77%), and 55% (95% CI, 54%-55%), respectively. In Egypt, Iraq, Saudi Arabia, and Syria, HCV genotype 4 was the most common genotype with rates of 86% (95% CI, 85%-88%), 60% (95% CI, 56%-64%), 56% (95% CI, 54%-55%), and 57% (95% CI, 54%-61%), respectively. On the basis of adjusted data, HCV genotype 4 was the most prevalent genotype in the Middle East region, with a rate of 74.7% (95% CI, 73.4%-76%), followed by genotype 1 at 15.1% (95% CI, 14.1%-16%). Our results showed that HCV genotype 4 is the most prevalent genotype in the Middle East region. However, HCV genotype 1 is the most prevalent among non-Arab countries in the region including Turkey, Iran, Cyprus, and Israel.

Unlocking the hydrocarbon potential of the eastern Black Sea basin. Prospectivity of middle Miocene submarine fan reservoirs by seismic sequence stratigraphy

International Nuclear Information System (INIS)

Gundogan, Coskun; Galip, Ozbek; Ali, Demirer

2002-01-01

Full text : The objective of this paper is to present present depositional characteristics and hydrocarbon prospectivity of the middle Miocene submarine basin floor fan deposits from the exploration stand point of view by using seismic data available in the offshore eastern Black Sea basin. This basin is a Tertiary trough formed as a continuation of the Mesozoic oceanic basin. The hydrocarbon potential of the basin is believed to be high in the Tertiary section because of the existence of the elements necessary for generation, migration and entrapment of hydrocarbon. A sequence stratigraphic study has been carried out by using 2-d seismic data in the Turkish portion of the eastern Black Sea basin. The objective of the study was to determine periods of major clastic sediment influxes which might lead to identify good reservoir intervals and their spatial distribution in this basin. All basic seismic sequence stratigraphic interpretation techniques and seismic facies analysis were used to identify times of these sand rich deposition periods. Sequence stratigraphy and seismic facies analysis indicate that the basinal areas of the middle Miocene sequences were dominated mainly by submarine fan complexes introduced in the lowstand stages and pelagic sediments deposited during the transgressive and highstand stages. It was proposed that Turkish portion of this basin which is one of the best frontier exploration area with its high potential left in the world, is glimpsing to those looking for good future exploration opportunities.

Loss of PTEN expression is associated with aggressive behavior and poor prognosis in Middle Eastern triple-negative breast cancer.

Science.gov (United States)

Beg, Shaham; Siraj, Abdul K; Prabhakaran, Sarita; Jehan, Zeenath; Ajarim, Dahish; Al-Dayel, Fouad; Tulbah, Asma; Al-Kuraya, Khawla S

2015-06-01

PTEN is a tumor suppressor that negatively regulates the PI3 K-AKT signaling pathway which is involved in the pathogenesis of many different tumor types and serves as a prognostic marker in breast cancer. However, the significance of the role of PTEN in Middle Eastern ethnic breast cancer has not been explored especially with the fact that breast cancer originating from this ethnic population tend to behave more aggressively than breast cancer in the west. In this study, we analyzed PTEN alteration in a tissue microarray format containing more than 1000 primary breast cancers with clinical follow-up data. Tissue Microarray sections were analyzed for protein expression and copy number change using immunohistochemistry and fluorescence in situ hybridization. Loss of PTEN immunostaining was observed in 77 % of the cases. PTEN loss was significantly associated with large tumor size (p = 0.0030), high grade (p = 0.0281), tumor recurrence (p = 0.0333), and triple-negative breast cancers (p = 0.0086). PTEN loss in triple-negative breast cancers was significantly associated with rapid tumor cell proliferation (p = 0.0396) and poor prognosis (p = 0.0408). PTEN deletion was found only in 60 cases (6.4 %). Loss of PTEN protein expression occurs at high frequency in Middle Eastern breast cancer. PTEN inactivation may potentially lead to an aggressive behavior of tumor cells through stimulation of tumor cell proliferation. Furthermore, PTEN signaling pathway might be used as potential therapeutic target in triple-negative breast cancers since loss of its expression is shown to be significantly associated with this aggressive subtype of breast cancer.

The Coming Environmental Crisis in the Middle East: A Historical Perspective, 1750-2000 CE

OpenAIRE

Burke, Edmund

2005-01-01

This essay argues that the Middle Eastern environment, with its legacy of squandered water resources, deforestation and pollution of all kinds, reveals a distilled essence of the coming environmental crisis of the planet. This is so because of the evident vulnerability of Middle Eastern semi-arid and arid landscapes. The essay examines the transformation of the regional environment over the period 1750-2000 CE. It considers modern human impacts in three broad ecological zones: the Middle East...

Prevalence of Conduct Disorder in the Middle East: A Systematic Review and Meta-Analysis Protocol.

Science.gov (United States)

Salmanian, Maryam; Mohammadi, Mohammad Reza; Keshtkar, Aabbas Ali; Asadian-Koohestani, Fatemeh; Alavi, Seyyed Salman; Sepasi, Neda

2015-09-01

The global burden of conduct disorder is a major public health concern. Although there are different reports on the prevalence of conduct disorder in different Middle Eastern countries, to date, no research has reviewed them. Therefore, we aimed to conduct a systematic review and meta-analysis on the literature and present the prevalence of conduct disorder among children and adolescents in Middle Eastern countries. Those cross-sectional studies with any type of random or non-random sampling, which described the prevalence of conduct disorder prior to age of 18, for at least one gender in the general or school-based populations who resided in Middle Eastern countries were included in this review. The scientific databases of PubMed, Scopus, Google Scholar, Index Medicus for the Eastern Mediterranean Region (IMEMR), Islamic World Science Citation Center (ISC), and Grey Literature including conference proceedings, and hand searching of key journals were searched from 1995 to the end of 2014. Two reviewers assessed the quality of the included studies independently and extracted the relevant data. This review provided a picture of different frequencies of conduct disorder in Middle Eastern countries and analyzed the sources of heterogeneity. PROSPERO CRD42014014996.

External auditory exostoses in the Xuchang and Xujiayao human remains: Patterns and implications among eastern Eurasian Middle and Late Pleistocene crania.

Science.gov (United States)

Trinkaus, Erik; Wu, Xiu-Jie

2017-01-01

In the context of Middle and Late Pleistocene eastern Eurasian human crania, the external auditory exostoses (EAE) of the late archaic Xuchang 1 and 2 and the Xujiayao 15 early Late Pleistocene human temporal bones are described. Xujiayao 15 has small EAE (Grade 1), Xuchang 1 presents bilateral medium EAE (Grade 2), and Xuchang 2 exhibits bilaterally large EAE (Grade 3), especially on the right side. These cranial remains join the other eastern Eurasian later Pleistocene humans in providing frequencies of 61% (N = 18) and 58% (N = 12) respectively for archaic and early modern human samples. These values are near the upper limits of recent human frequencies, and they imply frequent aquatic exposure among these Pleistocene humans. In addition, the medial extents of the Xuchang 1 and 2 EAE would have impinged on their tympanic membranes, and the large EAE of Xuchang 2 would have resulted in cerumen impaction. Both effects would have produced conductive hearing loss, a serious impairment in a Pleistocene foraging context.

Tackling cancer burden in the Middle East: Qatar as an example.

Science.gov (United States)

Brown, Robert; Kerr, Karen; Haoudi, Abdelali; Darzi, Ara

2012-11-01

Cancer prevalence is increasing in the Middle East, partly because of increased life expectancy and adoption of western lifestyle habits. Suboptimum delivery of health care also contributes to late diagnosis and poor survival of people with cancer. Public awareness of cancer risk is frequently low and misconceptions high, thereby preventing patients from seeking treatment early and constituting a substantial barrier to improvement of cancer outcomes. Screening programmes might have low uptake in Arab populations because of social and health beliefs about cancer. This review outlines the opportunities available to Middle Eastern countries and their emerging economies to learn from global experiences in cancer care, service provision, and research partnerships. The Middle East has begun to develop several health-care transformation programmes. Qatar, in particular, has published a National Health Strategy, in which cancer is one of the main commitments; this Strategy provides the focus of this review. The development of effective health-care strategies and evidence-based medicine directly linked to innovative cancer research is needed to improve cancer care. Although the full extent of the proposed solutions are not necessarily implementable in all Middle Eastern countries, wealthy states can lead derivation of population-specific approaches that could have effects throughout the region. Key challenges are outlined-namely, human capacity and training, subspecialisation of services, building on international cancer research initiatives, and the need for earlier diagnosis and awareness in the population. Countries in the Gulf Region (ie, countries bordering the Persian Gulf, including Iran, Iraq, Kuwait, Saudi Arabia, Bahrain, Qatar, UAE, and Oman) need to address these challenges to be at the forefront of integrated cancer care and research and ensure that the latest innovations and best possible care are delivered to their populations. Copyright © 2012 Elsevier Ltd

Evaluation of serologic and antigenic relationships between middle eastern respiratory syndrome coronavirus and other coronaviruses to develop vaccine platforms for the rapid response to emerging coronaviruses.

Science.gov (United States)

Agnihothram, Sudhakar; Gopal, Robin; Yount, Boyd L; Donaldson, Eric F; Menachery, Vineet D; Graham, Rachel L; Scobey, Trevor D; Gralinski, Lisa E; Denison, Mark R; Zambon, Maria; Baric, Ralph S

2014-04-01

Middle East respiratory syndrome coronavirus (MERS-CoV) emerged in 2012, causing severe acute respiratory disease and pneumonia, with 44% mortality among 136 cases to date. Design of vaccines to limit the virus spread or diagnostic tests to track newly emerging strains requires knowledge of antigenic and serologic relationships between MERS-CoV and other CoVs.  Using synthetic genomics and Venezuelan equine encephalitis virus replicons (VRPs) expressing spike and nucleocapsid proteins from MERS-CoV and other human and bat CoVs, we characterize the antigenic responses (using Western blot and enzyme-linked immunosorbent assay) and serologic responses (using neutralization assays) against 2 MERS-CoV isolates in comparison with those of other human and bat CoVs.  Serologic and neutralization responses against the spike glycoprotein were primarily strain specific, with a very low level of cross-reactivity within or across subgroups. CoV N proteins within but not across subgroups share cross-reactive epitopes with MERS-CoV isolates. Our findings were validated using a convalescent-phase serum specimen from a patient infected with MERS-CoV (NA 01) and human antiserum against SARS-CoV, human CoV NL63, and human CoV OC43.  Vaccine design for emerging CoVs should involve chimeric spike protein containing neutralizing epitopes from multiple virus strains across subgroups to reduce immune pathology, and a diagnostic platform should include a panel of nucleocapsid and spike proteins from phylogenetically distinct CoVs.

Valuing a Lifestyle Intervention for Middle Eastern Immigrants at Risk of Diabetes.

Science.gov (United States)

Saha, Sanjib; Gerdtham, Ulf-G; Siddiqui, Faiza; Bennet, Louise

2018-02-27

Willingness-to-pay (WTP) techniques are increasingly being used in the healthcare sector for assessing the value of interventions. The objective of this study was to estimate WTP and its predictors in a randomized controlled trial of a lifestyle intervention exclusively targeting Middle Eastern immigrants living in Malmö, Sweden, who are at high risk of type 2 diabetes. We used the contingent valuation method to evaluate WTP. The questionnaire was designed following the payment-scale approach, and administered at the end of the trial, giving an ex-post perspective. We performed logistic regression and linear regression techniques to identify the factors associated with zero WTP value and positive WTP values. The intervention group had significantly higher average WTP than the control group (216 SEK vs. 127 SEK; p = 0.035; 1 U.S.$ = 8.52 SEK, 2015 price year) per month. The regression models demonstrated that being in the intervention group, acculturation, and self-employment were significant factors associated with positive WTP values. Male participants and lower-educated participants had a significantly higher likelihood of zero WTP. In this era of increased migration, our findings can help policy makers to take informed decisions to implement lifestyle interventions for immigrant populations.

Valuing a Lifestyle Intervention for Middle Eastern Immigrants at Risk of Diabetes

Directory of Open Access Journals (Sweden)

Sanjib Saha

2018-02-01

Full Text Available Willingness-to-pay (WTP techniques are increasingly being used in the healthcare sector for assessing the value of interventions. The objective of this study was to estimate WTP and its predictors in a randomized controlled trial of a lifestyle intervention exclusively targeting Middle Eastern immigrants living in Malmö, Sweden, who are at high risk of type 2 diabetes. We used the contingent valuation method to evaluate WTP. The questionnaire was designed following the payment-scale approach, and administered at the end of the trial, giving an ex-post perspective. We performed logistic regression and linear regression techniques to identify the factors associated with zero WTP value and positive WTP values. The intervention group had significantly higher average WTP than the control group (216 SEK vs. 127 SEK; p = 0.035; 1 U.S.$ = 8.52 SEK, 2015 price year per month. The regression models demonstrated that being in the intervention group, acculturation, and self-employment were significant factors associated with positive WTP values. Male participants and lower-educated participants had a significantly higher likelihood of zero WTP. In this era of increased migration, our findings can help policy makers to take informed decisions to implement lifestyle interventions for immigrant populations.

The emerging novel Middle East respiratory syndrome coronavirus: The “knowns” and “unknowns”

Directory of Open Access Journals (Sweden)

Jasper Fuk-Woo Chan

2013-07-01

Full Text Available A novel lineage C betacoronavirus, originally named human coronavirus EMC/2012 (HCoV-EMC and recently renamed Middle East respiratory syndrome coronavirus (MERS-CoV, that is phylogenetically closely related to Tylonycteris bat coronavirus HKU4 and Pipistrellus bat coronavirus HKU5, which we discovered in 2007 from bats in Hong Kong, has recently emerged in the Middle East to cause a severe acute respiratory syndrome (SARS-like infection in humans. The first laboratory-confirmed case, which involved a 60-year-old man from Bisha, the Kingdom of Saudi Arabia (KSA, who died of rapidly progressive community-acquired pneumonia and acute renal failure, was announced by the World Health Organization (WHO on September 23, 2012. Since then, a total of 70 cases, including 39 fatalities, have been reported in the Middle East and Europe. Recent clusters involving epidemiologically-linked household contacts and hospital contacts in the Middle East, Europe, and Africa strongly suggested possible human-to-human transmission. Clinical and laboratory research data generated in the past few months have provided new insights into the possible animal reservoirs, transmissibility, and virulence of MERS-CoV, and the optimal laboratory diagnostic options and potential antiviral targets for MERS-CoV-associated infection.

The Characteristics of Middle Eastern Respiratory Syndrome Coronavirus Transmission Dynamics in South Korea.

Science.gov (United States)

Kim, Yunhwan; Lee, Sunmi; Chu, Chaeshin; Choe, Seoyun; Hong, Saeme; Shin, Youngseo

2016-02-01

The outbreak of Middle Eastern respiratory syndrome coronavirus (MERS-CoV) was one of the major events in South Korea in 2015. In particular, this study pays attention to formulating a mathematical model for MERS transmission dynamics and estimating transmission rates. Incidence data of MERS-CoV from the government authority was analyzed for the first aim and a mathematical model was built and analyzed for the second aim of the study. A mathematical model for MERS-CoV transmission dynamics is used to estimate the transmission rates in two periods due to the implementation of intensive interventions. Using the estimates of the transmission rates, the basic reproduction number was estimated in two periods. Due to the superspreader, the basic reproduction number was very large in the first period; however, the basic reproduction number of the second period has reduced significantly after intensive interventions. It turned out to be the intensive isolation and quarantine interventions that were the most critical factors that prevented the spread of the MERS outbreak. The results are expected to be useful to devise more efficient intervention strategies in the future.

Middle East, Russia and Caspian region - new geopolitics for oil and gas flows in the Eastern hemisphere

International Nuclear Information System (INIS)

Konoplyanik, A.

1998-01-01

The Caspian Oil Basin and its would-be impact on the world energy sales has been a big talking issue of late. The Caspian Rim states will join the international oil/gas market simultaneously with new Oil Industry projects coming on-stream in Russia. Both Russia and Caspian states will influence the existing oil/gas flows and balance of forces on the oil/gas markets of the Eastern Hemisphere. What will be the resultant of these two vectors? Will a stronger stand of Russia as one of the existing world market participants and a new big rival - the Caspian states, exert a profound influence on the competitive rating of the Middle East countries as oil/gas exporting majors? Let us try to answer the questions within this contribution. (orig./RHM)

Nuclear age in the Middle East

Energy Technology Data Exchange (ETDEWEB)

Yiftah, S

1976-01-01

The book analyses, clarifies and summarises, from various aspects, some of the many questions concerning the motivation, the meaning, the economics, the dangers and the risks of introducing nuclear technology into the Middle East area following the recent agreements between some Mid Eastern countries and the United States, France, Germany and the U.S.S.R. about the supply of nuclear power reactors and nuclear fuel to the Middle East. The recent strong nuclear prgrams of countries such as India and Iran, who have wide-ranging ties with the Mid-Eastern countries, coupled with the huge revenues of petrodollars by the Arab countries of the area, together with the dangers of another 1973-type oil embargo are discussed and the triple crises of energy, ecology and nuclear weapons proliferation are considered.

Conflict, displacement and health in the Middle East.

Science.gov (United States)

Mowafi, Hani

2011-01-01

Displacement is a hallmark of modern humanitarian emergencies. Displacement itself is a traumatic event that can result in illness or death. Survivors face challenges including lack of adequate shelter, decreased access to health services, food insecurity, loss of livelihoods, social marginalisation as well as economic and sexual exploitation. Displacement takes many forms in the Middle East and the Arab World. Historical conflicts have resulted in long-term displacement of Palestinians. Internal conflicts have driven millions of Somalis and Sudanese from their homes. Iraqis have been displaced throughout the region by invasion and civil strife. In addition, large numbers of migrants transit Middle Eastern countries or live there illegally and suffer similar conditions as forcibly displaced people. Displacement in the Middle East is an urban phenomenon. Many displaced people live hidden among host country populations in poor urban neighbourhoods - often without legal status. This represents a challenge for groups attempting to access displaced populations. Furthermore, health information systems in host countries often do not collect data on displaced people, making it difficult to gather data needed to target interventions towards these vulnerable populations. The following is a discussion of the health impacts of conflict and displacement in the Middle East. A review was conducted of published literature on migration and displacement in the region. Different cases are discussed with an emphasis on the recent, large-scale and urban displacement of Iraqis to illustrate aspects of displacement in this region.

Developing a palliative care service model for Muslim Middle Eastern countries.

Science.gov (United States)

Al-Awamer, Ahmed; Downar, James

2014-12-01

Palliative Care (PC) was first introduced to Muslim Middle Eastern (MME) countries in 1992, but growth of PC has been slow and access to PC is still limited in the region. While most PC models have been developed in Western countries, MME societies have different cultural and religious values that are not incorporated in Western models. We conducted a qualitative study to look at these differences, in order to inform a culturally acceptable model of PC that meets the needs of MME patients and their families. We conducted semi-structured interviews of PC physicians and nurses with experience in both Western and MME countries. Participants were identified by snowball sampling. Interviews were transcribed and analyzed using a modified grounded-theory approach. We achieved conceptual saturation after 13 interviews. Participants identified four differences between PC practice in Western and MME countries including: cultural differences, legal and policy differences, stances on PC philosophy, and the availability of resources and support for PC. Participants identified five barriers to advancing PC in the MME: shortage of resources, unclear laws and policies, healthcare system barriers, unfamiliarity with the role and benefits of PC, and cultural barriers. Respondents suggested many facilitators at the institutional, regional, and societal levels. We identified a number of important differences in PC practice, as well as common barriers and facilitators for developing PC services in MME countries. This information can help clinicians who are developing PC services in a MME country.

Ramses 2015 - The challenge for the emerging countries

International Nuclear Information System (INIS)

Montbrial, Thierry de; Moreau Defarges, Philippe; Nicolas, Francoise; Mondon-Navazo, Mathilde; Kastoueva-Jean, Tatiana; Saint-Mezard, Isabelle; Ekman, Alice; Vircoulon, Thierry; Boisseau du Rocher, Sophie; Schmid, Dorothee; Nicouleaud, Francois; Dazi-Heni, Fatiha; Letrilliart, Philippe; Recondo, David; Goussot, Michel; Pertusot, Vivien; Pajon, Celine; Maisonneuve, Cecile; Auge, Benjamin; Seaman, John; Boncourt, Maite de; Aoun, Marie-Claire; Faure, Aurelie; Durand, Etienne de; Niquet, Valerie; Pajon, Celine; Seaman, John; Brustlein, Corentin; Penent, Guilhem; Moulin, Emmanuel; Bertossi, Christophe; Broughton, Emma; Delaplace, Juliette; Tardis, Matthieu; Kastoueva-Jean, Tatiana; Nocetti, Julien; Stark, Hans; Rittelmeyer, Yann-Sven; Tolksdorf, Dominik; Tinguy, Anne de; Schreiber, Thomas; Bauchard, Denis; Hecker, Marc; Mokhefi, Mansouria; Nardon, Laurence; Antil, Alain; Quenot-Suarez, Helene; Vircoulon, Thierry; Letrilliart, Philippe; Joffres, Adeline; Rodriguez, Dario A.; Messerlin, Patrick; Mistral, Jacques; Levy-Lang, Andre; Quatrepoint, Jean-Michel; Charentenay, Pierre de

2014-01-01

This annual world report on the economic system and strategies (RAMSES) first proposes a synthesis of 2014 in terms of international relationships. The first part addresses the emerging countries (Brazil, Russia, India, China, South Africa, Indonesia, Turkey, Iran, Saudi Arabia, and Mexico) and the redistribution of world balances (the question of the decline of the USA, Europe in front of emerging countries, Japan in front of China). The contributions of the second part discuss the stakes and challenges between established and emerging powers (energy powers, military powers, economic powers) and the associated issues (geopolitical balance, migrations, cooperation and competition, Internet governance). The contributions of the third part address various European and world issues: EU and Russia, the Ukrainian issue, the presence of China in Eastern Europe, religious and political conflict between Shiites and Sunnis, terrorism, the situation in the Middle-East, crisis in Africa, China in Africa, the end of populist regimes in Cuba, Venezuela and Argentina, the missed emergence of Thailand, the issue of a financial world regulation, the role of the new pope). A chronology, maps and figures are provided

What Is Middle Class about the Middle Classes around the World?

OpenAIRE

Abhijit V. Banerjee; Esther Duflo

2008-01-01

We expect a lot from the middle classes. At least three distinct arguments about the special economic role of the middle class are traditionally made. In one, new entrepreneurs armed with a capacity and a tolerance for delayed gratification emerge from the middle class and create employment and productivity growth for the rest of society. In a second, perhaps more conventional view, the middle class is primarily a source of vital inputs for the entrepreneurial class: it is their "middle class...

Older and Wiser? Facebook Use, Privacy Concern, and Privacy Protection in the Life Stages of Emerging, Young, and Middle Adulthood

Directory of Open Access Journals (Sweden)

Evert Van den Broeck

2015-11-01

Full Text Available A large part of research conducted on privacy concern and protection on social networking sites (SNSs concentrates on children and adolescents. Individuals in these developmental stages are often described as vulnerable Internet users. But how vulnerable are adults in terms of online informational privacy? This study applied a privacy boundary management approach and investigated Facebook use, privacy concern, and the application of privacy settings on Facebook by linking the results to Erikson’s three stages of adulthood: emerging, young, and middle adulthood. An online survey was distributed among 18- to 65-year-old Dutch-speaking adults ( N  = 508, 51.8% females. Analyses revealed clear differences between the three adult age groups in terms of privacy concern, Facebook use, and privacy protection. Results indicated that respondents in young adulthood and middle adulthood were more vulnerable in terms of privacy protection than emerging adults. Clear discrepancies were found between privacy concern and protection for these age groups. More particularly, the middle adulthood group was more concerned about their privacy in comparison to the emerging adulthood and young adulthood group. Yet, they reported to use privacy settings less frequently than the younger age groups. Emerging adults were found to be pragmatic and privacy conscious SNS users. Young adults occupied the intermediate position, suggesting a developmental shift. The impact of generational differences is discussed, as well as implications for education and governmental action.

Prevalence of Conduct Disorder in the Middle East: A ‎Systematic Review and Meta-Analysis Protocol

Directory of Open Access Journals (Sweden)

Maryam Salmanian

2015-12-01

Full Text Available Background: The global burden of conduct disorder is a major public health concern. Although there are different reports on the prevalence of conduct disorder in different Middle Eastern countries, to date, no research has reviewed them. Therefore, we aimed to conduct a systematic review and meta-analysis on the literature and present the prevalence of conduct disorder among children and adolescents in Middle Eastern countries.Methods: Those cross-sectional studies with any type of random or non-random sampling, which described the prevalence of conduct disorder prior to age of 18, for at least one gender in the general or school-based populations who resided in Middle Eastern countries were included in this review. The scientific databases of PubMed, Scopus, Google Scholar, Index Medicus for the Eastern Mediterranean Region (IMEMR, Islamic World Science Citation Center (ISC, and Grey Literature including conference proceedings, and hand searching of key journals were searched from 1995 to the end of 2014. Two reviewers assessed the quality of the included studies independently and extracted the relevant data.Discussion: This review provided a picture of different frequencies of conduct disorder in Middle Eastern countries and analyzed the sources of heterogeneity.Systematic Review Registration:PROSPERO CRD42014014996

Middle East gas utilization and export potential

International Nuclear Information System (INIS)

Cornet-Gandolphe, S.

1995-01-01

There is huge gas supply potential in the Middle East, which possesses over one third of the world's natural gas reserves. However, marketed production represents only 6% of the world total, demonstrating that gas resources in the Middle East are under utilized. The value of these resources will be realized only if the gas finds a commercial outlet that guarantees proper return on investments for gas producers and the best possible use of this nonrenewable resource for governments. Apart from the chemical sector, which has provided a good outlet for natural gas, the development of natural gas resources in the region has been very limited historically, inhibited by many factors linked to the resource itself and to the characteristics of the region. However, natural gas in the Middle East is now at a crossroads, facing both major challenges and significant opportunities. The region, which currently plays only a marginal role on the world gas market, has the potential to become a leading world supplier, provided a number of political and economic conditions are fulfilled. This paper discusses some of the challenges that Middle Eastern countries face in trying to develop their natural gas resources. It reviews development potential for Middle Eastern gas reserves, whether for local use and/or exports, and it highlights future opportunities. (Author)

Early-to-middle Holocene sea-level fluctuations, coastal progradation and the Neolithic occupations in Yaojiang valley of southern Hangzhou bay, eastern China

Science.gov (United States)

Liu, Y.; Sun, Q.; Fan, D.; Chen, Z.

2017-12-01

The formation of Holocene coast in eastern China provided material base for the development of Neolithic civilizations. The coastal Yaojiang valley of south Hangzhou bay was one of the examples where the well-known Neolithic Hemudu Culture (HC) of Eastern China initiated. Here, we studied the early-to-middle Holocene environment changes in relation to sea-level fluctuations on the basis of a serial of sediment cores based on a set of new Accelerator Mass Spectrometry radiocarbon (AMS 14C) chronology. The result indicated that relative sea-level rose rapidly in the Yaojiang valley at the early Holocene, reaching its maximum at ca. 8000-7800 cal yr BP and then decelerated at ca. 7800-7500 cal yr BP. The alluvial plain in Yaojiang valley began to form at the foothills first and then grew towards the valley center accompanying with the sea-level stabilization after ca. 7500 cal yr BP. This progressive progradation of alluvial plain would attract the early arrivals of foragers to dwell at the foothills to engaging in rice farming after ca.7000 cal yr BP and starting the epic Hemudu Culture. The HC people then move down to the valley center as more land became available thanks to sediment aggregation and progradation. The rise and development of HC were closely associated with the sea-level induced landscape changes in Yaojiang valley at the early-middle Holocene, and the unstable hydraulic condition in the valley after 5000 cal yr BP could be accountable for the cultural termination.

A Research on the Middle East Market within the Context of Turkey

Directory of Open Access Journals (Sweden)

Yaşar Sarı

2015-03-01

Full Text Available In this study, it is aimed to reveal Middle Eastern tourists' place among the target market of local tourism establishments at Ayder tourism center in the province of Rize and local tourism establishments’ perceptions of Middle Eastern tourists based on the growth in the number of tourists from the Middle East. The study also aims to find out whether there is sufficient diversity of products and services for the target market and how local tourism establishments segment the market. As a method of data collection, semi-structured interviews were used. 16 different types of hospitality businesses representatives and 3 restaurants / fast food representatives located in the researegion have been interviewed. Deductive thematic analysis technique was usedin the analysis of data. In this regard, tourism establishments interviewed could group the tourists based on 13 market segmentation variables except gender. Different answers were received regarding the target market of tourism establishments and none of the tourism operators mentioned Middle Eastern tourists as the target market. Finally, it was found out that the vast majority of tourism establishments have been applying undifferentiated marketing strategy

The nuclear age in the Middle East

International Nuclear Information System (INIS)

Yiftah, Shimon.

1976-01-01

The book analyses, clarifies and summarises, from various aspects, some of the many questions concerning the motivation, the meaning, the economics, the dangers and the risks of introducing nuclear technology into the Middle East area following the recent agreements between some Mid Eastern countries and the United States, France, Germany and the U.S.S.R. about the supply of nuclear power reactors and nuclear fuel to the Middle East. The recent strong nuclear prgrams of countries such as India and Iran, who have wide-ranging ties with the Mid-Eastern countries, coupled with the huge revenues of petrodollars by the Arab countries of the area, together with the dangers of another 1973-type oil embargo are discussed and the triple crises of energy, ecology and nuclear weapons proliferation are considered. (B.G.)

Medication errors in the Middle East countries: a systematic review of the literature.

Science.gov (United States)

Alsulami, Zayed; Conroy, Sharon; Choonara, Imti

2013-04-01

Medication errors are a significant global concern and can cause serious medical consequences for patients. Little is known about medication errors in Middle Eastern countries. The objectives of this systematic review were to review studies of the incidence and types of medication errors in Middle Eastern countries and to identify the main contributory factors involved. A systematic review of the literature related to medication errors in Middle Eastern countries was conducted in October 2011 using the following databases: Embase, Medline, Pubmed, the British Nursing Index and the Cumulative Index to Nursing & Allied Health Literature. The search strategy included all ages and languages. Inclusion criteria were that the studies assessed or discussed the incidence of medication errors and contributory factors to medication errors during the medication treatment process in adults or in children. Forty-five studies from 10 of the 15 Middle Eastern countries met the inclusion criteria. Nine (20 %) studies focused on medication errors in paediatric patients. Twenty-one focused on prescribing errors, 11 measured administration errors, 12 were interventional studies and one assessed transcribing errors. Dispensing and documentation errors were inadequately evaluated. Error rates varied from 7.1 % to 90.5 % for prescribing and from 9.4 % to 80 % for administration. The most common types of prescribing errors reported were incorrect dose (with an incidence rate from 0.15 % to 34.8 % of prescriptions), wrong frequency and wrong strength. Computerised physician rder entry and clinical pharmacist input were the main interventions evaluated. Poor knowledge of medicines was identified as a contributory factor for errors by both doctors (prescribers) and nurses (when administering drugs). Most studies did not assess the clinical severity of the medication errors. Studies related to medication errors in the Middle Eastern countries were relatively few in number and of poor quality

Uniparental genetic heritage of belarusians: encounter of rare middle eastern matrilineages with a central European mitochondrial DNA pool.

Science.gov (United States)

Kushniarevich, Alena; Sivitskaya, Larysa; Danilenko, Nina; Novogrodskii, Tadeush; Tsybovsky, Iosif; Kiseleva, Anna; Kotova, Svetlana; Chaubey, Gyaneshwer; Metspalu, Ene; Sahakyan, Hovhannes; Bahmanimehr, Ardeshir; Reidla, Maere; Rootsi, Siiri; Parik, Jüri; Reisberg, Tuuli; Achilli, Alessandro; Hooshiar Kashani, Baharak; Gandini, Francesca; Olivieri, Anna; Behar, Doron M; Torroni, Antonio; Davydenko, Oleg; Villems, Richard

2013-01-01

Ethnic Belarusians make up more than 80% of the nine and half million people inhabiting the Republic of Belarus. Belarusians together with Ukrainians and Russians represent the East Slavic linguistic group, largest both in numbers and territory, inhabiting East Europe alongside Baltic-, Finno-Permic- and Turkic-speaking people. Till date, only a limited number of low resolution genetic studies have been performed on this population. Therefore, with the phylogeographic analysis of 565 Y-chromosomes and 267 mitochondrial DNAs from six well covered geographic sub-regions of Belarus we strove to complement the existing genetic profile of eastern Europeans. Our results reveal that around 80% of the paternal Belarusian gene pool is composed of R1a, I2a and N1c Y-chromosome haplogroups - a profile which is very similar to the two other eastern European populations - Ukrainians and Russians. The maternal Belarusian gene pool encompasses a full range of West Eurasian haplogroups and agrees well with the genetic structure of central-east European populations. Our data attest that latitudinal gradients characterize the variation of the uniparentally transmitted gene pools of modern Belarusians. In particular, the Y-chromosome reflects movements of people in central-east Europe, starting probably as early as the beginning of the Holocene. Furthermore, the matrilineal legacy of Belarusians retains two rare mitochondrial DNA haplogroups, N1a3 and N3, whose phylogeographies were explored in detail after de novo sequencing of 20 and 13 complete mitogenomes, respectively, from all over Eurasia. Our phylogeographic analyses reveal that two mitochondrial DNA lineages, N3 and N1a3, both of Middle Eastern origin, might mark distinct events of matrilineal gene flow to Europe: during the mid-Holocene period and around the Pleistocene-Holocene transition, respectively.

Is Giving Up Traditional Religious Culture Part of the Price to be Paid for Acquiring Higher Education? Adaptation of Academic Western Culture by Jewish Israeli University Students of Middle Eastern Origin.

Science.gov (United States)

Kedem, Peri; Bar-Lev, Mordechai

1983-01-01

A study of whether the Middle Eastern student feels that attaining the status of "Western modern man" is incompatible with maintaining a traditional, religious way of life is reported. Some loosening of extreme religious practices was found among college students, but there was no evident revolt against home or tradition. (MSE)

Eastern Africa Social Science Research Review

African Journals Online (AJOL)

The Eastern Africa Social Science Research Review (EASSRR) is a bi-annual journal published by the Organization for Social Science Research in Eastern Africa (OSSREA). Since the publication of its maiden ... Emerging regions in Ethiopia: are they catching up with the rest of Ethiopia? EMAIL FULL TEXT EMAIL FULL ...

Babesia microti infection, eastern Pennsylvania, USA.

Science.gov (United States)

Acosta, Marcela E Perez; Ender, Peter T; Smith, Erin M; Jahre, Jeffrey A

2013-07-01

Infection with Babesia microti has not been well-described in eastern Pennsylvania, USA, despite the vector of this organism being prevalent. We report 3 cases of babesiosis in eastern Pennsylvania in persons without recent travel outside the region or history of blood transfusions, suggesting emergence of this infection.

The asymmetric evolution of the Colombian Eastern Cordillera. Tectonic inheritance or climatic forcing? New evidence from thermochronology and sedimentology

Science.gov (United States)

Ramirez-Arias, Juan Carlos; Mora, Andrés; Rubiano, Jorge; Duddy, Ian; Parra, Mauricio; Moreno, Nestor; Stockli, Daniel; Casallas, Wilson

2012-11-01

New thermochronological data, facies, paleocurrents and provenance allow us to refine the chronology of deformation in the central segment of the Colombian Eastern Cordillera. Based on a new extensive AFT dataset, we document the spatial evolution of active deformation, from the axial zone of the Eastern Cordillera at about 50 Ma in to active growth of the frontal thin skinned structures in Late Miocene time. Paleocurrents allow us to push backwards into the Middle to Early Late-Miocene the emergence of the easternmost frontal thrust; whereas careful assessment of exposure gates tied to AFT data enable to refine the unroofing history for Eocene to Miocene times. Based on that, we produced a kinematically restored cross section with higher resolution than previous assessments. Using these datasets, we compare the evolution of the central segment of the Eastern Cordillera in this region with the evolution of adjacent areas in the context of climatic forcing of orogenic evolution. We find that in this region and, in the Eastern Cordillera in general, tectonic inheritance and transpression exert an initial dominant control on the initial orogen asymmetry, which is later enhanced due to an orographically-focused erosion. We therefore suggest that it is not climate alone the factor controlling orogenic asymmetry in the Eastern Cordillera of Colombia.

Water in the Middle East, a Secondary and College Level Multi-Media Study.

Science.gov (United States)

Manneberg, Eliezer

The secondary and college level guide outlines a course of study on the Middle East, with emphasis on water problems of the area. Among the course objectives are the following: (1) make generalizations about particular Middle Eastern cultures and support them with evidence; (2) interpret environmental and social data from specific Middle Eastern…

Cross-cultural challenges for assessing medical professionalism among clerkship physicians in a Middle Eastern country (Bahrain): feasibility and psychometric properties of multisource feedback.

Science.gov (United States)

Al Ansari, Ahmed; Al Khalifa, Khalid; Al Azzawi, Mohamed; Al Amer, Rashed; Al Sharqi, Dana; Al-Mansoor, Anwar; Munshi, Fadi M

2015-01-01

We aimed to design, implement, and evaluate the feasibility and reliability of a multisource feedback (MSF) system to assess interns in their clerkship year in the Middle Eastern culture, the Kingdom of Bahrain. The study was undertaken in the Bahrain Defense Force Hospital, a military teaching hospital in the Kingdom of Bahrain. A total of 21 interns (who represent the total population of the interns for the given year) were assessed in this study. All of the interns were rotating through our hospital during their year-long clerkship rotation. The study sample consisted of nine males and 12 females. Each participating intern was evaluated by three groups of raters, eight medical intern colleagues, eight senior medical colleagues, and eight coworkers from different departments. A total of 21 interns (nine males and 12 females) were assessed in this study. The total mean response rates were 62.3%. A factor analysis was conducted that found that the data on the questionnaire grouped into three factors that counted for 76.4% of the total variance. These three factors were labeled as professionalism, collaboration, and communication. Reliability analysis indicated that the full instrument scale had high internal consistency (Cronbach's α 0.98). The generalizability coefficients for the surveys were estimated to be 0.78. Based on our results and analysis, we conclude that the MSF tool we used on the interns rotating in their clerkship year within our Middle Eastern culture provides an effective method of evaluation because it offers a reliable, valid, and feasible process.

STRATEGY IMPLEMENTATION STYLES OF MALAYSIAN, THAI AND HUNGARIAN MIDDLE MANAGERS

OpenAIRE

Maheshkumar P. Joshi; Hugh D. Sherman; John R. Schermerhorn, Jr.

2004-01-01

There is a need for more comparative empirical research that examines middle manager roles in strategic change. This paper reports a study of middle managers in two dynamic settings: the Asia/Pacific region – Malaysia and Thailand; and Central/Eastern Europe – Hungary. Results of 213 respondents across three countries indicate that middle managers from all three tend toward use of authoritarian management styles even in proactive strategic change situations. However, Hungarians are less likel...

Field-trip guide to Columbia River flood basalts, associated rhyolites, and diverse post-plume volcanism in eastern Oregon

Science.gov (United States)

Ferns, Mark L.; Streck, Martin J.; McClaughry, Jason D.

2017-08-09

The Miocene Columbia River Basalt Group (CRBG) is the youngest and best preserved continental flood basalt province on Earth, linked in space and time with a compositionally diverse succession of volcanic rocks that partially record the apparent emergence and passage of the Yellowstone plume head through eastern Oregon during the late Cenozoic. This compositionally diverse suite of volcanic rocks are considered part of the La Grande-Owyhee eruptive axis (LOEA), an approximately 300-kilometer-long (185 mile), north-northwest-trending, middle Miocene to Pliocene volcanic belt located along the eastern margin of the Columbia River flood basalt province. Volcanic rocks erupted from and preserved within the LOEA form an important regional stratigraphic link between the (1) flood basalt-dominated Columbia Plateau on the north, (2) bimodal basalt-rhyolite vent complexes of the Owyhee Plateau on the south, (3) bimodal basalt-rhyolite and time-transgressive rhyolitic volcanic fields of the Snake River Plain-Yellowstone Plateau, and (4) the High Lava Plains of central Oregon.This field-trip guide describes a 4-day geologic excursion that will explore the stratigraphic and geochemical relationships among mafic rocks of the Columbia River Basalt Group and coeval and compositionally diverse volcanic rocks associated with the early “Yellowstone track” and High Lava Plains in eastern Oregon. Beginning in Portland, the Day 1 log traverses the Columbia River gorge eastward to Baker City, focusing on prominent outcrops that reveal a distal succession of laterally extensive, large-volume tholeiitic flood lavas of the Grande Ronde, Wanapum, and Saddle Mountains Basalt formations of the CRBG. These “great flows” are typical of the well-studied flood basalt-dominated Columbia Plateau, where interbedded silicic and calc-alkaline lavas are conspicuously absent. The latter part of Day 1 will highlight exposures of middle to late Miocene silicic ash-flow tuffs, rhyolite domes, and

Dire need for a Middle Eastern science spring

Science.gov (United States)

Zewail, Ahmed H.

2014-04-01

The Middle East is rich in human and natural resources, but many of its countries need a cultural and scientific transformation to reach worldwide recognition in education, research and economic productivity. Several institutions are making a positive impact, kindling hope for a successful 'science spring'.

China's Expansion into the Middle East and Its Effects on U.S. Foreign Policy

National Research Council Canada - National Science Library

Saito, Henry T

2007-01-01

...% of the world's proven oil reserves located in the Middle East, and China realizes that Middle Eastern states will play a vital role in Beijing's ability to meet its energy demands in the future...

Area Studies and Eastern Europe: How Eastern Europe Collapsed

Directory of Open Access Journals (Sweden)

Mirjana Kasapović

2007-01-01

Full Text Available In the first part, the author outlines the development of area studies in contemporary comparative politics, and points to their importance for the development of political science. In the second part, she examines the methodology – research design and methods – of regional comparatistics, paying particular attention to the problem of defining the region as a central category in this field of comparative politics. The third and central part is focused on the emergence of Eastern Europe as a historical-political and socio-cultural region in the course of history, especially after World War II, and on its dissolution in the processes of democratic transformation of communist regimes in the last two decades. The dissolution of Eastern Europe has resulted in restoration of a tripartite political geography in the area which it used to take up, made up of Central Europe, Southeast Europe and the proper Eastern Europe.

Multivariate granger causality between electricity consumption, exports and GDP: Evidence from a panel of Middle Eastern countries

International Nuclear Information System (INIS)

Narayan, Paresh Kumar; Smyth, Russell

2009-01-01

This paper examines the causal relationship between electricity consumption, exports and gross domestic product (GDP) for a panel of Middle Eastern countries. We find that for the panel as a whole there are statistically significant feedback effects between these variables. A 1 per cent increase in electricity consumption increases GDP by 0.04 per cent, a 1 per cent increase in exports increases GDP by 0.17 per cent and a 1 per cent increase in GDP generates a 0.95 per cent increase in electricity consumption. The policy implications are that for the panel as a whole these countries should invest in electricity infrastructure and step up electricity conservation policies to avoid a reduction in electricity consumption adversely affecting economic growth. Further policy implications are that for the panel as a whole promoting exports, particularly non-oil exports, is a means to promote economic growth and that expansion of exports can be realized without having adverse effects on energy conservation policies

Geopolitics of European natural gas demand: Supplies from Russia, Caspian and the Middle East

International Nuclear Information System (INIS)

Bilgin, Mert

2009-01-01

This paper addresses issues of natural gas which raise questions about European energy security. It first focuses on the rising gas demand of the EU27 and elaborates alleged risks of dependence on Russia such as Gazprom's disagreement with Ukraine, which became an international gas crisis in January 2006 and also more recently in January 2009. Incentives and barriers of Europe's further cooperation with selected Caspian (Azerbaijan, Kazakhstan and Turkmenistan) and Middle Eastern (Iran, Iraq and Egypt) countries are discussed. Supplies from Caspian are analyzed with a particular focus on Russia's role and the vested interests in the region. Supplies from the Middle East are elaborated with regard to Iran's huge and Iraq's emerging potentials in terms of natural gas reserves and foreign direct investments in the energy sector. The geopolitical analysis leads to a conclusion that the best strategy, and what seems more likely, for the EU is to include at least two countries from Azerbaijan, Turkmenistan, Iran and Iraq within its natural gas supply system.

Prevalence of asthma among the adult general population of five Middle Eastern countries: results of the SNAPSHOT program.

Science.gov (United States)

Tarraf, Hesham; Aydin, Omur; Mungan, Dilsad; Albader, Mohammad; Mahboub, Bassam; Doble, Adam; Lahlou, Aaicha; Tariq, Luqman; Aziz, Fayaz; El Hasnaoui, Abdelkader

2018-05-11

Asthma is a common chronic respiratory disease leading to morbidity, mortality and impaired quality of life worldwide. Information on asthma prevalence in the Middle East is fragmented and relatively out-dated. The SNAPSHOT program was conducted to obtain updated information. SNAPSHOT is a cross-sectional epidemiological program carried out in five Middle Eastern countries (Egypt, Turkey, Kuwait, Saudi Arabia, and the United Arab Emirates, the latter three grouped into a Gulf cluster) to collect data on asthma, allergic rhinitis, benign prostatic hyperplasia and bipolar disorder. The survey was carried out by telephone in a random sample of the adult general population with quotas defined according to country demographics. The analysis presented in this paper focuses on asthma. Subjects were screened for asthma based on criteria from the global Asthma Insights and Reality studies. Current prevalence (last 12 months) was estimated. Multivariate logistic regression analyses were used to investigate risk factors related to asthma and the association with allergic rhinitis and other co-morbidities. Quality of life was assessed using the three-level EQ-5D questionnaire. 2124 out of the 33,486 subjects enrolled in the SNAPSHOT program fulfilled the criteria for asthma. The adjusted prevalence of asthma ranged from 4.4% [95% CI: 4.0-4.8%] in Turkey, to 6.7% [95% CI: 6.2-7.2%] in Egypt and 7.6% [95% CI: 7.1-8.0%] in the Gulf cluster. Prevalence was higher (p Middle East ranges from 4.4% to 7.6%, which is comparatively lower than the reported prevalence in Europe and North America. Asthma has a negative impact on quality of life, and is associated with high levels of co-morbid diseases, indicating a need for physicians to check for co-morbidities and ensure they are managed correctly in all asthma patients.

Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries.

Science.gov (United States)

Ali, Suhailah; Skirton, Heather; Clark, Maria T; Donaldson, Craig

2017-12-01

Population-based screening programs have resulted in minimizing mortality and morbidity from cervical cancer. The aim of this integrative review was to explore the factors influencing access of women from Western Asian and Middle Eastern Arab countries to cervical cancer screening. A systematic search for studies conducted in Arab countries in those regions, and published in English between January 2002 and January 2017, was undertaken. Thirteen papers were selected and subjected to quality appraisal. A three step analysis was used, which involved a summary of the evidence, analysis of both quantitative and qualitative data, and integration of the results in narrative form. Few population-based cervical cancer screening programs had been implemented in the relevant countries, with low knowledge of, and perceptions about, cervical screening among Arab women, the majority of whom are Muslim. Factors affecting the uptake of cervical cancer screening practices were the absence of organized, systematic programs, low screening knowledge among women, healthcare professionals' attitudes toward screening, pain and embarrassment, stigma, and sociocultural beliefs. Policy changes are urgently needed to promote population-based screening programs. Future research should address the promotion of culturally-sensitive strategies to enable better access of Arab Muslim women to cervical cancer screening. © 2017 John Wiley & Sons Australia, Ltd.

Hepatitis E virus seroprevalence rate among Eastern Mediterranean and middle eastern countries; A systematic review and pooled analysis.

Science.gov (United States)

Karbalaie Niya, Mohammad Hadi; Rezaee-Zavareh, Mohammad Saeid; Ranaei, Alireza; Alavian, Seyed Moayed

2017-09-01

Hepatitis E virus (HEV) as a hepatotropic virus is one of the major global health concerns. Autochthonous HEV transmitted by oral fecal-route in poor sanitation conditions as well as vertical and rarely blood transfusion. HEV occurrence is more common in developing countries and recently increased in developed countries too. Middle East (ME) and Eastern Mediterranean region (EMR) of WHO have been an endemic region for HEV infection. In this regard, we aimed to design a systematic review and pooled analysis to determine seroprevalence of anti-HEV antibody in ME and EMR countries. By using PRISMA guideline, data were collected from papers identified through PubMed, Web of Science, Science Direct, Scopus and also from some national and regional databases from January 1990 to June 2016. Serum anti-HEV antibody (IgG) used for HEV prevalence estimation. HEV prevalence in the ME, WHO EMR countries, and in total, calculated by each country population size based on 2015 UN report. overall, 62 papers with a total sample size of 31,673 were fulfilled our eligibility criteria and included in our project. Considering anti-HEV antibody (IgG), prevalence of HEV infection in the countries of ME, WHO EMR and in total were 12.17% (95% CI: 11.79-12.57), 11.81% (95% CI: 11.43-12.21), and 11.87% (95% CI: 11.52-12.23) respectively. HEV seroprevalence in WHO EMR and ME countries has high rate and more considerations are needed for the prevention and control of this infection especially in high-risk groups such as pregnant women. Copyright © 2017. Published by Elsevier Ltd.

Interethnic Variations and Clinical Features of Spondyloarthropathies in a Middle Eastern Country.

Science.gov (United States)

Quraishi, Mohammed Kamil; Badsha, Humeira; Khan, Bhavna; Shahzeb, Muhammad; Hegde, Srilakshmi; Mofti, Ayman; Ooi, Kong Kok

2018-01-01

The study aimed to demonstrate the interethnic differences and clinical features of Spondyloarthropathy(SpA) patients in a diverse Middle Eastern Country. A retrospective review of medical records to collect the required data was conducted for SpA patients at two study institutions in the United Arab Emirates. Of 141 SpA patients found, 88 AS(Ankylosing Spondylitis) patients and 53 'other SpA' patients were identified. Males constituted 81% of AS and 55% of 'other SpA' patients. Patients with AS and 'other SpA' had a mean age of symptom onset of 28 and 34 years, respectively.49% and 40% of AS and 'other SpA' patients had a history of Anti-TNF therapy usage. Enthesitis and Uveitis were noted in 16% and 18% of AS patients whilst 53% and 11% in 'other SpA' patients, respectively.Caucasian, Indian Subcontinent and Arabs constituted 93% of our cohort. Mean age of onset of symptoms in the Indian Subcontinent 'other SpA' group was much greater than the other two ethnicities. Duration of symptoms to diagnosis was 3.5 and 4 years in AS and other SpA patients' respectively. HLA-B27 positivity was found in 53%, 80% and 93% of Arab, Indian Subcontinent and Caucasian AS patients, respectively, whilst seen in 50%, 25% and 33% of the same respective ethnicties in 'other SpA' patients. This study on 141 patients is the largest to analyse inter-ethnic variations in SpA patients in the region. Our cohort shows a short delay in diagnosis with a relatively higher Anti-TNF usage.

XIAP over-expression is an independent poor prognostic marker in Middle Eastern breast cancer and can be targeted to induce efficient apoptosis.

Science.gov (United States)

Hussain, Azhar R; Siraj, Abdul Khalid; Ahmed, Maqbool; Bu, Rong; Pratheeshkumar, Poyil; Alrashed, Alanood M; Qadri, Zeeshan; Ajarim, Dahish; Al-Dayel, Fouad; Beg, Shaham; Al-Kuraya, Khawla S

2017-09-11

Breast cancer is the most common cancer in females and is ranked second in cancer-related deaths all over the world in women. Despite improvement in diagnosis, the survival rate of this disease has still not improved. X-linked Inhibitor of Apoptosis (XIAP) has been shown to be over-expressed in various cancers leading to poor overall survival. However, the role of XIAP in breast cancer from Middle Eastern region has not been fully explored. We examined the expression of XIAP in more than 1000 Middle Eastern breast cancer cases by immunohistochemistry. Apoptosis was measured by flow cytometry. Protein expression was determined by western blotting. Finally, in vivo studies were performed on nude mice following xenografting and treatment with inhibitors. XIAP was found to be over-expressed in 29.5% of cases and directly associated with clinical parameters such as tumor size, extra nodal extension, triple negative breast cancer and poorly differentiated breast cancer subtype. In addition, XIAP over-expression was also significantly associated with PI3-kinase pathway protein; p-AKT, proliferative marker; Ki-67 and anti-apoptotic marker; PARP. XIAP over-expression in our cohort of breast cancer was an independent poor prognostic marker in multivariate analysis. Next, we investigated inhibition of XIAP using a specific inhibitor; embelin and found that embelin treatment led to inhibition of cell viability and induction of apoptosis in breast cancer cells. Finally, breast cancer cells treated with combination of embelin and PI3-kinase inhibitor; LY294002 synergistically induced apoptosis and caused tumor growth regression in vivo. These data suggest that XIAP may be playing an important role in the pathogenesis of breast cancer and can be therapeutically targeted either alone or in combination with PI3-kinase inhibition to induce efficient apoptosis in breast cancer cells.

An Inspiration for Democratization in the Middle East: Turkey

Science.gov (United States)

2011-12-01

toward three social groups: the army, the bourgeoisie , and the state-employed middle class.126 Moreover, in Saudi Arabia and Libya, governments use...especially during the Cold War, the socialist and nationalist policies in the Middle Eastern countries affected the bourgeoisie and hindered its...and Egypt, the state destroyed the bourgeoisie either because it was foreign and perceived as a colonial remnant, or because it was not ready to

Monitoring Eastern Spadefoot (Scaphiopus holbrookii) response to weather with the use of a passive integrated transponder (PIT) system

Science.gov (United States)

Ryan, Kevin J.; Calhoun, Aram J.K.; Timm, Brad C.; Zydlewski, Joseph D.

2015-01-01

Eastern Spadefoots (Scaphiopus holbrookii) are probably one of the least-understood amphibian species in the United States. In New England, populations are localized and it is likely that some populations go undocumented because of the species' cryptic habits. We used passive integrated transponders (PIT tags) to monitor burrow emergence with the aid of continuously running, stationary (but portable) PIT tag readers. We monitored the activity of individual Eastern Spadefoots by placing circular antennae directly over burrows of PIT tag-implanted individuals. We monitored 18 Eastern Spadefoots from 1 to 84 nights in the spring, summer, and fall of 2009–2011. Our results indicate that, on average, Eastern Spadefoots emerged on 43% of the nights that they were monitored. Nights when Eastern Spadefoots emerged were warmer and more humid than nonemergence nights. Eastern Spadefoots were also much more likely to emerge on a given night if they had emerged the night before. Our results have improved the understanding of Eastern Spadefoot burrow-emergence patterns in the northeast region. Our findings may considerably enhance the prospect of employing nocturnal visual encounter surveys as a method for monitoring known, and detecting previously undocumented, populations of this species.

Perception and Attitude of Emergency Room Resident Physicians toward Middle East Respiratory Syndrome Outbreak

Directory of Open Access Journals (Sweden)

Mohammed Al Ghobain

2017-01-01

Full Text Available Introduction. Middle East respiratory syndrome (MERS outbreaks have had a considerable negative impact on health systems in Saudi Arabia. We aimed to study the psychological impact of a Middle East respiratory syndrome coronavirus (MERS-CoV outbreak on emergency room resident physicians (ERRPs. Methods. We assessed the MERS-related psychological impact and concerns of ERRPs using a self-report questionnaire. Results. The majority (91% of the ERRPs agreed that their work put them at risk of infection, but most (65% did not agree that they should not be looking after patients infected with MERS. Despite that, 54% of ERRPs reported being afraid of contracting the infection from infected patients and only 4.2% of them were willing to change their current job. The majority of the ERRPs (85% felt that their job would expose their families to risk of infection. Conclusions. Our study demonstrated the considerable psychological impact of MERS outbreaks on ERRPs. The ERRPs’ concerns and the psychological impact of MERS outbreaks should be considered in greater detail by hospital policymakers.

Sun protection use behaviour among University students from 25 low, middle income and emerging economy countries.

Science.gov (United States)

Pengpid, Supa; Peltzer, Karl

2015-01-01

The aim of this study was to investigate the sun protection use behaviour among university students from 25 low, middle income and emerging economy countries. Using anonymous questionnaires, data were collected from 18,687 undergraduate university students aged 18-30 years (mean age 20.8, SD=2.8) from 26 universities in 25 countries across Asia, Africa and the Americas. Overall, 57.2% of university students reported liking to sunbathe and of those only 48.1% used sun protection when sunbathing. In multivariate logistic regression, younger age, being female, coming from a wealthy or quite well off economic family background, living in an upper middle or high income country, lighter skin tone, and other health behaviours were found to be associated with sun protection use behaviour. Low sun protection use calls for health promotion programmes to prevent unprotected sun exposure.

Diasporic dreaming: return reproductive tourism to the Middle East.

Science.gov (United States)

Inhorn, Marcia C

2011-11-01

This article attempts to capture the dynamics of return reproductive tourism to the Middle East, based on ethnographic research undertaken at four different Middle Eastern locales (Egypt, Lebanon, United Arab Emirates and Arab America). Across the Middle Eastern diaspora, which is now vast, due to the disruptions of war and political violence, infertile couples often dream of making a test-tube baby 'back home' for a variety of cultural, moral and psychological reasons. These reasons – including medical expatriotism, the language of medicine, co-religion and moral trustworthiness, donor phenotype, the comforts of home and discrimination – are rarely highlighted in the scholarly literature on cross-border reproductive care. Thus, further empirical investigation is needed in order to assess additional reasons for reproductive travel beyond Euro-America. Of particular concern are the needs of 'stranded' refugee populations, who are constrained from seeking assisted reproduction technology 'back home', but who may face economic constraints and cultural discrimination in host communities. Copyright © 2011 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

High growth and rapid internationalisation of firms from emerging markets: the case of the Middle East and North Africa (MENA) Region

OpenAIRE

Hatem, Omaima

2012-01-01

The aim of this thesis is to understand the phenomena of the high growth and rapid internationalisation of firms from emerging markets. It explores the applicability of international entrepreneurship theory to the context of the emerging market enterprises in the Middle East and North Africa (MENA) region. It integrates the literature of strategic entrepreneurship and that of portfolio entrepreneurship with the literature of international entrepreneurship to provide a closer fi...

Alu element insertion in PKLR gene as a novel cause of pyruvate kinase deficiency in Middle Eastern patients.

Science.gov (United States)

Lesmana, Harry; Dyer, Lisa; Li, Xia; Denton, James; Griffiths, Jenna; Chonat, Satheesh; Seu, Katie G; Heeney, Matthew M; Zhang, Kejian; Hopkin, Robert J; Kalfa, Theodosia A

2018-03-01

Pyruvate kinase deficiency (PKD) is the most frequent red blood cell enzyme abnormality of the glycolytic pathway and the most common cause of hereditary nonspherocytic hemolytic anemia. Over 250 PKLR-gene mutations have been described, including missense/nonsense, splicing and regulatory mutations, small insertions, small and gross deletions, causing PKD and hemolytic anemia of variable severity. Alu retrotransposons are the most abundant mobile DNA sequences in the human genome, contributing to almost 11% of its mass. Alu insertions have been associated with a number of human diseases either by disrupting a coding region or a splice signal. Here, we report on two unrelated Middle Eastern patients, both born from consanguineous parents, with transfusion-dependent hemolytic anemia, where sequence analysis revealed a homozygous insertion of AluYb9 within exon 6 of the PKLR gene, causing precipitous decrease of PKLR RNA levels. This Alu element insertion consists a previously unrecognized mechanism underlying pathogenesis of PKD. © 2017 Wiley Periodicals, Inc.

Agreement for the Establishment in Cairo of a Middle Eastern Regional Radioisotope Centre for the Arab Countries. Acceptances of the Agreement and Pledges of Additional Contributions to the Centre. Information Received up to 31 December 1963

International Nuclear Information System (INIS)

1964-01-01

The Government of the United Arab Republic, the Host State of the Middle Eastern Regional Radioisotope Centre for the Arab Countries, has notified the Agency that on the dates shown the following Arab States deposited with the Government instruments of acceptance of the Agreement establishing the Centre

Clinical presentation, Quality of care, Risk factors and Outcomes in Women with Acute ST-Elevation Myocardial Infarction (STEMI): An Observational Report from Six Middle Eastern Countries.

Science.gov (United States)

Shehab, Abdulla; AlHabib, Khalid F; Bhagavathula, Akshaya Srikanth; Hersi, Ahmad; Alfaleh, Hussam; Alshamiri, Mostafa Q; Ullah, Anhar; Sulaiman, Khadim; Almahmeed, Wael; Al Suwaidi, Jassim; Alsheikh-Ali, Alwai A; Amin, Haitham; Al Jarallah, Mohammed; Salam, Amar M

2018-03-14

Most of the available literature on ST-Elevated myocardial infarction (STEMI) in women was conducted in the developed world and data from Middle-East countries was limited. To examine the clinical presentation, patient management, quality of care, risk factors and in-hospital outcomes of women with acute STEMI compared with men using data from a large STEMI registry from the Middle East. Data were derived from the third Gulf Registry of Acute Coronary Events (Gulf RACE-3Ps), a prospective, multinational study of adults with acute STEMI from 36 hospitals in 6 Middle-Eastern countries. The study included 2928 patients; 296 women (10.1%) and 2632 men (89.9%). Clinical presentations, management and in-hospital outcomes were compared between the 2 groups. Women were 10 years older and more likely to have diabetes mellitus, hypertension, and hyperlipidemia compared with men who were more likely to be smokers (all p<0.001). Women had longer median symptom-onset to emergency department (ED) arrival times (230 vs. 170 min, p<0.001) and ED to diagnostic ECG (8 vs. 6 min., p<0.001). When primary percutaneous coronary intervention (PPCI) was performed, women had longer door-to-balloon time (DBT) (86 vs. 73 min., p=0.009). When thrombolytic therapy was not administered, women were less likely to receive PPCI (69.7 vs. 76.7%, p=0.036). The mean duration of hospital stay was longer in women (6.03 ± 22.51 vs. 3.41 ± 19.45 days, p=0.032) and the crude in-hospital mortality rate was higher in women (10.4 vs. 5.2%, p<0.001). However, after adjustments, multivariate analysis revealed a statistically non-significant trend of higher in-hospital mortality among women than men (6.4 vs. 4.6%), (p=0.145). Our study demonstrates that women in our region have almost double the mortality from STEMI compared with men. Although this can partially be explained by older age and higher risk profiles in women, however, correction of identified gaps in quality of care should be attempted to reduce

Factors Influencing Emergency Nurses' Burnout During an Outbreak of Middle East Respiratory Syndrome Coronavirus in Korea

OpenAIRE

Kim, Ji Soo; Choi, Jeong Sil

2016-01-01

Purpose: Emergency department (ED) nurses suffer from persistent stress after experiencing the traumatic event of exposure to Middle East respiratory syndrome coronavirus (MERS-CoV), which can subsequently lead to burnout. This study aimed to assess ED nurses' burnout level during an outbreak of MERS-CoV and to identify influencing factors in order to provide basic information for lowering and preventing the level of burnout. Methods: Study participants were ED nurses working in eight hosp...

Risk factors and classification of stillbirth in a Middle Eastern population: a retrospective study.

Science.gov (United States)

Kunjachen Maducolil, Mariam; Abid, Hafsa; Lobo, Rachael Marian; Chughtai, Ambreen Qayyum; Afzal, Arjumand Muhammad; Saleh, Huda Abdullah Hussain; Lindow, Stephen W

2017-12-21

To estimate the incidence of stillbirth, explore the associated maternal and fetal factors and to evaluate the most appropriate classification of stillbirth for a multiethnic population. This is a retrospective population-based study of stillbirth in a large tertiary unit. Data of each stillbirth with a gestational age >/=24 weeks in the year 2015 were collected from electronic medical records and analyzed. The stillbirth rate for our multiethnic population is 7.81 per 1000 births. Maternal medical factors comprised 52.4% in which the rates of hypertensive disorders, diabetes and other medical disorders were 22.5%, 20.8% and 8.3%, respectively. The most common fetal factor was intrauterine growth restriction (IUGR) (22.5%) followed by congenital anomalies (21.6%). All cases were categorized using the Wigglesworth, Aberdeen, Tulip, ReCoDe and International Classification of Diseases-perinatal mortality (ICD-PM) classifications and the rates of unclassified stillbirths were 59.2%, 46.6%, 16.6%, 11.6% and 7.5%, respectively. An autopsy was performed in 9.1% of cases reflecting local religious and cultural sensitivities. This study highlighted the modifiable risk factors among the Middle Eastern population. The most appropriate classification was the ICD-PM. The low rates of autopsy prevented a detailed evaluation of stillbirths, therefore it is suggested that a minimally invasive autopsy [postmortem magnetic resonance imaging (MRI)] may improve the quality of care.

Media and Democratisation: Challenges for an Emerging Sub-field

Directory of Open Access Journals (Sweden)

Nael Jebril

2015-06-01

Full Text Available This article seeks to compile an empirically-based understanding of the role of media in countries in transition. The study focuses on the processes of political socialization, behaviour and accountability, and gives examples from three regions: Central and Eastern Europe, Latin America, and the Middle East/North Africa region. We draw on some of the major works relevant to the study of mass media in these transitional contexts with the aim of discerning emergent theories available to the study of media and democratisation. While aware of the limitations posed by the nature and scope of the sample of the studies reviewed, we do identify and discuss some of the potentially key obstacles to theory-building and propose some alternative paths of enquiry.

New parameters and reference values for monitoring iron status in Middle Eastern adolescent male athletes.

Science.gov (United States)

Voss, S C; Varamenti, E; Elzain Elgingo, M; Bourdon, P C

2014-04-01

Hematological and biochemical parameters of 160 Middle Eastern adolescent male athletes (aged from 12-18 years) were tested in order to investigate their iron status and to establish reference values for this population. A focus of this study was also the investigation of Reticulocyte hemoglobin (RetHe) and soluble transferrin receptor (sTfR). Complete blood count, reticulocyte and sera parameters were analyzed at the beginning of the training season for these adolescent athletes. As the diagnosis of iron deficiency in adolescents is extremely difficult subjects were subdivided in three age groups (12-13, 14-15, 16-18). For most of the parameters our results confirmed the existing reference values reported in young athletes. Exceptions were however found with lower Mean Cell Volumes (79.9±4.3 fl) in this group when compared to other age matched data. RetHe, ferritin and sTfR levels were monitored for the interpretation of the iron status in this population and reference values for these parameters were also established. Information to help evidence based decision making about the need for supplementation or further investigations is provided to physicians and nutritionists. RetHe with a proposed threshold value of 25 pg expands the list of parameters which can be used to monitor athletes.

Middle East Studies Teacher Training Program. Final Report.

Science.gov (United States)

Sefein, Naim A.

This guide presents a teacher training program in Middle Eastern studies and procedures for program implementation. Details concerning program announcement, participant selection, and travel accommodations are included. Participants attended an orientation and registration workshop and an intensive academic workshop before flying to Egypt for the…

Nasal allergies in the Middle Eastern population: results from the "Allergies in Middle East Survey".

Science.gov (United States)

Abdulrahman, Hussain; Hadi, Usamah; Tarraf, Hisham; Gharagozlou, Mohammad; Kamel, Mohamed; Soliman, Alaa; Hamad, Walid Abou; Hanna, Kamal Maurice; Mostafa, Badr Eldin; Omrani, Mohammádreza; Abdelmotal, Abdelfatah; Moukarzel, Nabil

2012-01-01

Chronic respiratory diseases such as asthma and allergic rhinitis (AR) are a major public health problem in developing countries including those in the Middle East. However, to date, there is a paucity of information related to physician-diagnosed AR in this region. The Allergies in Middle East Survey was undertaken to help clarify and broaden the understanding of physician-diagnosed AR across Egypt, Iran, Lebanon, Saudi Arabia, and the United Arab Emirates. The survey explores the frequency of physician-diagnosed AR, prevalence and types of associated symptoms, the impact on quality of life (QOL), current treatment practices, and therapy expectations. In total, 7411 households in five countries (Egypt, Lebanon, Saudi Arabia, Iran and the United Arab Emirates) were screened to identify individuals that were ≥4 years old with a physician diagnosis of AR and either symptoms and/or treatment in the past 12 months. A total of 501 respondents from the five countries completed the survey. Standardized questionnaires were used to make comparisons across the regions; however, the data collection procedures were tailored for each country. The sample was probability based to ensure valid statistical inference to the population. Ten percent of the Middle East population surveyed had a physician diagnosis of AR, with 65% of respondents stating that their allergies were intermittent in nature. An otolaryngologist or allergist diagnosed the majority of the individuals surveyed. Runny nose, nasal and throat itching, postnasal drip, and nasal congestion or stuffed up nose were the most common and bothersome symptoms of AR. The majority of survey participants (58% of the overall survey population) with AR reported that the condition had an impact on their daily private and professional life. Seventy-two percent of adults reported that their AR symptoms limited their work/school activities and 35% reported that their AR interfered with and caused them to miss work or school within

Revolutionising engineering education in the Middle East region to promote earthquake-disaster mitigation

Science.gov (United States)

Baytiyeh, Hoda; Naja, Mohamad K.

2014-09-01

Due to the high market demands for professional engineers in the Arab oil-producing countries, the appetite of Middle Eastern students for high-paying jobs and challenging careers in engineering has sharply increased. As a result, engineering programmes are providing opportunities for more students to enrol on engineering courses through lenient admission policies that do not compromise academic standards. This strategy has generated an influx of students who must be carefully educated to enhance their professional knowledge and social capital to assist in future earthquake-disaster risk-reduction efforts. However, the majority of Middle Eastern engineering students are unaware of the valuable acquired engineering skills and knowledge in building the resilience of their communities to earthquake disasters. As the majority of the countries in the Middle East are exposed to seismic hazards and are vulnerable to destructive earthquakes, engineers have become indispensable assets and the first line of defence against earthquake threats. This article highlights the contributions of some of the engineering innovations in advancing technologies and techniques for effective disaster mitigation and it calls for the incorporation of earthquake-disaster-mitigation education into academic engineering programmes in the Eastern Mediterranean region.

Japan's oil situation and relationship with the Middle East

International Nuclear Information System (INIS)

Oka, H.

1991-01-01

This paper reports on Japan's energy supply structure and the demand for energy in the country. It focuses on oil relations between Japan and the Middle Eastern oil countries, and Japan's attempt to enhance energy supply-security policy measures

al mena: a comprehensive resource of human genetic variants integrating genomes and exomes from Arab, Middle Eastern and North African populations.

Science.gov (United States)

Koshy, Remya; Ranawat, Anop; Scaria, Vinod

2017-10-01

Middle East and North Africa (MENA) encompass very unique populations, with a rich history and encompasses characteristic ethnic, linguistic and genetic diversity. The genetic diversity of MENA region has been largely unknown. The recent availability of whole-exome and whole-genome sequences from the region has made it possible to collect population-specific allele frequencies. The integration of data sets from this region would provide insights into the landscape of genetic variants in this region. We integrated genetic variants from multiple data sets systematically, available from this region to create a compendium of over 26 million genetic variations. The variants were systematically annotated and their allele frequencies in the data sets were computed and available as a web interface which enables quick query. As a proof of principle for application of the compendium for genetic epidemiology, we analyzed the allele frequencies for variants in transglutaminase 1 (TGM1) gene, associated with autosomal recessive lamellar ichthyosis. Our analysis revealed that the carrier frequency of selected variants differed widely with significant interethnic differences. To the best of our knowledge, al mena is the first and most comprehensive repertoire of genetic variations from the Arab, Middle Eastern and North African region. We hope al mena would accelerate Precision Medicine in the region.

Petrogenesis of the middle Jurassic appinite and coeval granitoids in the Eastern Hebei area of North China Craton

Science.gov (United States)

Fan, Wenbo; Jiang, Neng; Xu, Xiyang; Hu, Jun; Zong, Keqing

2017-05-01

An integrated study of zircon U-Pb ages and Hf-O isotopic compositions, whole rock elemental and Sr-Nd isotope geochemistry was conducted on three lithologically diverse middle Jurassic plutons from the Eastern Hebei area of the North China Craton (NCC), in order to reveal both their petrogenesis and possible tectonic affinity. The three plutons have consistent magmatic zircon U-Pb ages from 167 ± 1 Ma to 173 ± 1 Ma. The Nianziyu pluton has typical characteristics of appinite with low SiO2 (43.7-52.6%), high Ca, Mg, Fe and H2O contents. It possesses subduction-related trace element patterns, enriched Nd-Hf isotopic signatures as well as elevated zircon δ18O values (6.2-7.2‰), arguing for an enriched mantle source metasomatized by fluids related to subduction. The Shuihutong monzogranites have high silica (SiO2 = 75.4-75.9%) and alkali contents, low Ca contents and striking negative Ba, Sr and Eu anomalies. Samples from the pluton have more evolved Nd-Hf isotopic values and are considered to be most likely derived from anatexis of ancient lower continental crust. Hybridization between mantle- and ancient lower crust-derived magmas is proposed for the mafic microgranular enclave-bearing Baijiadian granitoids, which are characterized by variable εNd (t) and εHf(t) values. Integrated with the regional geologic history, we suggest that the formation of the three middle Jurassic plutons were related to the subduction of the Paleo-Pacific ocean plate beneath the NCC. Their petrogenetic differences reflect complex magmatic processes in subduction settings involving melting of multiple sources, possible partly facilitated by fluid metasomatism and water-rich magma injection, accompanied with various degrees of magma mixing. The appearance of middle Jurassic appinitic rocks leads us to propose that the NCC destruction and lithosphere thinning were facilitated and controlled by the weakening of the lithospheric mantle after hydration because of the subduction of the

Cardiovascular risk factors in Middle Eastern patients undergoing percutaneous coronary intervention: Results from the first Jordanian percutaneous coronary intervention study.

Science.gov (United States)

Hammoudeh, Ayman J; Alhaddad, Imad A; Khader, Yousef; Tabbalat, Ramzi; Al-Mousa, Eyas; Saleh, Akram; Jarrah, Mohamad; Nammas, Assem; Izraiq, Mahmoud

2017-07-01

Background and aims: Cardiovascular disease (CVD) is the leading cause of death in the Middle East. We sought to study the prevalence and coexistence of 6 cardiovascular risk factors (RFs) among patients who underwent percutaneous coronary intervention (PCI), and to evaluate the impact of age and gender on the presence of multiple RFs. In this prospective, multicenter study, 2426 consecutive patients were enrolled. Mean age was 59.0 ± 10.1 years and 500 (20.6%) were women. Acute coronary syndrome and stable coronary disease were the indications for PCI in 77.1% and 22.9%, respectively. Hypertension was present in 62.3%, diabetes in 53.8%, hypercholesterolemia in 48.8%, smoking in 43.5%, family history of premature CVD 39.4% and obesity in 28.8%. Only 3.8% did not have any of these RFs. Presence of ⩾3 and ⩾4 RFS was observed in 57.4% and 29.5% of patients, respectively. Presence of ⩾3 RFs was more common in women than men (69.0% vs. 54.5%, p  Eastern population undergoing PCI. More than half and more than one-fourth of the patients had at least 3 or 4 RFs; respectively. More women than men and more middle aged patients than older or younger patients had significantly higher rates of presence of multiple RFs.

The "Repoliticization" of Islam in the Middle East.

Science.gov (United States)

Olson, Robert W.; Abell, Robert

1984-01-01

Islamic fundamentalist groups are demanding political power and posing stiff changes to Middle Eastern regimes. The attainment of political independence, modernization, the incorporation of millions of newcomers as active participants in the political process, and the inability to deal effectively with Israel have contributed to conditions…

Geopolitics of European natural gas demand: Supplies from Russia, Caspian and the Middle East

Energy Technology Data Exchange (ETDEWEB)

Bilgin, Mert, E-mail: mert.bilgin@bahcesehir.edu.t [Bahcesehir University Faculty of Economics and Administrative Sciences, Political Science and International Relations Department, Ciragan Caddesi Besiktas, 34353 Istanbul (Turkey)

2009-11-15

This paper addresses issues of natural gas which raise questions about European energy security. It first focuses on the rising gas demand of the EU27 and elaborates alleged risks of dependence on Russia such as Gazprom's disagreement with Ukraine, which became an international gas crisis in January 2006 and also more recently in January 2009. Incentives and barriers of Europe's further cooperation with selected Caspian (Azerbaijan, Kazakhstan and Turkmenistan) and Middle Eastern (Iran, Iraq and Egypt) countries are discussed. Supplies from Caspian are analyzed with a particular focus on Russia's role and the vested interests in the region. Supplies from the Middle East are elaborated with regard to Iran's huge and Iraq's emerging potentials in terms of natural gas reserves and foreign direct investments in the energy sector. The geopolitical analysis leads to a conclusion that the best strategy, and what seems more likely, for the EU is to include at least two countries from Azerbaijan, Turkmenistan, Iran and Iraq within its natural gas supply system.

Geopolitics of European natural gas demand. Supplies from Russia, Caspian and the Middle East

Energy Technology Data Exchange (ETDEWEB)

Bilgin, Mert [Bahcesehir University Faculty of Economics and Administrative Sciences, Political Science and International Relations Department, Ciragan Caddesi Besiktas, 34353 Istanbul (Turkey)

2009-11-15

This paper addresses issues of natural gas which raise questions about European energy security. It first focuses on the rising gas demand of the EU27 and elaborates alleged risks of dependence on Russia such as Gazprom's disagreement with Ukraine, which became an international gas crisis in January 2006 and also more recently in January 2009. Incentives and barriers of Europe's further cooperation with selected Caspian (Azerbaijan, Kazakhstan and Turkmenistan) and Middle Eastern (Iran, Iraq and Egypt) countries are discussed. Supplies from Caspian are analyzed with a particular focus on Russia's role and the vested interests in the region. Supplies from the Middle East are elaborated with regard to Iran's huge and Iraq's emerging potentials in terms of natural gas reserves and foreign direct investments in the energy sector. The geopolitical analysis leads to a conclusion that the best strategy, and what seems more likely, for the EU is to include at least two countries from Azerbaijan, Turkmenistan, Iran and Iraq within its natural gas supply system. (author)

Measuring the barriers against seeking consultation for urinary incontinence among Middle Eastern women.

Science.gov (United States)

El-Azab, Ahmed S; Shaaban, Omar M

2010-01-27

missing or not interpretable responses per item ranged from 2.2% to 8.7%. Internal consistency of the items was good. The test-retest reliability of individual items of the questionnaire was variable, with weighted kappa statistics ranging from 0.32 to 0.94 (median, 0.76, p 0.000). Preliminary data on our proposed questionnaire show that it is an easy to administer, stable and suits the Middle Eastern culture.

A Magnetic Transport Middle Eastern Positron Beam

International Nuclear Information System (INIS)

Al-Qaradawi, I.Y.; Britton, D.T.; Rajaraman, R.; Abdulmalik, D.

2008-01-01

A magnetically guided slow positron beam is being constructed at Qatar University and is currently being optimised for regular operation. This is the first positron beam in the Middle East, as well as being the first Arabic positron beam. Novel features in the design include a purely magnetic in-line deflector, working in the solenoid guiding field, to eliminate un-moderated positrons and block the direct line of sight to the source. The impact of this all-magnetic transport on the Larmor radius and resultant beam characteristics are studied by SIMION simulations for both ideal and real life magnetic field variations. These results are discussed in light of the coupled effect arising from electrostatic beam extraction

Transnational Threats from the Middle East: Crying Wolf or Crying Havoc?

National Research Council Canada - National Science Library

Cordesman, Anthony

1999-01-01

.... However, he asserts that if the threats of Middle Eastern terrorism and proliferation were to be combined into super-terrorism, the result would create a new form of asymmetric warfare for which the...

The Relationship between Stakeholder Marketing and Reciprocity in Eastern Europe: A Conceptual Analysis

Directory of Open Access Journals (Sweden)

Ron Berger

2013-12-01

Full Text Available This conceptual paper deals with important implications of ‘reciprocity’ in marketing in emerging and developing business environments, such as Eastern Europe. In mature, developed, high income, business systems, both transaction and relationship based marketing have been well researched. We posit that in less mature business systems, especially transition or emerging economies, there is a third way to look at marketing and exchange, which we call ‘reciprocity-stakeholder marketing.’ We believe that our framework shows the importance of reciprocity, a fundamental concept in business, for marketing in emerging environments such as Eastern Europe. This paper provides a meaningful starting point for empirical research for developing strategies in Eastern Europe.

Off-site emergency preparedness activities within the European Commission

International Nuclear Information System (INIS)

Kelly, G.N.

1998-01-01

Increasing attention is being given by the European Commission to off-site emergency preparedness as part of its broader contribution to improving nuclear safety in Eastern Europe. The main initiatives being taken or planned by the Commission in this area are summarised. Particular attention is given to two topics: Firstly, the development of the RODOS (Real-time On-line DecisiOn Support) system for supporting off-site emergency management in the event of a nuclear accident; and, secondly, the work of an Inter-Service Group on nuclear Off-Site Emergency Preparedness (OSEP) in Eastern Europe that has been established within the Commission. The contribution that each is making to improving emergency preparedness, both in Eastern Europe and in Europe more widely, is described. (orig.)

European commission contribution to improving off-site emergency preparedness

International Nuclear Information System (INIS)

Kelly, G.N.

1996-01-01

Increasing attention is being given by the European Commission to off-site emergency preparedness as part of its broader contribution to improving nuclear safety in Eastern Europe. The main initiatives being taken or planned by the Commission in this area are summarized. Particular attention is given to two topics: firstly, the development of the RODOS (Real-time On-line Decision Support) system for supporting off-site emergency management in the event of a nuclear accident; and, secondly, the work of an Inter-Service Group on nuclear Off-Site Emergency Preparedness (OSEP) in Eastern Europe that has recently been established within the Commission. The contribution that each is making to improving emergency preparedness, both in Eastern Europe and in Europe more widely, is described

Chemical speciation and source apportionment of Non-Methane Volatile Organic Compounds (NMVOCs) in a Middle Eastern country

Science.gov (United States)

Salameh, Therese; Sauvage, Stéphane; Afif, Charbel; Borbon, Agnès; Locoge, Nadine

2014-05-01

NMVOCs, emitted from various sources, are of particular interest since they contribute to the formation of tropospheric ozone, PAN and secondary organic aerosols resulting in negative impacts on human health, climate and on the environment. To identify abatement measures, a profound knowledge of emission sources and their composition is a prerequisite. Air pollution in the Middle East region remains difficult to assess and understand because of a lack of ground-based measurements and the limited information on NMVOC chemical speciation and source apportionment. Based on a large database of NMVOC observations obtained in Beirut, the capital of Lebanon (a developing country in the Middle East region, located in Western Asia on the eastern shore of the Mediterranean Sea), the overall objective of this work is to apportion the sources of NMVOCs encountered in Lebanon. First, source profiles were determined with field measurements close to the main potential emitters namely the road transport, gasoline vapour, power generation and solvent uses. The results obtained are compared to other studies held in other regions and are used to assess the emission inventory developed for Lebanon. Secondly, two intensive field campaigns were held in a receptor site in Beirut during summer 2011 and winter 2012 in order to obtain a large time resolved dataset. The PMF analysis of this dataset was applied to apportion anthropogenic sources in this area. In both seasons, combustion (road transport and power generation) and gasoline evaporation, especially in winter, were the main sources contributing to the NMVOCs in Beirut. The results will support model implementation especially by completing the emission inventory established for the year 2010 by Waked et al. 2012 according to the EEA/EMEP guidelines because of the lack of Lebanon-specific emission factor.

Erosion Associated with Seismically-Induced Landslides in the Middle Longmen Shan Region, Eastern Tibetan Plateau, China

Directory of Open Access Journals (Sweden)

Zhikun Ren

2017-08-01

Full Text Available The 2008 Wenchuan earthquake and associated co-seismic landslide was the most recent expression of the rapid deformation and erosion occurring in the eastern Tibetan Plateau. The erosion associated with co-seismic landslides balances the long-term tectonic uplift in the topographic evolution of the region; however, the quantitative relationship between earthquakes, uplift, and erosion is still unknown. In order to quantitatively distinguish the seismically-induced erosion in the total erosion, here, we quantify the Wenchuan earthquake-induced erosion using the digital elevation model (DEM differential method and previously-reported landslide volumes. Our results show that the seismically-induced erosion is comparable with the pre-earthquake short-term erosion. The seismically-induced erosion rate contributes ~50% of the total erosion rate, which suggests that the local topographic evolution of the middle Longmen Shan region may be closely related to tectonic events, such as the 2008 Wenchuan earthquake. We propose that seismically-induced erosion is a very important component of the total erosion, particularly in active orogenic regions. Our results demonstrate that the remote sensing technique of differential DEM provides a powerful tool for evaluating the volume of co-seismic landslides produced in intermountain regions by strong earthquakes.

MERS Coronavirus Neutralizing Antibodies in Camels, Eastern Africa, 1983-1997

NARCIS (Netherlands)

Müller, Marcel A; Corman, Victor Max; Jores, Joerg; Meyer, Benjamin; Younan, Mario; Liljander, Anne; Bosch, Berend-Jan; Lattwein, Erik; Hilali, Mosaad; Musa, Bakri E; Bornstein, Set; Drosten, Christian

2014-01-01

To analyze the distribution of Middle East respiratory syndrome coronavirus (MERS-CoV)-seropositive dromedary camels in eastern Africa, we tested 189 archived serum samples accumulated during the past 30 years. We identified MERS-CoV neutralizing antibodies in 81.0% of samples from the main

Cancer risk in different generations of Middle Eastern immigrants to California, 1988-2013.

Science.gov (United States)

Ziadeh, Clara; Ziogas, Argyrios; Anton-Culver, Hoda

2017-12-01

The objective of this study is to compare cancer risk among different generations of Middle Eastern immigrants (ME) and non-Hispanic whites (NHW) in California between 1988 and 2013. We used data from the California Cancer Registry to identify invasive primary incident cancer cases in three population groups: (i) first-generation ME immigrants, (ii) second- or subsequent-generations ME immigrants, and (iii) NHW. Proportional incidence ratio (PIR) was used to compare cancer risk of the 15 selected most common cancers in the 3 population groups taking into consideration time since immigration for first-generation ME immigrants. First generation ME immigrants were more likely to be at increased risk of stomach (PIR= 3.13) and hepatobiliary (PIR = 2.27) cancers in females and thyroid (PIR = 2.19) and stomach (PIR = 2.13) cancers in males in comparison with NHW. Second- or subsequent-generations ME immigrants were at increased risk of thyroid cancer (PIR = 1.43 in females and 2.00 in males) in comparison with NHW, and malignant melanoma cancer (PIR = 4.53 in females and 4.61 in males) in comparison with first-generation ME immigrants. The risk levels of breast, thyroid and bladder cancers in ME first generation were significantly higher compared to NHW regardless of time spent in the United States suggesting the role of genetic predisposition, and/or cultural characteristics associated with these cancers. The results suggest that differences in cancer risk between ME first-generation immigrants and NHW change in second or subsequent generations, approaching the risk level of NHW and indicating the impact of acculturation in this immigrant population. © 2017 UICC.

Biogeography of Coptis Salisb. (Ranunculales, Ranunculaceae, Coptidoideae), an Eastern Asian and North American genus.

Science.gov (United States)

Xiang, Kun-Li; Erst, Andrey S; Xiang, Xiao-Guo; Jabbour, Florian; Wang, Wei

2018-05-24

Numerous studies have favored dispersal (colonization) over vicariance (past fragmentation) events to explain eastern Asian-North American distribution patterns. In plants, however the disjunction between eastern Asia and western North America has been rarely examined using the integration of phylogenetic, molecular dating, and biogeographical methods. Meanwhile, the biogeographic patterns within eastern Asia remain poorly understood. The goldthread genus Coptis Salisb. includes 15 species disjunctly distributed in North America, Japan, mainland China, and Taiwan. We present a dated phylogeny for Coptis under the optimal clock model and infer its historical biogeography by comparing different biogeographic models. The split of Coptis and Xanthorhiza Marshall occurred in the middle Miocene (ca. 15.47 Ma). Coptis started their diversification in the early late Miocene (ca. 9.55 Ma). A late Miocene vicariance event resulted in the eastern Asian and western North American disjunction in the genus. Within eastern Asia, dispersals from mainland Asia to Japan and from Japan to Taiwan occurred at ca. 4.85 Ma and at ca. 1.34 Ma, respectively. Our analyses provide evidence that both vicariance and dispersal events have played important roles in shaping the current distribution and endemism of Coptis, likely resulting from eustatic sea-level changes, mountain formation processes and an increasing drier and cooler climate from the middle Miocene onwards.

A gigantic nothosaur (Reptilia: Sauropterygia) from the Middle Triassic of SW China and its implication for the Triassic biotic recovery

Science.gov (United States)

Liu, Jun; Hu, Shi-Xue; Rieppel, Olivier; Jiang, Da-Yong; Benton, Michael J.; Kelley, Neil P.; Aitchison, Jonathan C.; Zhou, Chang-Yong; Wen, Wen; Huang, Jin-Yuan; Xie, Tao; Lv, Tao

2014-11-01

The presence of gigantic apex predators in the eastern Panthalassic and western Tethyan oceans suggests that complex ecosystems in the sea had become re-established in these regions at least by the early Middle Triassic, after the Permian-Triassic mass extinction (PTME). However, it is not clear whether oceanic ecosystem recovery from the PTME was globally synchronous because of the apparent lack of such predators in the eastern Tethyan/western Panthalassic region prior to the Late Triassic. Here we report a gigantic nothosaur from the lower Middle Triassic of Luoping in southwest China (eastern Tethyan ocean), which possesses the largest known lower jaw among Triassic sauropterygians. Phylogenetic analysis suggests parallel evolution of gigantism in Triassic sauropterygians. Discovery of this gigantic apex predator, together with associated diverse marine reptiles and the complex food web, indicates global recovery of shallow marine ecosystems from PTME by the early Middle Triassic.

Economic Research on the Arab world and the Middle East

DEFF Research Database (Denmark)

Wippel, Steffen

2015-01-01

The article gives an overview of the Development of contemporary research on Middle Eastern and North African economies in Germany. It includes the most important institutions and central research topics and approaches, underlining that this field is, in fact, multidisciplinary. The article also ...

Foot and mouth disease in turkey and middle eastern countries: Epizootiological situation

Directory of Open Access Journals (Sweden)

Stanojević Slavoljub

2012-01-01

Full Text Available Periodic outbreaks of epizooties of foot-and-mouth disease in countries of the Middle East and Africa pose a serious health threat to European states, in particular countries of the Mediterranean region and the Balkan peninsula. There are multiple reasons for the frequent appearance of this disease in Africa and the territory of the Middle East, and they are all a consequence of the insufficient development of the states in these geographic regions. More precisely, epizooties of foot-and-mouth disease are difficult to control in these regions due to the limited possibilities for activities by veterinary services, insufficiently developed diagnostic capacities for speedy and precise laboratory diagnostics, the lack of more advanced knowledge among the village populations, and the traditional manner of breeding ruminants. As a result of intensive traffic in goods, services and people, the cultural and tourist links between the Middle East and European countries, there is a constant and real danger of a swift and uncontrolled spreading of foot-and-mouth disease to the territory of Europe. This is why it is a priority of epizootiological services of the majority of European countries constantly to monitor the epizootiological situation in the Middle East and in Africa.

FORMATION OF THE PRECONDITIONS FOR THE EMERGENCE OF GENDER PSYCHOLOGY IN MIDDLE AGES PERIOD

Directory of Open Access Journals (Sweden)

Veronika Olegovna Mokhova

2013-10-01

Full Text Available The main purpose of this article is to analyze the main ideas of the Medieval Period authors in Europe and in Russia, in terms of identifying the most important theses of this historical period for the formation and development of the ideas of gender psychology. It is being considered the role of Christianity and the emergence of the women's education issue in the formation of gender stereotypes. In this article the Middle Ages period is being considered as a separate historical phase for the basic ideas formation in the gender psychology, which is a new approach to the history of gender science. To estimate medieval texts - European and Russian, the method of qualitative content analysis is used, by means of which the most relevant to the period ideas associated with the sexes are identified. For Europe, it inter-sexual features, for Russia - different behavioral requirements of the society associated with sexes. Conclusions contain ideas of the Middle Ages in Europe and in Russia that are relevant to the development and establishment of gender psychology. In Europe: the continuation of the ancient thesis of the initial androgyny of a human being; impact of the woman's education on her ability for development; consideration of sexuality as sinful; the issue of women's emancipation, the declining value of the large numerous families despite of a ban on interference in the reproductive cycle in the middle of the Medieval period. In Russia: the perception of inter-sexual characteristics as defined by the God; unconditional obedience of a woman to her husband; androgyny in the distribution of the farmers’ responsibilities.Objective: To analyze the main ideas of the authors of the Middle Ages in Europe and in Russia, in terms of identifying the significant theses of this historical period for the formation and development of the ideas of the gender psychology.Method of the research work: A qualitative content analysis of the texts by the authors

Burden of emergency conditions and emergency care utilization: New estimates from 40 countries

Science.gov (United States)

Chang, Cindy Y.; Abujaber, Samer; Reynolds, Teri A.; Camargo, Carlos A.; Obermeyer, Ziad

2016-01-01

Objective To estimate the global and national burden of emergency conditions, and compare them to emergency care utilization rates. Methods We coded all 291 Global Burden of Disease 2010 conditions into three categories to estimate emergency burden: conditions that, if not addressed within hours to days of onset, commonly lead to serious disability or death; conditions with common acute decompensations that lead to serious disability or death; and non-emergencies. Emergency care utilization rates were obtained from a systematic literature review on emergency care facilities in low- and middle-income countries (LMICs), supplemented by national health system reports. Findings All 15 leading causes of death and DALYs globally were conditions with potential emergent manifestations. We identified 41 facility-based reports in 23 countries, 12 of which were in LMICs; data for 17 additional countries were obtained from national or regional reports on emergency utilization. Burden of emergency conditions was the highest in low-income countries, with median DALYs of 47,728 per 100,000 population (IQR 45,253-50,085) in low-income, 25,186 (IQR 21,982-40,480) in middle-income, and 15,691 (IQR 14,649-16,382) in high-income countries. Patterns were similar using deaths to measure burden and excluding acute decompensations from the definition of emergency conditions. Conversely, emergency utilization rates were the lowest in low-income countries, with median 8 visits per 1,000 population (IQR 6-10), 78 (IQR 25-197) in middle-income, and 264 (IQR 177-341) in high-income countries. Conclusion Despite higher burden of emergency conditions, emergency utilization rates are substantially lower in LMICs, likely due to limited access to emergency care. PMID:27334758

A Brief Introduction to Astronomy in the Middle East

CERN Document Server

Steele, John M

2012-01-01

The Middle East is the birthplace of astronomy and the centre for its development during the medieval period. In this brief introduction John Steele offers an intriguing insight into Middle Eastern achievements in astronomy and their profound influence on the rest of the world. Amongst other things, the book traces the Late Babylonians' ingenious schemes for modelling planetary motion. It also reveals how medieval Islamic advances in the study of the heavens, and the design of precise astronomical instruments, led to breakthroughs by Renaissance practitioners such as Copernicus and Kepler. An

Trade and energy consumption in the Middle East

International Nuclear Information System (INIS)

Sadorsky, Perry

2011-01-01

Over the past 30 years many economies have experienced large increases in economic trade, income and energy consumption. This brings up an interesting question. How do increases in trade affect energy consumption? This study uses panel cointegration data estimation techniques to examine the impact of trade on energy consumption in a sample of 8 Middle Eastern countries covering the period 1980 to 2007. Short-run dynamics show Granger causality from exports to energy consumption, and a bi-directional feedback relationship between imports and energy consumption. Long run elasticities estimated from FMOLS show that a 1% increase in per capita exports increases per capita energy consumption by 0.11% while a one percent increase in per capita imports increases per capita energy consumption by 0.04%. These results are important in establishing that increased trade affects energy demand in the Middle East in both the short and long-run. This has implications for energy policy and environmental policy. - Research Highlights: → Trade affects energy consumption in Middle Eastern economies. → Short-run causality runs from exports to energy consumption. → There is a short-run feedback relationship between energy consumption and imports. → In the long-run a 1% increase in per capita exports increases per capita energy consumption by 0.11%. → In the long-run a 1% increase in per capita imports increases per capita energy consumption by 0.04%.

A Global Perspective on Public Relations Ethics: The Middle East.

Science.gov (United States)

Kruckeberg, Dean

1996-01-01

States that Moslem culture heavily influences much of Middle Eastern practice, and that contemporary public relations literature indicates that "ethical" public relations practices embrace a "two-way symmetrical" model. Describes a counterthesis that contends that public relations is culturally relative in both theories and…

An Emerging Integrated Middle-Range Theory on Asian Women's Leadership in Nursing.

Science.gov (United States)

Im, Eun-Ok; Broome, Marion E; Inouye, Jillian; Kunaviktikul, Wipada; Oh, Eui Geum; Sakashita, Reiko; Yi, Myungsun; Huang, Lian-Hua; Tsai, Hsiu-Min; Wang, Hsiu-Hung

2018-02-01

Asian cultures reflect patriarchal cultural values and attitudes, which likely have influenced women leaders in their countries differently from women in Western cultures. However, virtually no leadership theories have been developed to reflect the experiences and development of nursing leaders from Asian cultures. The purpose of this article is to present an emerging integrated middle-range theory on Asian women's leadership in nursing. Using an integrative approach, the theory was developed based on three major sources: the leadership frames of Bolman and Deal, literature reviews, and exemplars/cases from five different countries. The theory includes two main domains (leadership frames and leadership contexts). The domain of leadership frames includes human resources/networks, structure/organization, national/international politics, and symbols. The domain of leadership contexts includes cultural contexts, sociopolitical contexts, and gendered contexts. This theory will help understand nursing leadership in Asian cultures and provide directions for future nurse leaders in this ever-changing globalized world.

Early to Middle Jurassic tectonic evolution of the Bogda Mountains, Northwest China: Evidence from sedimentology and detrital zircon geochronology

Science.gov (United States)

Ji, Hongjie; Tao, Huifei; Wang, Qi; Qiu, Zhen; Ma, Dongxu; Qiu, Junli; Liao, Peng

2018-03-01

The Bogda Mountains, as an important intracontinental orogenic belt, are situated in the southern part of the Central Asian Orogenic Belt (CAOB), and are a key area for understanding the Mesozoic evolution of the CAOB. However, the tectonic evolution of the Bogda Mountains remains controversial during the Mesozoic Era, especially the Early to Middle Jurassic Periods. The successive Lower to Middle Jurassic strata are well preserved and exposed along the northern flank of the Western Bogda Mountains and record the uplift processes of the Bogda Mountains. In this study, we analysed sedimentary facies combined with detrital zircon U-Pb geochronology at five sections of Lower to Middle Jurassic strata to detect the tectonic evolution and changes of provenance in the Bogda area. During Early to Middle Jurassic times, the fluvial, deltaic and lacustrine environments dominated in the western section of the Bogda area. The existence of Early Triassic peak age indicates that the Bogda Mountains did not experience uplift during the period of early Badaowan Formation deposition. The Early Triassic to Late Permian granitoid plutons and Carboniferous volcanic rocks from the Barkol and Santanghu areas were the main provenances. The significant change in the U-Pb age spectrum implies that the Eastern Bogda Mountains initiated uplift in the period of late Badaowan Formation deposition, and the Eastern Junggar Basin and the Turpan-Hami Basin were partially partitioned. The Eastern Bogda Mountains gradually became the major provenance. From the period of early Sangonghe to early Toutunhe Formations deposition, the provenance of the sediments and basin-range frame were similar to that of late Badaowan. However, the Eastern Bogda Mountains suffered intermittent uplift three times, and successive denudation. The uplifts respectively happened in early Sangonghe, late Sangonghe to early Xishanyao, and late Xishanyao to early Toutunhe. During the deposition stage of Toutunhe Formation, a

Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients.

Science.gov (United States)

Jeong, Hyunho; Jeong, Sikyoung; Oh, Juseok; Woo, Seon Hee; So, Byung Hak; Wee, Jeong Hee; Kim, Ji Hoon; Im, Ji Yong; Choi, Seung Pill; Park, Kyoungnam; Cho, Byul Nim Hee; Hong, Sungyoup

2017-06-01

Outbreaks of transmissible respiratory infection are suspected to have significant effects on the health of pediatric and geriatric patients. The objective was to assess the impact of the Middle East respiratory syndrome (MERS) outbreak on the use of emergency resources. An ecologic analysis of emergency department (ED) records between September and December 2015, was performed. Data was obtained from the National Emergency Department Information System database for Korea. All demographic and diagnostic data from patients presenting with febrile symptoms as a main complaint were collected. The data were compared to the equivalent period in the three years preceding the MERS outbreak in Korea. Following the MERS outbreak, there was an increase in overall ED visits by febrile patients and the proportion of visits by febrile patients, relative to total ED attendances. This effect was more prominent in the children under five years. The duration of the chief complaint before ED arrival and the length of ED stay were significantly increased among younger pediatric patients. Decreased body temperature on arrival was observed in younger pediatric patients. MERS outbreak appears to have had a significant effects on ED use by febrile patients. The use of emergency care services by pediatric patients makes them more vulnerable to an outbreak of a transmissable disease. An effective strategy to control emergency center visits by non-urgent febrile patients and provide proper medical services is urgently needed.

IAEA Laboratory Activities. The IAEA Laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics, Trieste, the Middle Eastern Regional Radioisotope Centre for the Arab Countries, Cairo. Fifth Report

International Nuclear Information System (INIS)

1968-01-01

This fifth report describes development and work during the year 1967. It includes activities of the IAEA Laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, and the Middle Eastern Regional Radioisotope Centre for the Arab Countries at Cairo. Contents: The IAEA Laboratories at Vienna and Seibersdorf: Introduction; Standardization of measurement and of analytical methods related to peaceful applications of nuclear energy; Services to Member States and International Organizations; Chemical and physico-chemical investigations relevant to the Agency's programme; Nuclear techniques in hydrology; Nuclear techniques in medicine; Nuclear techniques in agriculture; Nuclear electronics service and development; Administrative matters. — The International Laboratory of Marine Radioactivity at Monaco: Introduction; Research; Administrative matters. — The International Centre for Theoretical Physics, Trieste: Assistance to developing countries; Research activities; Administrative matters; Annexes. — The Middle Eastern Regional Radioisotope Centre for the Arab Countries, Cairo: Introduction; The scientific programme of the Centre; Publications on work done at the Centre; Finance; Annex. Entirely in English. (author)

Geochemical evaluation of the middle Magdalena basing Colombia

International Nuclear Information System (INIS)

Ramon, J.C; Dzou, L; Giraldo, B

1997-01-01

The chemical composition of 25 crude oils from Tertiary reservoirs and 12 rock extracts from five organic-rich Cretaceous formations in the middle Magdalena Basin, Colombia were studied in detail by geochemical methods in order to understand their genetic relationships. The oils have been geochemically classified into four main groups based on the sulfur content, pristane/phytane, dibenzothiophene /phenanthrene, concentrations of oleanane and terpane distributions. Each group occurs in different geographic locations. Oils were mainly derived from calcareous, siliciclastic and mixture of these two facies of the Upper Cretaceous La Luna Formation. Source-oil correlation is supported by sterane and terpane distributions of and carbon isotope ratios. Some oils in the eastern margin contain relatively higher concentrations of higher plant indicators than the remaining oil samples. The molecular compositions of the oils observed in this study appear to be consistent with the inferred depositional sequence of anoxic marine/pelagic carbonate facies in the north/western sector of the Middle Magdalena, while the eastern sector received a higher proportion of clastic input. This documentation supports the interpretation that the Middle Magdalena oils have been generated 'locally', as opposed to have migrated from the region of the Eastern Cordillera. Biomarker maturity parameters indicate that the majority of oils were generated in the early thermal maturity oil window except the Colorado-38 oil, which was generated in the middle thermal maturity oil window. Oil maturity data also supports the short migration distances of oils from the early-mature source rocks to the reservoir rocks. The composition of some oils (e.g., La Cira, Infantas, Conde and Bonanza) is unusual in that gas chromatographic data contains an n-alkane and isoprenoid distribution normally associated with moderately degraded oils, but they also contain a relatively high abundance of gasoline hydrocarbons

The acceptance of dental operating microscope among advance education specialty programs in endodontics in the middle east

Directory of Open Access Journals (Sweden)

Mansour Alrejaie

2012-01-01

Full Text Available Aim: To present the current situation of dental operating microscopy (DOM training in the available Advance Specialty Education Programs in Endodontics in Arab Middle-Eastern countries. Materials and Methods: A web-based survey was sent to the electronic mail address of Advance Specialty Education programs of 15 Arab and middle east countries. The questions were limited to those who have an advanced specialty education program in Endodontics at their University if they are using an operating microscope? Results: Out of 15 countries, only 4 countries have microscopic technology in their Advance Education Programs in Endodontics. Conclusion: Few Arab Middle-Eastern countries have DOM in their advance education programs in endodontics. The highest authority in advancing endodontic education in the Arab Middle-East should consider in the near future the importance of this technology as standard care in teaching advance endodontics. An advance workshops should be organized regularly to provide enough knowledge about this standard educational technology.

Dairy products and colorectal cancer in middle eastern and north African countries: a systematic review.

Science.gov (United States)

El Kinany, K; Deoula, M; Hatime, Z; Bennani, B; El Rhazi, K

2018-03-01

This systematic review was conducted to explain the association between dairy products and colorectal cancer (CRC) risk in Middle Eastern and North African countries (MENA). The database consulted were PubMed, Clinical Trials, and Cochrane to extract the relevant studies published till the 31stof December 2016, using inclusion and exclusion criteria according to Prisma Protocol. The characteristics of these studies comprised the consumption of all types of dairy products in relation to CRC risk. Seven studies were included in this review. For dairy products overall, no significant association was found. Regarding modern dairy products, included studies found controversial results with OR = 9.88 (95% CI: 3.80-24.65) and OR a  = 0.14 (95% CI: 0.02-0.71). A positive association was reported between traditional dairy products and CRC risk, to OR = 18.66 (95% CI: 3.06-113.86) to OR = 24 (95% CI: 1.74-330.82) to ORa = 1.42 (95% CI: 0.62-3.25), p trend  = 0.03. Calcium was inversely associated with the CRC risk with OR a  = 0.08 (95% CI: 0.04-0.17). This is the first systematic review which illustrated the association between dairy consumption and CRC risk in MENA region. The results were inconsistent and not always homogeneous. Further specified studies may be warranted to address the questions about the association between CRC and dairy products in a specific context of MENA region.

Energy Geopolitics in the Middle East After the Opec Summit

OpenAIRE

Çubukçuoğlu, Serhat Süha

2017-01-01

The Middle East is home to 65% of OPEC’s oil reserves and, with 32 million b/d, provides just over a third of the global oil supplies. Since 2014, the group of GCC (Gulf Cooperation Council) countries, lead by Saudi Arabia, had seen a worldwide oversupply send prices lower and reduce revenues to government budgets.1 Defending and expanding market share had been the primary goal of the low-cost Middle Eastern states with the aim to squeeze potential...

Long-term effects of organized violence on young Middle Eastern refugees' mental health.

Science.gov (United States)

Montgomery, Edith

2008-11-01

The pre- and post-displacement factors associated with psychological problems among young refugees are not clear. From the existing research it appears that refugee children and adolescents are vulnerable to the effects of pre-migration exposure to trauma, but the long-term effects of such exposure are mediated by certain risk and protective factors at the individual, family and community level. The aim of the present study was to assess the influence of traumatic experiences before emigration, as well as social life after immigration, on the mental health of young Middle Eastern refugees 8-9 years after immigration into Denmark. The study group comprises 131 young refugees (76 girls and 55 boys; mean age 15.3 years) from 67 families. They were assessed in 2000-2001 as part of a follow-up study of 311 children, who in 1992-1993 were consecutively registered in Denmark as asylum seekers with at least one parent. Predictors of more externalizing behaviour were: witnessing attack on others after arrival, more schools attended, less attending school or work, lower mother's education in the home country and lower age. Predictors of more internalizing behaviour were: numbers of types of traumatic events before arrival, numbers of types of stressful events after arrival, and numbers of types of experiences of discrimination, lower mother's education in the home country, fewer Danish friends, not Muslim or Christian religion, less Danish proficiency and female gender. It is concluded that aspects of social life in Denmark, including mother's education and indicators of adaptation, as well as a stressful life context in exile, including discrimination, predicted psychological problems 8-9 years after arrival, more than traumatic experiences before arrival. Thus, the prevention of psychopathology in young refugees depends to a large extent on the political will to make provision for the necessary changes regarding reception and treatment of refugees.

The Chara-Sina dyke swarm in the structure of the Middle Paleozoic Vilyui rift system (Siberian Craton)

Science.gov (United States)

Kiselev, A. I.; Konstantinov, K. M.; Yarmolyuk, V. V.; Ivanov, A. V.

2016-11-01

The formation of the Vilyui rift system in the eastern Siberian Craton was finished with breakdown of the continent and formation of its eastern margin. A characteristic feature of this rift system is the radial distribution of dyke swarms of basic rocks. This peculiarity allows us to relate it to the breaking processes above the mantle plume, the center of which was located in the region overlain in the modern structure by the foreland of the Verkhoyan folded-thrust belt. The Chara-Sina dyke swarm is the southern part of a large area of Middle Paleozoic basaltic magmatism in the eastern Siberian Craton. The OIB-like geochemical characteristics of dolerite allow us to suggest that the melting substrate for Middle Paleozoic basaltic magmatism was represented by a relatively homogeneous, mid-depleted mantle of the plume with geochemical parameters similar to those of OIB.

Outcomes of dual mobility cups in a young Middle Eastern population and its influence on life style.

Science.gov (United States)

Assi, Chahine; El-Najjar, Elie; Samaha, Camille; Yammine, Kaissar

2017-03-01

Dual mobility cups (DMC) in total hip arthroplasty (THA) are becoming popular among orthopaedic surgeons. Substantial benefit of their use has been reported among high risk patients, particularly in reducing post-operative hip instability (dislocation). Many reports stated some concern when implanted in young and active people where complications such as polyethylene wear and mechanical loosening could potentially be higher. This Middle Eastern study analyses a retrospective series of THA for any aetiology other than infection, using DMC for the acetabular component in 75 patients (85 implants) less than 70 years old. No instability, intra-prosthetic dislocation or mechanical failure was reported during a mean follow-up of five years. The only major complication was a post-operative infection. The mean post- operative modified Harris hip score was 97.1 out of 100. All patients resumed their daily activities and all religious practicing patients were able to accomplish their prayer positions without pain. DMC is found to be an interesting option in reducing dislocation events in young patients. Those excellent short-term results would encourage surgeons to use DMC in an active and highly demanding population. Further research is necessary to confirm maintenance of such results at long term follow-up.

IAEA Laboratory activities. The IAEA Laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, the Middle Eastern Regional Radioisotope Centre for the Arab Countries, Cairo. Sixth report

International Nuclear Information System (INIS)

1969-01-01

This sixth 'IAEA Laboratory Activities' report describes development and work during the year 1968. It includes activities of the IAEA Laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, and the Middle Eastern Regional Radioisotope Centre for the Arab Countries at Cairo. (author)

IAEA Laboratory activities. The IAEA Laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, the Middle Eastern Regional Radioisotope Centre for the Arab Countries, Cairo. Fourth report

International Nuclear Information System (INIS)

1967-01-01

This fourth 'IAEA Laboratory Activities' report describes development and work during the year 1966. It includes activities of the IAEA Laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, and the Middle Eastern Regional Radioisotope Centre for the Arab Countries at Cairo. (author)

Late Ordovician brachiopods from eastern North Greenland

DEFF Research Database (Denmark)

Mac Ørum Rasmussen, Christian

2013-01-01

Late Ordovician rhynchonelliformean brachiopods, typical of the North American Red River fauna, are found sporadically in the BOrglum River Formation of the Centrum SO area, Kronprins Christian Land, eastern North Greenland. The geographical distribution of this characteristic brachiopod fauna......) to younger strata exclusively yielding specimens of H.gigas. As H.gigas occurs in the upper part of the Cape Calhoun Formation in Washington Land, it indicates that the upper boundary of the Cape Calhoun Formation is considerably younger than previous estimates, reaching into the uppermost Katian (middle...... (Richmondian), it possesses a strong provincial signal during the later Ordovician. The new occurrences indicate that this fauna extended to the north-eastern margin of the Laurentian Craton. It lived in close association with cosmopolitan faunal elements that may have been the earliest sign of the succeeding...

Digital Muslimas: ICT Skills of Females in Middle Eastern Countries

Science.gov (United States)

Primo, L. Heidi

2010-01-01

This article examines women in Islamic countries with regard to sustainable futures, equity, and social justice. Some barriers to ICT use for women in the Middle East include access to computers, gender discrimination by employers, marginalized political participation, high rates of illiteracy, and lack of independence. Distance education offers a…

Palliative cancer care in Middle Eastern countries: accomplishments and challenges †

Science.gov (United States)

Silbermann, M.; Arnaout, M.; Daher, M.; Nestoros, S.; Pitsillides, B.; Charalambous, H.; Gultekin, M.; Fahmi, R.; Mostafa, K.A.H.; Khleif, A.D.; Manasrah, N.; Oberman, A.

2012-01-01

Background In larger parts of the Middle East palliative care is still misunderstood among health professionals, cancer patients and the public at large. One reason to that is because the term does not obviously communicate the intent of this clinical discipline, which is lending better quality of life while combating cancer. Further, culture, tradition and religion have contributed to this misgiving and confusion especially at the terminal stage of the disease. Methods The Middle East Cancer Consortium jointly with the American Society of Clinical Oncology, the American Oncology Nursing Society, the San Diego Hospice Center for Palliative Medicine and the Children's Hospital & Clinics of Minnesota initiated a series of training courses and workshops in the Middle East to provide updated training to physicians, nurses, social workers and psychologists from throughout the region with basic concepts of palliative care and pain managements in adults and children cancers. Results During the past 6 years hundreds of professionals took part in these educational and training activities, thereby creating the core of trained caregivers who start to make the change in their individual countries. Conclusions The outcome of consecutive training activities can overcome geopolitical instabilities, and yield a genuine change in approach of both regulators, medical administrators, medical staff and the public; as to the important contribution of palliative care services to the welfare of the patient and his/her family. PMID:22628412

IAEA laboratory activities. The IAEA laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, the Middle Eastern Regional Radioisotope Centre for the Arab Countries, Cairo. 3rd report

International Nuclear Information System (INIS)

1966-01-01

This third 'IAEA Laboratory Activities' report describes development and work during the year 1965. It includes activities of the IAEA Laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, and the Middle Eastern Regional Radioisotope Centre for the Arab Countries at Cairo

The Middle East in the Emerging Global Order

Directory of Open Access Journals (Sweden)

Hans Köchler

2014-12-01

Full Text Available The article analyzes the consequences of socio-political transformation in the Arab world for the wider region of the Middle East. After a review of the historical background, the author draws conclusions for world order in the context of a new balance of power.

Financial resources for development. Capital markets in developing countries: a study on borrowing by developing countries in the emerging capital markets of the Middle East

Energy Technology Data Exchange (ETDEWEB)

Nashashibi, H S

1980-10-01

Private transfers of capital from the Organization of Petroleum Exporting Countries (OPEC) to developing countries are intended to complement private transfers from the Organization of Economic Cooperation and Development (OECD) by tapping the emerging capital markets in the Middle East. Developing countries will be able to diversify their borrowing and gain additional financing. The long-term investment of oil-producing countries will benefit and the pressures on the banking institutions to recycle funds will lessen. Middle East capital markets include international loans and international bonds. The history of the Kuwaiti dinar (KD) bond market, with its advantages for both investors and borrowers, illustrates the successful development of a capital market. Financial intermediation needs to be improved, however, if the Middle East is to become efficient enough to compete with the Euromarkets. Efficiency will require different measures and should reflect strengthening relationships among Middle East nations. (DCK)

The development of Middle Eastern gas: analyses of the graveyard of export projects

International Nuclear Information System (INIS)

Mabro, Robert

1994-01-01

There are three types of opportunities for gas developments in the Middle East. The first are those provided by the domestic energy market, the second by regional trade and the third by the potential for exports outside the region. The development of the full gas potential of the region, given the size of the reserves held by several countries, will only be possible through export. Of course, there is still room for the expansion of gas use within the producing countries and their regional neighbours but growth of domestic demand would not make a significant dent in the regional reserves before several decades. The potential for exports is constrained, however, by the uncertainty about future oil prices, the long lead-in time of major gas projects and the associated financing problems. There is a graveyard of gas export projects in the Middle East. New projects are continually conceived and then abandoned or indefinitely postponed. Even the famous Qatargas project which took so long to bring to the threshold of implementation appears in the present climate to be unattractive for both the country and the foreign investors involved. Gas in the Middle East will remain for a very long time a resource for an ever more distant future. There is still too much oil around for its price to rise to a support level for big gas projects in the Middle East. And there is no significant demand yet in Europe for Middle East oil which only leaves the Far East as a potential market. The paradox is that if gas resources are not developed ahead of needs, gas will not be available in sufficient volumes when required. (Author)

Geriatric emergency general surgery: Survival and outcomes in a low-middle income country.

Science.gov (United States)

Shah, Adil A; Haider, Adil H; Riviello, Robert; Zogg, Cheryl K; Zafar, Syed Nabeel; Latif, Asad; Rios Diaz, Arturo J; Rehman, Zia; Zafar, Hasnain

2015-08-01

Geriatric patients remain largely unstudied in low-middle income health care settings. The purpose of this study was to compare the epidemiology and outcomes of older versus younger adults with emergency general surgical conditions in South Asia. Discharge data from March 2009 to April 2014 were obtained for all adult patients (≥16 years) with an International Classification of Diseases, 9th revision, Clinical Modification diagnosis codes consistent with an emergency general surgery condition as defined by the American Association for the Surgery of Trauma. Multivariable regression analyses compared patients >65 years of age with patients ≤65 years for differences in all-cause mortality, major complications, and duration of hospital stay. Models were adjusted for potential confounding owing to patient demographic and clinical case-mix data with propensity scores. We included 13,893 patients; patients >65 years constituted 15% (n = 2,123) of the cohort. Relative to younger patients, older adults were more likely to present with a number of emergency general surgery conditions, including gastrointestinal bleeding (odds ratio OR [95% CI], 2.63[1.99-3.46]), resuscitation (2.17 [1.67-2.80]), and peptic ulcer disease (2.09 [1.40-3.10]). They had an 89% greater risk-adjusted odds (1.89 [1.55-2.29]) of complications and a 63% greater odds (1.63 [1.21-2.20]) of mortality. Restricted to patients undergoing operative interventions, older adults had 95% greater odds (1.95 [1.29-2.94]) of complications and 117% greater odds (2.17 [1.62-2.91]) of mortality. Understanding unique needs of geriatric patients is critical to enhancing the management and prioritization of appropriate care in developing settings. Copyright © 2015 Elsevier Inc. All rights reserved.

The Middle East in the year 2000

International Nuclear Information System (INIS)

Henderson, S.

1996-02-01

The Middle East in the year 2000 provides all insight into the political and economic changes taking place in the region and explains what they mean for the oil and gas industry. This comprehensive report combines published forecasts with expert comment and analysis, making it a highly practical business guide. With oil and gas at the heart of its discussion it looks in detail at: the likely shape of the Middle East into the next century, with a country-by-country review; the declared aspirations of Middle Eastern countries, with likely economic trends including oil production; the complete political and economic picture and what the future may hold; the long- and short-term future for oil; how oil prices will change over the coming years; the impact of non-Opec production on the region; the opportunities and competitive advantages for companies wanting to do business in the region; fundamentalism versus democracy; and various political scenarios. (author)

Downward Migration of Coastal Conifers as a Response to Recent Land Emergence in Eastern Hudson Bay, Québec

Science.gov (United States)

Bégin, Yves; Bérubé, Dominique; Grégoire, Martin

1993-07-01

Postglacial uplift in the eastern Hudson Bay area is among the most rapid in the world (300 m during the last 8000 yr). Although emergence curves based on 14 C-dated raised shorelines give a consistent basis for modeling relative sea-level changes, such a low-resolution dating method is inappropriate for estimating trends over recent decades. A major downward displacement of white spruce ( Picea glauca (Moench) Voss) and tamarack ( Larix laricina (DuRoi) K. Koch) occurred on protected shores as a response to shoreline retreat during this century. Analysis of the age distribution of trees indicates a progradation of white spruce and tamarack on gently sloping terrain ranging from 1.3 and 2.6 cm/yr, respectively, toward the sea. Improvement of climatic conditions during the 20th century favored such expansion which was probably faster than the real land emergence rates, but recent episodes of high water levels caused regression of forest margins over the highly exposed shores. Nevertheless, the downward trend of the treeline over this century substantiates the projections of 14C-dated coastal emergence curves during the modern period (1.0 to 1.3 cm/yr) by providing an estimate of the maximum rates of shoreline retreat.

STUDY ON THE WORDS AND MUSICAL PATTERNS OF THE NATIONAL ANTHEMS OF THE MIDDLE EASTERN COUNTRIES

Directory of Open Access Journals (Sweden)

Gulden Filiz ONAL

2017-02-01

Full Text Available Anthems are poetic verses sung in a melodic harmony expressing a nation’s feelings, enthusiasm, hopes, joy of coexistence and determination to survive. Thanks to anthems, people reflect their national values, historical background of their countries, and their way of thinking. In this direction national anthems have a unifying power creating a common ground for individuals that sustain continuity and the sense of belonging to a country. This study deals with the national anthems of the Middle Eastern countries where major conflicts have taken place for years in terms of music and lyrics. The random method was used to form the sample group. The sample group is composed of the United Arab Emirates, Israel, Lebanon, Egypt, Syria and Turkey. Some basic musical elements of the national anthems of the countries involved in the study have been investigated (tone, tempo, meter signatures and rhythm patterns. It has been found that four of them are composed in major tones, while two of them are composed in minor tones. All of these anthems are in 4/4 meter with walking pace tempo. As for the rhythm patterns; 3 different patterns are used in one anthem, while 4 different patterns are used in two, 5 different patterns in one, and 6 different patterns in two. The words of these anthems as literary verses focus on many topics, mainly soldiers, flags, and homelands as well as political developments, national heroes...

New discoveries in Upper and Middle Magdalena

International Nuclear Information System (INIS)

Carta Petrolera

1998-01-01

In six association contracts and one risk participation contract may give Colombia the possibility of finding new oil reserves. These prospects, located in the Upper and Middle Magdalena Valleys and the Eastern Plains. the completion process, evaluation, confirmation and commercialization should be in the next two years, these new discoveries also reveal interesting geological aspects; some in fractured limestone, similar to the found at Maracaibo lake in Venezuela, where vast oil fields were discovered

Wooden Calendar Sticks in Eastern Europe

Science.gov (United States)

Koleva, Vesselina; Koleva, Svetlana

Wooden calendar sticks have preserved an archaic time-keeping tradition, which, during the Middle Ages, was one of the tools for establishing and disseminating Christian chronology and the liturgical calendars of the Western and Eastern Churches. The calendars vary in size and shape, type of signs, and structure of the record. Christian symbols interwoven with signs and pictograms mark days of importance in the ritual and economic year cycle. The wooden calendars are considered one of the proofs of the syncretism between the pagan tradition and Christian rites in folk cultures.

Dietary trends in the Middle East and North Africa: an ecological study (1961 to 2007).

Science.gov (United States)

Golzarand, Mahdieh; Mirmiran, Parvin; Jessri, Mahsa; Toolabi, Karamollah; Mojarrad, Mehdi; Azizi, Fereidoun

2012-10-01

Middle Eastern and North African countries are undergoing nutrition transition, a transition which is associated with an increased burden of non-communicable diseases. This necessitates the evaluation of dietary patterns in these regions. The present study aimed to assess changes in dietary patterns in Middle Eastern and North African countries between 1961 and 2007. Availability of energy and fifteen main food items during 1961-2007 was examined using FAO food balance sheets from the FAOSTAT database. Fifteen countries including nine in the Middle East and six in North Africa were selected and the average availability of total energy and different food items in these regions were compared. Over the 47 years studied, energy and food availability (apart from animal fats and alcoholic beverages) has increased in the Middle East and North Africa. In both regions the proportion of energy derived from meat and vegetable oils has increased significantly while that from cereals decreased significantly. In addition, the proportion of energy from milk and dairy products and vegetables has shown an ascending trend in North Africa while the proportion of energy from fruits has shown a descending trend in the Middle East. The study results reveal an unfavourable trend towards a Westernized diet in the Middle East and, to a certain extent, in North Africa. Tailored nutritional education encouraging healthy eating for prevention of the burden of chronic diseases in these countries seems essential.

Substance abuse In Middle Eastern adolescents living in two different countries: spiritual, cultural, family and personal factors.

Science.gov (United States)

Badr, Lina Kurdahi; Taha, Asma; Dee, Vivien

2014-08-01

It is estimated that the percentage of students using illicit substances by sixth grade has tripled over the last decade not only in developed countries but in developing countries as well probably due to the transition to a more Western society. Although much has been done to understand the mechanisms underlying substance abuse, few studies have been conducted with minority ethnic and religious groups such as Middle Eastern Youth. The primary goal of this study was to determine whether there are differences in factors contributing to substance abuse in adolescents from Lebanon versus the U.S.A. and to decipher the role of spirituality, religion, and culture among other factors that may influence substance abuse. A correlational cross-sectional design was used with adolescents living in two different countries: Los Angeles, California and Beirut, Lebanon. Muslim adolescents had significantly less rates of alcohol and substance use than Christians in both Lebanon and Los Angeles. More years lived in the U.S.A. increases the likelihood of abuse for both Muslims and Christians. Attachment to God and family was negatively associated with substance abuse. These results among others facilitate a better understanding of the influence of culture, religion, family and personal factors on substance abuse. Culturally sensitive interventions could benefit from the findings of this pilot study.

STRATEGY IMPLEMENTATION STYLES OF MALAYSIAN, THAI AND HUNGARIAN MIDDLE MANAGERS

Directory of Open Access Journals (Sweden)

Maheshkumar P. Joshi

2004-01-01

Full Text Available There is a need for more comparative empirical research that examines middle manager roles in strategic change. This paper reports a study of middle managers in two dynamic settings: the Asia/Pacific region – Malaysia and Thailand; and Central/Eastern Europe – Hungary. Results of 213 respondents across three countries indicate that middle managers from all three tend toward use of authoritarian management styles even in proactive strategic change situations. However, Hungarians are less likely to use these styles than Thai and Malaysian middle managers. For all three countries, managers with less work experience were found to have lower tendencies to use an authoritarian style of implementation. When top managers exhibit an aggressive strategic posture, middle-managers from all three countries are also less likely to use an authoritarian style.Firms that want to stay competitive in the global market place must continuously evolve by successfully accomplishing strategic change (Struckman & Yammarino 2003. Although senior managers are critical in leading the strategic change process, even the best-planned strategic changes will not achieve their full potential unless they are well implemented. Part of the strategic leadership responsibility, therefore, includes establishing a climate in which the organization's rank and file will experience both a positive attitude about change and the confidence to actively seek change opportunities (Kanter 2003. Research attention is bringing more insight into the important roles of middle-managers in this process of implementing strategic change (Balogun & Jenkins 2003; Floyd & Wooldridge, 1992, 1994; Wooldridge & Floyd 1990. Although there is little doubt that active support by middle managers is critical for the strategies to be well implemented (Guth & MacMillan 1986, there remain many important questions with regard to how middle managers participate in this process (Balogun 2003.The need for research

Portrait of a pragmatic conservative: Senator James A. McClure of Idaho and the politics of United States energy and Middle Eastern affairs, 1967--1990

Science.gov (United States)

Woods-Davis, Wilma

This dissertation examines the political career of Senator James A. McClure as it relates to United States energy policy and Middle Eastern affairs, 1967-1990 and within the context of the modern (post-World War II) conservative movement. A pragmatic conservative, McClure sought a balance between the extremes of issues, especially as they related to energy and United States foreign policy toward the Arab-Israeli conflict in the Middle East. More often than not, this quiet senator from Idaho was the voice of reason and moderation, carefully analyzing all sides of the issue before submitting his views on the subject. His approach to energy policy represents his conservative expression of policy, while his approach to the Arab-Israeli conflict in the Middle East demonstrates his moderation, reason, and pragmatism. He called for a national energy plan that would promote domestic production of natural energy resources, energy conservation, and peace in the Middle East. He early warned that if the United States did not develop a comprehensive energy policy, the nation would soon face energy shortages. His cautionary statements went unnoticed until the first energy crisis in 1973 and 1974. Although McClure did not support reliance on imported oil to meet energy demand, he did advocate a change in direction in foreign policy. The United States must take a more even-handed approach to the Arab-Israeli conflict and consider the Arab position too in the historic debate. He continually urged a pro-Israeli congress to rethink its policies in this area. In addition to his senate duties, McClure acted as an unofficial goodwill ambassador to many of the Arab leaders in the Middle East. He made at least nine trips to the Middle East to discuss issues of energy, trade, peace, and war. He developed a working rapport with some Arab leaders, and did much to enhance the United States image in the region. He did this at a time in American history when Congress and the public were slow to

HLA B27 antigen in Middle Eastern and Arab countries: systematic review of the strength of association with axial spondyloarthritis and methodological gaps.

Science.gov (United States)

Ziade, Nelly Raymond

2017-06-29

Axial spondyloarthritis (AxSpA) is a relatively frequent and debilitating disease, with a prevalence ranging from 0.1 to 2% in the Caucasian population. Current Assessment of Spondyloarthritis International Society (ASAS) classification criteria of AxSpA rely either on sacroiliitis on imaging plus one SpA feature or positive HLAB27 antigen plus two SpA features, in a patient with chronic low back pain and age at onset of less than 45 years. Therefore, HLA-B27 is a central feature in SpA classification and plays a pivotal role in referral strategies and early diagnosis. The primary objective of the study is to review the prevalence of HLA-B27 in normal and AxSpA populations in Middle Eastern and Arab Countries and to assess the strength of association between HLA-B27 antigen and AxSpA. The secondary objective is to identify the gaps in the methodology of the studies and suggest a framework for future research. Studies were included in the analysis if they reported prevalence of HLA-B27 in AxSpA and/or general population and if they covered geographical location in the Middle East or Arab countries in the Mediterranean basin. Odds ratios (OR) were calculated for each country, as a measure of the strength of association between HLA-B27 and AxSpA, compared to the normal population, using the two-by-two frequency table. Available data from the literature were analyzed according to the following quality indicators: sample size, method of HLA-B27 testing, presence of control group and external validity. Twenty-seven studies were analyzed. HLAB27 prevalence in the normal population ranged from 0.3% (Oman) to 6.8% (Turkey). HLA-B27 prevalence in AxSpA ranged from 26.2% (Lebanon) to 91% (Turkey). HLA-B27 prevalence in all SpA ranged from 13.87% (Lebanon) to 69.43% (Kuwait). Peripheral SpA was less associated with HLA-B27 than AxSpA, indicating the need of differentiating between the two entities when calculating prevalence. When available (8 studies), the OR ranged from 21

Strategic Effects of the Conflict with Iraq. The Middle East, North Africa, and Turkey

National Research Council Canada - National Science Library

Terrill, W

2003-01-01

.... Radical Middle Eastern states are deeply concerned about a U.S. presence in Iraq but will probably be constrained from opposing it through subversion due to fear they may become a future target in the war on terrorism...

Spatial Access to Emergency Services in Low- and Middle-Income Countries: A GIS-Based Analysis.

Directory of Open Access Journals (Sweden)

Gavin Tansley

Full Text Available Injury is a leading cause of the global disease burden, accounting for 10 percent of all deaths worldwide. Despite 90 percent of these deaths occurring in low and middle-income countries (LMICs, the majority of trauma research and infrastructure development has taken place in high-income settings. Furthermore, although accessible services are of central importance to a mature trauma system, there remains a paucity of literature describing the spatial accessibility of emergency services in LMICs. Using data from the Service Provision Assessment component of the Demographic and Health Surveys of Namibia and Haiti we defined the capabilities of healthcare facilities in each country in terms of their preparedness to provide emergency services. A Geographic Information System-based network analysis method was used to define 5- 10- and 50-kilometer catchment areas for all facilities capable of providing 24-hour care, higher-level resuscitative services or tertiary care. The proportion of a country's population with access to each level of service was obtained by amalgamating the catchment areas with a population layer. A significant proportion of the population of both countries had poor spatial access to lower level services with 25% of the population of Haiti and 51% of the population of Namibia living further than 50 kilometers from a facility capable of providing 24-hour care. Spatial access to tertiary care was considerably lower with 51% of Haitians and 72% of Namibians having no access to these higher-level services within 50 kilometers. These results demonstrate a significant disparity in potential spatial access to emergency services in two LMICs compared to analogous estimates from high-income settings, and suggest that strengthening the capabilities of existing facilities may improve the equity of emergency services in these countries. Routine collection of georeferenced patient and facility data in LMICs will be important to understanding

Migration as a turning point in food habits: the early phase of dietary acculturation among women from South Asian, African, and Middle Eastern Countries living in Norway.

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Terragni, Laura; Garnweidner, Lisa M; Pettersen, Kjell Sverre; Mosdøl, Annhild

2014-01-01

This article explores the early phase of dietary acculturation after migration. South Asian, African and Middle Eastern women (N = 21) living in Norway were interviewed about their early experiences with food in a new context. The findings pointed to abrupt changes in food habits in the first period after migration. To various degrees, women reported unfamiliarity with foods in shops, uncertainty about meal formats and food preparation and fear of eating food prohibited by their religion. Their food consumption tended to be restricted to food items perceived as familiar or safe. Our findings indicate that the first period after migration represents a specific phase in the process of dietary acculturation. Early initiatives aimed at enhancing confidence in food and familiarity with the new food culture are recommended.

A Review of the Factors Associated With the Timely Initiation of Breastfeeding and Exclusive Breastfeeding in the Middle East

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Alzaheb, Riyadh A

2017-01-01

Background: Breastfeeding supplies all the nutrients that infants need for their healthy development. Breastfeeding practice is multifactorial, and numerous variables influence mothers’ decisions and ability to breastfeed. This review identifies the factors potentially affecting the timely initiation of breastfeeding within an hour after birth and exclusive breastfeeding in the first 6 months in Middle Eastern countries. Methods: The Medline, ScienceDirect, and Web of Science databases were keyword-searched for primary studies meeting the following inclusion criteria: (1) publication in the English language between January 2001 and May 2017, (2) original research articles reporting primary data on the factors influencing the timely initiation of breastfeeding and/or exclusive breastfeeding, (3) the use of World Health Organization definitions, and (4) Middle Eastern research contexts. A random effect model was used to establish the average prevalence of the timely initiation of breastfeeding and exclusive breastfeeding in the Middle East. Results: The review identified 19 studies conducted in Saudi Arabia (7), Iran (3), Egypt (2), Turkey (2), Kuwait (1), the United Arab Emirates (1), Qatar (1), Lebanon (1), and Syria (1). The meta-analysis established that 34.3% (confidence interval [CI]: 20.2%-51.9%) of Middle Eastern newborns received breastfeeding initiated within an hour of birth, and only 20.5% (CI: 14.5%-28.2%) were fed only breast milk for the first 6 months. The 8 studies exploring breastfeeding initiation most commonly associated it with the following: delivery mode, maternal employment, rooming-in, and prelacteal feeding. The 17 studies investigating exclusive breastfeeding most frequently linked it to the following: maternal age, maternal education, maternal employment, and delivery mode. Conclusions: Middle Eastern health care organizations should fully understand all the determinants of breastfeeding identified by this review to provide suitable

A Review of the Factors Associated With the Timely Initiation of Breastfeeding and Exclusive Breastfeeding in the Middle East

Directory of Open Access Journals (Sweden)

Riyadh A Alzaheb

2017-12-01

Full Text Available Background: Breastfeeding supplies all the nutrients that infants need for their healthy development. Breastfeeding practice is multifactorial, and numerous variables influence mothers’ decisions and ability to breastfeed. This review identifies the factors potentially affecting the timely initiation of breastfeeding within an hour after birth and exclusive breastfeeding in the first 6 months in Middle Eastern countries. Methods: The Medline, ScienceDirect, and Web of Science databases were keyword-searched for primary studies meeting the following inclusion criteria: (1 publication in the English language between January 2001 and May 2017, (2 original research articles reporting primary data on the factors influencing the timely initiation of breastfeeding and/or exclusive breastfeeding, (3 the use of World Health Organization definitions, and (4 Middle Eastern research contexts. A random effect model was used to establish the average prevalence of the timely initiation of breastfeeding and exclusive breastfeeding in the Middle East. Results: The review identified 19 studies conducted in Saudi Arabia (7, Iran (3, Egypt (2, Turkey (2, Kuwait (1, the United Arab Emirates (1, Qatar (1, Lebanon (1, and Syria (1. The meta-analysis established that 34.3% (confidence interval [CI]: 20.2%-51.9% of Middle Eastern newborns received breastfeeding initiated within an hour of birth, and only 20.5% (CI: 14.5%-28.2% were fed only breast milk for the first 6 months. The 8 studies exploring breastfeeding initiation most commonly associated it with the following: delivery mode, maternal employment, rooming-in, and prelacteal feeding. The 17 studies investigating exclusive breastfeeding most frequently linked it to the following: maternal age, maternal education, maternal employment, and delivery mode. Conclusions: Middle Eastern health care organizations should fully understand all the determinants of breastfeeding identified by this review to provide

U. S. Middle Eastern policy: new approaches and old problems

OpenAIRE

Karyakin, Vladimir

2010-01-01

In the last decade, when operating outside its borders, the United States has mainly been opposing the geopolitical challenges President Obama inherited from his predecessor; this is primarily true of the Middle East. From the very beginning, the president-elect outlined America's political priorities in this volatile region of the world. He shifted the accents from ending the war in Iraq to Afghanistan where he promised to increase his country's military contingent, strengthen the law-enforc...

Mississippian subadults from the Middle Cumberland and Eastern regions of Tennessee: Biological indicators of population interaction.

Science.gov (United States)

Scopa Kelso, Rebecca

2018-02-23

Human subadult skeletal remains can provide a unique perspective into biosocial aspects of Mississippian period population interactions within and between the Middle Cumberland (MCR) and Eastern Tennessee Regions (ETR). The majority of previous studies have concentrated on adult skeletal remains, leaving out a large and extremely important population segment. Skeletal indicators of disease, growth, body proportions, and metabolic stress were collected from subadult remains from five archaeological sites over several temporal periods. Crucial to overcoming limitations associated with the osteological paradox, the biological results were placed into an archaeological context based on prior studies as well as paleoclimatological data. Results reveal homogeneity both within and between regions for most skeletal indicators. However, MCR individuals exhibit a higher frequency of pathology than those from ETC, while stature is significantly lower in younger subadults from the MCR. Within the ETR, there is no evidence for biological differences between Early Dallas and subsequent Late Dallas and Mouse Creek cultural phases. Despite presumed signs of increased conflict at the Dallas site, frequencies and types of skeletal pathology and growth disruptions are comparable to other regional sites. These findings suggest that despite cultural differences between the ETR and MCR, there was no large-scale intrusion from an outside population into the ETR during the Late Mississippian Period, or if one occurred, it is biologically invisible. Combined with climatic and archaeobotanical data, results suggest the MCR subadults were under increased stress in their earlier years. This may have been associated with increased interpersonal violence and dependence on few food sources occurring with greater scarcity. © 2018 Wiley Periodicals, Inc.

Weight Loss and Glycemic Control after Sleeve Gastrectomy: Results from a Middle Eastern Center of Excellence.

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Al Khalifa, Khalid; Al Ansari, Ahmed; Showaiter, May

2018-02-01

Obesity and its associated metabolic disorders are strongly linked to both morbidity and mortality. Sleeve gastrectomy (SG) has been established as an effective means of weight loss for obese patients as well as a treatment for type 2 diabetes mellitus (T2DM). This study was designed to examine the short- and midterm outcomes of patients who underwent SG in a Middle Eastern Center of Excellence, a military training teaching hospital. The clinical outcomes of 59 patients with impaired glucose tolerance and T2DM who underwent SG between 2011 and 2014 with at least one and up to four years of follow-up were studied. Data were collected and compared, including the pre- and post-surgery measures of weight, body mass index, glycosylated hemoglobin (HbA1c), and fasting blood glucose. Complete remission was defined as a fasting blood glucose level ≤100 mg/dL, an HbA1c ≤6 mg/dL, without use of antidiabetic medications. All patients showed significant reduction in body mass index following SG. Tight glycemic control was achieved among both diabetic and prediabetic patients. In this study, 88.14 per cent of all patients (diabetic and prediabetic) achieved complete resolution from their impaired glucose tolerance and T2DM and maintained normal blood glucose and HbA1C levels from one to four years postoperatively. SG is beneficial both in terms of short- and midterm weight loss and glucose control in both diabetic and prediabetic obese patients.

Student Perceptions of Academic Dishonesty in a Private Middle Eastern University

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Khawlah Ahmed

2018-04-01

Full Text Available Objective: In varying degrees of severity and seriousness, evidence of academic dishonesty exists in tertiary institutions around the world. This paper examines academic misconduct in a tertiary-level institution in one of the Gulf countries to see if academic dishonesty prevails, and if so, how and why it happens. Method: To gauge students’ perceptions about academic dishonesty in this context, a survey was distributed to 111 junior, sophomore, and senior level students taking an advanced academic writing course in a private university. Results: Results show statistically significant evidence that cheating exists. Conclusions: While research on academic misconduct is extensive in Western contexts, less is documented in the Middle East and North Africa region besides conceptual papers that aim to create a general understanding of this issue and newspaper articles that discuss its prevalence. Implications for Theory and/or Practice: This paper underscores the existence of academic misconduct in the Middle East and North Africa region, identifying the need for further research and implementation of improved teaching strategies and increased attention regarding academic misconduct.

Education, material condition and physical functioning trajectories in middle-aged and older adults in Central and Eastern Europe: a cross-country comparison

Science.gov (United States)

Hu, Yaoyue; Pikhart, Hynek; Pająk, Andrzej; Kubínová, Růžena; Malyutina, Sofia; Besala, Agnieszka; Peasey, Anne; Marmot, Michael; Bobak, Martin

2016-01-01

Background Two competing hypotheses, cumulative advantage/disadvantage and age-as-leveller, have been proposed to explain the contradictory findings on socioeconomic differences in health over the lifespan. To test these hypotheses, this investigation examined the influence of educational attainment and material condition on individual trajectories of physical functioning (PF) in unexplored ageing populations in Central and Eastern Europe. Methods 28 783 men and women aged 45–69 years selected from populations in seven Czech towns, Krakow (Poland) and Novosibirsk (Russia). PF was measured by the Physical Functioning Subscale (PF-10) of the Short-Form-36 questionnaire (SF-36) at baseline and three subsequent occasions. The highest educational attainment was self-reported at baseline, and material condition was captured by the sum score of 12 household amenities and assets. Results In all cohorts, participants with a university degree had the highest PF-10 score at baseline and slowest rate of decline in the score during follow-up, while the lowest baseline scores and fastest decline rate were found in participants with less than secondary education in all cohorts and in Russians with secondary education. Similar disparities in the baseline PF-10 score and decline rate were observed across tertiles of material condition, but differences in decline rates across the three tertiles among Czechs or between the lower two tertiles among Russians were not statistically significant. Conclusions Disparities in PF by educational attainment and material condition among middle-aged and older adults in Central and Eastern Europe existed at baseline and widened during ∼10 years of follow-up, supporting the cumulative advantage/disadvantage hypothesis. PMID:27194710

Astroparticle physics at the Eastern Colombia region

Science.gov (United States)

Asorey, Hernán; Núñez, Luis A.

2015-12-01

We present the emerging panorama of Astroparticle Physics at the Eastern Colombia region, and describe several ongoing projects, most of them related to the Latin American Giant Observatory (LAGO) Project. This research work is carried out at the Grupo de Investigaciones en Relatividad y Gravitacin of Universidad Industrial de Santander.

KENIZÉ MOURAD AND EARLY MIDDLE EASTERN FEMINISM

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Irina Armianu

2012-12-01

Full Text Available This article explores the waning days of the Ottoman Empire and emergence of the modern state system in the early twentieth century Levant from the purview of Kenizé Mourad's self-narrative Regards from the Dead Princess: Novel of a Life.  A work of history and literary fiction, Mourad's novel is an account of the last remnants of a secular Levantine culture, the story of a crumbling empire, and the personal tale of a young woman and her exiled imperial family strewn about the continents, torn between Lebanon, Europe, and the Indian subcontinent.

Middle Holocene Changes in Midwestern Precipitation Intensity Captured by Indiana Stalagmites

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Akers, P. D.; Brook, G. A.; Liang, F.; Cheng, H.; Edwards, R. L.

2017-12-01

Three stalagmites collected from Upper Porter Cave in southern Indiana provide a record of Midwestern hydroclimate changes for the period 2.3-8.4 ka BP. Our record spans the Middle Holocene, known as a time of mid-continental drying for North America and used as an analog for warmer future climates. The spatial extent of this drying is not well constrained, and some eastern North American records show wetter conditions coinciding with the drying of the continental interior. Southern Indiana is located on the eastern periphery of mid-continental North America, and our stalagmite records can help constrain the eastern extent of drying. Upper Porter Cave floods easily during heavy rain events, and modern observations suggest frequent cave flooding prevents stalagmite growth. Thus, we view periods of stalagmite growth as a proxy for a less intense and possibly drier precipitation regime that limits cave flooding. All three stalagmites began growing 8.4 ka BP and stopped growing 7.5 ka BP. This hiatus at 7.5 ka BP is associated with laminae dissolution and greater sediment incorporation (see image), supporting increased precipitation intensity and cave flooding at this time. This contrasts with concurrent drying in the mid-continent and suggests a Middle Holocene with a steeper east-west precipitation gradient than present. This period of greater precipitation intensity extended until 4.9 ka BP when one stalagmite re-initiated growth, possibly due to mid-continental dryness expanding eastward into southern Indiana. This renewed growth was intermittent at 4.7-4.9, 3.6-4.2, and 2.3-3.1 ka BP, and multi-century flood-driven hiatuses separate these drier periods. A more intense precipitation regime that lasts until present provoked final growth cessation at 2.3 ka BP. Combined with other regional hydroclimate records, our stalagmite suggests that the transition from the Middle to Late Holocene was a period of unstable precipitation regimes for the eastern mid

Typing of two Middle Eastern populations with the Precision ID Ancestry Panel

DEFF Research Database (Denmark)

Truelsen, Ditte Mikkelsen; Farzad, Maryam Sharafi; Mogensen, Helle Smidt

2017-01-01

, Turkish and Iranian individuals were SNP typed with Massively Parallel Sequencing with the Precision ID Ancestry Panel (Thermo Fisher Scientific) to assess whether it was possible to differentiate geographically proximate populations in the Middle East using this kit. Analyses showed that it were...

Radiation Oncology in the Developing Economies of Central and Eastern Europe.

Science.gov (United States)

Esiashvili, Natia

2017-04-01

Eastern Europe is represented by 22 countries of significant variability in population density and degree of economic development. They have been affected by past geopolitical isolation due to their association with the "Soviet Block." Currently, all Eastern European countries except Slovenia are low- or middle-income level and 10 of them are part of European Union. Health care systems in Central and Eastern Europe have been influenced by the legacy of centralized soviet-era governance; however, most countries, particularly in European Union zone, have gone through health care reforms directed toward modernizing infrastructure and staffing. The level of health financing available through health insurance has increased in the region, although still lags behind the Western European levels. After adjusting for differing population age structures, overall incidence rates in both sexes are lower in Eastern and Central Europe compared with the Northern and Western European countries; however, mortality remains higher. There is an ongoing shortage of oncology services in Eastern Europe, including radiotherapy equipment and personnel. Eastern European radiotherapy field is highly diverse with large differences among countries regarding staffing structure, training, accreditation, and defined roles and responsibilities. The rapid diffusion of technological innovations has been identified as one of the most important factors driving the escalating health care expenses, and the need for better cost-effective solutions applicable to the local health care systems and levels of economic development. Copyright © 2017 Elsevier Inc. All rights reserved.

The Value of Action Research in Middle Grades Education

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Caskey, Micki M.

2006-01-01

Action research is one of the relevant methodologies for addressing research questions and issues in middle grades education. Accounting for nearly 20% of published middle grades research studies (Hough, 2003), action research has emerged as an important and appropriate research method. In addition to reviewing the historical context, this article…

Revolutionising Engineering Education in the Middle East Region to Promote Earthquake-Disaster Mitigation

Science.gov (United States)

Baytiyeh, Hoda; Naja, Mohamad K.

2014-01-01

Due to the high market demands for professional engineers in the Arab oil-producing countries, the appetite of Middle Eastern students for high-paying jobs and challenging careers in engineering has sharply increased. As a result, engineering programmes are providing opportunities for more students to enroll on engineering courses through lenient…

Education, material condition and physical functioning trajectories in middle-aged and older adults in Central and Eastern Europe: a cross-country comparison.

Science.gov (United States)

Hu, Yaoyue; Pikhart, Hynek; Pająk, Andrzej; Kubínová, Růžena; Malyutina, Sofia; Besala, Agnieszka; Peasey, Anne; Marmot, Michael; Bobak, Martin

2016-11-01

Two competing hypotheses, cumulative advantage/disadvantage and age-as-leveller, have been proposed to explain the contradictory findings on socioeconomic differences in health over the lifespan. To test these hypotheses, this investigation examined the influence of educational attainment and material condition on individual trajectories of physical functioning (PF) in unexplored ageing populations in Central and Eastern Europe. 28 783 men and women aged 45-69 years selected from populations in seven Czech towns, Krakow (Poland) and Novosibirsk (Russia). PF was measured by the Physical Functioning Subscale (PF-10) of the Short-Form-36 questionnaire (SF-36) at baseline and three subsequent occasions. The highest educational attainment was self-reported at baseline, and material condition was captured by the sum score of 12 household amenities and assets. In all cohorts, participants with a university degree had the highest PF-10 score at baseline and slowest rate of decline in the score during follow-up, while the lowest baseline scores and fastest decline rate were found in participants with less than secondary education in all cohorts and in Russians with secondary education. Similar disparities in the baseline PF-10 score and decline rate were observed across tertiles of material condition, but differences in decline rates across the three tertiles among Czechs or between the lower two tertiles among Russians were not statistically significant. Disparities in PF by educational attainment and material condition among middle-aged and older adults in Central and Eastern Europe existed at baseline and widened during ∼10 years of follow-up, supporting the cumulative advantage/disadvantage hypothesis. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

A Tentative Analysis of the Origin of Middle Chinese Grammar and Its Historical Position

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Liu Shizhen

2007-10-01

Full Text Available Middle Chinese is thelanguage used in the period from the Eastern Han Dynasty to the Sui Dynasty. Inrecent years researches of Middle Chinese have attracted scholars’ attention.While it inherited some characteristics from the grammar of Ancient Chinese,the morphology and syntax of Middle Chinese underwent obvious elimination andnew birth, an important content which laid the foundation for the furtherevolution of the Early Modern Chinese Grammar. Numerous grammatical phenomenonstarted to appear in Tang and Song Dynasties. The grammar was going through achange in which new forms replaced old ones, thus being the mediator ininheriting the archaic and beginning the early modern grammar, and thereforeoccupying an important position in the history of Chinese.

Epidemiologic and Demographic Attributes of Primary Spondylodiscitis in a Middle Eastern Population Sample.

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Menon, K Venugopal; Sorour, Tamer Malak Moawad

2016-11-01

The prevalence and characteristics of spontaneous spondylodiscitis in the Middle East are unknown. There seems to be an emerging dominance of pyogenic infections over tuberculosis and brucellosis. We conducted a retrospective observational study based on electronic case records of 4 years from a tertiary reference facility in Oman. Case records, microbiology reports, blood reports, imaging studies, and histopathology, and surgical reports of all spinal infection cases were studied. Patients with secondary infections after invasive spinal interventions and expatriate patients were excluded. Risk factors and comorbidities were also analyzed. Sixty-two cases of primary spondylodiscitis of the spine were identified in this cohort, including 10 cases of tuberculosis, 1 of brucellosis, and 1 of tuberculosis with pyogenic infection. Of the 50 pyogenic infections, 4 were in children; among the adults, the mean age was 49.5 years and 63.8% were male. Thirty-three patients had no medical comorbidities. Common ailments associated were 18 patients with diabetes mellitus, 13 hypertensives, 6 with renal insufficiency, 2 with liver cirrhosis, 3 with alcoholism, 5 with hepatitis C virus, and 2 with immunosuppression. More than 69% involvement was in the lumbar spine. Fourteen patients were infected with Staphylococcus aureus and 9 with Pseudomonas aeruginosa, whereas 35.4% were culture negative. Spontaneous infective spondylodiscitis affects older men with and without medical comorbidities equally. It often involves the lumbar spine and a third of patients are culture negative. Tuberculosis constitutes only about 17% of primary infections in the spine in this population sample. Copyright © 2016 Elsevier Inc. All rights reserved.

Turkmenistan and the Middle East

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Michael B. Bishku

2016-01-01

Full Text Available Turkmenistan is a weak country militarily, but well-­endowed with natural gas reserves. While the latter also insulates it somewhat from international criticism of its human rights abuses, unfortunately, Turkmenistan is landlocked and dependent upon the goodwill of its neighbors in order to export that commodity. Additionally, Turkmenistan is in need of technological assistance. Given its relatively homogenous population and its hydrocarbon wealth it has adopted a policy of subsidizing certain necessities—though it underfunds other—and is fairly stable internally. Nevertheless, it is ruled under an autocratic political system, suffers massive corruption, and has to contend with fears of instability on its borders. Therefore, Turkmenistan has adopted a policy of permanent neutrality and is open to cooperation with all its neighbors as well as the big powers. The countries of the Middle East as both immediate and nearby neighbors play an important part in the international relations of Turkmenistan and in providing technological assistance and economic investments. This article, which reviews and analyzes those ties, utilizes government documents, academic works and newspapers from Turkmenistan and Middle Eastern countries.

Herbal Medicines Use During Pregnancy: A Review from the Middle East

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Lisha J. John

2015-07-01

Full Text Available The prevalence of the herbal medicines use is on the rise across the world, especially amongst pregnant women. The scenario in the Middle Eastern region was reviewed to explore the prevalence, usage pattern, motivation, and attitude towards use of herbal medicine by pregnant women. Literature published up to December 2012 showed the prevalence of herbal medicine use varied between 22.3–82.3%, implying a rising trend in the utilization of herbal medicine during pregnancy. The most common herbs used were peppermint, ginger, thyme, chamomile, sage, aniseed, fenugreek, and green tea. The most common reasons for use included the treatment of gastrointestinal disorders and cold and flu symptoms. The majority of women used these products during their first trimester, and did not reveal this information to their physician. Most women were advised by family and friends to use herbal medicines and believed they were more effective and had fewer side effects than modern medicine especially during pregnancy. In conclusion, the use of herbal medicine is prevalent among pregnant women in the Middle Eastern region and healthcare providers need to seek information pertaining to their use.

From pen pals to chat rooms: the impact of social media on Middle Eastern Society.

Science.gov (United States)

Hatfield, Elaine; Rapson, Richard L

2015-01-01

In this article, we will discuss what is known about a surprisingly popular phenomenon in the Middle East-the use of social media to communicate. We will begin with a discussion of what "social media" sites are (sites such as Facebook, Your Middle East, YouTube, Flickr, Muslima.com, chat rooms, and instant messaging) and point out how common they are in the Middle East. Next, we will discuss the reasons why men and women are currently using Internet and social media. Finally, we will discuss what impact social media have had on politics, political dissent, education, and men's and women's relationships-and the impact they might be expected to have in future years. Finally, we will focus on the impact of such media on men's and women's relationships-including cross-gender friendships, romantic relationships, and sexual relationships.

Department heads negotiating emerging managerialism: The Central Eastern European context\

Czech Academy of Sciences Publication Activity Database

Machovcová, Kateřina; Zábrodská, Kateřina; Mudrák, Jiří

-, leden (2018), s. 1-18 ISSN 1741-1432 R&D Projects: GA ČR(CZ) GA17-20856S Institutional support: RVO:68081740 Keywords : higher education * middle managers * neo-liberal reforms in academia * academic leadership * manager- academic Subject RIV: AN - Psychology OBOR OECD: Psychology (including human - machine relations) Impact factor: 0.982, year: 2016

Department heads negotiating emerging managerialism: The Central Eastern European context\

Czech Academy of Sciences Publication Activity Database

Machovcová, Kateřina; Zábrodská, Kateřina; Mudrák, Jiří

-, leden (2018), s. 1-18 ISSN 1741-1432 R&D Projects: GA ČR(CZ) GA17-20856S Institutional support: RVO:68081740 Keywords : higher education * middle managers * neo-liberal reforms in academia * academic leadership * manager-academic Subject RIV: AN - Psychology OBOR OECD: Psychology (including human - machine relations) Impact factor: 0.982, year: 2016

Knowledge and training in paediatric medical traumatic stress and trauma-informed care among emergency medical professionals in low- and middle-income countries.

Science.gov (United States)

Hoysted, Claire; Babl, Franz E; Kassam-Adams, Nancy; Landolt, Markus A; Jobson, Laura; Van Der Westhuizen, Claire; Curtis, Sarah; Kharbanda, Anupam B; Lyttle, Mark D; Parri, Niccolò; Stanley, Rachel; Alisic, Eva

2018-01-01

Background : Provision of psychosocial care, in particular trauma-informed care, in the immediate aftermath of paediatric injury is a recommended strategy to minimize the risk of paediatric medical traumatic stress. Objective : To examine the knowledge of paediatric medical traumatic stress and perspectives on providing trauma-informed care among emergency staff working in low- and middle-income countries (LMICs). Method : Training status, knowledge of paediatric medical traumatic stress, attitudes towards incorporating psychosocial care and barriers experienced were assessed using an online self-report questionnaire. Respondents included 320 emergency staff from 58 LMICs. Data analyses included descriptive statistics, t -tests and multiple regression. Results : Participating emergency staff working in LMICs had a low level of knowledge of paediatric medical traumatic stress. Ninety-one percent of respondents had not received any training or education in paediatric medical traumatic stress, or trauma-informed care for injured children, while 94% of respondents indicated they wanted training in this area. Conclusions : There appears to be a need for training and education of emergency staff in LMICs regarding paediatric medical traumatic stress and trauma-informed care, in particular among staff working in comparatively lower income countries.

Regional cooperation for emergency plan

International Nuclear Information System (INIS)

Chu, D.S.L.; Liu, P.C.

1981-01-01

It has become increasingly evident since the Three Mile Island (TMI) accident that a sound emergency plan is indispensable to the overall nuclear power generation program. In some developing countries in Eastern Aisa, the availability of manpower resources and facilities to handle a nuclear power plant accident are rather limited. Therefore, the establishment of a regional mutual emergency plan is deemed necessary. A preliminary idea concerning this establishment is presented for deliberation by this Conference

Apatite fission track evidence on the uplifting of eastern Kunlun mountains

International Nuclear Information System (INIS)

Yuang Wanming; Dong Jinquan; Tang Yunhui; Wang Shicheng

2004-01-01

A series of samples were collected from about south-north section through Buqingshan and Dulan, eastern Kunlun mountains, China. The 41 apatite fission track ages (FTA) of these samples lie between 25.2 and 130.4 Ma, all of the apatite fission track ages are significantly younger than the host rocks. There are similar evolution trends for Middle-Kunlun zone and North-Kunlun zone, i.e. the FTA becomes less with slow increase of elevations and their uplifting rates are about 2.22 m/Ma. Differently, the FTA in South-Kunlun zone positively correlates to elevation, decreasing 11 m/Ma. It may be shown that South-Kunlun fault play a different and/or more important role on incontinent evolution than Middle-Kunlun fault. (author)

Panorama 2012 - The oil and gas producing countries of North Africa and the Middle East

International Nuclear Information System (INIS)

Cueille, Jean-Philippe

2011-11-01

Despite the extent of their reserves, oil production in most countries of the Middle East and North Africa is not likely to increase significantly in the years ahead. Exports from the Middle East, 75% of which are to Asia, and those from North Africa, most of which are focused on Europe, should remain stable overall. The increase in gas production will contribute more to meeting fast-growing domestic demand than to boosting exports. Indeed, many Middle Eastern countries are paradoxically experiencing strains on domestic energy supplies due to energy demand stimulated by energy prices that are generally - and artificially - very low, and the adoption of economic development models based on energy-intensive industries. (author)

Synthesis on Quaternary aeolian research in the unglaciated eastern United States

Science.gov (United States)

Markewich, Helaine Walsh; Litwin, Ronald J.; Wysocki, Douglas A.; Pavich, Milan J.

2015-01-01

Late-middle and late Pleistocene, and Holocene, inland aeolian sand and loess blanket >90,000 km2 of the unglaciated eastern United States of America (USA). Deposits are most extensive in the Lower Mississippi Valley (LMV) and Atlantic Coastal Plain (ACP), areas presently lacking significant aeolian activity. They provide evidence of paleoclimate intervals when wind erosion and deposition were dominant land-altering processes. This study synthesizes available data for aeolian sand deposits in the LMV, the Eastern Gulf Coastal Plain (EGCP) and the ACP, and loess deposits in the Middle Atlantic Coastal Plain (MACP). Data indicate: (a) the most recent major aeolian activity occurred in response to and coincident with growth and decay of the Laurentide Ice Sheet (LIS); (b) by ∼40 ka, aeolian processes greatly influenced landscape evolution in all three regions; (c) aeolian activity peaked in OIS2; (d) OIS3 and OIS2 aeolian records are in regional agreement with paleoecological records; and (e) limited aeolian activity occurred in the Holocene (EGCP and ACP). Paleoclimate and atmospheric-circulation models (PCMs/ACMs) for the last glacial maximum (LGM) show westerly winter winds for the unglaciated eastern USA, but do not resolve documented W and SW winds in the SEACP and WNW and N winds in the MACP. The minimum areal extent of aeolian deposits in the EGCP and ACP is ∼10,000 km2. For the LMV, it is >80,000 km2. Based on these estimates, published PCMs/ACMs likely underrepresent the areal extent of LGM aeolian activity, as well as the extent and complexity of climatic changes during this interval.

Synthesis on Quaternary aeolian research in the unglaciated eastern United States

Science.gov (United States)

Markewich, Helaine W.; Litwin, Ronald J.; Wysocki, Douglas A.; Pavich, Milan J.

2015-06-01

Late-middle and late Pleistocene, and Holocene, inland aeolian sand and loess blanket >90,000 km2 of the unglaciated eastern United States of America (USA). Deposits are most extensive in the Lower Mississippi Valley (LMV) and Atlantic Coastal Plain (ACP), areas presently lacking significant aeolian activity. They provide evidence of paleoclimate intervals when wind erosion and deposition were dominant land-altering processes. This study synthesizes available data for aeolian sand deposits in the LMV, the Eastern Gulf Coastal Plain (EGCP) and the ACP, and loess deposits in the Middle Atlantic Coastal Plain (MACP). Data indicate: (a) the most recent major aeolian activity occurred in response to and coincident with growth and decay of the Laurentide Ice Sheet (LIS); (b) by ∼40 ka, aeolian processes greatly influenced landscape evolution in all three regions; (c) aeolian activity peaked in OIS2; (d) OIS3 and OIS2 aeolian records are in regional agreement with paleoecological records; and (e) limited aeolian activity occurred in the Holocene (EGCP and ACP). Paleoclimate and atmospheric-circulation models (PCMs/ACMs) for the last glacial maximum (LGM) show westerly winter winds for the unglaciated eastern USA, but do not resolve documented W and SW winds in the SEACP and WNW and N winds in the MACP. The minimum areal extent of aeolian deposits in the EGCP and ACP is ∼10,000 km2. For the LMV, it is >80,000 km2. Based on these estimates, published PCMs/ACMs likely underrepresent the areal extent of LGM aeolian activity, as well as the extent and complexity of climatic changes during this interval.

Patterns of intergenerational mobility of the old and new middle classes

NARCIS (Netherlands)

Güveli, Ayse; Luijkx, Ruud; Ganzeboom, Harry B.G.

2013-01-01

It has often been proposed that new cleavages have emerged within the middle class. In this paper, we examine the distinction between social and cultural specialists and technocrats, and investigate whether these new and old middle class fractions are differentiated by their patterns of

Analysis of the summertime buildup of tropospheric ozone abundances over the Middle East and North Africa as observed by the Tropospheric Emission Spectrometer instrument

Science.gov (United States)

Liu, Jane J.; Jones, Dylan B. A.; Worden, John R.; Noone, David; Parrington, Mark; Kar, Jay

2009-03-01

We use the GEOS-Chem chemical transport model to interpret observations of tropospheric ozone from the Tropospheric Emission Spectrometer (TES) satellite instrument in summer 2005. Observations from TES reveal elevated ozone in the middle troposphere (500-400 hPa) across North Africa and the Middle East. Observed ozone abundances in the middle troposphere are at a maximum in summer and a minimum in winter, consistent with the previously predicted summertime "Middle East ozone maximum." This summertime enhancement in ozone is associated with the Arabian and Sahara anticyclones, centered over the Zagros and Atlas Mountains, respectively. These anticyclones isolate the middle troposphere over northeast Africa and the Middle East, with westerlies to the north and easterlies to the south, facilitating the buildup of ozone. Over the Middle East, we find that in situ production and transport from Asia provides comparable contributions of 30-35% to the ozone buildup. Over North Africa, in situ production is dominant (at about 20%), with transport from Asia, North America, and equatorial Africa each contributing about 10-15% to the total ozone. We find that although the eastern Mediterranean is characterized by strong descent in the middle and upper troposphere in summer, transport from the boundary layer accounts for about 25% of the local Middle Eastern contribution to the ozone enhancement in the middle troposphere. This upward transport of boundary layer air is associated with orographic lifting along the Zagros Mountains in Iran and the Asir and Hijaz Mountain ranges in Saudi Arabia, and is consistent with TES observations of deuterated water.

Modernity, cosmopolitanism, and the emergence of middle classes in Tonga

NARCIS (Netherlands)

Besnier, N.

2009-01-01

The formation of social classes in Pacific Islands societies and in their diasporas continues to raise theoretical questions about the nature of social classes and their relationship to prior forms of social organization. In Tonga, middle classes both reproduce aspects of the older rank-based system

EASTERN EUROPE, A REGION OF INSECURITY IN THE EUROPEAN UNION'S VICINITY

Directory of Open Access Journals (Sweden)

Bogdan – Lucian Cumpanasu

2014-08-01

Full Text Available During Cold War, the region of Eastern Europe was formed by European states that were behind the Iron Curtain.Once the communism has fallen and former Warsaw's Pact members have joined EU in 2004 and 2007 along with the Baltic republics, a New Eastern Europe comprising Ukraine, Republic of Moldova and the Caucasian Republics emerged at the border of EU. The north, west and south maritime frontiers of European Union are opposite with Eastern territorial one that are more difficult to control and defend against asymmetrical threats as: organized crime, drugs traffic, arms proliferation and illegal immigration. this paper aims to demonstrate that EU's policies initiated in the framework of Eastern Partnership (EaP that wanted to bring peace in the Eastern neighborhood did not succeed to fulfill the desired goals. One explanation is that EU did not take in consideration the Russian dream of redesigning its sphere of influence in Eastern Europe. Another one is that the cultural, political and social differences between EU and its EaP partners led to the failure of the project. Thus, European Union's actions toward Eastern vicinity led to a clash between two civilizations: East and West as well as to a geopolitical competition between Russian Federation and EU over their shared neighborhood.

Isotopic composition of late neogene K-Na alkaline basalts of eastern Kamchatka: indicators of the heterogeneity of the Mantle magma sources

International Nuclear Information System (INIS)

Volynets, O.N.; Karpenko, S.F.; Kehj, R.U.; Gorring, M.

1997-01-01

Isotopic composition of Sr, O, Nd, and Pb was determined in K-Na alkaline gabbroids and basaltoids that formed in eastern Kamchatka during Middle Miocene (gabbroids of the sub volcanic complex) and Late Miocene (basaltoids of the volcanic complex) time, before the origin of the Eastern Kamchatka Volcanic Belt. Isotopic data provide further evidence that the sources of the late Cenozoic volcanics of the within-plate and island-arc geochemical types were different

Study of relief changes related to active doming in the eastern Moroccan Rif (Morocco) using geomorphological indices

Science.gov (United States)

Barcos, L.; Jabaloy, A.; Azdimousa, A.; Asebriy, L.; Gómez-Ortiz, D.; Rodríguez-Peces, M. J.; Tejero, R.; Pérez-Peña, J. V.

2014-12-01

This work studies the influence of active tectonics in the drainage networks and topography of the eastern Rif belt, eastern Middle Atlas, and Rekkame high plateau. We have performed a trend-topographic surface analysis at small to medium scales, several landscape analyses at medium scale, and the slope analysis of the relief. Furthermore, we have determined several geomorphic indices in the drainage networks of the study area: hypsometric curve analysis and normalised stream-length gradient (SLk) estimations. The trend-topography surface analysis identifies a NE-SW trending undulation that correspond to the positive topography of the Middle and High Atlas mountain ranges and the Rekkame high plateau as well as an E-W elongated dome in the eastern Rif-Beni Snassen massif. The geomorphologic indices indicate that drainage network is strongly deformed in the vicinity of the Trougout-Nekor active fault system. Furthermore, the Oued Molouya catchment is deformed in the northern limit of the Beni Snassen massif by active deformations accommodating a roughly N-S shortening. According to the available geochronological data from volcanic rocks as well as from Neogene to Quaternary sediments, the most likely age for the deformation of the drainage network producing the anomalous high geomorphic indexes was Placenzian to Present.

Factors Influencing Emergency Nurses' Burnout During an Outbreak of Middle East Respiratory Syndrome Coronavirus in Korea.

Science.gov (United States)

Kim, Ji Soo; Choi, Jeong Sil

2016-12-01

Emergency department (ED) nurses suffer from persistent stress after experiencing the traumatic event of exposure to Middle East respiratory syndrome coronavirus (MERS-CoV), which can subsequently lead to burnout. This study aimed to assess ED nurses' burnout level during an outbreak of MERS-CoV and to identify influencing factors in order to provide basic information for lowering and preventing the level of burnout. Study participants were ED nurses working in eight hospitals designated for treating MERS-CoV-infected patients in Korea. We performed multiple regression analysis to explore the factors influencing burnout. The ED nurses' burnout was affected by job stress (β=0.59, pburnout. ED nurses taking care of MERS-CoV-infected patients should be aware that burnout is higher for nurses in their divisions than nurses in other hospital departments and that job stress is the biggest influential factor of burnout. To be ready for the outbreak of emerging contagious diseases such as MERS-CoV, efforts and preparations should be made to reduce burnout. Job stress should be managed and resolved. Working conditions for mitigating job stress and systematic stress management programs should be provided, and hospital resources for the treatment of MERS-CoV need to be reinforced. Moreover, promoting support from family and friends is required. Copyright © 2016. Published by Elsevier B.V.

TEACHING STRATEGIES FOR MIDDLE EASTERN CULTURAL STUDIES IN THE SENIOR HIGH SCHOOL.

Science.gov (United States)

KELLY, JAMES

THE THIRD PART OF A PROJECT TO DEVELOP APPROACHES TO TEACHING HIGH SCHOOL STUDENTS ABOUT CULTURE AREAS OF THE NON-WESTERN WORLD (SEE TE 499 984 AND TE 499 995), THIS TEACHERS' GUIDE FOR AN 8-WEEK COURSE ON THE MIDDLE EAST COVERS THE GOEGRAPHY, ECONOMY, POLITICS, AND CULTURE OF THE AREAS. IT ALSO DEALS WITH THE MAJOR HISTORICAL DEVELOPMENTS IN THE…

Intergenerational communication satisfaction and age boundaries: comparative middle eastern data.

Science.gov (United States)

Giles, Howard; Khajavy, Gholam Hassan; Choi, Charles W

2012-12-01

Guided by the communicative predicative model of aging, American and Iranian young adults' perceptions of communication with their peers, middle-aged and elderly adults were examined; subjective boundaries for these age categories were also explored. As age of target increased, so did attributions of benevolence, norms of politeness and deference, and communicative respect and avoidance; conversely, attributions of personal vitality and communication satisfaction decreased linearly. Path analysis was also adopted to examine the simultaneous relationships between the variables under study, and ultimately with cultural caveats largely supported, a hypothesized model was derived. The data were discussed in terms of their yielding refinements and elaborations to the communicative predicament and enhancement models of aging.

Health benefits of dancing activity among Korean middle-aged women.

Science.gov (United States)

Kim, Min Jeong; Lee, Chul Won

2016-01-01

The purpose of this study was to understand the health benefits of line dancing activity in Korean middle-aged women. This study explored how Korean middle-aged women perceive health benefits through lived experiences of line dancing in their leisure time. Three themes emerged related to health benefits: (1) psychological benefit, (2) physical benefit, and (3) social benefit. This finding suggested that serious leisure experience aids health enhancements in the lives of Korean middle-aged women. This study also discusses the research implication that continuous participation in leisure activity is necessary for health improvement in Korean middle-aged women.

Health benefits of dancing activity among Korean middle-aged women

Science.gov (United States)

Kim, Min Jeong; Lee, Chul Won

2016-01-01

The purpose of this study was to understand the health benefits of line dancing activity in Korean middle-aged women. This study explored how Korean middle-aged women perceive health benefits through lived experiences of line dancing in their leisure time. Three themes emerged related to health benefits: (1) psychological benefit, (2) physical benefit, and (3) social benefit. This finding suggested that serious leisure experience aids health enhancements in the lives of Korean middle-aged women. This study also discusses the research implication that continuous participation in leisure activity is necessary for health improvement in Korean middle-aged women. PMID:27389818

Health benefits of dancing activity among Korean middle-aged women

Directory of Open Access Journals (Sweden)

Min Jeong Kim

2016-07-01

Full Text Available The purpose of this study was to understand the health benefits of line dancing activity in Korean middle-aged women. This study explored how Korean middle-aged women perceive health benefits through lived experiences of line dancing in their leisure time. Three themes emerged related to health benefits: (1 psychological benefit, (2 physical benefit, and (3 social benefit. This finding suggested that serious leisure experience aids health enhancements in the lives of Korean middle-aged women. This study also discusses the research implication that continuous participation in leisure activity is necessary for health improvement in Korean middle-aged women.

A Realistic View of Long-Term Middle East Production Capacity

Energy Technology Data Exchange (ETDEWEB)

Samsam Bakhtiari, Ali [National Iranian Oil Company (NIOC), Tehran (Iran)

2003-07-01

The Middle East is a unique landmass bridging the continents of Europe, Africa and Asia. It now consists of fifteen major countries and one neutral zone. Four of these countries (Afghanistan, Israel, Jordan and Lebanon) are practically devoid of commercial oil resources. And the other eleven jointly control oil reserves estimated by Colin Campbell at 805 bnb (42% of world total) -- made up of 758 bnb discovered and 47 bnb yet-to-find. These eleven countries, which produced on average 20.8 mb/d and 19.3 mb/d in 2001 and 2002 respectively, can be subdivided into three categories: (i) the low producers (4 countries); (ii) the mid-size producers (4 countries); and (iii) the three large producers (Iran, Iraq and Saudi Arabia). In order to investigate the Middle East's long-term production capacity, the forecasts and scenarios developed by the following experts or institutions were reviewed: (a) Dr. Campbell; (b) the major international institutions (IEA, EIA, OPEC); (c) the major oil companies; (d) the major international banks; (e) the specialised press; (f) prominent economists and consultants; (g) the simulations of the 'World Oil Production Capacity' (WOCAP) model. The most significant results were derived from Dr. Campbell's predictions and the WOCAP model. Both of these show Middle Eastern producers going through a long 'bumpy plateau' between 2003 and 2020 with a gradual ramping down during the second decade. WOCAP's simulations for each of the large three producers are presented and analysed. All in all, the Middle Eastern countries, which produce nearly a third of global crude oil, will continue to play a major role on the global oil stage, a role that, with time, can only tend to become more predominant. And although the region's oil represents over 40% of global reserves and roughly two-thirds of proved reserves, there are limits to its output. For those believing that for Middle East oil 'the sky's the limit

THE MIDDLE TO UPPER PALEOLITHIC SEQUENCE OF BURAN-KAYA III (CRIMEA, UKRAINE) : NEW STRATIGRAPHIC, PALEOENVIRONMENTAL, AND CHRONOLOGICAL RESULTS

NARCIS (Netherlands)

Pean, Stephane; Puaud, Simon; Crepin, Laurent; Prat, Sandrine; Quiles, Anita; van der Plicht, Johannes; Valladas, Helene; Stuart, Anthony J.; Drucker, Dorothee G.; Patou-Mathis, Marylene; Lanoe, Francois; Yanevich, Aleksandr; Hatté, C.; Jull, A.J.T.

2013-01-01

Buran-Kaya III is a rockshelter located in Crimea (Ukraine). It provides an exceptional stratigraphic sequence extending from the Middle Paleolithic to the Neolithic. Nine Paleolithic layers have been attributed to the Streletskaya or eastern Szeletian, Micoquian, Aurignacian, Gravettian, and

South Asian and Middle Eastern patients' perspectives on medicine-related problems in the United Kingdom.

Science.gov (United States)

Alhomoud, Faten; Dhillon, Soraya; Aslanpour, Zoe; Smith, Felicity

2015-08-01

There has been little research which specifically examines medicine use among South Asian (SA) and Middle Eastern (ME) groups, although evidence suggests that medicine-related needs may be poorly met for these groups. To describe medicine-related problems (MRPs) experienced by SA and ME patients from their perspectives and identify possible contributory factors that may be specific to their cultures. The data were collected in seven pharmacies in London, United Kingdom (UK). The study was a qualitative study. Patients were from SA and ME origins, aged over 18 and prescribed three or more regular medicines. Patients were identified when presenting with a prescription. The data were collected in 80 face-to-face semi-structured interviews using Gordon's MRPs tool. Interviews were audiotaped, transcribed verbatim and analysed thematically using Gordon's coding frame and Nvivo 10 software. Describing MRPs experienced by SA and ME patients from their perspectives and identifying possible contributory factors that may be specific to their cultures. Results Eighty participants (61 % male) had mean (SD) age 58 (13.4) years and a mean (SD) of 8 (4) medicines. Interviews revealed that several factors contributed to the development of MRPs; some appeared to be specific to SA and ME cultures and others were similar to the general population. The factors that were reported to be specific to SA and ME groups comprised religious practices and beliefs, use of non-prescription medicines, extent of family support, and travelling abroad--to patient's homeland or to take religious journeys. Illiteracy, language and communication barriers, lack of translated resources, perceptions of healthcare providers, and difficulty consulting a doctor of the same gender may also contribute to the problems. Many of these factors could be expected to influence patient's safety, adherence, and informed decision-making. This study demonstrated that SA and ME patients have their own problems and needs

Review of national research ethics regulations and guidelines in Middle Eastern Arab countries

Science.gov (United States)

2012-01-01

Background Research ethics guidelines are essential for conducting medical research. Recently, numerous attempts have been made to establish national clinical research documents in the countries of the Middle East. This article analyzes these documents. Methods Thirteen Arab countries in the Middle East were explored for available national codes, regulations, and guidelines concerning research ethics, and 10 documents from eight countries were found. We studied these documents, considering the ethical principles stated in the Declaration of Helsinki, the Council for International Organizations of Medical Sciences (CIOMS) guidelines, and the International Conference of Harmonization - Guidelines for Good Clinical Practice (ICH-GCP). Our paper comprises a complete list of protections, such as confidentiality, informed consent, ethics committees, and others. Results This study found different levels and kinds of research ethics regulations and guidelines in the countries examined. Two groups can be distinguished: the countries in the first group have one or more research ethics regulations or guidelines, while the countries in the second group have not yet established any. Most of the documents showed various degrees of deficiencies in regard to ethical protection. The majority of the documents that were examined refer to one or more international documents on biomedical research ethics. Conclusions Recently, a lot of efforts have been made in many countries in the Middle East. However, compared with international documents, most of the research ethics documents in use in this region demonstrate numerous deficiencies. As it relates to these documents, extensive differences could be observed in regard to development, structure, content, and reference to international guidelines. PMID:23234422

Climate aberrations during the middle Miocene: evidence from the eastern North Atlantic Ocean

NARCIS (Netherlands)

Quaijtaal, W.; Donders, T.H.; Schouten, S.; Louwye, S.

2013-01-01

During the Middle Miocene Climatic Optimum (MMCO; 17-14.5 Ma) the relatively warm climate of the Miocene reached peak temperatures. After the MMCO, the global climate started cooling through several short-lived cooling events, represented by positive oxygen isotope excursions: the Mi-events (Miocene

Technical and Political Assessment of Nuclear Power In the Middle East and North Africa

International Nuclear Information System (INIS)

Windsor, Lindsay K.; Kessler, Carol E.

2007-01-01

An exceptional number of Middle Eastern and North African nations have recently expressed interest in developing nuclear energy for peaceful purposes. Many of these countries have explored nuclear research in limited ways in the past, but the current focused interest and application of resources towards developing nuclear-generated electricity and nuclear-powered desalination plants is unprecedented. Consequently, questions arise in response to this emerging trend: What instigated this interest? To what end(s) will a nuclear program be applied? Does the country have adequate technical, political, legislative, nonproliferation, and safety infrastructure required for the capability desired? If so, what are the next steps for a country in preparation for a future nuclear program? And if not, what collaboration efforts are possible with the United States or others? This report provides information on the capabilities and interests of 13 countries in the region in nuclear energy programs in light of safety, nonproliferation and security concerns. It also provides information useful for determining potential for offering technical collaboration, financial aid, and/or political support.

Searching for animal models and potential target species for emerging pathogens: Experience gained from Middle East respiratory syndrome (MERS coronavirus

Directory of Open Access Journals (Sweden)

Júlia Vergara-Alert

2017-06-01

Full Text Available Emerging and re-emerging pathogens represent a substantial threat to public health, as demonstrated with numerous outbreaks over the past years, including the 2013–2016 outbreak of Ebola virus in western Africa. Coronaviruses are also a threat for humans, as evidenced in 2002/2003 with infection by the severe acute respiratory syndrome coronavirus (SARS-CoV, which caused more than 8000 human infections with 10% fatality rate in 37 countries. Ten years later, a novel human coronavirus (Middle East respiratory syndrome coronavirus, MERS-CoV, associated with severe pneumonia, arose in the Kingdom of Saudi Arabia. Until December 2016, MERS has accounted for more than 1800 cases and 35% fatality rate. Finding an animal model of disease is key to develop vaccines or antivirals against such emerging pathogens and to understand its pathogenesis. Knowledge of the potential role of domestic livestock and other animal species in the transmission of pathogens is of importance to understand the epidemiology of the disease. Little is known about MERS-CoV animal host range. In this paper, experimental data on potential hosts for MERS-CoV is reviewed. Advantages and limitations of different animal models are evaluated in relation to viral pathogenesis and transmission studies. Finally, the relevance of potential new target species is discussed.

The Middle Aragonian (Middle Miocene Micromammals from La Retama (Intermediate Depression, Tagus Basin Province of Cuenca, Spain

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Sevilla, P.

2006-12-01

Full Text Available The micromammal fauna from the Middle Miocene (Middle Aragonian of La Retama, eastern central Spain, is described. It is a relatively poor rodent fauna composed by ten species only, associated to a highly diverse bat fauna, which includes five genera. The insectivores are represented by two species. This fossil assemblage has been correlated to zone Db (MN 5. The palaeoenvironmental reconstruction based on micromammals indicates open and dry conditions for this locality.Se describen los micromamíferos del Mioceno medio (Aragoniense medio de La Retama, sector centro-oriental español. La fauna de roedores es relativamente pobre y está compuesta únicamente por diez especies. Sin embargo, cabe destacar la elevada diversidad de los quirópteros, representados por cinco géneros. Se describe también dos taxa de insectívoros. Esta asociación fósil ha sido correlacionada con la zona Db (MN5. La reconstrucción paleoambiental de La Retama inferida a partir de la fauna de micromamíferos corresponde a un ambiente abierto y seco.

[The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses' Resilience, Violence Coping, Nursing Competency and Burnout].

Science.gov (United States)

Lee, Seung Min; Sung, Kyung Mi

2017-06-01

The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms. A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks. Levels of resilience, F=59.41, pnursing competency, F=59.41 pburnout, F=52.74, pburnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms. © 2017 Korean Society of Nursing Science

The new great game : international oil markets; Middle East domination or regionalisation

International Nuclear Information System (INIS)

Odell, P.R.

1998-01-01

The dynamics of international supply and demand for oil and its effect on world oil prices are discussed. The impact of stagnant prices over the past 15 years on the Middle East, Russia, China and OPEC members was described, together with an attempt to explain the reasons for: (1) Middle East domination or regionalisation, (2) the emergence of a regionalized oil industry, (3) the Middle East as the residual supplier, and (4) the future of Middle East oil and of traded markets. 3 tabs., 5 figs

New palaeoenvironmental and palaeoclimatic reconstructions for the Middle Palaeolithic site of Cuesta de la Bajada (Teruel, eastern Spain) inferred from the amphibian and squamate reptile assemblages

Science.gov (United States)

Blain, Hugues-Alexandre; Ruiz Zapata, Maria Blanca; Gil García, Maria José; Sesé, Carmen; Santonja, Manuel; Pérez-González, Alfredo

2017-10-01

In the eastern Iberian Peninsula, the archaeological site of Cuesta de la Bajada (Teruel, Spain) has produced some of the earliest evidence of Middle Paleolithic stone tool traditions together with evidence of equid and cervid carcasses defleshed by hominins. Based on the numerical age of 317-240 ka derived from OSL, ESR and AAR dating methods for the lower part of the Cuesta de la Bajada sedimentological sequence (level CB3), as well as the biochronological inferences for the small and large mammal associations, the site can be attributed to Marine Isotope Stage (MIS) 8 or the end of MIS 9. As amphibians and reptiles have precise environmental and climatic requirements and do not differ at species level from the extant herpetofauna of the Iberian Peninsula, they can contribute to the reconstruction of the landscape and climate. In this paper, the fossil amphibians and squamate reptiles from Cuesta de la Bajada are studied for the first time. The mutual ecogeographic range and habitat weighting methods were applied to the herpetofaunal assemblages to estimate quantitative data for the landscape and climate reconstructions. The climate is shown to have been colder and wetter than today in the interior of eastern Spain, with mean annual temperature up to 2.5 °C lower and mean annual precipitation slightly higher than at present. The monthly climatic reconstruction shows differences in the distribution of precipitation over the course of the year, with more abundant precipitation from late autumn to spring (i.e. from October to May), and more or less similar precipitation to today during the summer months (July and August). This suggests there was stronger rainfall seasonality between winter and summer than currently occurs. The paleoenvironmental reconstruction based on the herpetofaunal assemblage depicts a poorly forested (15-20%) patchy landscape with a large representation of dry meadows and scrubland habitats together with well-evidenced aquatic habitats. These

Oil jobs have big impact on heavily populated Middle East.

Science.gov (United States)

Omran, A R; Roudi, F

1993-09-01

Labor force interdependence creates a complex pattern among countries in the Middle East. Oil-rich countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates) must import two-thirds of their labor force, including 80% of their professional and technical workers. These migrant workers come from Egypt (60%), Jordan, Yemen, Sudan, and South Asia, and the money they send home is a major factor in the economies of their native lands. Many Arabs who are considered foreign laborers have spent their entire lives, or have even been born, in the oil-rich countries; they have no hope of attaining citizenship. South Asians compete with Arabs for work in the Gulf States and tend to accept less-desirable jobs and lower wages. South Asian workers migrate from Bangladesh, India, Pakistan, Sri Lanka, Indonesia, Korea, the Philippines, and Thailand. Middle Eastern women have social constraints on labor force participation, and most of the women working n the Gulf States are Asian; they often work as domestics. The women of the Middle East are an untapped resource for this labor market.

OPEC Middle East plans for rising world demand amid uncertainty

International Nuclear Information System (INIS)

Ismail, I.A.H.

1996-01-01

The Middle Eastern members of the Organization of Petroleum Exporting Countries must plan for huge increases in oil production capacity yet wonder whether markets for the new output will develop as expected. With worldwide oil consumption rising and non-OPEC output likely to reach its resource limits soon, OPEC member countries face major gains in demand for their crude oil. To meet the demand growth, those with untapped resources will have to invest heavily in production capacity. Most OPEC members with such resources are in the Middle East. But financing the capacity investments remains a challenge. Some OPEC members have opened up to foreign equity participation in production projects, and others may eventually do so as financial pressures grow. That means additions to the opportunities now available to international companies in the Middle East. Uncertainties, however, hamper planning and worry OPEC. Chief among them are taxation and environmental policies of consuming-nation governments. This paper reviews these concerns and provides data on production, pricing, capital investment histories and revenues

When Culture and Learning Styles Matter: A Canadian University with Middle-Eastern Students

Science.gov (United States)

Lemke-Westcott, Tracey; Johnson, Brad

2013-01-01

Transnational branch campuses of universities are a growing phenomenon, particularly in the Middle-East. The cultures of home institutions and host countries are often foreign to each other. The result is a cultural and learning style gap between faculty and students impacting students' learning and teachers' effectiveness. A pilot study of the…

Chemical composition of PM10 and its in vitro toxicological impacts on lung cells during the Middle Eastern Dust (MED) storms in Ahvaz, Iran.

Science.gov (United States)

Naimabadi, Abolfazl; Ghadiri, Ata; Idani, Esmaeil; Babaei, Ali Akbar; Alavi, Nadali; Shirmardi, Mohammad; Khodadadi, Ali; Marzouni, Mohammad Bagherian; Ankali, Kambiz Ahmadi; Rouhizadeh, Ahmad; Goudarzi, Gholamreza

2016-04-01

Reports on the effects of PM10 from dust storm on lung cells are limited. The main purpose of this study was to investigate the chemical composition and in vitro toxicological impacts of PM10 suspensions, its water-soluble fraction, and the solvent-extractable organics extracted from Middle Eastern Dust storms on the human lung epithelial cell (A549). Samples of dust storms and normal days (PM10 0.05). These results led to the conclusions that dust storm PM10 as well as normal day PM10 could lead to cytotoxicity, and the organic compounds (PAHs) and the insoluble particle-core might be the main contributors to cytotoxicity. Our results showed that cytotoxicity and the risk of PM10 to human lung may be more severe during dust storm than normal days due to inhalation of a higher mass concentration of airborne particles. Further research on PM dangerous fractions and the most responsible components to make cytotoxicity in exposed cells is recommended. Copyright © 2016 Elsevier Ltd. All rights reserved.

Health risk assessment of exposure to the Middle-Eastern Dust storms in the Iranian megacity of Kermanshah.

Science.gov (United States)

Goudarzi, G; Daryanoosh, S M; Godini, H; Hopke, P K; Sicard, P; De Marco, A; Rad, H D; Harbizadeh, A; Jahedi, F; Mohammadi, M J; Savari, J; Sadeghi, S; Kaabi, Z; Omidi Khaniabadi, Y

2017-07-01

This study assessed the effects of particulate matter (PM), equal or less than 10 μm in aerodynamic diameter (PM 10 ), from the Middle-Eastern Dust events on public health in the megacity of Kermanshah (Iran). This study used epidemiological modeling and monitored ambient air quality data to estimate the potential PM 10 impacts on public health. The AirQ2.2.3 model was used to calculate mortality and morbidity attributed to PM 10 as representative of dust events. Using Visual Basic for Applications, the programming language of Excel software, hourly PM 10 concentrations obtained from the local agency were processed to prepare input files for the AirQ2.2.3 model. Using baseline incidence, defined by the World Health Organization, the number of estimated excess cases for respiratory mortality, hospital admissions for chronic obstructive pulmonary disease, for respiratory diseases, and for cardiovascular diseases were 37, 39, 476, and 184 persons, respectively, from 21st March, 2014 to 20th March, 2015. Furthermore, 92% of mortality and morbidity cases occurred in days with PM 10 concentrations lower than 150 μg/m 3 . The highest percentage of person-days occurred for daily concentrations range of 100-109 μg/m 3 , causing the maximum health end-points among the citizens of Kermanshah. Calculating the number of cumulative excess cases for mortality or morbidity attributed to PM 10 provides a good tool for decision and policy-makers in the field of health care to compensate their shortcomings particularly at hospital and healthcare centers for combating dust storms. To diminish these effects, several immediate actions should be managed in the governmental scale to control dust such as spreading mulch and planting new species that are compatible to arid area. Copyright © 2017 The Royal Society for Public Health. All rights reserved.

Teacher Perceptions of One-to-One Mobile Devices in Middle School Reading

Science.gov (United States)

Still, Maridale

2017-01-01

Middle school reading teachers in a south Texas school district were surveyed to obtain a clearer understanding of one-to-one mobile device usage in the middle school reading classroom specifically regarding collaborative and active learning environments. The theoretical framework reviewed emerging learning theories that have steered effective…

Entrapped by the uneven central and Middle Eastern terrains: Genetic status of populations of Hirudo orientalis (Annelida, Clitellata, Hirudinida) with a phylogenetic review of the genus Hirudo.

Science.gov (United States)

Darabi-Darestani, Kaveh; Sari, Alireza; Sarafrazi, Alimorad; Utevsky, Serge

2018-04-01

Phylogenetic relationships between species of the genus Hirudo plus genetic variation in the entire distribution range of Hirudo orientalis were investigated based on mitochondrial (COI and 12S rDNA) and nuclear (ITS1+5.8S+ITS2) genome regions. The sister relationship of Hirudo orientalis and H. medicinalis was revealed with a high posterior probability. A broad and patchy distribution with minor genetic differences was observed in populations of H. orientalis along the central and Middle Eastern parts of Asia. The known distribution range occurred in topographically heterogeneous landscapes around the Caspian Sea. The demographic analysis suggests the selection of the COI locus under unfavourable respiratory conditions, but population size expansion cannot be fully rejected. The genetic variation trend indicated northward dispersal. Higher haplotype diversity in the South Caspian region potentially suggests the area as a historical refugium for the species. The vast dispersal is assumed to occur after the Pleistocene glaciations via vertebrate hosts. Copyright © 2017 Elsevier Inc. All rights reserved.

Neogene dinocyst zonation for the eastern North Sea Basin, Denmark

DEFF Research Database (Denmark)

Dybkjær, Karen; Piasecki, Stefan

2010-01-01

A dinocyst zonation for the Neogene succession in the eastern part of the North Sea Basin (Denmark) is presented. The zonation is based on an extensive database comprising data from more than fifty onshore and offshore boreholes and about twenty five outcrops. Most of the nineteen dinocyst zones......, of the Lower Miocene, and of the Upper Miocene and Pliocene successions. The previous zonation of the onshore Danish Middle Miocene is reconsidered and partly redefined. The zonation is correlated with other biostratigraphic subdivisions of the Neogene succession in the Danish region in addition to litho...

The Arab Awakening and US counterterrorism in the Greater Middle East: A missed opportunity

Directory of Open Access Journals (Sweden)

Eugenio Lilli

2015-05-01

Full Text Available 'In 2011, the Arab Awakening offered an opportunity to the Obama administration to advance the US interest to counter terrorism in the Greater Middle East without compromising its commitment to the promotion of democracy. As of early 2015, however, with the exception of still-hopeful Tunisia, democracy has not made any significant progress in Middle Eastern countries. Additionally, old and new regional extremist groups have become increasingly active. How did the Obama administration miss the opportunity offered by the Arab Awakening? What actions could the United States take to reverse current unfavorable trends and advance US policies of counterterrorism and democratization in the region?'''

Before the Emergence of Homo sapiens: Overview on the Early-to-Middle Pleistocene Fossil Record (with a Proposal about Homo heidelbergensis at the subspecific level)

Science.gov (United States)

Manzi, Giorgio

2011-01-01

The origin of H. sapiens has deep roots, which include two crucial nodes: (1) the emergence and diffusion of the last common ancestor of later Homo (in the Early Pleistocene) and (2) the tempo and mode of the appearance of distinct evolutionary lineages (in the Middle Pleistocene). The window between 1,000 and 500 thousand years before present appears of crucial importance, including the generation of a new and more encephalised kind of humanity, referred to by many authors as H. heidelbergensis. This species greatly diversified during the Middle Pleistocene up to the formation of new variants (i.e., incipient species) that, eventually, led to the allopatric speciation of H. neanderthalensis and H. sapiens. The special case furnished by the calvarium found near Ceprano (Italy), dated to 430–385 ka, offers the opportunity to investigate this matter from an original perspective. It is proposed to separate the hypodigm of a single, widespread, and polymorphic human taxon of the Middle Pleistocene into distinct subspecies (i.e., incipient species). The ancestral one should be H. heidelbergensis, including specimens such as Ceprano and the mandible from Mauer. PMID:21716742

Adapting pediatric psychology interventions: lessons learned in treating families from the Middle East.

Science.gov (United States)

Hilliard, Marisa E; Ernst, Michelle M; Gray, Wendy N; Saeed, Shehzad A; Cortina, Sandra

2012-09-01

Pediatric psychologists are increasingly called upon to treat children from non-Western countries, whose cultures may contrast with a Western medical setting. Research on cultural adaptations of evidence-based treatments (EBTs), particularly for individuals from the Middle East, is sparse. To address this need, we discuss clinical issues encountered when working with patients from the Middle East. Synthesis of the literature regarding culturally adapted EBTs and common themes in Middle Eastern culture. Case vignettes illustrate possible EBT adaptations. Integrating cultural values in treatment is an opportunity to join with patients and families to optimize care. Expectations for medical and psychological treatment vary, and collaborations with cultural liaisons are beneficial. Critical next steps include systematic development, testing, and training in culturally adapting EBTs in pediatric medical settings. Increased dialogue between clinicians, researchers, and cultural liaisons is needed to share knowledge and experiences to enhance patient care.

Vulnerability and resilience of competing land-based livelihoods in south eastern Zimbabwe

NARCIS (Netherlands)

Murungweni, C.

2011-01-01

Key words: vulnerability; resilience; livelihood; drought; Great Limpopo Transfrontier Conservation Area; south eastern Zimbabwe.

Vulnerability and resilience have emerged as powerful analytical concepts in the study of socio-ecological systems. In this research these concepts are used

Molecular genotyping of anisakis larvae in Middle Eastern Japan and endoscopic evidence for preferential penetration of normal over atrophic mucosa.

Directory of Open Access Journals (Sweden)

Toshio Arai

Full Text Available BACKGROUND: Anisakiasis is a parasitic disease caused primarily by Anisakis spp. larvae in Asia and in Western countries. The aim of this study was to investigate the genotype of Anisakis larvae endoscopically removed from Middle Eastern Japanese patients and to determine whether mucosal atrophy affects the risk of penetration in gastric anisakiasis. METHODS: In this study, 57 larvae collected from 44 patients with anisakiasis (42 gastric and 2 colonic anisakiasis were analyzed retrospectively. Genotyping was confirmed by restriction fragment length polymorphism (RFLP analysis of ITS regions and by sequencing the mitochondrial small subunit (SSU region. In the cases of gastric anisakiasis, correlation analyses were conducted between the frequency of larval penetration in normal/atrophic area and the manifestation of clinical symptoms. RESULTS: Nearly all larvae were A. simplex seusu stricto (s.s. (99%, and one larva displayed a hybrid genotype. The A. simplex larvae penetrated normal mucosa more frequently than atrophic area (p = 0.005. Finally, patients with normal mucosa infection were more likely to exhibit clinical symptoms than those with atrophic mucosa infection (odds ratio, 6.96; 95% confidence interval, 1.52-31.8. CONCLUSIONS: In Japan, A. simplex s.s. is the main etiological agent of human anisakiasis and tends to penetrate normal gastric mucosa. Careful endoscopic examination of normal gastric mucosa, particularly in the greater curvature of the stomach will improve the detection of Anisakis larvae.

Molecular Genotyping of Anisakis Larvae in Middle Eastern Japan and Endoscopic Evidence for Preferential Penetration of Normal over Atrophic Mucosa

Science.gov (United States)

Arai, Toshio; Akao, Nobuaki; Seki, Takenori; Kumagai, Takashi; Ishikawa, Hirofumi; Ohta, Nobuo; Hirata, Nobuto; Nakaji, So; Yamauchi, Kenji; Hirai, Mitsuru; Shiratori, Toshiyasu; Kobayashi, Masayoshi; Fujii, Hiroyuki; Ishii, Eiji; Naito, Mikio; Saitoh, Shin-ichi; Yamaguchi, Toshikazu; Shibata, Nobumitsu; Shimo, Masamune; Tokiwa, Toshihiro

2014-01-01

Background Anisakiasis is a parasitic disease caused primarily by Anisakis spp. larvae in Asia and in Western countries. The aim of this study was to investigate the genotype of Anisakis larvae endoscopically removed from Middle Eastern Japanese patients and to determine whether mucosal atrophy affects the risk of penetration in gastric anisakiasis. Methods In this study, 57 larvae collected from 44 patients with anisakiasis (42 gastric and 2 colonic anisakiasis) were analyzed retrospectively. Genotyping was confirmed by restriction fragment length polymorphism (RFLP) analysis of ITS regions and by sequencing the mitochondrial small subunit (SSU) region. In the cases of gastric anisakiasis, correlation analyses were conducted between the frequency of larval penetration in normal/atrophic area and the manifestation of clinical symptoms. Results Nearly all larvae were A. simplex seusu stricto (s.s.) (99%), and one larva displayed a hybrid genotype. The A. simplex larvae penetrated normal mucosa more frequently than atrophic area (p = 0.005). Finally, patients with normal mucosa infection were more likely to exhibit clinical symptoms than those with atrophic mucosa infection (odds ratio, 6.96; 95% confidence interval, 1.52–31.8). Conclusions In Japan, A. simplex s.s. is the main etiological agent of human anisakiasis and tends to penetrate normal gastric mucosa. Careful endoscopic examination of normal gastric mucosa, particularly in the greater curvature of the stomach will improve the detection of Anisakis larvae. PMID:24586583

Middle East: New Balkans of the World?

Directory of Open Access Journals (Sweden)

Dr.Sc. Georgescu Stefan

2012-12-01

Full Text Available Middle East is a region whose geopolitical dynamics has many analogies with the role of the Balkans in the first half of the 19th century and up to the 3rd decade of the 20th century, namely a "Powder keg of Europe", defined in the same period as the "Eastern Issue".Moreover, Middle East is a region located at the junction of three continents: Europe, Asia and the Mediterranean Africa, and along with ancient Egypt is the cradle of Western civilization, providing for it political, economic, religious, scientific, military, intellectual and institutional models.Four millennia of civilization before Christian era did not pass without leaving a trace.Trade, currency, law, diplomacy, technology applied to works in time of war or peace, the profit based economy and the bureaucratized economy, popular and absolutist government, nationalist and universal spirit, tolerance and fanaticism – all these are not inventions of the modern world, but have their origins and methods of implementation, often even sophisticated methods, in this region.

Economic Education in the Middle East: Are the Determinants of Success in Introductory Economics Any Different?

Science.gov (United States)

Kherfi, Samer

2008-01-01

The author examines the determinants of success in introductory microeconomics, in the context of a Middle Eastern society but within an American educational setting. The data set is rich and covers over 3,500 students in one regional campus, allowing control for a wide range of student and class characteristics, one of which, nationality, is…

Liver Fluke Infection and Fish Consumption in Khon Kaen, Thailand: A Case Study on Negotiating the Middle Ground between Western Science and Eastern Culture

Science.gov (United States)

Samiphak, Sara

This research investigates why typical strategies for promoting health, prolonging life, and preventing disease do not work in many communities. I use the liver fluke infection endemic in Khon Kaen, Thailand to explore the middle ground between Western science and Eastern culture. Prior work on the O.viverrini infection in Khon Kaen, Thailand has focused almost exclusively on developing effective medical treatment for the liver fluke infection. This dissertation employs a case study designed to explore the conditions that created and perpetuate the problem in the first place. In concrete terms, I analyze how the worldviews of local villagers shape their attitudes toward life (and death), which in turn determine if they engage in the high-risk behavior -- eating undercooked fish -- that makes them vulnerable to the infection. My research focuses on these people in-situ over a three-month period, and includes data from participant-observation, interviews, and video-recordings. This work seeks to illuminate how people's thinking and reasoning skills, and personal/cultural identities affect their abilities to learn and act on new health concepts. This potentially provides a window into future educational strategies in a complex world.

Multinational uranium enrichment in the Middle East

International Nuclear Information System (INIS)

Ahmad, Ali; Salahieh, Sidra; Snyder, Ryan

2017-01-01

The Joint Comprehensive Plan of Action (JCPOA) agreed to by Iran and the P5+1 in July 2015 placed restrictions on Iran’s nuclear program while other Middle Eastern countries– Egypt, Jordan, Saudi Arabia, Turkey, and the United Arab Emirates–are planning to build their own nuclear power plants to meet increasing electricity demands. Although the JCPOA restricts Iran's uranium enrichment program for 10–15 years, Iran's neighbors may choose to develop their own national enrichment programs giving them a potential nuclear weapons capability. This paper argues that converting Iran's national enrichment program to a more proliferation-resistant multinational arrangement could offer significant economic benefits–reduced capital and operational costs–due to economies of scale and the utilization of more efficient enrichment technologies. In addition, the paper examines policy aspects related to financing, governance, and how multinational enrichment could fit into the political and security context of the Middle East. A multinational enrichment facility managed by regional and international partners would provide more assurance that it remains peaceful and could help build confidence between Iran and its neighbors to cooperate in managing other regional security challenges. - Highlights: • Freezing Iran's nuclear program is an opportunity to launch joint initiatives in ME. • A joint uranium enrichment program in the Middle East offers economic benefits. • Other benefits include improved nuclear security and transparency in the region.

Improved outcome of childhood acute myeloid leukemia in an Eastern European country: Lithuanian experience.

Science.gov (United States)

Kairiene, Igne; Pasauliene, Ramune; Lipunova, Nadezda; Vaitkeviciene, Goda; Rageliene, Lina; Rascon, Jelena

2017-10-01

The reported treatment outcomes of children treated for cancer in Eastern European countries are inferior to those in Northern/Western Europe. We hypothesized that recent survival rates could be comparable to the current standards and performed a population-based analysis of treatment outcome of childhood acute myeloid leukemia (AML) in Lithuania, a small Eastern European country. Children  80% in high-income countries. The difference in survival rates between Northern/Western and Eastern European countries as well as between high- and middle-/low-income countries is as much as 20%. Recently, the 5-year event-free survival rate of acute myeloid leukemia (AML) has reached > 60% in high-income countries. The survival rates for myeloproliferative diseases were the lowest in Eastern European countries. • The reported inferior survival rates were calculated based on outcome data of patients treated until 2007. The recent survival rates in Eastern European countries are unknown. What is New: • Being a small Eastern European country, Lithuania has experienced good economic growth during the last decade. We hypothesized that economic growth and gain of experience could result in better survival rates of children treated for cancer in our country in recent years. • A population-based analysis of treatment outcome of childhood AML treated in Lithuania in the recent years was performed for the first time. The survival rates of childhood AML in Lithuania are comparable to those of other high-income countries. Current survival rates of children treated for cancer in Eastern European countries could be comparable to the best current standards contributing to better European survival rates of childhood cancer in general.

Penile manipulation: The most common etiology of penile fracture at our tertiary care center

Directory of Open Access Journals (Sweden)

Md. Jawaid Rahman

2016-01-01

Full Text Available Penile fracture is the disruption of the tunica albuginea with rupture of the corpus cavernosum secondary to blunt trauma to the erect penis. It is an unusual condition, usually underreported. According to the published literature, vigorous vaginal intercourse with women on top position is the most common etiology across the globe including India with Middle Eastern countries being the exception. A total of seven patients of penile fracture presented in emergency in the last 6 months. The etiology was penile manipulation at the time of sexual excitement in six out of seven patients of penile fracture, which was contrary to the literature published except in Middle Eastern countries. All the patients were managed by emergency exploration and repair. Thus, the incidence and etiologies of penile fracture vary according to geographic region, sexual behavior, marital status, and culture.

Emergency management of patients with ST-segment elevation myocardial infarction in Eastern Austria: a descriptive quality control study.

Science.gov (United States)

Trimmel, Helmut; Bayer, Thomas; Schreiber, Wolfgang; Voelckel, Wolfgang G; Fiedler, Lukas

2018-05-09

Myocardial infarction is a time-critical condition and its outcome is determined by appropriate emergency care. Thus we assessed the efficacy of a supra-regional ST-segment elevation myocardial infarction (STEMI) network in Easternern Austria. The Eastern Austrian STEMI network serves a population of approx. 766.000 inhabitants within a region of 4186 km 2 . Established in 2007, it now comprises 20 pre-hospital emergency medical service (EMS) units (10 of these physician-staffed), 4 hospitals and 3 cardiac intervention centres. Treatment guidelines were updated in 2012 and documentation within a web-based STEMI registry became mandatory. For this retrospective qualitative control study, data from February 2012-April 2015 was assessed. A total of 416 STEMI cases were documented, and 99% were identified by EMS within 6 (4.0-8.0) minutes after arrival. Median time loss between onset of pain and EMS call was 54 (20-135) minutes; response, pre-hospital and door-to-balloon times were 14 (10-20), 46 (37-59) and 45 (32-66) minutes, respectively. When general practitioners were involved, time between onset of pain and balloon inflation significantly increased from 180 (135-254) to 218 (155-348) minutes (p < .001). A pre-hospital time < 30 min was achieved in 25.8% of all patients during the day vs. 11.6% during the night (p < .001). Three hundred forty-five patients (83%) were subjected to primary percutaneous coronary intervention (PPCI), and 6.5% were thrombolysed by EMS. Pre-hospital complication rate was 18% (witnessed cardiac arrest 7%, threatening arrhythmias 6%, cardiogenic shock 5%). Twenty-four hours and hospital mortality rate were 1.2 and 2.8%, respectively. Optimal patient care and subsequently outcome of STEMI is strongly determined by a short patient-decision time to call EMS and by the first medical contact to balloon time (FMCBT). Supra-regional networks are key in order to increase the efficacy and efficiency of health care. The goal of 120�

The emerging use of social media for health-related purposes in low and middle-income countries: A scoping review.

Science.gov (United States)

Hagg, Emily; Dahinten, V Susan; Currie, Leanne M

2018-07-01

Social media allows for instant access to, and dissemination of, information around the globe. Access to social media in low- and middle-income countries has increased exponentially in recent years due to technological advances. Despite this growth, the use of social media in low- and middle-income countries is less well-researched than in high-income countries. To identify, explore and summarize the current state of the literature on the use of social media for health in low- and middle-income countries. A scoping review was conducted on literature available to December 2017. Six databases were searched, and grey literature was identified through the Google and Google Scholar search engines. Literature was considered for inclusion if it (1) was published in English, (2) was conducted in or in relation to a low or middle-income country, (3) reported on as least one type of social media or social media use generally for health purposes, and (4) reported on at least one aspect of human health. Content analysis was performed to identify themes. Forty articles met the inclusion criteria. Thirty-one were research articles, and nine were review/discussion/descriptive and evaluative reports. Since 2010, when the first article was published, most of the literature has focused on Asian (n = 15) and African (n = 12) countries. Twitter (n = 11) and Facebook (n = 10) were the most frequently discussed individual social media platforms. Four themes were identified: (1) use for health education and influence (sub-themes were health behaviour and health education); (2) use within infectious disease and outbreak situations; (3) use within natural disaster, terrorism, crisis and emergency response situations; and (4) producers and consumers of social media for health (sub-themes were misinformation, organizational challenges, users' expectations, and challenges of unique sub-populations). Most studies addressed more than one theme. Social media has the ability to

Vitamin D intake and other risk factors for vitamin D insufficiency in Middle Eastern people living in the UK: a comparison of cultural and ethnic groups.

Science.gov (United States)

Ahmed, Wassan A; Al-Murrani, Waleed; Kuri, Victor; Rees, Gail A

2013-01-01

A questionnaire was designed to obtain information about factors affecting vitamin D status in Middle Eastern people living in the UK. A total of 242 questionnaires were returned out of 350 distributed. A total of 85% of the sample was estimated to have a low vitamin D intake (< 5 μg/d). Other risk factors for vitamin D insufficiency included covering skin from sunlight (62% men and 84% women); low use of vitamin D containing supplements (18.5%) and being overweight or obese (49% men and 44% women). Vitamin D intake was lowest in the Kurdish ethnic group (2.18 μg/d) and in those with primary (1.83 μg/d) and secondary school (2.14 μg/d) level education compared to higher education (3.0-3.59 μg/d). Vitamin D intake was highest in those aged 40-49 years (4.0 μg/d), those born in the Levant (4.29 μg/d), and in those who were obese (3.60 μg/d).

Breast Cancer in Low- and Middle-Income Countries: An Emerging and Challenging Epidemic

Directory of Open Access Journals (Sweden)

Arafat Tfayli

2010-01-01

Full Text Available Breast cancer is a major health care problem that affects more than one million women yearly. While it is traditionally thought of as a disease of the industrialized world, around 45% of breast cancer cases and 55% of breast cancer deaths occur in low and middle income countries. Managing breast cancer in low income countries poses a different set of challenges including access to screening, stage at presentation, adequacy of management and availability of therapeutic interventions. In this paper, we will review the challenges faced in the management of breast cancer in low and middle income countries.

IAEA laboratory activities. The IAEA laboratories at Vienna and Seibersdorf, the International Laboratory of Marine Radioactivity at Monaco, the International Centre for Theoretical Physics at Trieste, the Middle Eastern Regional Radioisotope Centre for the Arab Countries. 2nd report

International Nuclear Information System (INIS)

1965-01-01

This Second Report 'IAEA Laboratory Activities' describes developments and scientific work during the year 1964. It reports on the activities of the Agency's Laboratory Vienna - Seibersdorf, the Marine Biological Project at Monaco, and the Middle Eastern Regional Radioisotope Centre for the Arab Countries. In addition, it contains a first, short review on the International Centre for Theoretical Physics at Trieste. This Centre was established in October 1963 and started its operations in 1964. The Report is similar to the first one published at the beginning of 1964, and is intended as a source of current information

Unraveling the Mysteries of Middle East Respiratory Syndrome Coronavirus

Centers for Disease Control (CDC) Podcasts

2014-03-11

Dr. Aron Hall, a CDC coronavirus epidemiologist, discusses Middle East Respiratory Syndrome Coronavirus.  Created: 3/11/2014 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 3/11/2014.

The Middle East population puzzle.

Science.gov (United States)

Omran, A R; Roudi, F

1993-07-01

An overview is provided of Middle Eastern countries on the following topics; population change, epidemiological transition theory and 4 patterns of transition in the middle East, transition in causes of death, infant mortality declines, war mortality, fertility, family planning, age and sex composition, ethnicity, educational status, urbanization, labor force, international labor migration, refugees, Jewish immigration, families, marriage patterns, and future growth. The Middle East is geographically defined as Bahrain, Egypt, Iraq, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Syria, United Arab Emirates, Yemen, Gaza and the West Bank, Iran, Turkey, and Israel. The Middle East's population grew very little until 1990 when the population was 43 million. Population was about doubled in the mid-1950s at 80 million. Rapid growth occurred after 1950 with declines in mortality due to widespread disease control and sanitation efforts. Countries are grouped in the following ways: persistent high fertility and declining mortality with low to medium socioeconomic conditions (Jordan, Oman, Syria, Yemen, and the West Bank and Gaza), declining fertility and mortality in intermediate socioeconomic development (Egypt, Lebanon, Turkey, and Iran), high fertility and declining mortality in high socioeconomic conditions (Bahrain, Iraq, Kuwait, Qatar, Saudi Arabia, and the United Arab Emirates), and low fertility and mortality in average socioeconomic conditions (Israel). As birth and death rates decline, there is an accompanying shift from communicable diseases to degenerative diseases and increases in life expectancy; this pattern is reflected in the available data from Egypt, Kuwait, and Israel. High infant and child mortality tends to remain a problem throughout the Middle East, with the exception of Israel and the Gulf States. War casualties are undetermined, yet have not impeded the fastest growing population growth rate in the world. The average fertility is 5 births

Forest production dynamics along a wood density spectrum in eastern US forests

Science.gov (United States)

C.W. Woodall; M.B. Russell; B.F. Walters; A.W. D' Amato; K. Zhu; S.S. Saatchi

2015-01-01

Emerging plant economics spectrum theories were confirmed across temperate forest systems of the eastern US where the use of a forest stand's mean wood density elucidated forest volume and biomass production dynamics integrating aspects of climate, tree mortality/growth, and rates of site occupancy.

Climate induced changes in the circulation and dispersal patterns of the fluvial sources during late Quaternary in the middle Bengal Fan

Digital Repository Service at National Institute of Oceanography (India)

Chauhan, O.S.; Vogelsang, E.

From a transact along 15˚N latitude in the middle Bengal Fan, temporal and spatial variations in the granulometric parameters and clay minerals in 14C dated box cores from the eastern, the central and the western regions were studied to determine...

The Rise of Middle Kingdoms: Emerging Economies in Global Trade

OpenAIRE

Gordon H. Hanson

2012-01-01

In this paper, I examine changes in international trade associated with the integration of low- and middle-income countries into the global economy. Led by China and India, the share of developing economies in global exports more than doubled between 1994 and 2008. One feature of new trade patterns is greater South-South trade. China and India have booming demand for imported raw materials, which they use to build cities and factories. Industrialization throughout the South has deepened globa...

The fate of a middle Danian (Lower Paleocene) turtle from the bryozoan limestone of Faxe Quarry, Denmark

DEFF Research Database (Denmark)

Milàn, Jesper; Lindow, Bent Erik Kramer; Lauridsen, Bodil Wesenberg

A piece of turtle carapace from the Middle Danian bryozoan limestone at the Faxe quarry, eastern Denmark, is identified as a partial coastal plate from the carapace of a chelonioid turtle. In addition to being the first record of turtles from the Middle Danian of Denmark, the fragment bears evide....... Smaller groups of parallel scrapes, 4-5mm long and 0.5mm, wide are interpreted as bite traces from sharks, and small circular traces, only 1mm in diameter, found either solitary or in a row of three, are interpreted as scavenging traces from fish....

The impact of a fast track area on quality and effectiveness outcomes: a Middle Eastern emergency department perspective.

LENUS (Irish Health Repository)

Devkaran, Subashnie

2009-01-01

BACKGROUND: Emergency department (ED) overcrowding is a ubiquitous problem with serious public health implications. The fast track area is a novel method which aims to reduce waiting time, patient dissatisfaction and morbidity. |The study objective was to determine the impact of a fast track area (FTA) on both effectiveness measures (i.e. waiting times [WT] and length of stay [LOS]) and quality measures (i.e. LWBS rates and mortality rates) in non-urgent patients. The secondary objective was to assess if a FTA negatively impacted on urgent patients entering the ED. METHODS: The study took place in a 500 bed, urban, tertiary care hospital in Abu Dhabi, United Arab Emirates. This was a quasi-experimental, which examined the impact of a FTA on a pre-intervention control group (January 2005) (n = 4,779) versus a post-intervention study group (January 2006) (n = 5,706). RESULTS: Mean WTs of Canadian Triage Acuity Scale (CTAS) 4 patients decreased by 22 min (95% CI 21 min to 24 min, P < 0.001). Similarly, mean WTs of CTAS 5 patients decreased by 28 min (95% CI 19 min to 37 min, P < 0.001) post FTA. The mean WTs of urgent patients (CTAS 2\\/3) were also significantly reduced after the FTA was opened (P < 0.001). The LWBS rate was reduced from 4.7% to 0.7% (95% CI 3.37 to 4.64; P < 0.001). Opening a FTA had no significant impact on mortality rates (P = 0.88). CONCLUSION: The FTA improved ED effectiveness (WTs and LOS) and quality measures (LWBS rates) whereas mortality rate remained unchanged.

A Scopus-based examination of tobacco use publications in Middle Eastern Arab countries during the period 2003-2012.

Science.gov (United States)

Zyoud, Sa'ed H; Al-Jabi, Samah W; Sweileh, Waleed M; Awang, Rahmat

2014-05-01

Tobacco smoking is the main health-care problem in the world. Evaluation of scientific output in the field of tobacco use has been poorly explored in Middle Eastern Arab (MEA) countries to date, and there are few internationally published reports on research activity in tobacco use. The main objectives of this study were to analyse the research output originating from 13 MEA countries on tobacco fields and to examine the authorship pattern and the citations retrieved from the Scopus database. Data from 1 January 2003 through 31 December 2012 were searched for documents with specific words regarding the tobacco field as 'keywords' in the title in any 1 of the 13 MEA countries. Research productivity was evaluated based on a methodology developed and used in other bibliometric studies. Five hundred documents were retrieved from 320 peer-reviewed journals. The greatest amount of research activity was from Egypt (25.4%), followed by the Kingdom of Saudi Arabia (KSA) (23.2%), Lebanon (16.3%), and Jordan (14.8%). The total number of citations for the 560 documents, at the time of data analysis (27 August 2013), was 5,585, with a mean ± SD of 9.95 ± 22.64 and a median (interquartile range) of 3(1-10). The h-index of the retrieved documents was 34. This study identified 232 (41.4%) documents from 53 countries in MEA-foreign country collaborations. By region, MEA collaborated most often with countries in the Americas (29.6%), followed by countries in the same MEA region (13.4%), especially KSA and Egypt. The present data reveal a promising rise and a good start for research productivity in the tobacco field in the Arab world. Research output is low in some countries, which can be improved by investing in more international and national collaborative research projects in the field of tobacco.

The price of oil and the future of Middle East Gas

International Nuclear Information System (INIS)

Zaki Yamani, A.

1997-01-01

Most LNG contracts relate the LNG price received by the supplier at the point of delivery to a relevant oil price. Gas and oil are thus closely connected so that when the price of landed oil decreases so dose the price of delivered LNG. With large fixed transportation and liquefaction costs, accounting for around 85% of the supply cost of delivered LNG in the case of Qatari LNG supplied to japan, you can imagine how large falls in the price paid for delivered LNG would squeeze the net back to the producer back in Qatar. However, low oil price can do some damage to the economics of existing LNG projects in the Middle East. More importantly, persistently low oil prices can prevent new LNG projects from leaving the drawing board-which will stifle the exciting export potential of Middle Eastern gas

Has the Internet Increased Exports for Firms from Low and Middle-Income Countries?

OpenAIRE

Clarke, George R. G.

2008-01-01

Many commentators have suggested that the internet is one of the forces driving globalization. This paper assesses one aspect of these claims, looking at whether internet access appears to affect the export performance using data from enterprises in low and middle-income economies in Eastern Europe and Central Asia. The paper finds a strong correlation between exporting and internet access at the enterprise level. Moreover, this correlation remains after controlling factors that might affect ...

Technical and Political Assessment of Peaceful Nuclear Power Program Prospects in North Africa and the Middle East

Energy Technology Data Exchange (ETDEWEB)

Windsor, Lindsay K.; Kessler, Carol E.

2007-09-11

An exceptional number of Middle Eastern and North African nations have recently expressed interest in developing nuclear energy for peaceful purposes. Many of these countries have explored nuclear research in limited ways in the past, but the current focused interest and application of resources towards developing nuclear-generated electricity and nuclear-powered desalination plants is unprecedented. Consequently, questions arise in response to this emerging trend: What instigated this interest? To what end(s) will a nuclear program be applied? Does the country have adequate technical, political, legislative, nonproliferation, and safety infrastructure required for the capability desired? If so, what are the next steps for a country in preparation for a future nuclear program? And if not, what collaboration efforts are possible with the United States or others? This report provides information on the capabilities and interests of 13 countries in the region in nuclear energy programs in light of safety, nonproliferation and security concerns. It also provides information useful for determining potential for offering technical collaboration, financial aid, and/or political support.

Otoliths in situ from Sarmatian (Middle Miocene) fishes of the Paratethys. Part I

DEFF Research Database (Denmark)

Schwarzhans, Werner; Carnevale, Giorgio; Bannikov, Alexandre F.

2017-01-01

to two otolith-based species so far identified from the same time interval in the Paratethys---Atherina austriaca and Atherina gidjakensis. Our correlation of isolated otoliths and otolith in situ documents in this case that A. suchovi is not synonymous to any of the otolith-based species, although...... it appears to be closely related to A. gidjakensis. A list is presented and briefly discussed showing Sarmatian skeleton-based fish records from the Central and Eastern Paratethys with an overview of known and currently studied fishes with otoliths in situ.......Several well-preserved otoliths were extracted from four slabs containing fish specimens of Atherina suchovi. Atherina suchovi is one of the five Atherina species recorded from the Middle Miocene of the Central and Eastern Paratethys established on articulated skeletal remains. This corresponds...

Caring Relationships: Perspectives from Middle School Students.

Science.gov (United States)

Alder, Nora I.; Moulton, Margaret R.

1998-01-01

A year-long interpretive study, framed by the theory of symbolic interactionism, examined the meanings of care to middle school students. Five themes emerged: care as control, equality, forgiveness, concern, and good teaching. Findings indicated not only some agreement between students and teachers on meanings and symbolic acts of care, but also…

The Agia Marina Xyliatou Observatory: A remote supersite in Cyprus to monitor changes in the atmospheric composition of the Eastern Mediterranean and the Middle East

Science.gov (United States)

Sciare, Jean

2016-04-01

The Eastern Mediterranean and Middle East (EMME) region has been identified as one of the hot spot region in the world strongly influenced by climate changes impacts. This region is characterized by rapidly growing population with contrasting economic development, strong environmental gradients and climate extremes. However, long-term observations of the atmospheric constituents (gaseous and particulate) of the atmosphere at a remote site representative of EMME is still missing making difficult to assess current and future impacts on air quality, water resources and climate. In collaboration with the Department of Labour Inspection and in the frame of French research programs (ChArMEx and ENVI-Med "CyAr") and the EU H2020 "ACTRIS-2" (2015-2019) project, CyI and CNRS are putting unprecedented efforts to implement at a rural site of Cyprus (Agia Marina Xyliatou) a unique infrastructure to monitor key atmospheric species relevant to air quality and climate. A large set of real-time instrumentations is currently deployed to characterize reactive gases (incl. O3, CO, NOx, SO2, VOC), in-situ aerosol properties (mass, size distribution, light scatt./absorption/extinction coef. and chemistry) and as well as integrated optical properties (sunphotomer, solar flux). Through Transnational access (H2020 ACTRIS2), this station is offering to (non-)EU partners (Research, SMEs) a new atmospheric facility to monitor long range transported clean/polluted air masses from 3 different continents (Europe, Africa, Middle East) and investigate aerosol-cloud interactions through the use of UAV and a mountain site (Troodos, 1900m asl). We will present here an overview of this new research infrastructure and provide a first glance of key features observed from gas/aerosol measurements obtained in 2015

Understanding Cultural Influences on Dietary Habits in Asian, Middle Eastern, and Latino Patients with Type 2 Diabetes: A Review of Current Literature and Future Directions.

Science.gov (United States)

Mora, Natalie; Golden, Sherita Hill

2017-10-23

This review focuses on evaluating and identifying gaps in the current literature regarding culturally specific dietary influences for patients with type 2 diabetes. As this topic has previously been examined in African American populations, we chose to focus on four other distinct populations (Hispanic, Middle Eastern, Western Pacific, South Asian). Given the rapid increase in global rates of type 2 diabetes and high rates of diabetes among certain ethnic groups, it is important to understand how culturally adapted strategies in diabetes management have been described in different regions and populations. The specific role of nutrition in controlling diabetes is tied to cultural habits and customs. Variation in cultural practices, including diet, create unique environments in which patients with diabetes must navigate. The role of family, particularly among Hispanics, is crucial to cultural adaptations of diabetes management. Incorporating alternative medicine, namely observed in Chinese and Indian populations, also guided diabetes care strategies. Language barriers, health literacy, and acculturation were all unique factors affecting cultural approaches to diabetes management in these four populations. Understanding such cultural determinants is crucial to addressing diabetes disparities and improving outcomes.

WHY DO COMPANIES FROM EMERGING COUNTRIES MANAGE EARNINGS?

Directory of Open Access Journals (Sweden)

Susana Callao

2017-06-01

Full Text Available This paper provides evidence in terms of the incentives which lead managers from emerging European countries to manage earnings. In particular, we focused on four Eastern European countries: the Czech Republic, Poland, Hungary and Slovakia, as the majority of studies on earnings management in developing countries were based on the Asian emerging market. The market of developing European countries is still barely explored. After we confirmed that managers from emerging European companies manage earnings, we find that within the different incentives which lead managers to earnings management, the avoidance of debt covenants violations is a strong incentive for managers. Additionally, those firms considered as poor investments (with less value have incentives to manage earnings down as a consequence to opt for market niche. Moreover, emerging Eastern European companies have incentives to flatten earnings of current periods in order to benefit in the future as the source of future nonmanipulated earnings will be insufficient, as they may expect reduced, or at least lower future performance of their companies affected by increasing global competition. Finally, we confirm that privately-owned companies tend to maximize accounting earnings more than state-owned companies because they are in a weaker position related to a specific political and historical factors.

Implications of Market Frictions : Serial Correlations in Indexes on the Emerging Stock Markets in Central and Eastern Europe

Directory of Open Access Journals (Sweden)

Joanna Olbrys

2014-01-01

Full Text Available Implications of market frictions in the context of serial correlations in indexes on the Central and Eastern European (CEE stock markets have been analysed. Market frictions, such as non-trading effects, bid/ask spreads, other transaction costs, etc., may be detected by direct measurement, or by indirect identification. Direct measurement of frictions is difficult as intraday trading data are unavailable in the case of most of the emerging CEE stock markets. Indirect identification may be conducted by detecting some empirical phenomena. One of them is evidence of serial correlations in indexes, the so-called the Fisher effect. We explore the problem of serial correlations in indexes on the eight CEE stock markets using data samples from each CEE market separately, as well as a "common trading window" approach, which is widely applied in the case of databases with multivariate time series. The evidence is that nonsynchronous trading effect II between markets may substantially disrupt the analysis of index returns on a domestic market. Using a synchronized database, one may erroneously conclude that the Fisher effect does not exist, although it is present. (original abstract

Security Threats Emerging from the Middle East and North Africa

OpenAIRE

Çınar, Bekir

2015-01-01

The main security threats affecting the Middle East and North African (MENA) region arise from energy insecurity, immigration and terrorism. These threats would remain if authorities and other stake holders do not address the root causes of the problems, which are artificial national borders, authoritarian regimes and lack of pluralist education. This paper suggests that lifting state borders and setting up regional economic communities such as the EU may ease conflicts in the region which ca...

Evidence of sub-optimal sleep in adolescent Middle Eastern academy soccer players which is exacerbated by sleep intermission proximal to dawn.

Science.gov (United States)

Fowler, Peter M; Paul, Darren J; Tomazoli, Gustavo; Farooq, Abdulaziz; Akenhead, Richard; Taylor, Lee

2017-10-01

The purpose was to assess sleep patterns, quantity and quality in adolescent (16.2 ± 1.2 yr) Middle Eastern academy soccer players (n = 20) and the influence of an intermission upon these characteristics. On a 17-day training camp (located one time zone west of home) including three discrete matches, sleep was assessed pre- (PRE) and post-match (POST) via wrist actigraphy. Retrospective actigraphy analysis identified sleep characteristics, including if players experienced a sleep intermission (YES) or not (NO) proximal to dawn, and bedtime (hh:mm), get-up time (hh:mm), time in bed (h), sleep duration (h) and sleep efficiency (%). Within YES two bouts were identified (BOUT1 and BOUT2). No differences were seen between PRE and POST, nor between BOUT1 and BOUT2 (p > .05). Overall players did not meet National Sleep Foundation (NSF) guidelines (7:04 ± 1:16 h vs. recommended 8-10 h for 14-17 yr). Sleep duration was significantly reduced (∼ -13% or -1:06) in YES compared to NO (6:33 ± 1:05 vs. 7:29 ± 1:17, p sleep durations relative to NSF guidelines, with decrements increased by an intermission proximal to dawn. High inter- and intra-individual variance in the players sleep characteristics indicates the need for individualized sleep education strategies and interventions to promote appropriate sleep.

The effect of monthly 50,000 IU or 100,000 IU vitamin D supplements on vitamin D status in premenopausal Middle Eastern women living in Auckland.

Science.gov (United States)

Mazahery, H; Stonehouse, W; von Hurst, P R

2015-03-01

Middle Eastern female immigrants are at an increased risk of vitamin D deficiency and their response to prescribed vitamin D dosages may not be adequate and affected by other factors. The objectives were to determine vitamin D deficiency and its determinants in Middle Eastern women living in Auckland, New Zealand (Part-I), and to determine serum 25-hydroxyvitamin D (serum-25(OH)D) response to two prescribed vitamin D dosages (Part-II) in this population. Women aged ⩾20 (n=43) participated in a cross-sectional pilot study during winter (Part-I). In Part-II, women aged 20-50 years (n=62) participated in a randomised, double-blind placebo-controlled trial consuming monthly either 50,000, 100,000 IU vitamin D3 or placebo for 6 months (winter to summer). All women in Part-I and 60% women in Part-II had serum-25(OH)D<50 nmol/l. Serum-25(OH)D was higher in prescribed vitamin D users than nonusers (P=0.001) and in Iranians than Arab women (P=0.001; Part-I). Mean (s.d.) serum-25(OH)D increased in all groups (time effect, P<0.001) and differed between groups (time × dosage interaction, P<0.001; 50,000 IU: from 44.0±16.0 to 70.0±15.0 nmol/l; 100,000 IU: 48.0±11.0 to 82.0±17.0 nmol/l; placebo: 45.0±18.0 to 54.0±18.0 nmol/l). Only 32% and 67% achieved serum-25(OH)D⩾75 nmol/l with 50,000 and 100,000 IU/month, respectively. Predictors of 6-month change in serum-25(OH)D were dose (B-coefficient±s.e.; 14.1±2.4, P<0.001), baseline serum-25(OH)D (-0.6±0.1, P<0.001) and body fat percentage (-0.7±0.3, P=0.01). Vitamin D deficiency/insufficiency is highly prevalent in this population. Monthly 100,000 IU vitamin D for 6 months is more effective than 50,000 IU in achieving serum-25(OH)D ⩾75 nmol/l; however, a third of women still did not achieve these levels.

Strong states in a troubled region: anatomies of a Middle Eastern regional conflict formation

NARCIS (Netherlands)

Leenders, R.; Harpviken, K.B.

2010-01-01

This article calls for closer attention to the Middle East in the wider debate on the purported rise of new modes of armed conflict following the end of the Cold War, particularly in relation to the notion of ‘regional conflict formations’ (RCFs). In so doing, it presents and analyses three main

The chronology of Volga Bulgaria antiquities within medieval migrations system of Eastern Europe

Directory of Open Access Journals (Sweden)

Kazakov Evgeniy P.

2014-09-01

Full Text Available Based on the author's cultural-chronological stratigraphy of the antiquities of the early and pre-Mongol Volga Bulgars in the 8th through to 13th centuries, the stages of their migration from the north-eastern provinces of the Saltov culture territory to the Middle Volga region have been singled out. It is assumed that in the history of the Middle Volga region, there were two main waves of Turkification: the first was associated with the population of the post-Hunnish circle (the Khazars, the Oghuz, the Bulgars, while the second wave was represented by the Late Turkic (Kipchak? population. However, the interaction of Volga Bulgaria with its ancestral home in the framework of the Saltov culture and the Khazar Khaganate had lasted for several centuries, and during that time, a number of migration waves on a smaller scale, in particular after the defeat of Khazaria, occurred in the Middle Volga region. For about 600 years, the Bulgars had been maintaining contacts with the Ugrians, the Volga-Uralic Finns, and the Slavs.

Achieving the Middle Ground in an Age of Concentrated Extremes: Mixed Middle-Income Neighborhoods and Emerging Adulthood

OpenAIRE

SAMPSON, ROBERT J.; MARE, ROBERT D.; PERKINS, KRISTIN L.

2015-01-01

This article focuses on stability and change in “mixed middle-income” neighborhoods. We first analyze variation across nearly two decades for all neighborhoods in the United States and in the Chicago area, particularly. We then analyze a new longitudinal study of almost 700 Chicago adolescents over an 18-year span, including the extent to which they are exposed to different neighborhood income dynamics during the transition to young adulthood. The concentration of income extremes is persisten...

Emerging influenza virus: A global threat

Indian Academy of Sciences (India)

PRAKASH KUMAR

Emerging influenza virus: A global threat. 475. J. Biosci. ... pathogens and are of major global health concern. Recently, ..... cases among persons in 14 countries in Asia, the Middle ... of influenza, investment in pandemic vaccine research and.

Emergency transportation interventions for reducing adverse pregnancy outcomes in low- and middle-income countries: a systematic review protocol.

Science.gov (United States)

Ehiri, John; Alaofè, Halimatou; Asaolu, Ibitola; Chebet, Joy; Esu, Ekpereonne; Meremikwu, Martin

2018-04-25

Transportation interventions seek to decrease delay in reaching a health facility for emergency obstetric care and are, thus, believed to contribute to reductions in such adverse pregnancy and childbirth outcomes as maternal deaths, stillbirths, and neonatal mortality in low- and middle-income countries (LMICs). However, there is limited empirical evidence to support this hypothesis. The objective of the proposed review is to summarize and critically appraise evidence regarding the effect of emergency transportation interventions on outcomes of labor and delivery in LMICs. The following databases will be searched from inception to March 31, 2018: MEDLINE/PubMed, EMBASE, Web of Science, EBSCO (PsycINFO and CINAHL), the Cochrane Pregnancy and Child Birth Group's Specialized Register, and the Cochrane Central Register of Controlled Trials. We will search for studies in the grey literature through Google and Google Scholar. We will solicit unpublished reports from such relevant agencies as United Nations Fund for Population Activities (UNFPA), the World Health Organization (WHO), the United Nations Children's Fund (UNICEF), the United States Agency for International Development (USAID), and the United Kingdom Department for International Development (DfID) among others. Data generated from the search will be managed using Endnote Version 7. We will perform quantitative data synthesis if studies are homogenous in characteristics and provide adequate outcome data for meta-analysis. Otherwise, data will be synthesized, using the narrative synthesis approach. Among the many barriers that women in LMICs face in accessing life-saving interventions during labor and delivery, lack of access to emergency transportation is particularly important. This review will provide a critical summary of evidence regarding the impact of transportation interventions on outcomes of pregnancy and childbirth in LMICs. PROSPERO CRD42017080092.

The late Middle Devonian fauna of Red Hill I, Nevada, and its paleobiogeographic implications

Directory of Open Access Journals (Sweden)

H.-P. Schultze

2010-08-01

Full Text Available The fauna of the Middle Devonian Red Hill I locality, Nevada, is unusual in the co-occurrence of a rich fish assemblage with a rich invertebrate one. Sponges are second in abundance of specimens and number of species only to the fishes and occur together with other invertebrates (conodonts, conulariids, dacryoconarid tentaculites, gastropods, bivalves, brachiopods, arthropods, and unidentifiable ammonoids and echinoderms. The invertebrates indicate a marine depositional paleoenvironment. The conodonts indicate a placement within the lower disparalis Zone, late Givetian. The fish assemblage is dominated by the antiarch Asterolepis. All the other fishes, acanthodians, actinopterygians and sarcopterygians, are less common. The closest biogeographic relationship of the fish fauna is with the Middle/Late Devonian fish fauna of the Baltic Region, followed by that of eastern Canada (Miguasha, Scotland and Iran. This distribution corresponds to the Devonian Euramerica faunal province with connection to eastern Gondwana (Iran and Australia. Localities with the same genera as Red Hill I are interpreted as marine with the exception of the Scottish localities. Asterolepis is the most widely distributed vertebrate genus, mostly marine, but it may be able to enter freshwater like Eusthenopteron if one accepts a freshwater depositional paleoenvironment for the Scottish localities. doi:10.1002/mmng.201000001

Positive response of Indian summer rainfall to Middle East dust

KAUST Repository

Jin, Qinjian

2014-06-02

Using observational and reanalyses data, we investigated the impact of dust aerosols over the Middle East and the Arabian Sea (AS) on the Indian summer monsoon (ISM) rainfall. Satellite and aerosol reanalysis data show extremely heavy aerosol loading, mainly mineral dust, over the Middle East and AS during the ISM season. Multivariate empirical orthogonal function analyses suggest an aerosol-monsoon connection. This connection may be attributed to dust-induced atmospheric heating centered over the Iranian Plateau (IP), which enhances the meridional thermal contrast and strengthens the ISM circulation and rainfall. The enhanced circulation further transports more dust to the AS and IP, heating the atmosphere (positive feedback). The aerosols over the AS and the Arabian Peninsula have a significant correlation with rainfall over central and eastern India about 2 weeks later. This finding highlights the nonlocal radiative effect of dust on the ISM circulation and rainfall and may improve ISM rainfall forecasts. © 2014. American Geophysical Union. All Rights Reserved.

Positive response of Indian summer rainfall to Middle East dust

KAUST Repository

Jin, Qinjian; Wei, Jiangfeng; Yang, Zong-Liang

2014-01-01

Using observational and reanalyses data, we investigated the impact of dust aerosols over the Middle East and the Arabian Sea (AS) on the Indian summer monsoon (ISM) rainfall. Satellite and aerosol reanalysis data show extremely heavy aerosol loading, mainly mineral dust, over the Middle East and AS during the ISM season. Multivariate empirical orthogonal function analyses suggest an aerosol-monsoon connection. This connection may be attributed to dust-induced atmospheric heating centered over the Iranian Plateau (IP), which enhances the meridional thermal contrast and strengthens the ISM circulation and rainfall. The enhanced circulation further transports more dust to the AS and IP, heating the atmosphere (positive feedback). The aerosols over the AS and the Arabian Peninsula have a significant correlation with rainfall over central and eastern India about 2 weeks later. This finding highlights the nonlocal radiative effect of dust on the ISM circulation and rainfall and may improve ISM rainfall forecasts. © 2014. American Geophysical Union. All Rights Reserved.

Factors influencing emergency nurses' ethical problems during the outbreak of MERS-CoV.

Science.gov (United States)

Choi, Jeong-Sil; Kim, Ji-Soo

2018-05-01

Whenever there has been a worldwide contagious disease outbreak, there have been reports of infection and death of healthcare workers. Particularly because emergency nurses have contact with patients on the front line, they experience ethical problems in nursing while struggling with infectious diseases in an unfavorable environment. The objective of this study was to explore emergency nurses' ethical problems and to identify factors influencing these problems during the outbreak of Middle East respiratory syndrome-coronavirus in Korea. For this cross-sectional study, a questionnaire survey was conducted with emergency nurses working in six hospitals selected through convenience sampling from the hospitals designated for Middle East respiratory syndrome-coronavirus patients in the capital area. Data were collected from 169 emergency nurses in Korea during August 2015. Ethical considerations: This research was approved by the Institutional Review Board of G University in Korea. The findings of this study suggest that during the Middle East respiratory syndrome-coronavirus outbreak, emergency nurses experienced ethical problems tied to a mind-set of avoiding patients. Three factors were found to influence emergency nurses' ethical problems (in order of influence): cognition of social stigmatization, level of agreement with infection control measures, and perceived risk. Through this study, we obtained information on emergency nurses' ethical problems during the Middle East respiratory syndrome-coronavirus outbreak and identified the factors that influence them. As found in this study, nurses' ethical problems were influenced most by cognitions of social stigmatization. Accordingly, to support nurses confidently care for people during future health disasters, it is most urgent to promote appropriate public consciousness that encourages healthcare workers.

Emerging and Re-Emerging Zoonoses of Dogs and Cats

Directory of Open Access Journals (Sweden)

Bruno B. Chomel

2014-07-01

Full Text Available Since the middle of the 20th century, pets are more frequently considered as “family members” within households. However, cats and dogs still can be a source of human infection by various zoonotic pathogens. Among emerging or re-emerging zoonoses, viral diseases, such as rabies (mainly from dog pet trade or travel abroad, but also feline cowpox and newly recognized noroviruses or rotaviruses or influenza viruses can sicken our pets and be transmitted to humans. Bacterial zoonoses include bacteria transmitted by bites or scratches, such as pasteurellosis or cat scratch disease, leading to severe clinical manifestations in people because of their age or immune status and also because of our closeness, not to say intimacy, with our pets. Cutaneous contamination with methicillin-resistant Staphylococcus aureus, Leptospira spp., and/or aerosolization of bacteria causing tuberculosis or kennel cough are also emerging/re-emerging pathogens that can be transmitted by our pets, as well as gastro-intestinal pathogens such as Salmonella or Campylobacter. Parasitic and fungal pathogens, such as echinococcosis, leishmaniasis, onchocercosis, or sporotrichosis, are also re-emerging or emerging pet related zoonoses. Common sense and good personal and pet hygiene are the key elements to prevent such a risk of zoonotic infection.

Sustainability Measures of Urban Public Transport in Cities: A World Review and Focus on the Asia/Middle East Region

Directory of Open Access Journals (Sweden)

Chris De Gruyter

2016-12-01

Full Text Available Previous studies of public transport sustainability in cities have been very limited to date, particularly in more developing countries located throughout Asia and the Middle East. This paper assesses the sustainability of urban public transport systems in cities by adopting a quantitative measurement framework containing 15 public transport sustainability indicators. It compares aggregate sustainability performance of urban public transport in international regions of cities, and then examines the relative sustainability of selected cities in the Asia and Middle East region. The world region analysis shows that Eastern Europe, Asia, and Latin America achieve the highest aggregate normalised scores for sustainable public transport, in that order. In general, the results suggest that western developed countries (Western Europe, North America, and Oceania have better performance on environmental and social indicators but poorer performance on system effectiveness and economic indicators. Asia and Latin America perform the other way round; better on economic and system effectiveness and worse on social and environmental indicators. Eastern Europe is one of the few regions with higher level performance all round. The city-based analysis of Asia/Middle East suggested that out of the 26 cities studied, the top 3 cities in terms of sustainable public transport in the Asia and Middle East Region are: 1st, Manila (Philippines; 2nd, Tokyo (Japan; and 3rd, Chennai (India. Dubai (United Arab Emirates (UAE, rated 26th, Shizuoka (Japan, rated 25th and Kuala Lumpur (Malaysia, rated 24th were the lowest rated cities. The paper explores the implications of the findings and makes suggestions for future research.

Implementing complex innovations: factors influencing middle manager support.

Science.gov (United States)

Chuang, Emmeline; Jason, Kendra; Morgan, Jennifer Craft

2011-01-01

Middle manager resistance is often described as a major challenge for upper-level administrators seeking to implement complex innovations such as evidence-based protocols or new skills training. However, factors influencing middle manager support for innovation implementation are currently understudied in the U.S. health care literature. This article examined the factors that influence middle managers' support for and participation in the implementation of work-based learning, a complex innovation adopted by health care organizations to improve the jobs, educational pathways, skills, and/or credentials of their frontline workers. We conducted semistructured interviews and focus groups with 92 middle managers in 17 health care organizations. Questions focused on understanding middle managers' support for work-based learning as a complex innovation, facilitators and barriers to the implementation process, and the systems changes needed to support the implementation of this innovation. Factors that emerged as influential to middle manager support were similar to those found in broader models of innovation implementation within the health care literature. However, our findings extend previous research by developing an understanding about how middle managers perceived these constructs and by identifying specific strategies for how to influence middle manager support for the innovation implementation process. These findings were generally consistent across different types of health care organizations. Study findings suggest that middle manager support was highest when managers felt the innovation fit their workplace needs and priorities and when they had more discretion and control over how it was implemented. Leaders seeking to implement innovations should consider the interplay between middle managers' control and discretion, their narrow focus on the performance of their own departments or units, and the dedication of staff and other resources for empowering their

A systematic search for linkage with nonsyndromic recessive deafness in two large Middle Eastern inbred kindreds excludes more than 30% of the genome

Energy Technology Data Exchange (ETDEWEB)

Weiss, S.; Korostishevsky, M. [Sackler Faculty of Medicine, Ramat-Aviv (Israel); Frydman, M. [Haim Sheba Medical Center, Tel-Hashomer (Israel)] [and others

1994-09-01

It has been estimated that as many as 35 loci may individually cause autosomal recessive non-syndromic deafness. The extreme genetic heterogeneity, limited clinical differentiation and phenotypic assortative mating in many western countries make many families unsuitable for genetic linkage studies. Recently the first of those loci was mapped (to 13q) in two consanguineous families from northern Tunisia. We are studying two large highly consanguineous Middle Eastern kindreds (a total of 26 deaf in 98 sampled individuals). Examination in each family showed no evidence of clinical heterogeneity and indicated an uncomplicated profound bilateral sensorineural deafness. We have been able to exclude the 13q locus as the cause of deafness in each kindred and have also excluded such `candidate` loci as regions as those causing Usher`s syndrome type 1 (11q13)(11p), Usher`s syndrome type II (1q32-q41), Waardenburg syndrome type I (2q37), branchio-oto-renal syndrome (8q12-q13), Monge`s deafness (5q31), and Treacher Collins syndrome (5q31.3-q33.3). To date, no lod scores greater than 1 have been obtained in either kindred using 150 RFLT`s, VNTR`s and highly polymorphic microsatellite markers (CA repeats and tetranucleotides). By Morton`s criterion a minimum of 30% of the autosomal genome can be excluded for each kindred separately.

The Early-Middle bronze ages tombs from the Kartal fortress

Directory of Open Access Journals (Sweden)

Igor Bruiako

2017-09-01

Full Text Available The burials of Early- and Middle Bronze Age discovered by excavations of Kartal hill fort are analyzed in this article. One part of them belongs to the Pit-Grave Culture (later period, another – to the Culture Mnogovalikovaja. Allburials aresituated in the vicinity of ancient site, abandoned during the most part of the Bronze Age. The part of Pit-Grave burials representsflat/ pitgraves (non-kurgan. We assume that the seasonal settlement was located here in some periods of Bronze Age, while in the steppe of Eastern Europe dominated the populations of cattle-breeders.

Physicomechanical parameters of sedimentary rocks in eastern Sichuan, China

International Nuclear Information System (INIS)

Guo, Jian; Sun, Yan; Shu, Liangshu; Zhu, Wenbin; Wang, Feng; Li, Benliang; Liu, Deliang

2009-01-01

Rock samples were collected and selected from the sedimentary covering strata from Cambrian to Jurassic in eastern Sichuan, China, which belongs to the Upper Yangtze plate. Physicomechanical parameters were measured systematically. Based on parametric texture characteristics and observation data of geology, five regional layer-slip systems are derived. The five layer-slip systems correspond to five reservoir–cover systems, as the incompetent beds correspond to cover beds and the competent beds to reservoir beds. In comparison with the Middle and Lower Yangtze plates, the physicomechanical parameters, lithologic composition and structural characteristics are basically similar to the Upper Yangtze plate. This comparison offers some insight into the oil and gas reservoir–cover systems in the region

Religious Broadcasting in the Middle East : Content Analysis of ...

International Development Research Centre (IDRC) Digital Library (Canada)

Over the past decade, television broadcasting has become central in shaping public attitudes in the Middle East. Against a backdrop of authoritarian governments, political instability, war and pervasive foreign military intervention, broadcasting has emerged as a platform for expressing views and opinions that might ...

Snake fungal disease: an emerging threat to wild snakes.

Science.gov (United States)

Lorch, Jeffrey M; Knowles, Susan; Lankton, Julia S; Michell, Kathy; Edwards, Jaime L; Kapfer, Joshua M; Staffen, Richard A; Wild, Erik R; Schmidt, Katie Z; Ballmann, Anne E; Blodgett, Doug; Farrell, Terence M; Glorioso, Brad M; Last, Lisa A; Price, Steven J; Schuler, Krysten L; Smith, Christopher E; Wellehan, James F X; Blehert, David S

2016-12-05

Since 2006, there has been a marked increase in the number of reports of severe and often fatal fungal skin infections in wild snakes in the eastern USA. The emerging condition, referred to as snake fungal disease (SFD), was initially documented in rattlesnakes, where the infections were believed to pose a risk to the viability of affected populations. The disease is caused by Ophidiomyces ophiodiicola, a fungus recently split from a complex of fungi long referred to as the Chrysosporium anamorph of Nannizziopsis vriesii (CANV). Here we review the current state of knowledge about O. ophiodiicola and SFD. In addition, we provide original findings which demonstrate that O. ophiodiicola is widely distributed in eastern North America, has a broad host range, is the predominant cause of fungal skin infections in wild snakes and often causes mild infections in snakes emerging from hibernation. This new information, together with what is already available in the scientific literature, advances our knowledge of the cause, pathogenesis and ecology of SFD. However, additional research is necessary to elucidate the factors driving the emergence of this disease and develop strategies to mitigate its impacts.This article is part of the themed issue 'Tackling emerging fungal threats to animal health, food security and ecosystem resilience'. © 2016 The Author(s).

Bats (Mammalia: Chiroptera) of the Eastern Mediterranean and Middle East. Part 10. Bat fauna of Iran

Czech Academy of Sciences Publication Activity Database

Benda, P.; Faizolahi, K.; Andreas, M.; Obuch, J.; Reiter, A.; Ševčík, M.; Uhrin, M.; Vallo, Peter; Ashrafi, S.

2012-01-01

Roč. 76, 3-4 (2012), s. 163-562 ISSN 1211-376X Institutional support: RVO:68081766 Keywords : distribution * ecology * echolocation * ectoparasites * Chiroptera * Iran * Middle East * Palaearctic Subject RIV: EG - Zoology

Country of birth modifies the association of fatty liver index with insulin action in Middle Eastern immigrants to Sweden.

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Bennet, Louise; Groop, Leif; Franks, Paul W

2015-10-01

Non-alcohol fatty liver disease (NAFLD) is a strong risk factor for insulin resistance and type 2 diabetes. The prevalence of NAFLD varies across populations of different ethnic backgrounds but the prevalence in Middle Eastern populations, which are at high risk of type 2 diabetes, is largely unknown. Using fatty liver index (FLI) as a proxy for NAFLD the aim was to calculate the odds of NAFLD (FLI≥70) given country of origin and further to investigate the associations between ISI and FLI. In 2010-2012 we conducted a population-based study of individuals aged 30-75 years born in Iraq or Sweden, in whom anthropometrics, fasting blood samples and oral glucose tolerance tests were performed and sociodemography and lifestyle behaviors characterized. A higher proportion of Iraqis (N=1085) than Swedes (N=605) had a high probability of NAFLD (FLI≥70, 32.5 vs. 22.6%, p<0.001, age- and sex-adjusted data) and ISI was more severely impaired (70.7 vs. 95.9%, p<0.001). Independently of traditional risk factors for NAFLD, being born in Iraqi increased the risk of FLI≥70 (OR 1.59: 95% CI 1.15, 2.20). Furthermore, country of birth presented a stronger association between ISI and FLI≥70 in Iraqis than in Swedes (P(interaction)=0.019). Our data indicate that immigrants from Iraq are at higher risk of NAFLD. The finding that country of birth modifies the relationship of FLI with ISI, suggests that liver fat may be a stronger determinant of impaired insulin action and increased risk of type 2 diabetes in Iraqis than in Swedes. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Bridging the divide: Middle Eastern walls and fences and the spatial governance of problem populations

NARCIS (Netherlands)

Pallister-Wilkins, P.

2015-01-01

Building on a long history of spatial control through walling in the region, walls and fences have been built in the Middle East in recent years to undertake a range of practices. Gated communities, residential and security compounds, anti-migrant walls, separation barriers and counter-insurgency

System for radiation emergency medicine. Activities of tertiary radiation emergency hospitals

International Nuclear Information System (INIS)

Kamiya, Kenji; Tanigawa, Koichi; Hosoi, Yoshio

2011-01-01

Japanese system for radiation emergency medicine is primarily built up by Cabinet Nuclear Safety Commission in 2001 based on previous Tokai JCO Accident (1999) and is composed from the primary, secondary and tertiary medical organizations. This paper describes mainly about roles and actions of the tertiary facilities at Fukushima Nuclear Power Plant Accident and tasks to be improved in future. The primary and secondary organizations in the system above are set up in the prefectures with or neighboring the nuclear facility, and tertiary ones, in two parts of western and eastern Japan. The western organization is in Hiroshima University having its cooperating 7 hospitals, and is responsible for such patients as exposed to high dose external radiation, having serious complication, and difficult to treat in the primary/secondary hospitals. The eastern is in National Institute of Radiological Sciences (NIRS) with 6 cooperating hospitals and responsible for patients with internal radiation exposure difficult to treat, with contaminated body surface with difficulty in decontamination and/or with causable of secondary contamination, and difficult to treat in the secondary hospitals. The tertiary organizations have made efforts for the education and training of medical staff, for network construction among the primary, secondary and other medicare facilities, for establishment of transferring system of patients, and for participation to the international network by global organizations like Response Assistance Network (RANET) in International Atomic Energy Agency (IAEA), and Radiation Emergency Preparedness and Network (REMPAN) in World Health Organization (WHO). At the Fukushima Accident, staffs of the two tertiary hospitals began to conduct medicare on site (Mar. 12-) and learned following tasks to be improved in future: the early definition of medicare and its network system, and Emergency Planning Zone (EPZ); urgent evacuation of residents weak to disaster like elderly

Strategic positioning of the ERATOSTHENES Research Centre for atmospheric remote sensing research in the Eastern Mediterranean and Middle East region

Science.gov (United States)

Mamouri, Rodanthi-Elisavet; Ansmann, Albert; Hadjimitsis, Diofantos G.; Nisantzi, Argyro; Bühl, Johannes; Michaelides, Silas; Seifert, Patric; Engelmann, Ronny; Wandinger, Ulla; Kontoes, Charalampos; Schreier, Gunter; Komodromos, Georgios; Themistocleous, Kyriacos

2017-10-01

The aim of this article is to present the importance of a permanent state-of-the-art atmospheric remote sensing ground based station in the region of the Eastern Mediterranean and Middle East (EMME). The ERATOSTHENES Research Centre (ERC) with the vision to become a Centre of Excellence for Earth Surveillance and Space-Based Monitoring of the Environment (EXCELSIOR H2020: Teaming project) already operates (within Phase 1) a fully established EARLINETt-Cloudnet supersite at Limassol, Cyprus, for a period of 2 years, in close collaboration with the German Leibniz Institute for Tropospheric Research (TROPOS), The scientific aspects of this prototype-like field campaign CyCARE (Cyprus Cloud Aerosol and Rain Experiment) - a common initiative between the Cyprus University of Technology (CUT), Limassol and TROPOS- are presented in this paper. Cy-CARE has been designed by TROPOS and CUT to fill a gap in the understanding of aerosol-cloud interaction in one of the key regions of climate change and how precipitation formation is influenced by varying aerosol/pollution and meteorological conditions The guiding questions are: How may rain patterns change in future and what may be the consequences of climate change in arid regions such as EMME. EXCELSIOR is a team effort between CUT (acting as the coordinator), the German Aerospace Centre (DLR), the Institute for Astronomy and Astrophysics Space Applications and Remote Sensing of the National Observatory of Athens (NOA), TROPOS and the Cyprus Department of Electronic Communications of the Ministry of Transport, Communications and Works (DEC-MTCW) who will work together to improve the network structures significantly, resulting in Cyprus being regarded as a cornerstone of a European Network of active remote sensing of the atmosphere.

Terrorists or cowards: negative portrayals of male Syrian refugees in social media

OpenAIRE

Rettberg, Jill Walker; Gajjala, Radhika

2015-01-01

This paper examines images and words shared on the Twitter hashtag #refugeesNOTwelcome to understand the portrayal of male Syrian refugees in a post-9/11 context where the Middle-Eastern male is often primarily cast as a potential terrorist. Queer theorist Jasbir Puar (2007) and Middle- East scholar Paul Amar (2011) provide us with a theoretical approach to make sense of the contradictions we see emerging in this social media context.

The Re-Emergence and Emergence of Vector-Borne Rickettsioses in Taiwan

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Nicholas T. Minahan

2017-12-01

Full Text Available Rickettsial diseases, particularly vector-borne rickettsioses (VBR, have a long history in Taiwan, with studies on scrub typhus and murine typhus dating back over a century. The climatic and geographic diversity of Taiwan’s main island and its offshore islands provide many ecological niches for the diversification and maintenance of rickettsiae alike. In recent decades, scrub typhus has re-emerged as the most prevalent type of rickettsiosis in Taiwan, particularly in eastern Taiwan and its offshore islands. While murine typhus has also re-emerged on Taiwan’s western coast, it remains neglected. Perhaps more alarming than the re-emergence of these rickettsioses is the emergence of newly described VBR. The first case of human infection with Rickettsia felis was confirmed in 2005, and undetermined spotted fever group rickettsioses have recently been detected. Taiwan is at a unique advantage in terms of detecting and characterizing VBR, as it has universal health coverage and a national communicable disease surveillance system; however, these systems have not been fully utilized for this purpose. Here, we review the existing knowledge on the eco-epidemiology of VBR in Taiwan and recommend future courses of action.

Search Results | Page 18 | IDRC - International Development ...

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Results 171 - 180 of 260 ... ... West Indies filter · United Kingdom 108 Apply United Kingdom filter ... It promotes economic research on inclusive sustainable ... The past century has witnessed disruptions in Middle Eastern politics, economics, ... This project will explore the experiences of emerging and developing countries in ...

The Origin of the Name of the City of Derbent and the Toponymy of the Surrounding Area in the Context of Ethnolinguistic Situation in the Early Middle Ages

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Garun-Rashid Abdul-Kadyrovich Guseynov

2014-12-01

Full Text Available Founded in 438 and included on the World Heritage List in 2003, the ancient city of Derbent emerged in the area which, by the time of its foundation, was known under various names which belong, as it is shown in the paper, to different Bulgar (Turkic languages: province of Chor, Ζουάρ-ος fortress, Chora / Djora way, Τζοΰρ, city of Chora, Chola / Choga / Chol, gate of Chola / Choga, province of Sul. These dialectal place names meaning ʻsteep bank, precipiceʼ meet the localization of the city in a narrow passageway between the Greater Caucasus and the Caspian Sea. The author argues that all etymologies of the considered oikonyms and horonyms based on linguistic data other than Bulgar should be recognized as inadequate. Their Bulgar origin is supported by the toponymic landscape and the names of the peoples who lived within its borders in the early Middle Ages. The existence of toponymic parallels outside the region in question is explained by the migration, in the first centuries AD, of the Bulgars from the North-Eastern Caucasus and Dagestan to Eastern and Southern Europe — the Volga region, the Balkans and Crimea.

Skate Bathyraja spp. egg predation in the eastern Bering Sea.

Science.gov (United States)

Hoff, G R

2009-01-01

Predation on skate eggs by snails was examined for three skate species at seven nursery sites in three regions (north, middle and south) of the eastern Bering Sea. Mean predation levels were 6.46% for the Alaska skate Bathyraja parmifera, 2.65% for the Aleutian skate Bathyraja aleutica and 22.25% for the Bering skate Bathyraja interrupta. Predation levels were significantly higher at the middle and north sites than the south sites for all species combined. Predation levels decreased with increasing egg-case densities at all nursery sites, and the highest predation levels occurred where egg-case densities were very low. Predated egg-case density increased with increasing snail densities across all nursery sites examined. The Oregon triton Fusitriton oregonensis was the most abundant snail species at all nursery sites and displayed ability to drill holes in the egg case of B. parmifera. Holes left by predatory snails in egg cases of B. parmifera were significantly larger, and of different shape at the middle site compared to the south site. Holes in B. parmifera were also significantly larger than those in egg cases of B. interrupta across all sites examined. Egg cases of B. aleutica possess surface spines that cover the egg case and may inhibit predation by snails at a greater rate than that of the B. parmifera and B. interrupta, which have a smoother egg-case surface.

The Amazon-Laurentian connection as viewed from the Middle Proterozoic rocks in the central Andes, western Bolivia and northern Chile

Science.gov (United States)

Tosdal, R.M.

1996-01-01

Middle Proterozoic rocks underlying the Andes in western Bolivia, western Argentina, and northern Chile and Early Proterozoic rocks of the Arequipa massif in southern Peru?? from the Arequipa-Antofalla craton. These rocks are discontinuously exposed beneath Mesozoic and Cenozoic rocks, but abundant crystalline clasts in Tertiary sedimentary rocks in the western altiplano allow indirect samples of the craton. Near Berenguela, western Bolivia, the Oligocene and Miocene Mauri Formation contains boulders of granodiorite augen gneiss (1171??20 Ma and 1158??12 Ma; U-Pb zircon), quartzose gneiss and granofels that are inferred to have arkosic protoliths (1100 Ma source region; U-Pb zircon), quartzofeldspathic and mafic orthogneisses that have amphibolite- and granulite-facies metamorphic mineral assemblages (???1080 Ma metamorphism; U-Pb zircon), and undeformed granitic rocks of Phanerozoic(?) age. The Middle Proterozoic crystalline rocks from Berenguela and elsewhere in western Bolivia and from the Middle Proterozoic Bele??n Schist in northern Chile generally have present-day low 206Pb/204Pb ( 15.57), and elevated 208Pb/204Pb (37.2 to 50.7) indicative of high time-averaged Th/U values. The Middle Proterozoic rocks in general have higher presentday 206Pb/204Pb values than those of the Early Proterozoic rocks of the Arequipa massif (206Pb/204Pb between 16.1 and 17.1) but lower than rocks of the southern Arequipa-Antofalla craton (206Pb/204Pb> 18.5), a difference inferred to reflect Grenvillian granulite metamorphism. The Pb isotopic compositions for the various Proterozoic rocks lie on common Pb isotopic growth curves, implying that Pb incorporated in rocks composing the Arequipa-Antofalla craton was extracted from a similar evolving Pb isotopic reservoir. Evidently, the craton has been a coherent terrane since the Middle Proterozoic. Moreover, the Pb isotopic compositions for the Arequipa-Antofalla craton overlap those of the Amazon craton, thereby supporting a link

Blended-Format Professional Development and the Emergence of Communities of Practice

Science.gov (United States)

Hodges, Thomas E.; Cady, JoAnn

2013-01-01

In this paper, we draw on Wenger's (1998) conception of communities of practice to observe the emergence of a community of practice among middle grades mathematics teachers who participated in a two-year blended-format (online synchronous, online asynchronous, and face to face) professional development program designed to increase middle-grades…

Captagon: use and trade in the Middle East.

Science.gov (United States)

Al-Imam, Ahmed; Santacroce, Rita; Roman-Urrestarazu, Andres; Chilcott, Robert; Bersani, Giuseppe; Martinotti, Giovanni; Corazza, Ornella

2017-05-01

Fenetheylline, a psychostimulant drug, often branded as Captagon, is a combination of amphetamine and theophylline. Since the cessation of its legal production in 1986, counterfeited products have been produced illicitly in south-east Europe and far-east Asia. Its profitable trade has been linked to terrorist organizations, including Islamic State of Iraq and the Levant. This study aims to reach up-to-date data, concerning the Captagon e-commerce and use in the Middle East. A multi-staged and multi-lingual literature search was carried out. A list of prespecified keywords was applied across medical and paramedical databases, web and Dark web, search engines, social communication media, electronic commerce websites, media networks, and the Global Public Health Intelligence Network database. The use of Captagon as a stimulant in terrorist settings has been marginally covered in the literature. Data can widely be retrieved from Google and AOL search engines, YouTube, and Amazon e-commerce websites, and to a lesser extent from Alibaba and eBay. On the contrary, Middle Eastern e-commerce websites yielded almost no results. Interestingly, the Dark web generated original data for Captagon e-commerce in the Middle East. Further investigations are needed on the role that psychoactive drugs play in terrorist attacks and civil war zones. Unless a comprehensive methodological strategy, inclusive of unconventional methods of research, is implemented, it will not be feasible to face such a threat to humanity. Copyright © 2016 John Wiley & Sons, Ltd.

Heavy Drinking and Social and Health Factors in University Students from 24 Low, Middle Income and Emerging Economy Countries.

Science.gov (United States)

Peltzer, Karl; Pengpid, Supa

2016-02-01

The aim of this study was to investigate heavy drinking and social and health correlates in university students in low, middle income and emerging economy countries. Using anonymous questionnaires, data were collected in a cross-sectional survey of 17,590 undergraduate university students (mean age 20.8, SD 2.9) from 25 universities in 24 countries across Asia, Africa and the Americas. Overall, 71.6 % were non-drinkers, 17.1 % moderate and 11.3 % heavy alcohol drinkers (14.2 % in men and 9.2 % in women) in the past 2 weeks. In a multivariate logistic regression analysis, older age, poorer family background, living in a higher income country, weak beliefs in the importance of limiting alcohol use, higher country per capita alcohol consumption, other substance use (tobacco and illicit drug use), and poor life satisfaction was associated with heavy drinking. Addressing health beliefs and co-occurring addictive behaviors may be crucial in the prevention of heavy drinking in this population.

A review of the political situation in Eastern Galicia at the time appearance and operation of trade unions

Directory of Open Access Journals (Sweden)

I. R. Berest

2014-05-01

Full Text Available Discusses the political situation in the society of Eastern Galicia last quarter of XVIII­XIX centuries, which gave the economic push and social background and working organizations for the purpose of its existence, put the problem of social protection of workers, which became a basis of formation of the first trade unions in the Ukrainian lands. On the basis of the documents given to the assessment of the reform of the Austrian Imperial house, contributing to the emergence and development of new trade unions, and the emergence of the Galician elite that his actions contributed to the formation of the intellectuals in the middle of the XIX century. Ukrainian national movement grows from cultural to political. Awareness of own goals and self­sufficiency dictated Ukrainian leaders the need to develop self, separate from the Polish influence the course. At the same time, the limited capacity of the Ukrainian elite and its social base has not yet been possible to establish a permanent representative body, who defended the interests of Ukrainians in Galicia. In General, the existing system of international relations found its clear expression in many areas of public and political life, including in the working environment, which had a crucial influence on the formation of trade unions, at the same time, defined the strategy and tactics of political forces in the political life, the integral part of which, undoubtedly, there were trade unions.

Regional Fears of Western Primacy and the Future of U.S. Middle Eastern Basing Policy

Science.gov (United States)

2006-12-01

8, 2006, internet. 166. “ Green Energy Gambit,” The Pearl (Magazine of the State of Qatar), March 2005, p. 4. 167. Michael R. Gordon and Lieutenant...The Middle East, October 2005, pp. 16-17. 259. Hamad Bin Isa al Khalifa, First Light: Modern Bahrain and Its Heritage, London and New York: Kegan

Negotiating the Confluence: Middle-Eastern, Immigrant, Sexual-Minority Men and Concerns for Learning and Identity

Science.gov (United States)

Eichler, Matthew A.; Mizzi, Robert C.

2013-01-01

Sexual-minority male immigrants re-locating from the Middle East to the United States and Canada have particular experiences upon entry and integration into their new societies. The needs of learning and identity are highlighted through a multiple case approach involving three men. Interviews were conducted with the three participants, which were…

Sedentary lifestyle and emergence of hopelessness in middle-aged men.

Science.gov (United States)

Valtonen, Maarit; Laaksonen, David E; Laukkanen, Jari; Tolmunen, Tommi; Rauramaa, Rainer; Viinamäki, Heimo; Mursu, Jaakko; Savonen, Kai; Lakka, Timo A; Niskanen, Leo; Kauhanen, Jussi

2010-10-01

A sedentary lifestyle and psychosocial factors such as hopelessness and depression increase cardiovascular risk. Cross-sectional evidence suggests positive effects of physical exercise on psychological well being, but the time order of the relationship between physical activity and hopelessness has not been addressed. Population-based prospective cohort study with 630 middle-aged men participating in the 4-year follow-up and 509 men in the 11-year follow-up. We investigated the association of leisure-time physical activity (LTPA) with the development of hopelessness during the follow-up. LTPA and hopelessness were quantified with questionnaires. In cross-sectional analyses, LTPA was inversely associated with hopelessness, independently of depression. Among men who did not have feelings of hopelessness at baseline, those who reported engaging in at least 2.5 h/week of moderate-to-vigorous physical activity had a lower risk (odds ratio 0.65, 95% confidence interval: 0.39-1.09, P for the trend=0.047) to feel hopeless than sedentary men 4 years later after adjustment for age, smoking, alcohol consumption, cardiovascular disease and socioeconomic status. Furthermore, this relationship was not explained by body mass index or maximal oxygen uptake. Adjustment for depressive symptoms slightly weakened the association (odds ratio 0.66, 95% confidence interval: 0.39-1.11, P for the trend=0.060). After 11 years, men who reported being physically active at baseline were still less likely to feel hopeless, after adjusting for age. However, after further adjustment for other confounding factors the association was no longer significant. Moderate-to-vigorous physical activity seems to prevent development of hopelessness in middle-aged men. This protective effect may diminish over time.

Snake fungal disease: An emerging threat to wild snakes

Science.gov (United States)

Lorch, Jeffrey M.; Knowles, Susan N.; Lankton, Julia S.; Michell, Kathy; Edwards, Jaime L.; Kapfer, Joshua M.; Staffen, Richard A.; Wild, Erik R.; Schmidt, Katie Z.; Ballmann, Anne; Blodgett, Doug; Farrell, Terence M.; Glorioso, Brad M.; Last, Lisa A.; Price, Steven J.; Schuler, Krysten L.; Smith, Christopher; Wellehan, James F. X.; Blehert, David S.

2016-01-01

Since 2006, there has been a marked increase in the number of reports of severe and often fatal fungal skin infections in wild snakes in the eastern USA. The emerging condition, referred to as snake fungal disease (SFD), was initially documented in rattlesnakes, where the infections were believed to pose a risk to the viability of affected populations. The disease is caused byOphidiomyces ophiodiicola, a fungus recently split from a complex of fungi long referred to as the Chrysosporium anamorph of Nannizziopsis vriesii (CANV). Here we review the current state of knowledge about O. ophiodiicola and SFD. In addition, we provide original findings which demonstrate that O. ophiodiicola is widely distributed in eastern North America, has a broad host range, is the predominant cause of fungal skin infections in wild snakes and often causes mild infections in snakes emerging from hibernation. This new information, together with what is already available in the scientific literature, advances our knowledge of the cause, pathogenesis and ecology of SFD. However, additional research is necessary to elucidate the factors driving the emergence of this disease and develop strategies to mitigate its impacts.

Frauen. Kultur. Mittel- und Osteuropa oder: Über den langsamen Einzug der gender studies in die slawistischen Kulturwissenschaften Women. Culture. Middle and Eastern Europe or: On the Slow Introduction of gender studies into the Slavonic Cultural Sciences

Directory of Open Access Journals (Sweden)

Barbara Wurm

2001-03-01

Full Text Available Der vorliegende Sammelband, entstanden anläßlich einer Konferenz, die im September 1997 vom Institut für Slawistik der Universität Innsbruck in Zusammenarbeit mit der österreichischen UNESCO-Kommission veranstaltet wurde, untersucht aus soziologischer, kulturhistorischer, literatur- und filmwissenschaftlicher Perspektive verschiedenste Aspekte der Institutionalisierung und Repräsentation von „Frauen in der Kultur“ Mittel- und Osteuropas.This anthology, the result of a conference organized in September 1997 by the Institute for Slavonic studies at the University of Innsbruck in co-operation with the Austrian UNESCO commission, examines various aspects of the institutionalization and representation of women in Middle and Eastern European culture from a sociological and cultural historical perspective and from that of literary and film sciences.

Permian arc evolution associated with Panthalassa subduction along the eastern margin of the South China block, based on sandstone provenance and U-Pb detrital zircon ages of the Kurosegawa belt, Southwest Japan

Science.gov (United States)

Hara, Hidetoshi; Hirano, Miho; Kurihara, Toshiyuki; Takahashi, Toshiro; Ueda, Hayato

2018-01-01

We have studied the petrography, geochemistry, and detrital zircon U-Pb ages of sandstones from shallow-marine forearc sediments, accretionary complexes (ACs), and metamorphosed accretionary complexes (Meta-ACs) within the Kurosegawa belt of Southwest Japan. Those rocks formed in a forearc region of a Permian island arc associated with subduction of the Panthalassa oceanic crust along the eastern margin of the South China block (Yangtze block). The provenance of the shallow-marine sediments was dominated by basaltic to andesitic volcanic rocks and minor granitic rocks during the late Middle to Late Permian. The ACs were derived from felsic to andesitic volcanic rocks during the Late Permian. The provenance of Meta-ACs was dominated by andesitic volcanic rocks in the Middle Permian. The provenance, source rock compositions, and zircon age distribution for the forearc sediments, ACs and Meta-ACs have allowed us to reconstruct the geological history of the Permian arc system of the Kurosegawa belt. During the Middle Permian, the ACs were accreted along the eastern margin of the South China block. The Middle Permian arc was an immature oceanic island arc consisting of andesitic volcanic rocks. During the Late Permian, the ACs formed in a mature arc, producing voluminous felsic to andesitic volcanic rocks. A forearc basin developed during the late Middle to Late Permian. Subsequently, the Middle Permian ACs and part of the Late Permian AC underwent low-grade metamorphism in the Late to Early Jurassic, presenting the Meta-ACs.

Poverty, Job Quality and Labor Market Dynamics in the Middle East ...

International Development Research Centre (IDRC) Digital Library (Canada)

Poverty, Job Quality and Labor Market Dynamics in the Middle East and North Africa ... This project will explore links between labour market dynamics and the quality ... public health, and health systems research relevant to the emerging crisis.

Burden of rotavirus gastroenteritis in the Middle Eastern and North African pediatric population.

Science.gov (United States)

Khoury, Hanane; Ogilvie, Isla; El Khoury, Antoine C; Duan, Yinghui; Goetghebeur, Mireille M

2011-01-07

Rotavirus gastroenteritis (RVGE) is the most common cause of severe childhood diarrhea worldwide. Objectives were to estimate the burden of RVGE among children less than five years old in the Middle East (Bahrain, Iran, Iraq, Israel, Jordan, Kuwait, Oman, Qatar, Saudi Arabia, Syria, UAE, Yemen), North Africa (Algeria, Egypt, Libya, Morocco, Tunisia) and Turkey. A comprehensive literature search was conducted in major databases on the epidemiology and burden of rotavirus among children less than five years old between 1999 and 2009. Data from each country was extracted and compared. The search identified 43 studies. RVGE was identified in 16-61% of all cases of acute gastroenteritis, with a peak in the winter. RVGE-related hospitalization rates ranged from 14% to 45%, compared to 14%-28% for non-RVGE. Annually, RVGE caused up to 112 fatalities per 100,000 in certain countries in the region. Hospitalization costs ranged from $1.8 to $4.6 million annually, depending on the country. The most recent literature available showed that G1P[8] was the most prevalent genotype combination in 8 countries (range 23%-56%). G2P[4] was most prevalent in 4 countries (26%-48%). G9P[8] and G4P[8] were also frequently detected. RVGE is a common disease associated with significant morbidity, mortality, and economic burden. Given the variety and diverse rotavirus types in the region, use of a vaccine with broad and consistent serotype coverage would be important to help decrease the burden of RVGE in the Middle East and North Africa.

Molecular phylogeny of the tribe Torini Karaman, 1971 (Actinopterygii: Cypriniformes) from the Middle East and North Africa.

Science.gov (United States)

Borkenhagen, Kai

2017-02-22

Freshwater fishes of the cyprinid tribe Torini are widespread in Africa the Middle East and Indomalaya. The relationships of Middle-Eastern Torini are analysed based on mitochondrial markers (Cyt b, ND4) of the majority of relevant species. I present a larely well resolved phylogeny, which confirms the validity of the morphologically defined genera Arabibarbus, Carasobarbus, Mesopotamichthys and Pterocapoeta. The Torini originated in Indomalaya and colonised Africa via the Middle East. Morocco was colonised two times independently, first from sub-Saharan Africa and secondly along the southern margin of the Mediterranean Sea. The Tigris-Euphrates system is an important crossroad for the colonisation of the Jordan River, the Orontes River and the watercourses of the Arabian Peninsula by freshwater fishes. The Jordan lost its connection to the Euphrates earlier than the Orontes. The Arabian Peninsula was colonised from the Tigris-Euphrates system in at least two independent events.

Meningococcal disease in the Middle East and Africa: Findings and updates from the Global Meningococcal Initiative.

Science.gov (United States)

Borrow, Ray; Caugant, Dominique A; Ceyhan, Mehmet; Christensen, Hannah; Dinleyici, Ener Cagri; Findlow, Jamie; Glennie, Linda; Von Gottberg, Anne; Kechrid, Amel; Vázquez Moreno, Julio; Razki, Aziza; Smith, Vincent; Taha, Muhamed-Kheir; Tali-Maamar, Hassiba; Zerouali, Khalid

2017-07-01

The Global Meningococcal Initiative (GMI) has recently considered current issues in Middle Eastern and African countries, and produced two recommendations: (i) that vaccination of attendees should be considered for some types of mass-gathering events, as some countries mandate for the Hajj, and (ii) vaccination of people with human immunodeficiency virus should be used routinely, because of increased meningococcal disease (MD) risk. Differences exist between Middle Eastern and African countries regarding case and syndrome definitions, surveillance, and epidemiologic data gaps. Sentinel surveillance provides an overview of trends and prevalence of different capsular groups supporting vaccine selection and planning, whereas cost-effectiveness decisions require comprehensive disease burden data, ideally counting every case. Surveillance data showed importance of serogroup B MD in North Africa and serogroup W expansion in Turkey and South Africa. Success of MenAfriVac ® in the African "meningitis belt" was reviewed; the GMI believes similar benefits may follow development of a low-cost meningococcal pentavalent vaccine, currently in phase 1 clinical trial, by 2022. The importance of carriage and herd protection for controlling invasive MD and the importance of advocacy and awareness campaigns were also highlighted. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Corrigendum to "Three climatic cycles recorded in a loess-palaeosol sequence at Semlac (Romania)-Implications for dust accumulation in south-eastern Europe" [Quat. Sci. Rev. 154C (2016) 130-142

Science.gov (United States)

Zeeden, C.; Kels, H.; Hambach, U.; Schulte, P.; Protze, J.; Eckmeier, E.; Marković, S. B.; Klasen, N.; Lehmkuhl, F.

2018-05-01

In the article 'Three climatic cycles recorded in a loess-palaeosol sequence at Semlac (Romania)-Implications for dust accumulation in south-eastern Europe' (Zeeden et al., 2016) we employed rock magnetic and grain size proxy data in combination with OSL- and correlative age models. The data and dating is combined to discuss glacial-interglacial paleoclimate variability in an Eurasian context. This dataset was also interpreted regarding the dust source in the eastern Carpathian (Middle Danube) Basin.

Simbolic boundaries and middle classes. Social mobility in Chile

Directory of Open Access Journals (Sweden)

Mayarí Castillo

2016-07-01

Full Text Available After more than three decades of the implementation of the policies of structural adjustment in Chile, the middle classes increased their weight in the social structure and changed their economic sector, occupation and trajectories of social mobility. This article analyzes the perceptionof symbolic boundaries, which emerging of these macro-processes and shapes the subjectivity of middle class subjects into upward mobility processes and modifies their perceptions of inequality. Whit this objective the paper presents a qualitative analysis of cases in which discursive components like meritocracy, the effort and the idea of “barriers/obstacles” became a key discursive axis. This article is inscribed within the recent studies on middle classes for the Chilean case, which focus specially on the cultural aspects after reproduction of stratification and inequality in Chile.

(Dis Integration and the Emergence of the State System in the Middle East

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Dr. Imad El-Anis

2011-07-01

Full Text Available The fall of the Ottoman Empire during World War One and theemergence of the modern state system in the Middle East have receivedsignificant attention in academic literature. However, the impacts thatthe proliferation of state borders in the 19th and 20th centuries havehad on political and economic integration within the Middle East isoften ignored. This study argues that between the mid-19th and mid-20th centuries the region underwent significant structural changes.Furthermore, these changes were driven by external intervention andinternal decline. A number of theoretical assumptions are positedconcerning the importance on integration and cooperation of thefollowing: the increase in borders and claims to sovereignty and theseparation of peoples/markets. The conclusions drawn are that thechange from a system characterised by large political actors andintegrated markets to one which is characterised by smaller states andseparated markets led to the disintegration of the region’s internalrelations.

The Middle East and the Development of a Natural Gas World Market

International Nuclear Information System (INIS)

Honore, Anouk

2006-01-01

Gas resources can easily meet the projected increase in global demand. However, international trade in energy will need to expand to accommodate the growing mismatch between the location of demand or production. The Middle East nations emerge among the leading countries, with a reserve to production ratios exceeding 100 years. Although some have significant domestic consumption, this mostly leaves ample potential for exports. Most of the incremental output in the Middle East will be exported to North America, Europe and Asia, where indigenous production will fall behind demand on the short to medium term. The key question is whether the Middle East can live up to the consuming countries' supply expectations

On the Formation of Verb Compounds in Early Middle Japanese

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Wenchao LI

2013-12-01

Full Text Available This paper is dedicated to the formation of verb compounds in Early Middle Japanese, a stage of the Japanese language used in the Heian Period (794–1185. The findings reveal that current verb compounds have come a long way from Old Japanese. Multiple verbs in Old Japanese are assigned to an associate type, rather than a compounding type of relation. Thus, the serial constituents receive equal syntactic weight, giving rise to the extensive use of the coordinate type and succession type of multi-verbs. In Early Middle Japanese, the combinations of the two constituents seem much tighter, giving rise the frequent use of the modifier-predicate V-V. The conclusion emerging from this study is that it was not until Early Middle Japanese that verb compounds in the strict sense appeared. Moreover, two types of verb weakening are observed in Early Middle Japanese: (a transformation of the first verb into a prefix, (b grammaticalization of the second verb into a directional/resultative complement.

Service transformation plans in the Eastern Cape informed by a needs-based gap analysis

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Kiran Sukeri

2015-05-01

Full Text Available Objectives. Part I of this research paper presented a needs and gap analysis for the management of schizophrenia, bipolar mood disorder and major depression for the Eastern Cape Province, South Africa. It identified deficits and inequitable distribution of human resources and beds in the province. In this article, Part II, the authors propose a plan for public sector mental health services to address the human resource needs in the poorer eastern regions of the province. The plan focuses on human resource training and development.  Methods. Evidence-based data on staff development in mental health from low-middle income countries were utilised to develop strategies to increase staff capacity to address unmet need. A financing model with a poverty index was developed to sustain a needs-based plan. Databases searched included Pubmed, Medline, Google and Google Scholar. The key words used included: mental health, mental health training, mental health resources, mental health in low-middle-income countries, mental health policy and plans, mental health needs- based planning, primary healthcare, primary mental healthcare, mental health financing. In addition the websites of the World Health Organization and the World Psychiatric Association were searched for similar resources. Conclusions. It is feasible, with careful attention to planning and implementation of evidence-based tools, to improve public mental health service delivery in this province. Sustained political will and professional commitment will ensure successful delivery of mental health services in a resource-limited province.

Eastern Europe

International Nuclear Information System (INIS)

Baret, J.P.; Corcuff, A.; Jousten, M.; Cherie, J.B.; Gorge, X.; Augustin, X.; Belime, F.

1999-01-01

By its economical and political impact, nuclear energy has an important contribution the countries of Eastern Europe that goes beyond simple energy source. The most important challenge is to gain a safety culture. Improvements have been noted but the reactors safety must stay a priority of the international cooperation in Eastern Europe. The plan for the completion and improvement of Mochovce nuclear plant is described, the situation of Chernobyl and how to make the sarcophagus in safe is discussed, the experience of a french P.M.E. ( small and medium size firm) called Corys Tess that has chosen to position itself on the Eastern Europe nuclear market is related. (N.C.)

Climate change and energy policy in Eastern Europe: two scenarios for the future

International Nuclear Information System (INIS)

Chandler, W.U.; Kolar, S.; Gheorghe, A.; Sitnicki, S.

1991-01-01

The citizens of Poland, Eastern Germany, Czechoslovakia, Hungary, and Romania inhabit perhaps the most polluted environments in the world, largely because of their countries' inefficient use of energy. Energy use is two to three times greater per unit of economic output than in Western Europe. Energy inefficiency also constrains economic growth by diverting capital to unproductive use. As much as 40% of all industrial investment in Poland was consumed in energy production. The emerging democracies of Eastern Europe have embarked on reforms to make their economies more efficient. We assess their potential for energy efficiency and apply end-use analysis in an energy end-use economic model to evaluate future energy use in the region. We assume that Eastern Europe will approach current Western living standards over the next three decades and that this will in turn increase energy consumption. We have found, nevertheless, that Eastern European nations could hold energy demand virtually constant through structural reform and technical energy-efficiency improvement. The six countries in the region could save as much as 3.5 exajoules per year, with savings yielding an economic benefit of $300 million annually. (author)

The complete mitochondrial genome of a gecko and the phylogeneticposition of the Middle Eastern teratoscincus keyserlingii

Energy Technology Data Exchange (ETDEWEB)

Macey, J. Robert; Fong, Jonathan J.; Kuehl, Jennifer V.; Shafiei,Soheila; Ananjeva, Natalia B.; Papenfuss, Theodore J.; Boore, Jeffrey L.

2005-04-22

Sqamate reptiles are traditionally divided into six groups: Iguania, Anguimorpha, Scincomorpha, Gekkota (these four are lizards), Serpentes (snakes), and Amphisbaenia (the so-called worm lizards). Currently there are complete mitochondrial genomes from two representatives of the Iguania (Janke et al., 2001; Kumazawa, 2004), three from the Anguimorpha (Kumazawa, 2004; Kumazawa and Endo, 2004), two from the Scincomorpha (Kumazawa and Nishida, 1999; Kumazawa, 2004), two from Serpentes (Kumazawa et al., 1998; Kumazawa, 2004) and 12 from Amphisbaenia (Macey et al., 2004). The only traditional group of Squamata from which a complete mitochondrial genome has not been sequenced is the Gekkota. Here we report the complete mitochondrial genome of Teratoscincus keyserlingii, a Middle Eastern representative of the Gekkota. The gekkonid lizard genus Teratoscincus is distributed throughout the deserts of central and southwest Asia as shown in figure 1, with five species currently recognized (Macey et al. 1997a, 1999b). Included in this figure are the positions of mountain ranges discussed in the text; see also figure 1 in Macey et al. (1999b). Two species, T. bedriagai and T. microlepis, are restricted to Southwest Asia south of the Kopet Dagh and Hindu Kush in Iran, Afghanistan, and Pakistan (Anderson, 1999). Two species are found in the deserts of western China and Mongolia, with T. przewalskii occurring in the Taklimakan and lowland Gobi deserts, and T. roborowskii restricted to the Turpan Depression. The fifth species, T. scincus, is sometimes considered to be restricted to the Caspian Basin in Kazakhstan, Kyrgyzistan, Tadjikistan, Turkmenistan and Uzbekistan. Alternatively, Teratoscincus populations in Southwest Asia, primarily on the Iranian Plateau, situated directly north of the Arabian Plate, are sometimes considered to be a subspecies of T. scincus or, otherwise, to constitute a sixth species, T. keyserlingii. Macey et al. (1999b) assessed the phylogenetic

Geology and geochemistry of the Middle Proterozoic Eastern Ghat mobile belt and its comparison with the lower crust of the Southern Peninsular shield

Science.gov (United States)

Rao, M. V. Subba

1988-01-01

Two prominent rock suites constitute the lithology of the Eastern Ghat mobile belt: (1) the khondalite suite - the metapelites, and (2) the charnockite suite. Later intrusives include ultramafic sequences, anorthosites and granitic gneisses. The chief structural element in the rocks of the Eastern Ghats is a planar fabric (gneissosity), defined by the alignment of platy minerals like flattened quartz, garnet, sillimanite, graphite, etc. The parallelism between the foliation and the lithological layering is related to isoclinal folding. The major structural trend (axial plane foliation trend) observed in the belt is NE-SW. Five major tectonic events have been delineated in the belt. A boundary fault along the western margin of the Eastern Ghats, bordering the low grade terrain has been substantiated by recent gravity and the deep seismic sounding studies. Field evidence shows that the pyroxene granulites (basic granulites) post-date the khondalite suite, but are older than the charnockites as well as the granitic gneisses. Polyphase metamorphism, probably correlatable with different periods of deformation is recorded. The field relations in the Eastern Ghats point to the intense deformation of the terrain, apparently both before, during and after metamorphism.

Reservoir characteristics of middle pliocene deposits and their role in the formation of oil gas deposits of Azerbaijan shelf of the south Caspian

International Nuclear Information System (INIS)

Veliyeva, V.A.; Kabulova, A. Ya.

2002-01-01

Full text :Lithology-stratigraphical peculiarities of deposits of lower stage of productive series (P S) of Middle Pliocene their reservoir properties, correlation of individual horizons within the uplifts of the south Caspian was studied. Analysis of arenosity of lower stage of PS was studied. Azerbaijan shelf of South Caspian is located within depression zone of sedimentation basin generally, of Pliocene and post-Pliocene period of time, when sedimentation was mostly intensive and occurred in conditions of more deep sea basin. Azerbaijan shelf of south Caspian covers mainly two oil-gasp-bearing region as Absheron archipelago (north, north-eastern part of region) and Baku archipelago (southern part). Analysis of arenosity along the areas of the studied region showed, that in south-eastern direction and on the south eastern subsidence of each fold, as well as on the north-eastern wing their sand percent considerably increase whereas reservoir properties of sandy interbeds are improved

The Importance of Developing Cultural Competence in Working with Families of Students with Disabilities from the Middle East, North Africa, and Southwest Asia

Science.gov (United States)

Fallah, Soraya; Murawski, Wendy; Moradian, Zaniar

2018-01-01

This article describes the importance of developing cultural competencies when working with families who come from culturally and linguistically diverse (CLD) backgrounds. Using a mixed methods study, the experiences of 125 families from Middle Eastern, North African, and Southwest Asian (MENASWA) descent who have children in the U.S. Special…

Burden of rotavirus gastroenteritis in the Middle Eastern and North African pediatric population

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Duan Yinghui

2011-01-01

Full Text Available Abstract Background Rotavirus gastroenteritis (RVGE is the most common cause of severe childhood diarrhea worldwide. Objectives were to estimate the burden of RVGE among children less than five years old in the Middle East (Bahrain, Iran, Iraq, Israel, Jordan, Kuwait, Oman, Qatar, Saudi Arabia, Syria, UAE, Yemen, North Africa (Algeria, Egypt, Libya, Morocco, Tunisia and Turkey. Methods A comprehensive literature search was conducted in major databases on the epidemiology and burden of rotavirus among children less than five years old between 1999 and 2009. Data from each country was extracted and compared. Results The search identified 43 studies. RVGE was identified in 16-61% of all cases of acute gastroenteritis, with a peak in the winter. RVGE-related hospitalization rates ranged from 14% to 45%, compared to 14%-28% for non-RVGE. Annually, RVGE caused up to 112 fatalities per 100,000 in certain countries in the region. Hospitalization costs ranged from $1.8 to $4.6 million annually, depending on the country. The most recent literature available showed that G1P[8] was the most prevalent genotype combination in 8 countries (range 23%-56%. G2P[4] was most prevalent in 4 countries (26%-48%. G9P[8] and G4P[8] were also frequently detected. Conclusions RVGE is a common disease associated with significant morbidity, mortality, and economic burden. Given the variety and diverse rotavirus types in the region, use of a vaccine with broad and consistent serotype coverage would be important to help decrease the burden of RVGE in the Middle East and North Africa.

Hospital-based ocular emergencies: epidemiology, treatment, and visual outcomes.

Science.gov (United States)

Cheung, Cindy A; Rogers-Martel, Melanie; Golas, Liliya; Chepurny, Anna; Martel, James B; Martel, Joseph R

2014-03-01

Ocular trauma is recognized as the leading cause of unilateral blindness. However, few studies to date have focused on the clinical features of hospital-based ocular emergencies. Effectiveness of trauma centers in treating ocular emergencies was compared with treatment in traditional community hospital emergency departments. Demographics, causes, and nature of ocular emergencies, as well as visual outcome in community hospitals emergency departments and trauma centers, were also examined. Records of 1027 patients with ocular emergencies seen between July 2007 and November 2010 at 3 community hospitals emergency departments and 2 hospitals with level II trauma centers were retrospectively examined. Unpaired t test and Pearson χ(2) test were used to determine statistical significance. The incidence of patients requiring ophthalmic intervention was 77.2 per 100 000 in the community hospitals and 208.9 per 100 000 in the trauma centers. Rates of ocular emergencies were higher in middle-aged, white men. Orbital fractures were found in 86% of all orbital contusion cases in trauma centers, whereas 66.7% of patients with fall injuries and open globe diagnoses resulted in legal blindness. The middle-aged, white men are more vulnerable to ocular injuries caused mainly by motor vehicle accidents. The ability of trauma centers to provide comparable increases in vision outcomes, despite treating more severe ocular emergencies, demonstrates the effectiveness of trauma centers. Patients diagnosed as having orbital contusions or who have fall injuries deserve careful evaluation because they are more likely to have more severe sight-threatening injuries. Copyright © 2014 Elsevier Inc. All rights reserved.

The Shifting Paradigm of Post-Cold War Counterintelligence Support to USAF Operations: A Middle Eastern Case Study

National Research Council Canada - National Science Library

Lajeunesse, CGabriel

1999-01-01

The threat to US Operations in the Middle East has changed significantly since the end of the Cold War, and although counterintelligence methodology has changed with it, additional modifications are needed...

STRATIGRAPHY AND FUSULINIDS OF THE MOSCOVIAN STAGE (MIDDLE CARBONIFEROUS IN THE SOUTHWESTERN DARVAZ (PAMIR

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ERNST JA. LEVEN

1998-03-01

Full Text Available A refined subdivision, based on fusulinids, of the Moscovian stage in southwestern Darvaz is proposed. Seven local zones, three in the Lower Moscovian substage and four in the Upper Moscovian substage were established, based on investigations of three stratigraphic sections. The zones were correlated with those of the Eastern European and Middle Asian stratigraphic schemes. One hundred and forty-three species and subspecies, which belong to 29 genera and 13 families of fusulinids, were identified in the Middle Carboniferous of Darvaz. Among them, one genus (Undatafusulina and 16 species, i.e. Taitzehoella compacta, Ovatella panjensis, Aljutovella darvasica, Undatafusulina asiatica, Citronites panjensis, C. reticulatus, Beedeina darvasica, B. dutkevichi, Putrella admiranda, Hemifusulina orientalis, Fusulinella (Moellerites subundulata, F. (M. jucunda, F. (M. orientalis, F.(Fusulinella crassitectoria, F. (F. bogushi, and F. (F. pamirensis are new. 

Usage patterns and attitudes towards emergency contraception: the International Emergency Contraception Research Initiative.

Science.gov (United States)

Krassovics, Miklós; Virágh, Gabriella

2016-08-01

The aim of the survey was to gain understanding of women's usage patterns and attitudes towards emergency contraception (i.e., the 'morning after pill') and to gain insight into the role and attitudes of pharmacists as providers of emergency contraception. As part of the International Emergency Contraception Research Initiative, approximately 6500 women (15-49 years) and nearly 500 pharmacists from 14 countries in Western, Central and Eastern Europe, and Central Asia completed questionnaires via web-based interrogation or computer-assisted/paper-assisted personal interviews. Common to almost all countries and cultures was that, while awareness of emergency contraception was high (≥84% of respondents, except in Kazakhstan), usage was generally low (4-18%). In Austria, the Czech Republic, Spain, and the UK, better underlying protection with hormonal contraceptives or male condoms would have meant less need for emergency contraception. In Bulgaria, Lithuania, Romania, and Russia, greater dependence on less reliable contraceptive methods such as calendar + withdrawal was associated with higher use of the emergency contraceptive pill (11-18%) but also with higher abortion rates (19-21%). Overt rejection of emergency contraception in the event of an accident was low, except in countries (e.g., Austria, Poland) where the misperception that it acts as an abortifacient was common. Except for Bulgaria, pharmacists elsewhere tended to have limited knowledge and moralistic attitudes towards emergency contraception. Improved educational efforts, probably country-specific, are required to increase the use of highly effective methods of regular contraception and overcome barriers to acceptance of emergency contraception as a suitable postcoital solution to avoid unwanted pregnancy or abortion.

Impacts of interannual variation of the East Asian winter monsoon on aerosol concentrations over eastern China

Science.gov (United States)

Zhu, J.; Liao, H.; Li, J.; Feng, J.

2012-04-01

China has been experiencing increased concentrations of aerosols, commonly attributed to the large increases in emissions associated with the rapid economic development. We apply a global three-dimensional Goddard Earth Observing System chemical transport model (GEOS-Chem) driven by the NASA/GEOS-4 assimilated meteorological data to quantify the impacts of East Asian winter monsoon (EAWM) on the aerosol concentrations over eastern China. We found that the simulated aerosol concentrations over eastern China have strong interannual variation and negative correlations with the strength of EAWM. Model results show that, accounting for sulfate, nitrate, ammonium, black carbon, and organic carbon aerosols, the winter surface layer PM2.5 concentration averaged over eastern China (110°-125°E, 20°-45°N) can be 17.97% (4.78 µg m-3) higher in the weak monsoon years than that in the strong monsoon years. Regionally, the weakening of EAWM is shown to be able to increase PM2.5 concentration in the middle and lower reach of the Yellow River by 12 µg m-3. This point indicates that climate change associated with variation of EAWM has an essential influence on worsening air quality over eastern China. The possible causes of higher aerosol concentrations in the weak monsoon years may be attributed to the changing in wind fields and planetary boundary layer height between the weak and strong monsoon years. Sensitivity studies are performed to identify the role of chemical reaction associated with temperature and humidity on the higher aerosol concentrations in the weak monsoon years over eastern China.

Influence of Imidacloprid and Horticultural Oil on Spider Abundance on Eastern Hemlock in the Southern Appalachians.

Science.gov (United States)

Hakeem, A; Grant, J F; Lambdin, P L; Hale, F A; Rhea, J R; Wiggins, G J; Coots, C

2018-05-08

Hemlock woolly adelgid, Adelges tsugae Annand (Hemiptera: Adelgidae), is an exotic pest of eastern hemlock, Tsuga canadensis (L.) Carrière (Pinales: Pinaceae), in the eastern United States. Two commonly used insecticides to manage adelgid are imidacloprid, a systemic neonicotinoid insecticide, and horticultural oil, a refined petroleum oil foliar spray. We have investigated the influence of imidacloprid and horticultural oil on spider abundance at different canopy strata in eastern hemlock. In total, 2,084 spiders representing 11 families were collected from the canopies of eastern hemlock. In beat-sheet and direct observation samples, the families Theridiidae, Araneidae, Salticidae, and Anyphaenidae were the most abundant. Significantly higher numbers of spiders were recorded on untreated control trees compared with trees treated with imidacloprid using soil drench and soil injection applications. Spider abundance in trees injected with imidacloprid and horticultural oil applications did not significantly differ from control trees. Spider abundance was significantly greater in the top and middle strata of the canopy than in the bottom stratum, where imidacloprid concentrations were the highest. Regression analysis showed that spider abundance was inversely associated with imidacloprid concentration. This research demonstrates that imidacloprid, when applied with selected methods, has the potential to result in reductions of spider densities at different strata. However, slight reductions in spider abundance may be an acceptable short-term ecological impact compared with the loss of an untreated hemlock and all the associated ecological benefits that it provides. Future studies should include investigations of long-term impact of imidacloprid on spiders associated with eastern hemlock.

Targets and Witnesses: Middle School Students' Sexual Harassment Experiences

Science.gov (United States)

Lichty, Lauren F.; Campbell, Rebecca

2012-01-01

School-based peer-to-peer sexual harassment (SH) emerged as an issue of concern in the early 1990s. As a developing field, this literature has several notable gaps. The current study extends previous research by, (a) exploring the understudied experiences of middle school students, (b) assessing students' experiences witnessing SH, and (c)…

A Meta-Analysis of Middle School Science Engagement

Science.gov (United States)

Aker, Leanna B.

Researchers and educational practitioners have long been concerned with declines in science engagement reported by students as they transition into the middle school setting. Though the operationalization of engagement is still nascent, an emerging consensus on a three-faceted model of student engagement has recently emerged in the research literature (Fredricks, Blumenfeld, & Paris, 2004). Thus, a synthesis of existing primary research of early adolescents' science engagement under this emerging conceptualization was warranted. The results of this meta-analysis indicate that instructional methods, class characteristics and competence predictors had the strongest relationship with self-reported science engagement in early adolescence. These predictors also show the strongest relationship with affective and cognitive engagement sub-types. Though affective and cognitive engagement were well represented in primary studies, behavioral engagement was underrepresented in student self-reports.

Autologous cord blood harvesting in North Eastern Italy: ethical questions and emerging hopes for curing diabetes and celiac disease

Directory of Open Access Journals (Sweden)

Parco S

2012-06-01

been corroborated by the international literature; however, the economic and social motivations promoting cord blood storage, for a fee, in the event of diseases that are still under study, require accurate information through general medical physicians on the actual possibilities of treatment.Keywords: autologous cord blood harvesting, North Eastern Italy, emerging hopes of therapy

[Tobacco use rate and associated factors in middle school students in China].

Science.gov (United States)

Xiao, L; Feng, G Z; Jiang, Y; Zhang, J R; Liu, L X

2017-05-10

Objective: To understand tobacco use rate and explore the factors associated with tobacco use in middle school students in China. Methods: A self-administered questionnaire survey was conducted among 155 117 eligible middle students selected through multi-stage stratified cluster sampling from 31 provinces of China. The questionnaire consists of the following topics: tobacco use and cessation, passive smoking, access to tobacco products, tobacco control and tobacco advertisement, and knowledge about and attitudes to tobacco. Software SAS 9.3 was used for sample weighting and data analysis. Results: Current tobacco use rate was 6.9 % in middle school students in China. The rate was higher in boys (11.2 % ) than in girls (2.2 % ), and in rural area (7.8 % ) than in urban area (4.8 % ). Students in western area had the highest tobacco use rate (10.3 % ), followed by the students in middle area (6.4 % ), and the rate in students in eastern area was lowest (4.5 % ). Parent smoking (especially mother smoking), friend smoking, teacher smoking, pocket money for a week>20 yuan, tobacco advertisement or promotion, passive smoking, misconception of tobacco addiction, active attitude to smoking behavior were the risk factors for tobacco use. Conclusions: Smoking rate in boys in China was higher than the average global level. A comprehensive intervention strategy by Framework Convention on Tobacco Control should be used to reduce tobacco use in adolescents, including health education, increasing cigarette price, banning tobacco advertisement and promotion, and smoke-free legislation.

Identify the consumption patterns of the second generation Chinese middle class. Does culture influence their consumption habits?

OpenAIRE

Liu, Kim Man

2012-01-01

Background: The 1978 political social reform in China has led to the emergence of the rapid and fast growing urban ‘middle class’ population. With the rise of the large population of middle class consumers, global market developers and opportunists are targeting this group of people to maximize their profits in developing countries. This research aimed to identify the consumption patterns of the second generation Chinese middle class and to investigate if their unique Chinese culture influenc...

A bibliometric analysis of toxicology research productivity in Middle Eastern Arab countries during a 10-year period (2003-2012).

Science.gov (United States)

Zyoud, Sa'ed H; Al-Jabi, Samah W; Sweileh, Waleed M; Awang, Rahmat

2014-01-21

Bibliometric studies are increasingly being used for research assessment by involving the application of statistical methods to scientific publications to obtain the bibliographics for each country. The main objective of this study was to analyse the research productivity originating from 13 Middle Eastern Arab (MEA) countries with articles published in toxicology journals. Data from January 1, 2003 till December 31, 2012 were searched for documents with specific words in the toxicology field as a "source title" in any one of the 13 MEA countries. Research productivity was evaluated based on a methodology developed and used in other bibliometric studies. Research productivity was adjusted to the national population and nominal gross domestic product (GDP) per capita. Documents (n = 1,240) were retrieved from 73 international peer-reviewed toxicology journals. The h-index of the retrieved documents was 39. Of the 73 journal titles, 52 (69.9%) have their IF listed in the ISI Journal Citation Reports 2012; 198 documents (16.0%) were published in journals that had no official IF. After adjusting for economy and population power, Egypt (193.6), Palestine (18.1), Kingdom of Saudi Arabia (KSA) (13.0), and Jordan (11.5) had the highest research productivity. Countries with large economies, such as the Kuwait, United Arab Emirates (UAE), and Oman, tended to rank relatively low after adjustment of GDP. The total number of citations at the time of data analysis (August 4, 2013) was 10,991, with a median (interquartile range) of 4 (1-11). MEA collaborated more with countries in the MEA regions (16.7%), especially KSA, Egypt, and UAE, followed by Europe (14.4%), especially with the United Kingdom and Germany. The present data show a promising rise and a good start for toxicology research activity in toxicology journals in the Arab world. Research output is low in some countries, which can be improved by investing in more international and national collaborative research

A Scopus-based examination of tobacco use publications in Middle Eastern Arab countries during the period 2003–2012

Science.gov (United States)

2014-01-01

Background Tobacco smoking is the main health-care problem in the world. Evaluation of scientific output in the field of tobacco use has been poorly explored in Middle Eastern Arab (MEA) countries to date, and there are few internationally published reports on research activity in tobacco use. The main objectives of this study were to analyse the research output originating from 13 MEA countries on tobacco fields and to examine the authorship pattern and the citations retrieved from the Scopus database. Methods Data from 1 January 2003 through 31 December 2012 were searched for documents with specific words regarding the tobacco field as 'keywords’ in the title in any 1 of the 13 MEA countries. Research productivity was evaluated based on a methodology developed and used in other bibliometric studies. Results Five hundred documents were retrieved from 320 peer-reviewed journals. The greatest amount of research activity was from Egypt (25.4%), followed by the Kingdom of Saudi Arabia (KSA) (23.2%), Lebanon (16.3%), and Jordan (14.8%). The total number of citations for the 560 documents, at the time of data analysis (27 August 2013), was 5,585, with a mean ± SD of 9.95 ± 22.64 and a median (interquartile range) of 3(1–10). The h-index of the retrieved documents was 34. This study identified 232 (41.4%) documents from 53 countries in MEA-foreign country collaborations. By region, MEA collaborated most often with countries in the Americas (29.6%), followed by countries in the same MEA region (13.4%), especially KSA and Egypt. Conclusions The present data reveal a promising rise and a good start for research productivity in the tobacco field in the Arab world. Research output is low in some countries, which can be improved by investing in more international and national collaborative research projects in the field of tobacco. PMID:24885706

HIV care in Central and Eastern Europe: How close are we to the target?

Directory of Open Access Journals (Sweden)

Deniz Gokengin

2018-05-01

Full Text Available Objectives: The aim of this survey was to describe the current status of HIV care in the countries of Central and Eastern Europe and to investigate how close the region is to achieving the UNAIDS 2020 target of 90–90–90. Methods: In 2014, data were collected from 24 Central and Eastern European countries using a 38-item questionnaire. Results: All countries reported mandatory screening of blood and organ donors for HIV. Other groups subjected to targeted screening included people who inject drugs (PWID (15/24, 62.5%, men who have sex with men (MSM (14/24, 58.3%, and sex workers (12/24, 50.0%. Only 14 of the 24 countries (58.3% screened pregnant women. The percentages of late presentation and advanced disease were 40.3% (range 14–80% and 25.4% (range 9–50%, respectively. There was no difference between countries categorized by income or by region in terms of the percentages of persons presenting late or with advanced disease. The availability of newer antiretroviral drugs (rilpivirine, etravirine, darunavir, maraviroc, raltegravir, dolutegravir tended to be significantly better with a higher country income status. Ten countries reported initiating antiretroviral therapy (ART regardless of CD4+ T cell count (41.7%, five countries (20.8% used the threshold of <500 cells/μl, and nine countries (37.5% used the threshold of <350 cells/μl. Initiation of ART regardless of the CD4+ T cell count was significantly more common among high-income countries than among upper-middle-income and lower-middle-income countries (100% vs. 27.3% and 0%, respectively; p = 0.001. Drugs were provided free of charge in all countries and mostly provided by governments. There were significant discrepancies between countries regarding the follow-up of people living with HIV. Conclusions: There are major disparities in the provision of HIV care among sub-regions in Europe, which should be addressed. More attention in terms of funding, knowledge and experience

Public-private implementation of integrated emergency response services: Case study of GVK Emergency Management and Research Institute in Karnataka, India.

Science.gov (United States)

Sriram, Veena M; Gururaj, Gopalkrishna; Hyder, Adnan A

2017-12-01

Emergency medical services are important to the functioning of health systems, but these services tend to be neglected in low- and middle-income countries, such as India. In recent years, several models of pre-hospital emergency medical services have emerged in India. Research on these models holds important lessons for existing and future emergency medical service programs in low- and middle-income countries. Our objective was to provide a comprehensive description of the organizational structure and service delivery model of a public-private partnership in the southern Indian state of Karnataka, GVK Emergency Management and Research Institute, with a particular focus on its operations in Bengaluru. A case study methodology was used to explore systematically the organizational model of GVK Emergency Management and Research Institute in Karnataka. Qualitative data were collected through an in-person site visit to GVK Emergency Management and Research Institute headquarters in Bengaluru in July 2013. Three sources were used: in-depth, semistructured interviews, document review, and nonparticipant observation. Data were analyzed according to the health system "building blocks" proposed by the World Health Organization. The organization follows a standardized model across the states and union territories where they have contractual arrangements, including Karnataka. Processes for fleet maintenance, information systems/information technology and training, and deployment were well structured at the organizational level. The public-private partnership appears pro-poor in orientation; however, further demand-side research is required on the perspective of patients. Our study reveals a functional structure at the organizational level, which provides a key service at no cost to users. Detailed analyses of this nature can help inform global efforts for the development and strengthening of emergency medical services systems. Copyright © 2017 Elsevier Inc. All rights reserved.

The Mobility of Italy’s Middle Income Group

Directory of Open Access Journals (Sweden)

Chiara Assunta Ricci

2016-06-01

Full Text Available The bulk of economic studies on income distribution focus on the poor and/or on the rich, mostly ignoring those who fall between these two categories. Research on the polarisation of incomes reverses this perspective, considering the middle-income group as a crucial element of analysis. The exploration of the income dynamics of the middle-income group is particularly relevant in the case of Italy. There, it has helped explaining the gap between the empirical evidence of stability in the main distributional indices and the worsening of confidence and expectations among Italian households since the 2000s, already before the crisis. This paper investigates the drivers of mobility of the middle-income group in Italy during the recent recession, with the aim of assessing the changes in the vulnerability of this group to downward mobility. Our findings reveal a general impoverishment of the middle-income group due to the recession and highlight an increasing rigidity of the Italian social structure. Lower entry and exit rates between groups emerge after 2008, possibly due to a growing weakness of the welfare state and the increasing inability of families to cope with unforeseen financial difficulties. JEL: D31; D63; I32

Harmonisation of Nuclear Emergency Preparedness in Central and Eastern Europe

International Nuclear Information System (INIS)

Buglova, E.; Crick, M.; Reed, J.; Winkler, G. L.; Martincic, R.

2000-01-01

Under its Technical Co-operation programme the International Atomic Energy Agency has implementing a Regional Project RER/9/050:- Harmonisation of Regional Nuclear Emergency Preparedness for its Member States in the Europe region since 1997. The background of the project together with its achievements and future plans are presented in this paper. (author)

Vertical ozone measurements in the troposphere over the Eastern Mediterranean and comparison with Central Europe

Directory of Open Access Journals (Sweden)

P. D. Kalabokas

2007-07-01

Full Text Available Vertical ozone profiles measured in the period 1996–2002 in the framework of the MOZAIC project (Measurement of Ozone and Water Vapor by Airbus in Service Aircraft for flights connecting Central Europe to the Eastern Mediterranean basin (Heraklion, Rhodes, Antalya were analysed in order to evaluate the high rural ozone levels recorded in the Mediterranean area during summertime. The 77 flights during summer (JJAS showed substantially (10–12 ppb, 20–40% enhanced ozone mixing ratios in the lower troposphere over the Eastern Mediterranean frequently exceeding the 60 ppb, 8-h EU air quality standard, whereas ozone between 700 hPa and 400 hPa was only slightly (3–5 ppb, 5–10% higher than over Central Europe. Analysis of composite weather maps for the high and low ozone cases, as well as back-trajectories and vertical profiles of carbon monoxide, suggest that the main factor leading to high tropospheric ozone values in the area is anticyclonic influence, in combination with a persistent northerly flow in the lower troposphere during summertime over the Aegean. On the other hand the lowest ozone levels are associated with low-pressure systems, especially the extension of the Middle East low over the Eastern Mediterranean area.

Geological and Structural evolution of the Eurasia Africa plate boundary in the Gulf of Cadiz Central Eastern Atlantic Sea.

OpenAIRE

D’Oriano, Filippo

2010-01-01

Iberia Africa plate boundary, cross, roughly W-E, connecting the eastern Atlantic Ocean from Azores triple junction to the Continental margin of Morocco. Relative movement between the two plate change along the boundary, from transtensive near the Azores archipelago, through trascurrent movement in the middle at the Gloria Fracture Zone, to transpressive in the Gulf of Cadiz area. This study presents the results of geophysical and geological analysis on the plate boundary area offshore Gibral...

Alcohol consumption and physical functioning among middle-aged and older adults in Central and Eastern Europe: results from the HAPIEE study.

Science.gov (United States)

Hu, Yaoyue; Pikhart, Hynek; Malyutina, Sofia; Pajak, Andrzej; Kubinova, Ruzena; Nikitin, Yuri; Peasey, Anne; Marmot, Michael; Bobak, Martin

2015-01-01

light-to-moderate drinking is apparently associated with a decreased risk of physical limitations in middle-aged and older adults. to investigate the association between alcohol consumption and physical limitations in Eastern European populations. a cross-sectional survey of 28,783 randomly selected residents (45-69 years) in Novosibirsk (Russia), Krakow (Poland) and seven towns of Czech Republic. physical limitations were defined as <75% of optimal physical functioning using the Physical Functioning (PF-10) Subscale of the Short-Form-36 questionnaire. Alcohol consumption was assessed by a graduated frequency questionnaire, and problem drinking was defined as ≥2 positive responses on the CAGE questionnaire. In the Russian sample, past drinking was also assessed. the odds of physical limitations were highest among non-drinkers, decreased with increasing drinking frequency, annual consumption and average drinking quantity and were not associated with problem drinking. The adjusted odds ratio (OR) of physical limitations in non-drinkers versus regular moderate drinkers was 1.61 (95% confidence interval: 1.48-1.75). In the Russian sample with past drinking available, the adjusted OR in those who stopped drinking for health reasons versus continuing drinkers was 3.19 (2.58-3.95); ORs in lifetime abstainers, former drinkers for non-health reasons and reduced drinkers for health reasons were 1.27 (1.02-1.57), 1.48 (1.18-1.85) and 2.40 (2.05-2.81), respectively. this study found an inverse association between alcohol consumption and physical limitations. The high odds of physical limitations in non-drinkers can be largely explained by poor health of former drinkers. The apparently protective effect of heavier drinking was partly due to less healthy former heavy drinkers who moved to lower drinking categories. © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society.