Correlation of Caesarean Section Rates to Maternal and Neonatal Mortality in the Eastern Mediterranean Region; A Population Based Ecological Study

2019 ◽  
Author(s):  
Bismeen Jadoon ◽  
Mahaini Rames ◽  
Karima Gholbzouri ◽  
Maha El-Adawy ◽  
Mona A. Elawady ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Neonatal Mortality ◽  
Mediterranean Region ◽  
Ecological Study ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Population Based

scholarly journals Correlation of Caesarean Section Rates to Maternal and Neonatal Mortality in the Eastern Mediterranean Region; A Population-Based Ecological Study

2021 ◽  
Vol 9 (1) ◽  
pp. 1-6
Author(s):  
Bismeen Jadoon ◽  
Keyword(s):  
Caesarean Section ◽  
United Nations ◽  
Neonatal Mortality ◽  
Mediterranean Region ◽  
Ecological Study ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Mortality Rates ◽  
World Health ◽  
Mortality Estimation

Purpose: This study aims to explore the relationship between population-level caesarean section rates (CSRs) with maternal and neonatal mortality rates (MMR, NMR) in the Eastern Mediterranean Region (EMR). Design: A populationbased ecological study was performed with data obtained from the World Health Organization, Global Health Observatory database, 2015, United Nations Inter-agency Group for Child Mortality Estimation (UN-IGME) and the United Nations Maternal Mortality Estimation Inter-Agency Group (UN-MMEIG) 2015). Mean ± standard deviation (SD), range, median and Interquartile range (IQR) were used to describe the quantitative data. We performed multivariate logistic regression analysis to explore the effect (a) of (a) Antenatal clinic visits (ANC %), (b), Skilled Birth Attendance (SBA) rate (% of deliveries attended by SBA), (c) Total Health Expenditure (THE) per capita and (d) Female Literacy Rate (FLR%) on the studied relationship. Spline linear regression was used to find the most predictive variable for MMR, and the NMR. Statistical significance was accepted at P<0.05. Results: The mean CSR was 21.20±13.38, (1.8-52). The CSR of <10% was linked with the highest NMR and MMR, 33.0 (24.0-39.0) and 390.5(329.5-648.0) respectively. The most predictable variables for NMR and MMR were SBA % [B=-0.875; p< .001; R2=0.766 and adjusted R2=0.754] and FLR (F=15-24) [B=0.877; P<0.001; R2=0.77 and adjusted R2=0.758] respectively. Conclusions: We found a statistically significant inverse relationship between CSRs and maternal and neonatal mortality in MSs with <10% of CSR. The improved mortality rates in MSs with >15% of CSR were significantly linked with better socioeconomic and healthcare variables than higher CSRs. Keywords: Caesarean Section, Maternal and Neonatal Mortality, Eastern Mediterranean Region.

Use of cancer data for cancer control in the Eastern Mediterranean Region: Results of a survey among population‐based cancer registries

2020 ◽  
Vol 148 (3) ◽  
pp. 593-600
Author(s):  
Ariana Znaor ◽  
Heba Fouad ◽  
Fosca Majnoni d'Intignano ◽  
Asmus Hammerich ◽  
Slim Slama ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Cancer Control ◽  
Cancer Registries ◽  
Population Based ◽  
Cancer Data

scholarly journals Correlation of Caesarean Section Rates to Maternal and Neonatal Mortality in the Eastern Mediterranean Region; A Population-Based Ecological Study

2021 ◽  
Vol 5 (3) ◽  
pp. 9-17
Author(s):  
Dorotea Šijak ◽  
◽  
Krešimir Bulić ◽  
Anko Antabak ◽  
Ivica Prlić
Keyword(s):  
Infrared Thermography ◽  
Ecological Study ◽  
Eastern Mediterranean ◽  
Reactive Hyperemia ◽  
Eastern Mediterranean Region ◽  
Skin Surface ◽  
Population Based ◽  
Local Blood Flow ◽  
Arterial Blood ◽  
Peripheral Arterial

The physiological reaction of postocclusive local reactive hyperemia is regulated by neurovascular mechanisms and it reflects the function of microcirculation. Thermoregulatory changes occur first, in the form of increased skin surface temperature, which is usually followed by an increase in local blood flow. This study investigated a correlation between tourniquet duration on the upper arm, and the appearance of reactive hyperemia in the distal parts of the upper limb. Changes were registered with infrared thermometer and infrared thermography, which provided us a highly precise view of distribution of reactive hyperemia. Changes of oxygen saturation of peripheral arterial blood and blood pressure were also recorded. Our research has shown that longer duration of tourniquet leads to more intense and longer lasting reactive hyperemia in the palmar region, followed by higher temperatures of the skin surface, without any changes in postocclusive values of SpO2. Keywords: Infrared thermography, Microcirculation, Postocclusive hyperemia, Skin temperature, Tourniquet, Thermoregulatory changes.

scholarly journals Neonatal Mortality in the Eastern Mediterranean Region: Socio-Demographic, Economic and Perinatal Factors, 1990 - 2013

2018 ◽  
Vol 28 (1) ◽  
Author(s):  
Ahmed Hamood Al-Shahethi ◽  
Awang Bulgiba ◽  
Rafdzah Ahmad Zaki ◽  
Sami Abdo Radman Al-Dubai ◽  
Khaled Mohammed Al-Surimi ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Perinatal Factors

scholarly journals Global Prevalence Estimates of Toxascaris leonina Infection in Dogs and Cats

Pathogens ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. 503
Author(s):  
Ali Rostami ◽  
Seyed Mohammad Riahi ◽  
Vahid Fallah Omrani ◽  
Tao Wang ◽  
Andreas Hofmann ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Meta Analysis ◽  
Eastern Mediterranean Region ◽  
Global Prevalence ◽  
Stray Cats ◽  
Prevalence Estimates ◽  
Meta Regression ◽  
Paratenic Hosts ◽  
Toxascaris Leonina

Toxascaris leonina is an ascaridoid nematode of dogs and cats; this parasite affects the health of these animals. This study estimated the global prevalence of Ta. leonina infection in dogs and cats using random effects meta-analysis as well as subgroup, meta-regression and heterogeneity analyses. The data were stratified according to geographical region, the type of dogs and cats and environmental variables. A quantitative analysis of 135 published studies, involving 119,317 dogs and 25,364 cats, estimated prevalence rates of Ta. leonina in dogs and cats at 2.9% and 3.4%, respectively. Prevalence was highest in the Eastern Mediterranean region (7.2% for dogs and 10.0% for cats) and was significantly higher in stray dogs (7.0% vs. 1.5%) and stray cats (7.5% vs. 1.8%) than in pets. The findings indicate that, worldwide, ~26 million dogs and ~23 million cats are infected with Ta. leonina; these animals would shed substantial numbers of Ta. leonina eggs into the environment each year and might represent reservoirs of infection to other accidental or paratenic hosts. It is important that populations of dogs and cats as well as other canids and felids be monitored and dewormed for Ta. leonina and (other) zoonotic helminths.

scholarly journals Primary care healthcare policy implementation in the Eastern Mediterranean region; experiences of six countries: Part II

2019 ◽  
Vol 26 (1) ◽  
pp. 1-6
Author(s):  
Nagwa Nashat ◽  
Redouane Hadjij ◽  
Abdul Munem Al Dabbagh ◽  
Mohammed Rasoul Tarawneh ◽  
Huda Alduwaisan ◽  
...  
Keyword(s):  
Primary Care ◽  
Policy Implementation ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Healthcare Policy
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