scholarly journals Epidemiology ofHelicobacter pyloriinfection among the healthy population in Iran and countries of the Eastern Mediterranean Region: A systematic review of prevalence and risk factors

2014 ◽  
Vol 20 (46) ◽  
pp. 17618 ◽  
Author(s):  
Ahad Eshraghian
2019 ◽  
Author(s):  
Razieh Zahedi ◽  
Hossein Molavi Vardanjani ◽  
Mohammad Reza Baneshi ◽  
Ali Akbar Haghdoost ◽  
Reza Malekpour Afshar ◽  
...  

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


2014 ◽  
Vol 15 (21) ◽  
pp. 9535-9541 ◽  
Author(s):  
Nasim Namiranian ◽  
Maziar Moradi-Lakeh ◽  
Seid Kazem Razavi-Ratki ◽  
Mahdyie Doayie ◽  
Marzieh Nojomi

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hamid Ravaghi ◽  
Mahnaz Afshari ◽  
Parvaneh Isfahani ◽  
Victoria D. Bélorgeot

In the original publication of this article [1], one author’s name needs to be revised from Pavaneh Isfahani to Parvaneh Isfahani.


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1515
Author(s):  
Radhouene Doggui ◽  
Hanin Al-Jawaldeh ◽  
Jalila El Ati ◽  
Rawhieh Barham ◽  
Lara Nasreddine ◽  
...  

The Eastern Mediterranean Region (EMR) is experiencing a nutrition transition, characterized by the emergence of overnutrition and micro-nutrient deficiencies. No previous study has comparatively examined nutrient intake in adults across countries in the EMR. This review examined the adequacy of nutrients in adults living in the EMR. Moreover, it analyzed the food balance sheets (FBS) for 1961–2018 to identify the trajectory of energy supply from macro-nutrients in the EMR. A systematic search was conducted from January 2012 to September 2020. Only observational studies were retained with a random sampling design. An assessment of the methodological quality was conducted. Levels of nutrient daily intake and their adequacy compared to the daily reference intake of the Institute of Medicine were reported across the region. No studies were identified for half of the region’s countries. Although nutrient energy intake was satisfactory overall, fat and carbohydrate intake were high. Intake of vitamin D, calcium, potassium, zinc, and magnesium were below that recommended. The analysis of the FBS data allowed for the identification of four linear patterns of trajectories, with countries in the EMR best fitting the ‘high-energy-supply from carbohydrate’ group. This systematic review warrants multi-sectorial commitment to optimize nutrient intake.


2020 ◽  
Author(s):  
Reza Negarandeh ◽  
Shah Jahan Shayan ◽  
Rajab Nazari ◽  
BSc. Frank Kiwanuka ◽  
MSc. Sanaz Akhavan Rad

Abstract Background Recently, inappropriate use of antibiotics has been correlated with life-threatening side-effects such as adverse effects, increased cost of treatment, and the higher rate of microbial resistance. Besides, it leads to a waste of resources. Therefore, this review sought to determine the pooled prevalence of self-medication with antibiotics, self-medicated illness, reasons for self-medication, antibiotics used for self-medication, source of obtaining antibiotics, the inappropriate practice of antibiotics and suggested recommendations for talking self-medication with antibiotics in the Eastern Mediterranean Region of the World Health Organization (EMRWHO). Methods Review conforms to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. Database search was conducted in PubMed, Scopus, Embase, and Web of Science using a combination of keywords which included; antimicrobial, antibacterial, antibiotic, self-medication, self-treatment, self-prescription, non-prescribed, irrational use, inappropriate use, misuse, abuse and Eastern Mediterranean Region of WHO countries. The lists of references of the selected articles were also hand-searched to obtained additional relevant articles. Studies published in English from 2000 to 2018 were included in the review. Results We report on data from 60 articles and 49629 participants in this review. The overall prevalence of self-medication with antibiotics in EMRWHO was 47.2% (95% CI 41.6% – 52.9%). Yemen has the highest pooled rate with a rate of 75.0% (95% CI 63.4% − 83.9%), whilst Lebanon has the lowest pooled rate with a prevalence of 28.7% (95% CI 18.4% − 41.8%). The most common illnesses implicated in antibiotic self-medication were upper-respiratory infections and the most common antibiotic was Amoxicillin-Clavulanic acid. The commonest reasons for antibiotic self-medication include: saving time and money. Pharmacies pointed out as the most common source of obtaining antibiotics for self-medication. Conclusion Self-medication with antibiotics is significantly high in the member states of EMRWHO. Intervention such as an educational program for communities’ members to change their behaviors, policy on the mechanism of distribution of antibiotics is called for in this area.


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