Sample records for bahrain

  1. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2011-04-20

    banking sector and some manufacturing. In September 2004, the United States and Bahrain signed a free trade agreement ( FTA ); legislation implementing it...used to fund AFL-CIO projects with Bahraini labor organizations, and to help Bahrain implement the U.S.-Bahrain FTA . In May 2006 Bahrain revoked the...civilian nuclear power), did not mar the visit of Iranian President Ahmadinejad on November 17, 2007. In March 2009 by former Iranian parliament speaker Ali

  2. Bahrain Country Analysis Brief

    EIA Publications

    2016-01-01

    The Kingdom of Bahrain is the smallest oil producer among the Gulf Cooperation Council (GCC) nations. Bahrain and Oman are the only two countries bordering the Persian Gulf which are not members of the Organization of the Petroleum Exporting Countries (OPEC).

  3. Current Reform in Higher Education in Bahrain.

    ERIC Educational Resources Information Center

    Saif, Philip S.

    Higher education in Bahrain and background information on this Arab Gulf country are considered. Bahrain, similar to other Gulf States, depended heavily on expatriates as teachers, most of whom were from Egypt, Syria, and Lebanon. Bahraini students have pursued college studies in other countries. Higher education in the country started as separate…

  4. 75 FR 11559 - Certain Combed Cotton Yarns: Effect of Modification of U.S.-Bahrain FTA Rules of Origin

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-11

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. Bahrain-FTA-103-025] Certain Combed Cotton Yarns.... 3805 note), the Commission instituted investigation No. Bahrain FTA-103-025, Certain Combed Cotton... rules of origin to the FTA for certain combed cotton yarns used in the production of certain home...

  5. 48 CFR 25.1102 - Acquisition of construction.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... from a designated country other than Bahrain, Mexico, and Oman. (d)(1) Insert the provision at 52.225... Bahrain, Mexico, or Oman; or (B) Unmanufactured construction material from a designated country other than Bahrain, Mexico, or Oman. [64 FR 72419, Dec. 27, 1999, as amended at 65 FR 36026, June 6, 2000; 67 FR...

  6. 48 CFR 25.1102 - Acquisition of construction.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... from a designated country other than Bahrain, Mexico, and Oman. (d)(1) Insert the provision at 52.225... Bahrain, Mexico, or Oman; or (B) Unmanufactured construction material from a designated country other than Bahrain, Mexico, or Oman. [64 FR 72419, Dec. 27, 1999, as amended at 65 FR 36026, June 6, 2000; 67 FR...

  7. 48 CFR 25.1102 - Acquisition of construction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... is from a designated country other than Bahrain, Mexico, and Oman. (d)(1) Insert the provision at 52... Bahrain, Mexico, or Oman; or (B) Unmanufactured construction material from a designated country other than Bahrain, Mexico, or Oman. [64 FR 72419, Dec. 27, 1999, as amended at 65 FR 36026, June 6, 2000; 67 FR...

  8. 48 CFR 25.1102 - Acquisition of construction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... is from a designated country other than Bahrain, Mexico, and Oman. (d)(1) Insert the provision at 52... Bahrain, Mexico, or Oman; or (B) Unmanufactured construction material from a designated country other than Bahrain, Mexico, or Oman. [64 FR 72419, Dec. 27, 1999, as amended at 65 FR 36026, June 6, 2000; 67 FR...

  9. 48 CFR 25.1102 - Acquisition of construction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... construction material is from a designated country other than Bahrain, Mexico, and Oman. (d)(1) Insert the... Bahrain, Mexico, or Oman; or (B) Unmanufactured construction material from a designated country other than Bahrain, Mexico, or Oman. [64 FR 72419, Dec. 27, 1999, as amended at 65 FR 36026, June 6, 2000; 67 FR...

  10. The Continued Effects of Home Intervention on Child Development Outcomes in the Kingdom of Bahrain

    ERIC Educational Resources Information Center

    Hadeed, Julie

    2011-01-01

    This article presents the continued effects of a home-based intervention programme on child development outcomes and parenting practices in Bahrain. The intervention is the "Mother-Child Home Education Programme" (MOCEP) which was implemented in Arabic in the Kingdom of Bahrain beginning in 2001. One hundred and sixty-seven poor,…

  11. The Feasibility of Utilizing Wind Energy in Commercial Buildings With Special Reference to the Kingdom of Bahrain

    NASA Astrophysics Data System (ADS)

    Abdulrahim Saeed, Saeed

    2017-11-01

    This article shall investigate the feasibility of utilizing wind energy for commercial buildings with special reference to the Kingdom of Bahrain. Bahrain World Trade Center which was built in 2008, is located in the city of Manama. The fifty-story complex contains identical twin towers that rise over 240 meters in height. The towers are connected by three bridges which hold three turbines each 29 meters long. The three turbines were originally design to provide electric energy required for lighting. The Bahrain World Trade Center was selected as a case study to investigate the feasibility of utilizing wind energy technologies in skyscrapers with special reference to the Kingdom of Bahrain. It is hoped that the findings and conclusion of the study shall be of some value for future utilization of wind energy in the GCC countries and the world at large.

  12. Complete Genome Sequence of a Burkholderia mallei Isolate Originating from a Glanderous Horse from the Kingdom of Bahrain

    PubMed Central

    Thomas, Prasad; Melzer, Falk

    2016-01-01

    Burkholderia mallei is a zoonotic agent causing glanders, a notifiable disease in equines. During the past decades glanders emerged, and the Kingdom of Bahrain reported outbreaks to the World Organization of Animal Health in 2010 and 2011. This paper presents the complete genome sequence of the Burkholderia mallei strain 11RR2811 Bahrain1. PMID:27908988

  13. The continuing decline of coral reefs in Bahrain.

    PubMed

    Burt, John A; Al-Khalifa, Khalifa; Khalaf, Ebtesam; Alshuwaikh, Bassem; Abdulwahab, Ahmed

    2013-07-30

    Historically coral reefs of Bahrain were among the most extensive in the southern basin of the Arabian Gulf. However, Bahrain's reefs have undergone significant decline in the last four decades as a result of large-scale coastal development and elevated sea surface temperature events. Here we quantitatively surveyed six sites including most major coral reef habitats around Bahrain and a reef located 72 km offshore. Fleshy and turf algae now dominate Bahrain's reefs (mean: 72% cover), and live coral cover is low (mean: 5.1%). Formerly dominant Acropora were not observed at any site. The offshore Bulthama reef had the highest coral cover (16.3%) and species richness (22 of the 23 species observed, 13 of which were exclusive to this site). All reefs for which recent and historical data are available show continued degradation, and it is unlikely that they will recover under continuing coastal development and projected climate change impacts. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. Feasibility and psychometric analysis of graduate satisfaction survey of medical students graduating from the Royal College of Surgeons in Ireland-Medical University of Bahrain (RCSI Bahrain).

    PubMed

    Strachan, Kathryn; Ansari, Ahmed Al

    2016-01-01

    To assess the satisfaction levels of graduates of the Royal College of Surgeons in Ireland University of Bahrain (RCSI Bahrain). The graduate survey was administered to four groups of graduates of the RCSI Bahrain who graduated between the years 2010 and 2014. The graduate survey assessed five major domains and comprised 41 items. The RCSI Bahrain opened its doors in 2004, with the first class graduating in 2010. The graduate cohorts used in this study were working in various countries at the time of survey completion. Out of 599 graduates, 153 responded to the graduate survey. The total mean response rate of the graduate survey was 26 %, including 102 females, 44 males, and 7 students who did not indicate their gender. 49 students graduated in 2012, and 53 students graduated in 2013. Of these graduates, 83 were working in Bahrain at the time of survey administration, 11 in the USA, 4 in Malta, and 3 in the UK; the total number of countries where graduates were working was 14. Reliability analysis found high internal consistency for the instrument (with a Cronbach's α of 0.97). The whole instrument was found to be suitable for factor analysis (KMO = 0.853; Bartlett test significant, p < 0.00). Factor analysis showed that the data on the questionnaire decomposed into five factors, which accounted for 72.3 % of the total variance: future performance, career development, skills development, graduate as collaborator, and communication skills. The survey results found that graduates of the RCSI Bahrain program who responded to this questionnaire are generally satisfied with their experience at the university, feel well prepared to join the field and feel ready to compete with graduates of competing universities. Furthermore, the graduate survey was found to be a reliable instrument and we provided some evidence to support the construct validity of the instrument.

  15. Prevalence and risk factors of hepatitis B virus infection in Bahrain, 2000 through 2010.

    PubMed

    Janahi, Essam M

    2014-01-01

    Hepatitis B infection is one of the world's major infectious diseases with about 350 million chronic carriers. Because no data is published on the prevalence and risk factors of this important disease in Bahrain, this article evaluates the available data from 2000 to 2010 to estimate the prevalence of the infection and to evaluate the risk factors. Epidemiologic data on HBV cases were collected from the major hospitals and health centers in Bahrain and statistically analyzed. Over this indicated decade, 877,892 individuals were screened for HBV infection and 5055 positive cases were reported in Bahrain. The prevalence of HBV infection during that period was 0.58%. Although there was no significant difference in the prevalence over the period of 10 years, the actual number of positive cases has almost doubled in the later years especially in 2007 and 2008. The prevalence was significantly higher among males (62.3%; P<0.01). Most cases were associated with non Bahrainis and the prevalence was significantly higher among them (68.3%; P<0.01) than it was among Bahrainis (31.7%). Seventy eight percent (2877/3690) of non Bahraini cases were for citizens of six countries which are highly endemic for HBV, namely India, Pakistan, Bangladesh, Philippines, Indonesia and Ethiopia. Dental procedures and surgical operations were the main risk factors of infection as 37.2% and 35.6% of the patients were probably infected through this route. The prevalence of hepatitis B virus infection in Bahrain indicates that Bahrain had low HBV endemicity for the last 10 years (2000-2010). Our study verifies the significant role played by expatriates/immigrants in the present epidemiology of hepatitis B in Bahrain. Increasing HBV vaccination of high risk groups, active educational and media campaign, screening HBV infection during pregnancy, and surveillance of hepatitis B infected individuals will further decrease the prevalence of the disease in Bahrain.

  16. Prevalence and Risk Factors of Hepatitis B Virus Infection in Bahrain, 2000 through 2010

    PubMed Central

    Janahi, Essam M.

    2014-01-01

    Hepatitis B infection is one of the world's major infectious diseases with about 350 million chronic carriers. Because no data is published on the prevalence and risk factors of this important disease in Bahrain, this article evaluates the available data from 2000 to 2010 to estimate the prevalence of the infection and to evaluate the risk factors. Epidemiologic data on HBV cases were collected from the major hospitals and health centers in Bahrain and statistically analyzed. Over this indicated decade, 877,892 individuals were screened for HBV infection and 5055 positive cases were reported in Bahrain. The prevalence of HBV infection during that period was 0.58%. Although there was no significant difference in the prevalence over the period of 10 years, the actual number of positive cases has almost doubled in the later years especially in 2007 and 2008. The prevalence was significantly higher among males (62.3%; P<0.01). Most cases were associated with non Bahrainis and the prevalence was significantly higher among them (68.3%; P<0.01) than it was among Bahrainis (31.7%). Seventy eight percent (2877/3690) of non Bahraini cases were for citizens of six countries which are highly endemic for HBV, namely India, Pakistan, Bangladesh, Philippines, Indonesia and Ethiopia. Dental procedures and surgical operations were the main risk factors of infection as 37.2% and 35.6% of the patients were probably infected through this route. The prevalence of hepatitis B virus infection in Bahrain indicates that Bahrain had low HBV endemicity for the last 10 years (2000–2010). Our study verifies the significant role played by expatriates/immigrants in the present epidemiology of hepatitis B in Bahrain. Increasing HBV vaccination of high risk groups, active educational and media campaign, screening HBV infection during pregnancy, and surveillance of hepatitis B infected individuals will further decrease the prevalence of the disease in Bahrain. PMID:24498341

  17. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2014-03-24

    by the regime in May 2013. • Al Haq (Movement of Freedom and Democracy), another Shiite faction, is outlawed because of its calls for outright...discuss the human rights situation in Bahrain. • The Bahrain Islamic Action Society, a small Shiite faction, also is an outlawed faction. It is a...Amal’s leader, Shaykh Muhammad Ali al-Mafoodh, has been in prison since 2011 and Amal was outlawed in 2012. • Waad (“promise”) is a left-leaning

  18. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2014-01-06

    raided by the regime in May 2013. • Al Haq (Movement of Freedom and Democracy), another Shiite faction, is outlawed because of its calls for outright...to discuss the human rights situation in Bahrain. • The Bahrain Islamic Action Society, a small Shiite faction, also is an outlawed faction. It is...Amal’s leader, Shaykh Muhammad Ali al-Mafoodh, has been in prison since 2011 and Amal was outlawed in 2012. • Waad (“promise”) is a left-leaning

  19. Digital Workflow for the Conservation of Bahrain Built Heritage: the Sheik Isa Bin ALI House

    NASA Astrophysics Data System (ADS)

    Barazzetti, L.; Mezzino, D.; Santana Quintero, M.

    2017-08-01

    Currently, the commercial market offers several tools for digital documentation of historic sites and buildings. Photogrammetry and laser scanning play a fundamental role in the acquisition of metric information, which is then processed to generate reliable records particularly useful also in the built heritage conservation field. Although potentially very fast and accurate, such techniques require expert operators to produce reliable results, especially in the case of complex and large sites. The aim of this paper is to present the digital workflow developed for data acquisition and processing of the Shaikh Isa Bin Ali house in Muharraq, Bahrain. This historic structure is an outstanding example of Bahrain architecture as well as tangible memory of the country history, with strong connotations in the Bahrain cultural identity. The building has been documented employing several digital techniques, including: aerial (drone) and terrestrial photogrammetry, rectifying photography, total station and laser scanning. The documentation project has been developed for the Bahrain Authority for Culture and Antiquities (BACA) by a multidisciplinary team of experts from Carleton Immersive Media Studio (CIMS, Carleton University, Canada) and Gicarus Lab (Politecnico di Milano, Italy).

  20. Bahrain.

    PubMed

    1985-02-01

    Bahrain's population characteristics, geographical features, history, form of government, and political and economic situation were briefly described. Bahrain has a population of about 400,000. 66% of the inhabitants are indigenous to the Arabian Peninsula and Persia, and the remainder of the population is made up of a variety of minority groups. Islam is the predominant religion, and Arabic is the official language. School attendence is 100% at the primary level, relatively high at the secondary level, and the literacy rate is 74%. Bahrain is an island in the Persian Gulf, off the coast of Saudi Arabia. It was an ancient trading center, and since the 18th century, it has been governed by the Khalifa family. At times, the family's influence extended to other areas of the Arabian Peninsula. In 1905, Bahrain signed a treaty of protection with Great Britain. In 1971, it became an independent country with a traditional emirate form of government. In 1973, the present amir, Sheikh Isa bin Sulman Al-Khalifa, enacted a new constitution mandating an elected National Assembly; however, the amir disbanded the assembly in 1975. The amir believed that subversive activity within the elected body posed a threat to the security of the country. To date, constitutional rule has not been restored. Bahrain's economy is based primarily on the exploitation of its oil and gas deposits. At current production rates, the oil reserves will be depleted in 20-25 years, and the gas reserves in about 50 years. In preparation for the country's post oil economy, efforts are being made to develop Bahrain as a regional banking and commercial center, and revenues from petroleum production are being used to develop an infrastructure for industrial diversification. Oil reserves, which account for 34% of the country's budget, are also being used to upgrade health and education services, housing, the transportation system, and the water supply. The economy was further strengthened by the Gulf Cooperation Council's (GCC's) decision to locate several of its projects in Bahrain. Currently, the country receives significant economic assistance from a number of Arab countries. Bahrain's land is unsuited to agriculture, and only 4% of the work force is engaged in agricultural as compared to 74% in industry and commerce. For 1983, the gross domestic product was US$5.5 billion, the annual economic growth rate was 5%, and per capita income was US$9.284. In 1984 estimated exports totalled US$3.2 billion and imports amounted to US$3.3 billion. Bahrain tends to support the position of the Arab League in international affairs. It plays a low-keyed role in international affairs, and the government seeks to work cooperatively with other Arab nations. In response to the threat posed by the Iran-Iraq war, and with assistance from the GCC, the country is expanding its defense system.

  1. Strategic Vision of His Highness Sheikh Zayed Bin Sultan Al Nahyan

    DTIC Science & Technology

    2003-04-07

    based on agriculture. The water resources came by way of ancient subterranean water canals that brings the water from aquifers in the mountains to...Federation between Abu Dhabi and Dubai, with an extended invitation, to the other Trucial Coast including the States Of Bahrain and Qatar to join”34. 11...Bahrain and Qatar . “The first step was a meeting for the Rulers of the Trucial Coast Emirates, The Emir of Bahrain, and The Emir of Qatar , in Dubai

  2. 76 FR 78858 - Defense Federal Acquisition Regulation Supplement; Utilization of Domestic Photovoltaic Devices...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... (Australia, Bahrain, Canada, Chile, Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Mexico... means Australia, Bahrain, Canada, Chile, Costa Rica, Dominican Republic, El Salvador, Guatemala...

  3. 77 FR 30355 - Defense Federal Acquisition Regulation Supplement: United States-Korea Free Trade Agreement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-22

    ... country (Australia, Bahrain, Canada, Chile, Costa Rica, Dominican Republic, El Salvador, Guatemala... Agreement country means Australia, Bahrain, Canada, Chile, Costa Rica, Dominican Republic, El Salvador...

  4. Validation of the Arabic Version of the Group Personality Projective Test among university students in Bahrain.

    PubMed

    Al-Musawi, Nu'man M

    2003-04-01

    Using confirmatory factor analytic techniques on data generated from 200 students enrolled at the University of Bahrain, we obtained some construct validity and reliability data for the Arabic Version of the 1961 Group Personality Projective Test by Cassel and Khan. In contrast to the 5-factor model proposed for the Group Personality Projective Test, a 6-factor solution appeared justified for the Arabic Version of this test, suggesting some variance between the cultural groups in the United States and in Bahrain.

  5. Nurses' perceptions of and participation in continuing nursing education: results from a study of psychiatric hospital nurses in Bahrain.

    PubMed

    Al-Majid, Sadeeka; Al-Majed, Hashmiya; Rakovski, Cyril S; Otten, Rebecca A

    2012-05-01

    Although many psychiatric hospital nurses in Bahrain attend at least one continuing nursing education (CNE) activity per year, many others do not. This study explored these nurses' perceptions of CNE and factors that promote or hinder participation in CNE activities. A descriptive design was used to gather data from a convenience sample of 200 nurses working at the psychiatric hospital in Bahrain. Nurses believed that CNE improved the quality of patient care and patient outcomes, increased nurses' knowledge and skills, and kept them current with advances in nursing. Participation in CNE was hindered by unavailability of CNE activities related to psychiatric nursing. The majority of nurses had positive perceptions of CNE. Their participation was hindered by unavailability of CNE activities related to psychiatric nursing. Those responsible for planning continuing education in Bahrain should consider these findings when planning future CNE activities. Copyright 2012, SLACK Incorporated.

  6. Resource management performance in Bahrain: a systematic analysis of municipal waste management, secondary material flows and organizational aspects.

    PubMed

    Al Sabbagh, Maram K; Velis, Costas A; Wilson, David C; Cheeseman, Christopher R

    2012-08-01

    This paper presents a detailed review of municipal solid waste (MSW) and resource management in Bahrain, using the recently developed UN-Habitat city profile methodology. Performance indicators involve quantitative assessment of waste collection and sweeping, controlled disposal, materials recovery and financial sustainability together with qualitative assessment of user and provider inclusivity and institutional coherence. MSW management performance in Bahrain is compared with data for 20 other cities. The system in Bahrain is at an intermediate stage of development. A waste/material flow diagram allows visualization of the MSW system and quantifies all inputs and outputs, with the vast majority of MSW deposited in a controlled, but not engineered landfill. International comparative analysis shows that recycling and material recovery rates in Bahrain (8% wt. for domestic waste, of which 3% wt. due to informal sector) are generally lower than other cities, whereas waste quantities and generation rates at 1.1 kg capita(-1) day(-1)) are relatively high. The organic fraction (60% wt.) is comparable to that in middle- and low-income cities (50-80% wt.), although on the basis of gross domestic product Bahrain is classified as a high-income city, for which the average is generally less than 30% wt. Inclusivity in waste governance is at a medium stage as not all waste system stakeholders are considered in decision-making. While the system now appears to be financially stable, key pending issues are cost-effectiveness, improving the standards of disposal and deployment of extensive materials recovery/recycling services.

  7. 76 FR 81984 - Bureau of International Labor Affairs; Office of Trade and Labor Affairs; Bahrain-United States...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ..., 2011 from the American Federation of Labor and Congress of Industrial Organizations (AFL-CIO) and...'s visit to Bahrain for first hand collection of documentary and interview information, the source of...

  8. 77 FR 31536 - Defense Federal Acquisition Regulation Supplement; Technical Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-29

    ... adding ``Australia, Bahrain, Canada, Chile, Colombia, Costa Rica, Dominican Republic, El Salvador..., Bahrain, Canada, Chile, Columbia, Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Korea..., Chile, Colombia, Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Korea (Republic of...

  9. Knowledge of and attitudes towards tobacco control among smoking and non-smoking physicians in 2 Gulf Arab states.

    PubMed

    Behbehani, Nasser N; Hamadeh, Randah R; Macklai, Nejma S

    2004-05-01

    The global health professional survey is a project organized by the World Health Organization, to determine the smoking habits, knowledge and attitude towards tobacco control of health professionals in several countries around the world. This paper presents data from Kuwait and Bahrain. The survey period was between May 2000 and March 2001. A questionnaire was distributed to all physicians in Bahrain and to a random sample from Kuwait. The responses to knowledge and attitude questions were on a scale of 1-5, (1 strongly agree, 2 agree, 3 unsure, 4 disagree and 5 strongly disagree). Four hundred and seventy physicians from Bahrain and 1095 from Kuwait completed the questionnaire. The prevalence of cigarette smoking in Kuwait was: current smokers 18.4%, previous smokers 15.8%, Bahrain 14.6% and 14.3%. The prevalence of shisha smoking was 12% and 6.4% for Kuwait and Bahrain, (p=0.004). The mean scores of agreement with the association between passive smoking and lung diseases, lower respiratory tract infections in children were 1.6, 1.7 and 1.8, 1.9 for non smoking physicians and smoking physicians (P<0.01). The mean scores of agreement with the following policies: large health warning on cigarette packages, complete ban on tobacco advertisement and an increase in the price of cigarette were 1.3, 1.4, 1.7 and 1.7, 1.7, 2.5 for smoking and non-smoking physicians (p<0.01). Smoking physicians have less knowledge and less favorable attitude towards tobacco control compared to non-smokers. There was no difference in the prevalence of cigarette smoking between Kuwait and Bahrain, but the prevalence of shisha smoking was higher in Kuwait.

  10. Analyzing Long-run Relationship between Energy Consumption and Economic Growth in the Kingdom of Bahrain

    NASA Astrophysics Data System (ADS)

    Naser, Hanan

    2017-11-01

    Since the relation between energy consumption and economic growth is important to design effective energy policies that will promote economic growth, this study investigates the short run dynamics and causality among energy consumption, co2 emissions, oil prices and economic growth in Kingdom of Bahrain. To do so, annual data that covers the period from 1960 till 2015. Empirical work tests for unit root, co-integration relationship using Johansen (1988) approach and then estimate both long and short run dynamics using the vector error correction model (VECM). Results indicate that there is a long-run relationship between the suggested variables. Since economic growth has a predictive power to estimate the energy demand of Kingdom of Bahrain, it is recommended that the government of Bahrain and policy designers shed the light on energy efficiency strategies and carbon emissions reduction policy in the long run without impeding economic growth in order to move towards sustainability.

  11. 77 FR 37804 - Rules for Investigations Relating to Global and Bilateral Safeguard Actions, Market Disruption...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ..., Bahrain, Business and industry, Canada, Chile, Colombia, Costa Rica, Dominican Republic, El Salvador..., Bahrain, Chile, Colombia, the Dominican Republic and five Central American countries (Costa Rica, El Salvador, Guatemala, Honduras, and Nicaragua), Jordan, Korea, Morocco, Oman, Panama, Peru, and Singapore...

  12. Educational Innovations in Bahrain.

    ERIC Educational Resources Information Center

    AlSaleh, Faiqa Saeed, Ed.

    Information about innovative projects in education in Bahrain is presented in a series of program descriptions collected for the INNODATA Databank of the International Bureau of Education (Geneva), a program of the United Nations Educational, Scientific, and Cultural Organization. The 36 programs are grouped into the following categories: (1)…

  13. The handsearching of 2 medical journals of Bahrain for reports of randomized controlled trials.

    PubMed

    Al-Hajeri, Amani A; Fedorowicz, Zbigniew; Amin, Fawzi A; Eisinga, Anne

    2006-04-01

    To identify reports of randomized trials by handsearching 2 Bahrain medical journals, which are indexed in the biomedical database EMBASE and to determine any added value of the handsearching by comparing the reports found by handsearching with what would have been found by searching EMBASE to examine (i) the precision and sensitivity of the EMBASE index term Randomized Controlled Trial (RCT) and (ii) The Cochrane Collaboration's systematic electronic search of EMBASE (which uses 4 index terms and 9 free-text terms). All issues of the Bahrain Medical Bulletin (BMB) (1979-2004) and the Journal of the Bahrain Medical Society (JBMS) (1989-2004) were handsearched in February 2005 for reports of RCTs or Controlled Clinical Trials (CCTs), according to Cochrane eligibility criteria. Out of 395 articles in BMB we found reports of 12 RCTs and 4 CCTs. Distribution by country of corresponding author: Jordan (4 RCTs, one CCT), Bahrain (one RCT, one CCT), India (3 RCTs, one CCT), Kuwait (one CCT), Saudi Arabia (2 RCTs), USA/Bahrain (one RCT), and Oman (one RCT); and by specialty: Anesthesia (8), Surgery (1) Pediatrics (1), Radiotherapy (1), Community Medicine (1), Sports Medicine (1), Obstetrics/Gynecology (3). The Journal of the Bahrain Medical Society included reports of 14 RCTs and 3 CCTs, out of 97 articles. Distribution by country of corresponding author: Jordan (9 RCTs, 2 CCTs), Bahrain (3 RCTs), Egypt (one RCT), Kuwait (one RCT), and Saudi Arabia (one RCT); and by specialty: Anesthesia (7), General Surgery (3), Obstetrics/Gynecology (1), Radiotherapy (1), Pediatrics (1), Orthopaedic Surgery (1), Education (1) Ear Nose and Throat (1) Ophthalmology (1). Overall, of the 33 reports of trials found by handsearching both journals, only 23 were included in EMBASE of which only 6 had been indexed with the term RCT. Of the 23 reports of trials included in EMBASE, 16 had been identified in the Collaboration s systematic search of EMBASE. Two reports of trials could have been retrieved by this search but there was insufficient information in the title and abstract to code these as trials. The EMBASE records for the remaining 5 reports of trials did not contain terms currently used by The Cochrane Collaboration to identify reports of randomized trials in this database. The handsearching of these journals will help minimize publication bias by locating randomized trials not previously identified and, through their inclusion in the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, will ensure reports of randomized trials will not remain buried through indexing bias.

  14. Natural Burkholderia mallei Infection in Dromedary, Bahrain

    PubMed Central

    Wernery, Ulrich; Wernery, Renate; Joseph, Marina; Al-Salloom, Fajer; Johnson, Bobby; Kinne, Joerg; Jose, Shanti; Jose, Sherry; Tappendorf, Britta; Hornstra, Heidie

    2011-01-01

    We confirm a natural infection of dromedaries with glanders. Multilocus variable number tandem repeat analysis of a Burkholderia mallei strain isolated from a diseased dromedary in Bahrain revealed close genetic proximity to strain Dubai 7, which caused an outbreak of glanders in horses in the United Arab Emirates in 2004. PMID:21762586

  15. A Cost Analysis of Forward Positioning Material in the Fifth Fleet Area of Responsibility

    DTIC Science & Technology

    2014-12-01

    CTF combined task force CY calendar year DDC defense distribution center DDNB Defense Depot Navy Detachment, Bahrain DHL DHL Airways DLA...items from Bahrain to the requesting unit.  Defense Distribution Center ( DDC )– DDC is concerned with getting the requested national item

  16. Natural Burkholderia mallei infection in Dromedary, Bahrain.

    PubMed

    Wernery, Ulrich; Wernery, Renate; Joseph, Marina; Al-Salloom, Fajer; Johnson, Bobby; Kinne, Joerg; Jose, Shanti; Jose, Sherry; Tappendorf, Britta; Hornstra, Heidie; Scholz, Holger C

    2011-07-01

    We confirm a natural infection of dromedaries with glanders. Multilocus variable number tandem repeat analysis of a Burkholderia mallei strain isolated from a diseased dromedary in Bahrain revealed close genetic proximity to strain Dubai 7, which caused an outbreak of glanders in horses in the United Arab Emirates in 2004.

  17. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  18. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  19. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  20. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  1. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  2. Tacit Rejection of Policy and Teacher Ambivalence: Insights into English Language Teaching in Bahrain through Actors' Perceptions

    ERIC Educational Resources Information Center

    Hayes, Aneta

    2018-01-01

    This article develops Phillips and Ochs's (2003) framework for policy borrowing, particularly their theorisations about indigenisation of international programmes. It uses the example of communicative language teaching (CLT) in Bahrain, exploring teacher perspectives regarding the effects of CLT on the preexisting arrangements in the national…

  3. 48 CFR 52.225-11 - Buy American Act-Construction Materials under Trade Agreements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., Dominican Republic, El Salvador, Guatemala, Honduras, Mexico, Morocco, Nicaragua, Oman, Peru, or Singapore..., product, or manufacture of Bahrain, Mexico, or Oman ; or (2) In the case of a construction material that... Bahrain, Mexico, or Oman into a new and different construction material distinct from the materials from...

  4. 48 CFR 52.225-11 - Buy American Act-Construction Materials under Trade Agreements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., Morocco, Nicaragua, Oman, Panama, Peru, or Singapore); (3) A least developed country (Afghanistan, Angola..., product, or manufacture of Bahrain, Mexico, or Oman ; or (2) In the case of a construction material that... Bahrain, Mexico, or Oman into a new and different construction material distinct from the materials from...

  5. Diabetes mellitus in Bahrain: an overview.

    PubMed

    Musaiger, A O

    1992-07-01

    Bahrain has faced a rapid transition in its socio-economic status, which resulted in great changes both in life-style and in patterns of health and disease. There has been a marked decline in infectious diseases and an increase in chronic diseases. Diabetes mellitus has become one of the most common public health problems in the country. In 1988 it was estimated that 3.4% of total deaths in Bahrain were due to diabetes. A community-based study among mothers aged 18 to 48 years showed that 8.5% of them had diabetes. The percentage was found to be higher among elderly Bahrainis (12.9%). Obesity, lack of physical activity, alteration in food habits, and change in social conditions have all played a vital role in the changing prevalence of diabetes in this country. The current programmes to manage and control diabetes are limited and ineffective. Thus measures to treat diabetes should be given a high priority in the national health policy. Training of physicians in the management of diabetes, public education, epidemiological surveys, and nutritional evaluation of local foods are among the most important measures needed to control diabetes in Bahrain.

  6. Electricity savings potentials in the residential sector of Bahrain

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Akbari, H.; Morsy, M.G.; Al-Baharna, N.S.

    1996-08-01

    Electricity is the major fuel (over 99%) used in the residential, commercial, and industrial sectors in Bahrain. In 1992, the total annual electricity consumption in Bahrain was 3.45 terawatt-hours (TWh), of which 1.95 TWh (56%) was used in the residential sector, 0.89 TWh (26%) in the commercial sector, and 0.59 TWh (17%) in the industrial sector. Agricultural energy consumption was 0.02 TWh (less than 1%) of the total energy use. In Bahrain, most residences are air conditioned with window units. The air-conditioning electricity use is at least 50% of total annual residential use. The contribution of residential AC to themore » peak power consumption is even more significant, approaching 80% of residential peak power demand. Air-conditioning electricity use in the commercial sector is also significant, about 45% of the annual use and over 60% of peak power demand. This paper presents a cost/benefit analysis of energy-efficient technologies in the residential sector. Technologies studied include: energy-efficient air conditioners, insulating houses, improved infiltration, increasing thermostat settings, efficient refrigerators and freezers, efficient water heaters, efficient clothes washers, and compact fluorescent lights. We conservatively estimate a 32% savings in residential electricity use at an average cost of about 4 fils per kWh. (The subsidized cost of residential electricity is about 12 fils per kWh. 1000 fils = 1 Bahrain Dinar = US$ 2.67). We also discuss major policy options needed for implementation of energy-efficiency technologies.« less

  7. Situation Report--Bahrain, Central African Republic, Gabon, Iraq, Jordan, Kuwait, Lesotho, Libya, Saudi Arabia, Swaziland, Syria, Yemen Arab Republic.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in twelve foreign countries are presented in these situation reports. Countries included are Bahrain, Central African Republic, Gabon, Iraq, Jordan, Kuwait, Lesotho, Libya, Saudi Arabia, Swaziland, Syria, and Yemen Arab Republic. Information is provided, where appropriate and available, under two…

  8. Assessing the Emotional Intelligence of Gifted and Talented Adolescent Students in the Kingdom of Bahrain

    ERIC Educational Resources Information Center

    Al-Hamdan, Najat Sulaiman; Al-Jasim, Fatima Ahmed; Abdulla, Ahmed M.

    2017-01-01

    This study assessed the differences in the emotional intelligence of gifted adolescent students and talented adolescent students in Bahrain. The sample consisted of 80 gifted adolescent students and 80 talented adolescent students in Grades 9 through 12. A multivariate analysis of variance (MANOVA) indicates that there were significant differences…

  9. 75 FR 68153 - To Adjust the Rules of Origin Under the United States-Bahrain Free Trade Agreement, Implement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... Part IV The President Proclamation 8596--To Adjust the Rules of Origin Under the United States... Adjust the Rules of Origin Under the United States-Bahrain Free Trade Agreement, Implement Modifications... the HTS the schedule of duty reductions and rules of origin necessary or appropriate to carry out the...

  10. Subregional Workshop on Teacher Training in Environmental Education for the Arab States (Bahrain, January 25-30, 1986).

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France). Environmental Education Section.

    This workshop was organized by the Bahrain National Commission for Education, Science and Culture in collaboration with United Schools International (USI) Arab Regional Office and in cooperation with UNESCO-UNEP International Environmental Education Programme (IEEP). The workshop was designed to: (1) familiarize participants with a series of…

  11. Deconstructing the "Magnetic" Properties of Neoliberal Politics of Education in Bahrain

    ERIC Educational Resources Information Center

    Hayes, Aneta

    2017-01-01

    This article makes contributions to questions of why international transfers of programmes do not lead to the outcomes that nations engaging in them expect to gain. Using Bahrain as an example, it is argued that tensions arising from policy borrowing are rooted in the complexities of the political incoherence between the new teaching policies, the…

  12. Nutrition Knowledge, Attitudes and Practices: A Comparison between Medical Practitioners and Medical Students in Bahrain

    ERIC Educational Resources Information Center

    Al-Madani, Khawla M.; Landman, Jacqueline; Musaiger, Abdulrahman O.

    2004-01-01

    The objective of this study was to evaluate nutrition knowledge, attitudes and practices in Bahrain. A cross-sectional survey was carried out in 1998. Highly statistically significant differences (p less than 0.0001) were observed between practitioners and students in relation to knowledge concerning recommended daily allowance. The results…

  13. The Effectiveness of the Master Thinker Program in Developing Critical Thinking Skills of 11th Grade Students in Bahrain

    ERIC Educational Resources Information Center

    Alnabhan, Mousa; Alhamdan, Najat; Darwish, Ahmed

    2014-01-01

    The current study aimed at investigating the effect of the Master Thinker program on developing critical thinking skills of 11th grade students in Bahrain. Specifically, this research attempts to examine the hypothesis: Teaching the Master Thinker program will be significantly effective in developing critical thinking and its skills (inference,…

  14. The Influence of Mathematics Anxiety in Middle and High School Students Math Achievement

    ERIC Educational Resources Information Center

    Al Mutawah, Masooma Ali

    2015-01-01

    Math anxiety has been the focus of much psychological and educational research in the past few years, there are many international studies showing that mathematics anxiety is an influence on student's achievements in school, but little research has been done about this issue in Bahrain. Bahrain is a country in the Arabian Gulf region, its economic…

  15. Undergraduate Learners' Perceptions of Blended Learning and its Relationship with Some Demographic and Experiential Variables at the Arab Open University--Bahrain Branch

    ERIC Educational Resources Information Center

    Juma Shehab, Samya Ali

    2007-01-01

    This research focused on the undergraduate learners' perceptions of blended learning at the Arab Open University--Bahrain Branch (AOU-BH). It also focused on factors that influence learners' perceptions and examined the relationships between learners' perceptions and their particular demographic characteristics (age, gender, educational level,…

  16. Quality Assurance and Continuous Improvement: A Case Study of the University of Bahrain

    ERIC Educational Resources Information Center

    Al-Alawi, Yaser; Al-Kaabi, Dheya; Rashdan, Suad; Al-Khaleefa, Lobna

    2009-01-01

    In recent years, Bahrain has taken serious actions to diversify its sources of income and solve major national problems such as unemployment. Through this process it discovered that one of the main factors for its economic problems was the quality of higher education on offer. This led to the creation of a national Quality Assurance Authority that…

  17. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2016-10-28

    reportedly supported by Iran, have claimed responsibility for bombings and other attacks primarily against security officials. The Bahrain government’s use...political settlement is the activity of violent, underground groups that, among their tactics, detonate bombs and Improvised Explosive Devices (IEDs...Sayara al-Ashtar (Ashtar Brigades). It issued its first public statement in April 2013 and has since claimed responsibility for about 20 bombings

  18. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2017-09-29

    responsibility for bombings and other attacks primarily against security officials. The Bahrain government’s use of repression against the dissent...activity of violent, underground groups that, among their tactics, detonate bombs and improvised explosive devices (IEDs) against security forces. These...issued its first public statement in April 2013 and has since claimed responsibility for about 20 bombings against security personnel, including one

  19. Media Implications in Bahrain's Textbooks in Light of UNESCO's Media Literacy Principles

    ERIC Educational Resources Information Center

    Alshorooqi, Fawaz; Rawadieh, Saleh Moh'd

    2017-01-01

    This study aims to identify the media implications of textbooks in the Kingdom of Bahrain in light of the principles of media literacy emanating from the United Nations Educational, Scientific and Cultural Organization (UNESCO). The study is based on the textbooks of Arabic Language and Education for Citizenship for the sixth primary, third…

  20. The Role of the Colleges of Education in Developing Human Values among University Students in Bahrain and Kuwait.

    ERIC Educational Resources Information Center

    Al-Musawi, Nu'man; Al-Hashem, Abdulla; Karam, Ebraheem

    2003-01-01

    Explored the role of the colleges of education in developing college students' humanistic values. Surveys of students in Bahrain and Kuwait indicated that colleges of education in the Arab Gulf States really contribute to the formation of human values among college students. However, schools of education are not devoting sufficient time and effort…

  1. Humanistic Qualities of the Teacher as Perceived by Undergraduate Students in Bahrain and Kuwait

    ERIC Educational Resources Information Center

    Al-Musawi, Nu'man; Karam, Ebraheem M.

    2011-01-01

    The objective of this study was to identify the main qualities of the teacher as a person as perceived by university students in Bahrain and Kuwait. A 25-item questionnaire, which reflected the basic humanistic qualities of the teacher as related to effective teaching, was designed and then administered to a random sample of 520 students enrolled…

  2. Challenges Facing School Leadership in Promoting ICT Integration in Instruction in the Public Schools of Bahrain

    ERIC Educational Resources Information Center

    Abdul Razzak, Nina

    2015-01-01

    The future of Bahrain's economy and the prosperity of its citizens are, like elsewhere in the world, strongly correlated with ICT integration in almost every life aspect (Anderson 2010). ICT integration depends heavily on digital literacy, which is the ability to make use of ICT in learning and work activities (Erstad in "Education and…

  3. U.S. Basing in Bahrain

    DTIC Science & Technology

    2010-04-08

    Representatives and Sunnis fear the radical religious belief of the new immigrants and their tendency to unify instead of assimilate into the Bahraini society...including suggestions fpr reducing this burden to Washington Headquarters Service , Directorate for Information Operations and Reports, . 1215 Jefferson...ABSTRACT As the Fifth Fleet and NAVCENT headquarters, the United States Naval Base in Bahrain provides vital services to operations in the Middle East

  4. Teaching Applied Macro in Emergent Economies: Lessons from Bahrain

    ERIC Educational Resources Information Center

    Miller, Michael S.; Epstein, Seth

    2013-01-01

    In this article we explore the challenges of adapting a standard introductory MBA course in applied macroeconomics to a student audience in a small open economy with a pegged currency. Our focus will be on the Kingdom of Bahrain, with reference to other countries in the Arabian Gulf region, where one would expect to use an open-economy theoretical…

  5. Toward measles elimination in Bahrain--a Middle East country experience.

    PubMed

    Jawad, Jaleela S; Al-Sayyad, Adel S; Sataih, Fathiya; Naouri, Boubker; Alexander, James P

    2011-07-01

    Measles was a leading cause of infant and child morbidity and mortality in Bahrain before the introduction of measles vaccine in 1974. With the establishment of the Expanded Program on Immunization (EPI) in 1981 and the introduction of a second dose of measles vaccine in 1985, coverage for first and second doses of measles vaccine increased to 94% by 1997 and has been sustained >97% since 2001. Measles, mumps, and rubella (MMR) immunization campaigns targeting 12-year-old students were conducted annually during 1998-2006 and achieved coverage of >95%. As a result, the incidence of measles in Bahrain has declined markedly over the past 4 decades, to 2.7 cases per million persons in 2009. Recent confirmed measles cases have occurred sporadically, in undervaccinated children or in infants too young or adults too old to receive measles vaccine. Bahrain has made significant progress toward measles elimination by sustaining high immunization coverage and strengthening case-based measles surveillance activities. Further success will depend on improved identification and immunization of undervaccinated expatriate workers and their families. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2011.

  6. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2016-08-29

    field in Saudi Arabia that the Saudi government has set aside for Bahrain’s use. In 2004, the United States and Bahrain signed a free trade agreement...or minimally implemented those recommendations that address prevention of torture, provision of legal counsel, allowing free access to media, holding...terrorism financing and money laundering. In 2013, the government amended the Charity Fundraising Law of 1956 to tighten terrorism financing monitoring

  7. Digital Tools for Documenting and Conserving Bahrain's Built Heritage for Posterity

    NASA Astrophysics Data System (ADS)

    Mezzino, D.; Barazzetti, L.; Santana Quintero, M.; El-Habashi, A.

    2017-08-01

    Documenting the physical characteristics of historic structures is the first step for any preventive maintenance, monitoring, conservation, planning and promotion action. Metric documentation supports informative decision-making process for property owners, site managers, public officials, and conservators. This information serves also a broader purpose, over time, it becomes the primary means by which scholars, heritage professionals, and the general public understand a site that radically changed or disappeared. Further, documentation supports monitoring as well as the character-defining elements analysis, relevant to define the values of the building for the local and international community. The awareness of these concepts oriented the digital documentation and training activities, developed between 2016 and 2017, for the Bahrain Authority for Culture and Antiquities (BACA) in Bahrain. The developed activities had two main aims: a) support the local staff in using specific recording techniques to efficiently document and consequently preserve built heritage sites with appropriate accuracy and in a relatively short period; b) develop a pilot project in collaboration with BACA to validate the capacity of the team to accurately document and produce measured records for the conservation and management of Bahrain built heritage. The documentation project has been developed by a multidisciplinary team of experts from BACA, Carleton Immersive Media Studio (CIMS), Carleton University, Canada and a contracted researcher from the Gicarus Lab, Politecnico di Milano (POLIMI) in Italy. In the training activities, the participants have been exposed to a wide range of recording techniques, illustrating them the selection criteria for the most suitable one, according to requirements, site specifications, categories of values identified for the various built elements, and budget. The pilot project has been tested on three historical structures, both with strong connotations in the Bahrain cultural identity: the Shaikh Isa bin Ali house, Aljazzaf house and the Siyadi Majlis. These two buildings, outstanding examples of Bahrain architecture as well as tangible memory of the country history, have been documented employing several digital techniques, including: aerial and terrestrial photogrammetry, rectifying photography, total station and 3D laser scanning.

  8. Violence toward health workers in Bahrain Defense Force Royal Medical Services' emergency department.

    PubMed

    Rafeea, Faisal; Al Ansari, Ahmed; Abbas, Ehab M; Elmusharaf, Khalifa; Abu Zeid, Mohamed S

    2017-01-01

    Employees working in emergency departments (EDs) in hospital settings are disproportionately affected by workplace violence as compared to those working in other departments. Such violence results in minor or major injury to these workers. In other cases, it leads to physical disability, reduced job performance, and eventually a nonconducive working environment for these workers. A cross-sectional exploratory questionnaire was used to collect data used for the examination of the incidents of violence in the workplace. This study was carried out at the ED of the Bahrain Defense Force (BDF) Hospital. Participants for the study were drawn from nurses, support staff, and emergency physicians. Both male and female workers were surveyed. The study included responses from 100 staff in the ED of the BDF Hospital in Bahrain (doctors, nurses, and support personnel). The most experienced type of violence in the workers in the past 12 months in this study was verbal abuse, which was experienced by 78% of the participants, which was followed by physical abuse (11%) and then sexual abuse (3%). Many cases of violence against ED workers occurred during night shifts (53%), while physical abuse was reported to occur during all the shifts; 40% of the staff in the ED of the hospital were not aware of the policies against workplace violence, and 26% of the staff considered leaving their jobs at the hospital. This study reported multiple findings on the number of workplace violence incidents, as well as the characteristics and factors associated with violence exposure in ED staff in Bahrain. The results clearly demonstrate the importance of addressing the issue of workplace violence in EDs in Bahrain and can be used to demonstrate the strong need for interventions.

  9. Violence toward health workers in Bahrain Defense Force Royal Medical Services’ emergency department

    PubMed Central

    Rafeea, Faisal; Al Ansari, Ahmed; Abbas, Ehab M; Elmusharaf, Khalifa; Abu Zeid, Mohamed S

    2017-01-01

    Background Employees working in emergency departments (EDs) in hospital settings are disproportionately affected by workplace violence as compared to those working in other departments. Such violence results in minor or major injury to these workers. In other cases, it leads to physical disability, reduced job performance, and eventually a nonconducive working environment for these workers. Materials and methods A cross-sectional exploratory questionnaire was used to collect data used for the examination of the incidents of violence in the workplace. This study was carried out at the ED of the Bahrain Defense Force (BDF) Hospital. Participants for the study were drawn from nurses, support staff, and emergency physicians. Both male and female workers were surveyed. Results The study included responses from 100 staff in the ED of the BDF Hospital in Bahrain (doctors, nurses, and support personnel). The most experienced type of violence in the workers in the past 12 months in this study was verbal abuse, which was experienced by 78% of the participants, which was followed by physical abuse (11%) and then sexual abuse (3%). Many cases of violence against ED workers occurred during night shifts (53%), while physical abuse was reported to occur during all the shifts; 40% of the staff in the ED of the hospital were not aware of the policies against workplace violence, and 26% of the staff considered leaving their jobs at the hospital. Conclusion This study reported multiple findings on the number of workplace violence incidents, as well as the characteristics and factors associated with violence exposure in ED staff in Bahrain. The results clearly demonstrate the importance of addressing the issue of workplace violence in EDs in Bahrain and can be used to demonstrate the strong need for interventions. PMID:29184452

  10. Earth Observations taken by Expedition 26 Crewmember

    NASA Image and Video Library

    2011-01-23

    ISS026-E-020126 (23 Jan. 2011) --- Durrat Al Bahrain, Bahrain, is featured in this image photographed by an Expedition 26 crew member on the International Space Station. Set at the southern end of Bahrain Island, at the furthest point from the cities of the kingdom, is a new complex of 14 artificial islands designed for residential living and tourism with luxury hotels and shopping malls. Aimed at a cosmopolitan clientele, the Durrat Al Bahrain includes 21 square kilometers of new surface area—for more than 1,000 residences—that has been designed as The Islands (six “atolls” leading off five fish-shaped “petals”), The Crescent, Hotel Island in the center of the complex, and Durrat Marina in the north. The spectacular outline of this development, and others such as the Palm Jumeirah and World Islands developments in the Persian Gulf, are best appreciated from above. Views from jet liners at high altitude—and orbital platforms such as the International Space Station—are the only ways to fully appreciate these sights. This detailed photograph shows that construction on the southern two atolls and petals has yet to begin. Artificial beaches have been created on the inner shorelines of the Crescent and petals, with smaller beaches on the inner ends of the atolls and Hotel Island. The angular outline of the golf course, where many more residences are planned to line the fairways, can be seen between The Crescent and the marina. What may be a second marina at the south end of the complex mirrors the one on the north, appears to be part of the complex, but it does not figure in some earlier plans for the Durrat Al Bahrain.

  11. LogLines. May-June 2009

    DTIC Science & Technology

    2009-06-01

    management of a former Navy- owned warehouse in Bahrain. “Today when folks in Bahrain requisition material from Kuwait, we y Army Staff Sgt. Thomas ...members who staff each section who provide the key in- gredient for sustaining world-class war ghter support. Navy Capt . Michelle Skubic, director...weapon systems. 23Loglines May - June 2009 Roberto Arenas and Ron Gay , tools and parts attendants at Defense Logistics Agency Cherry Point, N.C

  12. Newborn Screening Services in Bahrain between 1985 and 2010

    PubMed Central

    Al Arrayed, Shaikha; Al Hajeri, Amani

    2012-01-01

    Introduction. The incidence of genetic blood disease in Bahrain has declined gradually since 1984 when the Ministry of Health (MOH) instituted a prevention campaign. The national NBS program for hemoglobinopathies was started in May 2007, financed by the national budget. Setting. Genetics department, Salmaniya Medical Complex, MOH, Bahrain. Methodology. The genetics, nursing, pathology, and pediatric departments were involved in the study. This service was offered to all infants. Cord blood samples were collected at birth and were then sent to the laboratory. Results. During 3.5 years after the program was implemented, we screened 38,940 newborns (NBs), of which 17,375 were screened in 2008, 10,248 in 2009, and 11,317 in 2010. The number of affected NBs was 128 in both 2007 and 2008, 58 in 2009, and 47 in 2010, as the average number of affected NBs in 2010 was 4 per month. The incidence of affected NBs was found to be 0.7% in 2008, 0.6% in 2009, and 0.4% in 2010. Conclusion. NBS is an essential step for the early diagnosis and treatment of affected NBs, future recurrence of the disease in the same family. In Bahrain, the number of affected NBs has declined by 75% during the last 20. PMID:22550494

  13. Explaining Sectarian Violence in the Middle East: A Comparative Study of Bahrain and Yemen

    DTIC Science & Technology

    2016-06-01

    SECTARIAN VIOLENCE IN THE MIDDLE EAST: A COMPARATIVE STUDY OF BAHRAIN AND YEMEN by Breanna C. Strand June 2016 Thesis Advisor: Mohammed Hafez...3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE EXPLAINING SECTARIAN VIOLENCE IN THE MIDDLE EAST: A COMPARATIVE STUDY OF...through comparative analysis and literature on Middle Eastern sectarianism and ethnic violence theory. This thesis has identified four primary

  14. Pathogenic micro-organisms and helminths in sewage products, Arabian Gulf, country of Bahrain.

    PubMed Central

    Amin, O M

    1988-01-01

    Fecal and sludge samples from the Arabian Gulf country of Bahrain contained poliomyelitis and coxackie viruses, coliform bacteria, Escherichia coli, Salmonella spp., Shigella sonni, fecal streptococci, Balantidium coli, Ascaris lumbricoides and Hymenolepis nana eggs, and Strongyloides stercoralis. Sludge produced in the central sewage treatment plant is used for agricultural purposes and poses a threat to public health. Recommendations to reduce the potential health hazards are made. PMID:3341504

  15. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2013-09-13

    Shiite faction, is outlawed because of its calls for outright change of regime and has boycotted all the COR elections. However, it is smaller in...Islamic Action Society, a small Shiite faction, is outlawed . It is a successor to the Islamic Front for the Liberation of Bahrain (IFLB), a party...was outlawed in 2012. • Waad (“promise”) is a left-leaning secular political society whose members are both Sunni and Shiite and is generally

  16. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2014-02-14

    outlawed because of its calls for outright change of regime and has boycotted all the COR elections. However, it is smaller in membership than Wifaq...faction, also is an outlawed faction. It is a successor to the Islamic Front for the Liberation of Bahrain (IFLB), a party purportedly linked Iran...clerics in Iran linked to Ayatollah Shirazi. Amal’s leader, Shaykh Muhammad Ali al-Mafoodh, has been in prison since 2011 and Amal was outlawed in

  17. JPRS Report, Near East & South Asia

    DTIC Science & Technology

    1989-03-03

    Secretary Gives Views on Present Situation [AL-ANWAR 1 Jan] 27 QATAR Methods To Develop Water Resources Discussed [AL-RAYAH 25 Dec] 31 SAUDI ARABIA...Arabia, Kuwait, Qatar , the United Arab Emirates, Oman and Bahrain. GCC states are now spending $3 billion on reserve electricity and this project will...Arabia, Kuwait, Bahrain and Qatar ) will be connected by a power grid while the second stage will see the southern states of Oman and the UAE being

  18. JPRS Report, Near East & South Asia

    DTIC Science & Technology

    1989-04-06

    TIMES OF OMAN 2 Mar] 26 QATAR Rise in Shipping Movements Recorded [GULF TIMES 24 Jan] 26 North Field Gas Project Progress Cited [GULF TIMES 23...the eastern province of Saudi Arabia, Bahrain and Qatar . Stage two will link areas in the South Gulf, Oman and the UAE [United Arab Emirates]. In...current to high-frequency and vice versa. While Bahrain, Qatar , Oman and Kuwait use the first system, Saudi Arabia uses the second. The main

  19. Epidemiology of autistic disorder in Bahrain: prevalence and obstetric and familial characteristics.

    PubMed

    Al-Ansari, A M; Ahmed, M M

    2013-09-01

    European and North American studies show that the prevalence of autistic disorder is inccreasing. This study was performed to identify the prevalence of autistic disorder in Bahrain, and determine some of the demographic and family characteristics. Using a case-control design, 100 children who received a diagnosis of autistic disorder according to DSM-IV-TR during the period 2000-2010 were selected. An equal numberofcontrols who had received a diagnosis of nocturnal enuresis and no psychopathology were selected, matched for sex and age group. The prevalence of autistic disorder was estimated as 4.3 per 10,000 population, with a male:female sex ratio of 4:1. Significantly more cases than controls were delivered by caesarean section and had mothers who suffered prenatal complications. The prevalence estimate in Bahrain is comparable to previous reports using similar methods. Obstetric complications and caesarean section delivery may be associated with autistic disorder.

  20. Sea level rise within the west of Arabian Gulf using tide gauge and continuous GPS measurements

    NASA Astrophysics Data System (ADS)

    Ayhan, M. E.; Alothman, A.

    2009-04-01

    Arabian Gulf is connected to Indian Ocean and located in the south-west of the Zagros Trust Belt. To investigate sea level variations within the west of Arabian Gulf, monthly means of sea level at 13 tide gauges along the coast of Saudi Arabia and Bahrain, available in the database of the Permanent Service for Mean Sea Level (PSMSL), are studied. We analyzed individually the monthly means at each station, and estimated secular sea level rate by a robust linear trend fitting. We computed the average relative sea level rise rate of 1.96 ± 0.21 mm/yr within the west of Arabian Gulf based on 4 stations spanning longer than 19 years. Vertical land motions are included into the relative sea level measurements at the tide gauges. Therefore sea level rates at the stations are corrected for vertical land motions using the ICE-5G v1.2 VM4 Glacial Isostatic Adjustment (GIA) model then we found the average sea level rise rate of 2.27 mm/yr. Bahrain International GPS Service (IGS) GPS station, which is close to the Mina Sulman tide gauge station in Bahrain, is the only continuous GPS station accessible in the region. The weekly GPS time series of vertical component at Bahrain IGS-GPS station referring to the ITRF97 from 1999.2 to 2008.6 are downloaded from http://www-gps.mit.edu/~tah/. We fitted a linear trend with an annual signal and one break to the GPS vertical time series and found a vertical land motion rate of 0.48 ± 0.11 mm/yr. Assuming the vertical rate at Bahrain IGS-GPS station represents the vertical rate at each of the other tide gauge stations studied here in the region, we computed average sea level rise rate of 2.44 ± 0.21 mm/yr within the west of Arabian Gulf.

  1. The Prevalence of Cardiovascular Disease Risk Factors among Employees in the Kingdom of Bahrain between October 2010 and March 2011: A Cross-Sectional Study from a Workplace Health Campaign

    PubMed Central

    AL-Nooh, Ameera Ali; Abdulabbas Abdulla Alajmi, Abdulhussain; Wood, David

    2014-01-01

    Background. High prevalence of CVD risk factors has been reported in Bahrain. Objective. This study aims to estimate the CVD risk factors prevalence among government employees in Bahrain. Design. A cross-sectional study design. Setting. Different government workplaces in Bahrain. Method. Data was collected from 1139 employees between October 2010 and March 2011 through interviews, including physical measurements, patient blood testing, and expired carbon monoxide (CO) levels as particles per million (ppm) for smokers. A summary of composite CVD risk factors was identified. Results. The following overall prevalence rates were reported: overweight and obesity 78.4% and reported hypertension 36.9% (included both those who were on and not on treatments), with an estimated prevalence of 21.6% for measured systolic blood pressure (Sbp) ≥ 140 mmHg and 23.3% for diastolic blood pressure (dbp) ≥90 mmHg. The prevalence of total cholesterol levels ≥5.2 mmol/dl was 24.2% and LDL levels >3.3 mmol/dl 10.8%. Prevalence of HDL-C levels (≤1.03 mmol/dl) was 47.55% and (≥1.5 mmol/dl) in 12.31%. The low HDL level (<1.03 mmol/dl) among males was 64.1%, while it was 26.6% among females. Half the participants (50.8%) do not engage in any type of physical activity. Moreover, 24.3% were not eating daily servings of fruits and vegetables. About 16.1% of them were current smokers. The majority of the participants (95.35%) had either no or less than 3 CVD risk factors. Only 4.65% had 3–5 risk factors. Conclusions. Among the employees in Bahrain, the high CVD risk factors prevalence is evident. CVD risk factors prevention and control are a priority. PMID:25105054

  2. HIV antibodies among intravenous drug users in Bahrain.

    PubMed

    al-Haddad, M K; Khashaba, A S; Baig, B Z; Khalfan, S

    1994-09-01

    A 12-month study was conducted to identify risk factors for human immunodeficiency virus (HIV) infections among intravenous drug users (IDU) attending drug rehabilitation clinic of the Psychiatric Hospital, Manama, Bahrain. Patients provided demographic and behavioural information based on a questionnaire. Two hundred and forty male IDUs participated in the study on voluntary basis. The seroprevalence of HIV was 21.1 per cent. The presence of HIV antibody was associated with educational status, frequency of injecting drugs and needle sharing.

  3. Proximate and mineral composition of crab meat consumed in Bahrain.

    PubMed

    Musaiger, Abdulrahman O; Al-Rumaidh, Mohammed J

    2005-06-01

    The proximate, mineral and heavy metals of raw and cooked crab meat, Portunus pelagicus, consumed in Bahrain were studied. The crab meat contains a good level of protein (17.5-18.8%), with very low proportion of fat (0.6-1.4%). The levels of sodium, potassium, calcium and phosphorus were found to be higher than other minerals. Traces of heavy metals (lead, mercury, cadmium) were also reported. Traditional cooking had a considerable effect on proximate and mineral contents of crab meat.

  4. SEX DIFFERENCES ON THE WECHSLER INTELLIGENCE SCALE FOR CHILDREN-III IN BAHRAIN AND THE UNITED STATES.

    PubMed

    Bakhiet, Salaheldin Farah Attallah; Lynn, Richard

    2015-12-01

    Sex differences on the Wechsler Intelligence Scale for Children-III (WISC-III) are reported for children in Bahrain and the United States. The results for the two samples were consistent in showing no significant differences in Verbal, Performance, and Full Scale IQs, higher average scores by boys on the Block design and Mazes subtests of spatial ability, and higher average scores by girls on Coding. There was also greater variability in boys than in girls.

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

    PubMed

    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.

  6. Genotyping of Burkholderia mallei from an outbreak of glanders in Bahrain suggests multiple introduction events.

    PubMed

    Scholz, Holger C; Pearson, Talima; Hornstra, Heidie; Projahn, Michaela; Terzioglu, Rahime; Wernery, Renate; Georgi, Enrico; Riehm, Julia M; Wagner, David M; Keim, Paul S; Joseph, Marina; Johnson, Bobby; Kinne, Joerg; Jose, Shanti; Hepp, Crystal M; Witte, Angela; Wernery, Ulrich

    2014-09-01

    Glanders, caused by the gram-negative bacterium Burkholderia mallei, is a highly infectious zoonotic disease of solipeds causing severe disease in animals and men. Although eradicated from many Western countries, it recently emerged in Asia, the Middle-East, Africa, and South America. Due to its rareness, little is known about outbreak dynamics of the disease and its epidemiology. We investigated a recent outbreak of glanders in Bahrain by applying high resolution genotyping (multiple locus variable number of tandem repeats, MLVA) and comparative whole genome sequencing to B. mallei isolated from infected horses and a camel. These results were compared to samples obtained from an outbreak in the United Arab Emirates in 2004, and further placed into a broader phylogeographic context based on previously published B. mallei data. The samples from the outbreak in Bahrain separated into two distinct clusters, suggesting a complex epidemiological background and evidence for the involvement of multiple B. mallei strains. Additionally, the samples from Bahrain were more closely related to B. mallei isolated from horses in the United Arab Emirates in 2004 than other B. mallei which is suggestive of repeated importation to the region from similar geographic sources. High-resolution genotyping and comparative whole genome analysis revealed the same phylogenetic patterns among our samples. The close relationship of the Dubai/UAE B. mallei populations to each other may be indicative of a similar geographic origin that has yet to be identified for the infecting strains. The recent emergence of glanders in combination with worldwide horse trading might pose a new risk for human infections.

  7. Efficacy of OK-432 Therapy for the Incisionless Treatment of Head and Neck Cystic Masses

    PubMed Central

    Hasan, Hesham Y. A.; Rizwan, Muhammad A.

    2018-01-01

    Head and neck masses can present in different pathologies that usually vary according to the age of the patient. We report five cases of benign head or neck masses occurring among patients of different ages who were managed at the Bahrain Defence Force Royal Medical Services Hospital, Ar-Rifaa, Bahrain, between 2005–2014. All of the patients were treated using the sclerotherapeutic agent OK-432. Although surgical removal is usually considered optimal treatment in the management of such cases, OK-432 appears to be a promising alternative. PMID:29666687

  8. First Confirmed Case of Middle East Respiratory Syndrome Coronavirus Infection in the Kingdom of Bahrain: In a Saudi Gentleman after Cardiac Bypass Surgery

    PubMed Central

    Al-Qahtani, Manaf; Al-Tawfiq, Jaffar A.; Bukamal, Nazar

    2017-01-01

    Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is well known to cause severe respiratory infection and was first reported in the Kingdom of Saudi Arabia in 2012. We report here the first confirmed MERS-CoV infection in the Kingdom of Bahrain in a Saudi gentleman who was admitted electively for coronary bypass surgery, postoperatively developed an acute respiratory illness, and tested positive for MERS-CoV. 40 close contacts, all healthcare workers, were traced and followed with no documented secondary cases. PMID:28948054

  9. Gardens on the Arid Climate

    NASA Astrophysics Data System (ADS)

    Eka Saputra, Weldy

    2017-12-01

    Bahrain is located in the climate of the arid zone which rainfall is low and irregular. This paper discusses the approaches which response to the local context that has been implemented by the government of Bahrain to sustain the quality of the public garden in the arid climate, turning to green. Generally, the approach is an improvement in the central treatment of waste water system plant that used to irrigate the landscaping, agriculture as well as for industry use. These approaches are not the only technologically, but also involves the participation of community to achieve sustainable garden in this country.

  10. Beliefs and perceptions toward quitting waterpipe smoking among cafe waterpipe tobacco smokers in Bahrain.

    PubMed

    Borgan, Saif M; Marhoon, Zaid A; Whitford, David L

    2013-11-01

    There is a rising prevalence of waterpipe smoking worldwide, but still a paucity of information on perceptions toward quitting waterpipe use. We set out to establish the beliefs and perceptions of café waterpipe smokers toward quitting waterpipe smoking in the Kingdom of Bahrain. A cross-sectional study. A random sample of 20 of 91 cafés serving waterpipe tobacco in Bahrain was taken. A questionnaire was administered in each café to 20 participants aged 18 and above. Three hundred eighty participants completed questionnaires from waterpipe smokers. Eighty-four percent of participants were Bahraini and 71% had a university degree. Mean age was 28.9 years. Average age of waterpipe smoking initiation was 20.3 years. The majority of waterpipe users chose flavored tobacco. Sixty-one percent smoked waterpipe tobacco daily with a mean smoking time of 2.6hr/day. Seventy-two percent considered waterpipe tobacco as harmful as or more harmful than cigarettes, but 67% considered cigarettes as more addictive. Eighty-two percent stated that they could quit waterpipe at any time, but only 40% were interested in quitting. Interest in quitting smoking was related to 4 variables: a physician mentioning the need to quit smoking, being non-Bahraini, having a family with a hostile attitude toward waterpipe smoking, and not considering oneself "hooked" on waterpipe tobacco. Waterpipe smokers in Bahrain cafés are frequent and high users. Health professionals must consider waterpipe smoking in all consultations and health promotion messages. A partnership between health professionals and disapproving members of families may be an effective strategy in encouraging waterpipe smokers to quit.

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

    PubMed Central

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

    2015-01-01

    Background 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. Method 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. Results 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. Conclusion 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. PMID:26316836

  12. Genotyping of Burkholderia mallei from an Outbreak of Glanders in Bahrain Suggests Multiple Introduction Events

    PubMed Central

    Hornstra, Heidie; Projahn, Michaela; Terzioglu, Rahime; Wernery, Renate; Georgi, Enrico; Riehm, Julia M.; Wagner, David M.; Keim, Paul S.; Joseph, Marina; Johnson, Bobby; Kinne, Joerg; Jose, Shanti; Hepp, Crystal M.; Witte, Angela; Wernery, Ulrich

    2014-01-01

    Background Glanders, caused by the gram-negative bacterium Burkholderia mallei, is a highly infectious zoonotic disease of solipeds causing severe disease in animals and men. Although eradicated from many Western countries, it recently emerged in Asia, the Middle-East, Africa, and South America. Due to its rareness, little is known about outbreak dynamics of the disease and its epidemiology. Methodology/Principal Findings We investigated a recent outbreak of glanders in Bahrain by applying high resolution genotyping (multiple locus variable number of tandem repeats, MLVA) and comparative whole genome sequencing to B. mallei isolated from infected horses and a camel. These results were compared to samples obtained from an outbreak in the United Arab Emirates in 2004, and further placed into a broader phylogeographic context based on previously published B. mallei data. The samples from the outbreak in Bahrain separated into two distinct clusters, suggesting a complex epidemiological background and evidence for the involvement of multiple B. mallei strains. Additionally, the samples from Bahrain were more closely related to B. mallei isolated from horses in the United Arab Emirates in 2004 than other B. mallei which is suggestive of repeated importation to the region from similar geographic sources. Conclusion/Significance High-resolution genotyping and comparative whole genome analysis revealed the same phylogenetic patterns among our samples. The close relationship of the Dubai/UAE B. mallei populations to each other may be indicative of a similar geographic origin that has yet to be identified for the infecting strains. The recent emergence of glanders in combination with worldwide horse trading might pose a new risk for human infections. PMID:25255232

  13. Risk factors of major noncommunicable diseases in Bahrain. The need for a surveillance system.

    PubMed

    Hamadeh, Randah R

    2004-09-01

    Noncommunicable diseases NCDs are the major cause of morbidity and mortality in Bahrain. The review examines the prevalence of risk factors of major NCDs from the available literature and determines the impact of the rapid socio economic changes on their burden. It further recommends ways of improving their reporting and monitoring. Smoking, obesity, diabetes, hypertension, hyperlipidemia, physical activity and nutrition are considered. The review points out that data on some of the factors is available but deficient for others. The call for the establishment of an integrated surveillance system using the World Health Organization STEPwise approach is stressed.

  14. Cultural sensitivity or professional acculturation in early clinical experience?

    PubMed

    Whitford, David L; Hubail, Amal Redha

    2014-11-01

    This study aimed to explore the early clinical experience of medical students following the adaptation of an Early Patient Contact curriculum from a European culture in Ireland to an Arab culture in Bahrain. Medical students in Bahrain took part in an Early Patient Contact module modelled on a similar module from a partner medical school in Ireland. We used a qualitative approach employing thematic analysis of 54 student reflective logbooks. Particular attention was placed on reflections of cultural influences of experience in the course. Medical students undergoing this module received reported documented benefits of early clinical experience. However, students in Bahrain were exposed to cultural norms of the local Arab society including gender values, visiting the homes of strangers, language barriers and generous hospitality that led to additional challenges and learning for the medical students in acculturating to norms of the medical profession. Modules intended for curriculum adaptation between two cultures would be best served by a group of "core" learning outcomes with "secondary" outcomes culturally appropriate to each site. Within the context of the Arab culture, early clinical experience has the added benefit of allowing students to learn about both local and professional cultural norms, thereby facilitating integration of these two cultures.

  15. Association of reproductive factors with the incidence of breast cancer in Gulf Cooperation Council countries.

    PubMed

    Ravichandran, K; Al-Zahrani, A S

    2009-01-01

    This article presents the incidence of female breast cancer in the Gulf Cooperation Council (GCC) countries and reviews the data in relation to established reproductive factors. Overall 4480 female breast cancer cases were diagnosed during 1998-2002 among GCC country nationals. Breast cancer was the most common malignancy in all GCC countries, ranging from 16.1% of female cancers in Oman to 35.4% in Bahrain. The age-standardized incidence rate per 100,000 was highest in Bahrain (46.4), followed by Kuwait (44.3), Qatar (35.5), United Arab Emirates (19.2), Oman (14.4) and Saudi Arabia (12.9). These rates are low compared with most industrialized countries.

  16. Feed-in tariff structure development for photovoltaic electricity and the associated benefits for the Kingdom of Bahrain

    NASA Astrophysics Data System (ADS)

    Haji, Shaker; Durazi, Amal; Al-Alawi, Yaser

    2018-05-01

    In this study, the feed-in tariff (FIT) scheme was considered to facilitate an effective introduction of renewable energy in the Kingdom of Bahrain. An economic model was developed for the estimation of feasible FIT rates for photovoltaic (PV) electricity on a residential scale. The calculations of FIT rates were based mainly on the local solar radiation, the cost of a grid-connected PV system, the operation and maintenance cost, and the provided financial support. The net present value and internal rate of return methods were selected for model evaluation with the guide of simple payback period to determine the cost of energy and feasible FIT rates under several scenarios involving different capital rebate percentages, loan down payment percentages, and PV system costs. Moreover, to capitalise on the FIT benefits, its impact on the stakeholders beyond the households was investigated in terms of natural gas savings, emissions cutback, job creation, and PV-electricity contribution towards the energy demand growth. The study recommended the introduction of the FIT scheme in the Kingdom of Bahrain due to its considerable benefits through a setup where each household would purchase the PV system through a loan, with the government and the electricity customers sharing the FIT cost.

  17. Overweight and Obesity among Children (10-13 years) in Bahrain:A comparison between Two International Standards

    PubMed Central

    O. Musaiger, Abdulrahman; Al-Mannai, Mariam; Al-Marzog, Qazi

    2014-01-01

    Objective: Obesity has become one of the main public health problems worldwide. Childhood obesity rate is growing very fast in both developed and developing countries. This paper aimed to explore the prevalence of overweight and obesity among school children aged 10-13 years in Bahrain, and to find out the difference in this prevalence when using two international standards. Methods: A multistage stratified sampling procedure was used to select 2146 students (1068 males, 1078 females) from public schools in Bahrain. Weight and height were measured and Body Mass Index for age and sex was calculated to determine the obesity levels. Both International Obesity Task Force (IOTF) and World Health Organization (WHO) references were used to determine the prevalence of overweight and obesity. Results: The findings revealed that the prevalence of overweight and obesity ranged from 15.7% to 28.9% among males and from 21.1% to 30.7% among females. The WHO reference standard provided higher prevalence of overweight and obesity than IOTF reference. Conclusion: The study confirmed that obesity is a problem of concern in Bahraini school children and calls for intervention programme to combat obesity in schools. However, the standard used to determine obesity levels should be carefully selected and interpreted. PMID:24948966

  18. Energy Drink Consumption Practices of Young People in Bahrain

    PubMed Central

    Nassaif, Maryam M.; Alobed, Ghufran J. J.; Alaam, Noor A. A.; Alderrazi, Abdulla N.; Awdhalla, Muyssar S.; Vaithinathan, Asokan G.

    2015-01-01

    Background: Energy drink (ED) consumption is becoming increasingly popular among young Bahrainis, who may be unaware of the health risks associated with ED consumption. To date, there have been few publications on the consumption of ED in Bahrain, particularly among adolescents. This study seeks to fill a gap in the literature on energy drink consumption practices of Bahraini adolescents. Methods: Data were collected using a previously established European Food Safety Authority questionnaire. Cross-sectional analyses were conducted on a convenience sample of 262 Bahraini students aged 10 to 18 years. Results: Most participants consumed energy drinks 2 to 3 times per week and consumed two or more cans at a time. Eighty percent of partcipants preferred energy drinks with sugar. Participants in the older age group and higher educational level consumed more ED. The majority (57%) consumed ED at home with friends as part of socialization. Notably, 60% of the parents of the respondents have not consumed energy drinks. Prominent reasons for consumption of energy drinks included: taste (40%), energy (30%), stay awake (13%), augment concentration (4%), and enhance sports performance (6%). Conclusion: Energy drink consumption is a popular socialization activity among adolescents of Bahrain. The potential health risks necessitates the need for novel health promotion strategies and advocacy efforts for healthy hydration practices. PMID:29138721

  19. Satellite monitoring of smoke from the Kuwait oil fires

    NASA Astrophysics Data System (ADS)

    Limaye, Sanjay S.; Ackerman, Steven A.; Fry, Patrick M.; Isa, Majeed; Ali, Habib; Ali, Ghulam; Wright, Allan; Rangno, Art

    1992-09-01

    The smoke from the oil fires in Kuwait was easily visible in observations from weather satellites in polar and geosynchronous orbits. A portable work station provided these data for planning the National Center for Atmospheric Research and University of Washington research aircraft flights out of Bahrain during the Kuwait Oil-Fire Smoke Experiment. Meteosat visible and infrared satellite observations indicate that the smoke often traveled southeast along the west shore of the Persian Gulf as far as Bahrain, at which point it typically turned west or continued south toward the Arabian coast. The smoke was difficult to detect from satellite observations as it moved over water and at large distances from the source during the night from infrared observations. Also notable among the daily satellite images were the frequent, intense dust storms that seemed to form in Syria and northern Iraq and transport dust southeastward over Kuwait, and often to northwestern Saudi Arabia. Clouds were virtually absent during the months of May and June within the first several hundred kilometers along the plume direction. Surface temperatures in Bahrain during April and August 1991 were lower than average by as much as 1°-3.2°C, and are significant compared to the climatological variability of average minimum and mean temperatures for the summer months.

  20. Energy Drink Consumption Practices of Young People in Bahrain.

    PubMed

    Nassaif, Maryam M; Alobed, Ghufran J J; Alaam, Noor A A; Alderrazi, Abdulla N; Awdhalla, Muyssar S; Vaithinathan, Asokan G

    2015-01-01

    Energy drink (ED) consumption is becoming increasingly popular among young Bahrainis, who may be unaware of the health risks associated with ED consumption. To date, there have been few publications on the consumption of ED in Bahrain, particularly among adolescents. This study seeks to fill a gap in the literature on energy drink consumption practices of Bahraini adolescents. Data were collected using a previously established European Food Safety Authority questionnaire. Cross-sectional analyses were conducted on a convenience sample of 262 Bahraini students aged 10 to 18 years. Most participants consumed energy drinks 2 to 3 times per week and consumed two or more cans at a time. Eighty percent of partcipants preferred energy drinks with sugar. Participants in the older age group and higher educational level consumed more ED. The majority (57%) consumed ED at home with friends as part of socialization. Notably, 60% of the parents of the respondents have not consumed energy drinks. Prominent reasons for consumption of energy drinks included: taste (40%), energy (30%), stay awake (13%), augment concentration (4%), and enhance sports performance (6%). Energy drink consumption is a popular socialization activity among adolescents of Bahrain. The potential health risks necessitates the need for novel health promotion strategies and advocacy efforts for healthy hydration practices.

  1. Water Collection from Air Humidity in Bahrain

    NASA Astrophysics Data System (ADS)

    Dahman, Nidal A.; Al Juboori, Khalil J.; BuKamal, Eman A.; Ali, Fatima M.; AlSharooqi, Khadija K.; Al-Banna, Shaima A.

    2017-11-01

    The Kingdom of Bahrain falls geographically in one of the driest regions in the world. Conventional fresh surface water bodies, such as rivers and lakes, are nonexistent and for water consumption, Bahrain prominently relies on the desalination of sea water. This paper presents an ongoing project that is being pursued by a group of student and their advising professors to investigate the viability of extracting water from air humidity. Dehumidifiers have been utilized as water extraction devices. Those devices have been distributed on six areas that were selected based on a rigorous geospatial modeling of historical meteorological data. The areas fall in residential and industrial neighborhoods that are located in the main island and the island of Muharraq. Water samples have been collected three times every week since May of 2016 and the collection process will continue until May of 2017. The collected water samples have been analyzed against numerous variables individually and in combinations including: amount of water collected per hour versus geographical location, amount of water collected per hour versus meteorological factors, suitability of collected water for potable human consumption, detection of air pollution in the areas of collection and the economy of this method of water collection in comparison to other nonconventional methods. An overview of the completed analysis results is presented in this paper.

  2. Inflammatory bowel disease in Bahrain: single-center experience

    PubMed Central

    Abdulla, Maheeba; Al Saeed, Mahmood; Fardan, Rawdha Hameed; Alalwan, Hawra Faisal; Ali Almosawi, Zahra S; Almahroos, Amal Fuad; Al Qamish, Jehad

    2017-01-01

    Purpose The number of newly diagnosed inflammatory bowel disease (IBD) cases such as ulcerative colitis (UC), Crohn’s disease (CD), and indeterminate colitis (IC) is rapidly increasing in Gulf countries and Saudi Arabia. The aim of this study was to investigate the incidence and prevalence of IBD in patients who have attended the Salmaniya Medical Complex, Bahrain, between the years 1984 and 2014. Patients and methods All patients who had attended the Salmaniya Medical Complex, Bahrain, and had been diagnosed with UC, CD, or IC, between the years 1984 and 2014, were included in the analysis. Data collected were: patient demographics, symptoms, clinical signs, complications, surgical interventions, extent of disease, endoscopic findings, histopathology, and lab measurements. Results A total of 187 cases were included; 61 had CD, 123 had UC, and a further 3 cases presented with IC. A clear increase in the incidence and prevalence of IBD can be seen in this cohort. The prevalence of IBD was calculated to be 26.25/105 cases. The average number of IBD cases increased from 3 cases (average for the years 1984–2001) to 12 cases (average for the years 2002–2014). A number of factors correlate positively or negatively with CD and UC. In the current study, a link between gastrointestinal complications in CD cases and the use of steroids as a treatment was noted (p-value −0.02). Age also had a significant influence on the need for surgery in CD cases (p-value −0.04), and a family history of UC was statistically linked to surgical intervention (p-value −0.05). Conclusions IBD can no longer be considered a rare disease in Bahrain. The incidence of both UC and CD is steadily increasing. There is a need for increasing awareness of the Bahraini public to IBD in order for proper medical care to be given. PMID:28765713

  3. Dtection of Sea Level Rise within the Arabian Gulf Using Space Based GNSS Measurements and Insitu Tide Gauge data

    NASA Astrophysics Data System (ADS)

    Alothman, Abdulaziz; Ayhan, Mehmet

    In the 21st century, sea level rise is expected to be about 30 cm or even more (up to 60 cm). Saudi Arabia has very long coasts of about 3400 km and hundreds of islands. Therefore, sea level monitoring may be important in particular along coastal low lands on Red Sea and Arabian Gulf coasts. Arabian Gulf is connected to Indian Ocean and lying along a parallel course in the south-west of the Zagros Trust Belt. We expect vertical land motion within the area due to both tectonic structures of the Arabian Peninsula and oil production activities. Global Navigation Satellite System (GNSS) Continues observations were used to estimate the vertical crustal motion. Bahrain International GPS Service (IGS-GPS) station is the only continuous GPS station accessible in the region, and it is close to the Mina Sulman tide gauge station in Bahrain. The weekly GPS time series of vertical component at Bahrain IGS-GPS station referring to the ITRF97 from 1999.2 to 2008.6 are used in the computation. We fitted a linear trend with an annual signal and a break to the GPS vertical time series and found a vertical land motion rate of 0.46 0.11 mm/yr. To investigate sea level variation within the west of Arabian Gulf, monthly means of sea level at 13 tide gauges along the coast of Saudi Arabia and Bahrain, available in the database of the Permanent Service for Mean Sea Level (PSMSL), are studied. We analyzed separately the monthly mean sea level measurements at each station, and estimated secular sea level rate by a robust linear trend fitting. We computed the average relative sea level rise rate of 1.96 0.21 mm/yr within the west of Arabian Gulf based on 4 stations spanning longer than 19 years. Sea level rates at the stations are first corrected for vertical land motion contamination using the ICE-5G v1.2 VM4 Glacial Isostatic Adjustment (GIA) model, and the average sea level rate is found 2.27 0.21 mm/yr. Assuming the vertical rate at Bahrain IGS-GPS station represents the vertical rate at each of the other tide gauge stations studied here in the region, we computed average sea level rise rate of 2.42 0.21 mm/yr within the west of Arabian Gulf.

  4. 15 CFR 2013.1 - Designations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Bahrain Barbados Belize Botswana Brazil Chile Colombia Costa Rica Dominica Dominican Republic Ecuador El Salvador Fiji Gabon Grenada Guatemala Honduras Jamaica Malaysia Malta Mauritius Morocco Namibia Panama...

  5. 15 CFR 2013.1 - Designations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Bahrain Barbados Belize Botswana Brazil Chile Colombia Costa Rica Dominica Dominican Republic Ecuador El Salvador Fiji Gabon Grenada Guatemala Honduras Jamaica Malaysia Malta Mauritius Morocco Namibia Panama...

  6. Occupational injuries in Bahrain.

    PubMed

    al-Arrayed, A; Hamza, A

    1995-10-01

    A study was conducted to show the problem of occupational injuries in Bahrain and try to highlight some solutions that may help to prevent or reduce workplace hazards. The data for occupational injuries between 1988 to 1991 from the social insurance records were reviewed and analysed. The data were summarized, grouped and tabulated according to age, sex, nationality, work place, type of injuries, cause and site of injury. Data were analysed statistically, frequencies were computed and results represented graphically. The study shows that there was a decline in the number of injuries in 1990 and 1991 due to a slow-down of economic activities in general in the Arabian Gulf region during the Gulf War. It also shows that Asian workers are at a high risk of occupational injuries.

  7. STS-35 Earth observation of the Persian Gulf area

    NASA Technical Reports Server (NTRS)

    1990-01-01

    STS-35 Earth observation taken aboard Columbia, Orbiter Vehicle (OV) 102, is of the Persian Gulf area. Major cities and oilfields of the countries of Saudi Arabia (foreground), Iraq (top left), Iran (top center and top right), Kuwait, Bahrain, Qatar, and a portion of the United Arab Emirates are visible in this scene. The cities are the large whitish areas of city lights. Flares characteristic of the Mid-East oil field practices are visible both onshore and offshore throughout the scene. Major cities identifiable are in Iraq - Baghdad, Basra, and Faw; in Qatar - Ab Dawhah; in Kuwait - Kuwait City; in Saudi Arabia - Riyadh, Al Jubayl, Dharan, Al Huf, Ad Dilam and Al Hariq; and Bahrain and its associated causeway to the mainland.

  8. STS-35 Earth observation of the Persian Gulf area

    NASA Image and Video Library

    1990-12-10

    STS-35 Earth observation taken aboard Columbia, Orbiter Vehicle (OV) 102, is of the Persian Gulf area. Major cities and oilfields of the countries of Saudi Arabia (foreground), Iraq (top left), Iran (top center and top right), Kuwait, Bahrain, Qatar, and a portion of the United Arab Emirates are visible in this scene. The cities are the large whitish areas of city lights. Flares characteristic of the Mid-East oil field practices are visible both onshore and offshore throughout the scene. Major cities identifiable are in Iraq - Baghdad, Basra, and Faw; in Qatar - Ab Dawhah; in Kuwait - Kuwait City; in Saudi Arabia - Riyadh, Al Jubayl, Dharan, Al Huf, Ad Dilam and Al Hariq; and Bahrain and its associated causeway to the mainland.

  9. Hazardous healthcare waste management in the Kingdom of Bahrain.

    PubMed

    Mohamed, L F; Ebrahim, S A; Al-Thukair, A A

    2009-08-01

    Hazardous healthcare waste has become an environmental concern for many developing countries including the Kingdom of Bahrain. There have been several significant obstacles facing the Kingdom in dealing with this issue including; limited documentation regarding generation, handling, management, and disposal of waste. This in turn hinders efforts to plan better healthcare waste management. In this paper, hazardous waste management status in the Kingdom has been investigated through an extensive survey carried out on selected public and private healthcare premises. Hazardous waste management practices including: waste generation, segregation, storage, collection, transportation, treatment, and disposal were determined. The results of this study along with key findings are discussed and summarized. In addition; several effective recommendations and improvements of hazardous waste management are suggested.

  10. Hazardous healthcare waste management in the Kingdom of Bahrain

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mohamed, L.F.; Ebrahim, S.A.; Al-Thukair, A.A.

    2009-08-15

    Hazardous healthcare waste has become an environmental concern for many developing countries including the Kingdom of Bahrain. There have been several significant obstacles facing the Kingdom in dealing with this issue including; limited documentation regarding generation, handling, management, and disposal of waste. This in turn hinders efforts to plan better healthcare waste management. In this paper, hazardous waste management status in the Kingdom has been investigated through an extensive survey carried out on selected public and private healthcare premises. Hazardous waste management practices including: waste generation, segregation, storage, collection, transportation, treatment, and disposal were determined. The results of this studymore » along with key findings are discussed and summarized. In addition; several effective recommendations and improvements of hazardous waste management are suggested.« less

  11. The incidence of lung cancer in the Gulf Cooperation Council countries.

    PubMed

    Al-Hamdan, Nasser; Al-Jarallah, Mohammed; Al-Jarallah, Mohammed; Ravichandran, Kandasamy; Al-Sayyad, Jamal; Al-Lawati, Jawad; Khazal, Zainab; Al-Khateeb, Falah; Abdulwahab, Abdulaziem; Al-Mulla, Ahmed; Al-Asfour, Adel; Bazarbashi, Shouki

    2006-01-01

    Lung cancer is the most common cancer in the world, with an estimated number of 1.3 million new cases as of 2002. This is the first report from the countries that comprise the Gulf Cooperation Council (GCC). All the primary lung cancer cases registered in the Gulf Center for Cancer Registration during 1998 to 2001 were used to calculate the age-standardized incidence rate (ASR) per 100,000 person-years by the direct standardization method. Overall, there were 1607 (1261 males, 346 females) primary lung cancer cases registered during this period with the male to female ratio of 3.6:1. The highest ASR was in Bahrain (34.3 for males, 12.1 for females) followed by Qatar (18.5 for males, 5.5 for females) and Kuwait (13.8 for males, 4.0 for females); the lowest rate was in Saudi Arabia (4.8 for males, 1.3 for females). The mean age at diagnosis for males ranged from 68.7 years in Bahrain to 59.2 years in Oman. For females it ranged from 68.2 years in Bahrain to 58.0 years in Oman. Squamous cell carcinoma in males (except in Qatar) and adenocarcinoma in females were the predominant histological type. Cancer of the lung is one of the common cancers among males in all the GCC countries and ranks second among Bahraini females. Adenocarcinomas were more common in women than men.

  12. Declining trends in injuries and ambulance calls for road traffic crashes in Bahrain post new traffic laws of 2015.

    PubMed

    Awadhalla, Muyssar Sabri; Asokan, Govindaraj Vaithinathan; Matooq, Amina; Kirubakaran, Richard

    2016-06-01

    Road traffic crashes (RTC) are of serious global health concern. To identify whether the number of ambulance calls, injuries, and deaths has declined after the implementation of the new traffic law (NTL) 2015 in Bahrain, de-identified administrative RTC data obtained from the tertiary care center, and the General Directorate of Traffic (GDT) of Bahrain were used. A quasi-experimental design was employed to trend the impact of the NTL on RTC and associated healthcare events. Bahrainis and non-Bahrainis who met with RTC, either in a vehicle or as a pedestrian, between February 8 and May 8 in 2013, 2014 (pre NTL), and 2015 (post NTL) were included in the study. Our results show a reduction in the number of ambulance calls from vehicular and pedestrian RTC victims. The ambulance calls from pedestrian RTC victims were <10% compared to the number of ambulance calls from vehicular RTC victims. There was a significant reduction in minor injuries post 2015, whereas no obvious difference was seen for serious injuries and deaths. A longer follow-up study to confirm the sustained decline in RTC, enforcing a zero tolerance policy toward traffic transgressions, and raising public awareness on the "critical four minutes" and "golden hour" is recommended. Copyright © 2016 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  13. Incidence of spontaneous abortion in Bahrain before and after the Gulf War of 1991.

    PubMed

    Rajab, K E; Mohammad, A M; Mustafa, F

    2000-02-01

    To determine the incidence of spontaneous abortions in the 5 years before and 5 years after the Gulf War of 1991 and to explore the possible causes that may have affected these changes. To analyze the clinical types, associated medical problems, morbidity, length of hospital stay and mortality rate of abortions. Retrospective study for the period starting on 1 January 1987-31 December 1996. The study involved 14,850 cases of abortions admitted into Salmaniya Medical complex during this period. The Salmaniya Medical Complex (SMC) is the main referral hospital in Bahrain. Analysis of medical records of patients admitted with diagnosis of abortion during this period. By comparing the incidence of abortions in the 5 years before (1 January 1987-31 December 1991) and the 5 years after (1 January 1992-31 December 1996) the Gulf War a significant rise was observed--starting from 1992, reaching a peak in 1994, which then began to decline in 1996. Several published reports from Iraq, Kuwait and now from Bahrain are suggestive of an increase in the incidence of abortion and adverse outcome of pregnancy after the Gulf War of 1991. The mechanism is not clear, i.e. whether this is affected by toxicity acquired through the food chain, the oil spillage, smoke pollution resulting from the burning of the Kuwaiti oil fields or stress and anxiety caused by the war.

  14. 19 CFR 10.817 - Imported directly.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. United States-Bahrain Free Trade Agreement... bills, packing lists, commercial invoices, receiving and inventory records, and customs entry and exit...

  15. Incidence of cancer in Gulf Cooperation Council countries, 1998-2001.

    PubMed

    Al-Hamdan, N; Ravichandran, K; Al-Sayyad, J; Al-Lawati, J; Khazal, Z; Al-Khateeb, F; Abdulwahab, A; Al-Asfour, A

    2009-01-01

    We describe the patterns of cancer incidence for common cancers in Gulf Cooperation Council countries during 1998-2001. A total of 32,291 cases of cancer were diagnosed (16,342 in males; 15,949 in females). Male preponderance was observed only in Saudi Arabia and Oman. The age-standardized incidence of all malignancies per 100,000 in both sexes was highest in Qatar followed by Bahrain, Kuwait, Oman, UAE and Saudi Arabia. Paediatric cancer ranged from 9.5% of total cancers in Saudi Arabia and UAE to 4.0% in Bahrain. In all countries, the mean age at diagnosis was higher in males than females; cancer of the lung and prostate were commonest among males, and cancer of breast and thyroid among females. Lung cancer ranked second among Bahraini women.

  16. Impact of triage in accident and emergency departments in Bahrain.

    PubMed

    Fateha, B E; Hamza, A Y

    2001-01-01

    We aimed to assess the impact of triage by physicians on the workload and expenditure of the Accident and Emergency (AE) Department of Salmaniya Medical Complex, Bahrain. We analysed three sets of data: patient visits to the AE Department over a 9-month period; patient visits 1 year previously; and forecast patient visits over 9 months starting from July 1999. The referral of patients to AE cubicles was reduced by 54.4% after the implementation of the triage, and reduction in the workload was statistically significant. The reduction in health care expenditure was estimated at between 15.3% and 17.3%. We conclude that triage by physicians can be cost-effective and can reduce the AE Department workload, freeing more time to manage life-threatening and urgent cases.

  17. n3- polyunsaturated Fat Acid Content of Some Edible Fish from Bahrain Waters

    NASA Astrophysics Data System (ADS)

    Al-Arrayedu, F. H.; Al Maskati, H. A.; Abdullah, F. J.

    1999-08-01

    This study was performed to determine the content of n3- polyunsaturated fatty acids in 10 fish species that are commonly consumed in Bahrain in addition to the main commercial shrimp species. White sardinella, which is a plankton feeder, had the highest content of n3- polyunsaturated fatty acids. It had the highest value of eicosapentaenoic acid (146.5 ± 20 mg 100 g-1) and linolenic acid (98.9±f 100 g-1) and the second highest value of docosahexaenoic acid at (133.7 ± 22 mg 100 g-1). Spanish mackerel which feeds mainly on sardinella was second with eicosapentaenoc acid at 55 ± 5.4 mg 100 g-1, docosahexaenoic acid at 161 ± 19.8 mg 100 g-1, linolenic acid at 16.4 mg 100 g-1 and docosapentaenoic acid at 25 ± 1.9 mg 100 g-1. Rabbitfish, the most popular edible fish in Bahrain which feeds mainly on benthic algae had the third highest content of n3- polyunsaturated fatty acids with eicosapentaenoic acid at 37.5 ± 3.9 mg 100 g-1, docosahexaenoic acid at 76 ± 6.7 mg 100 g-1, and docosapentaenoic acid at 85.8 ± 10 mg 100 g-1. The other fish and crustacean species studied were Arabian carpet shark, doublebar bream, grouper, gray grunt, golden travally, keeled mullet, spangled emperor and shrimp. The study explores the transfer of n3- polyunsaturated fatty acids through the food webs of the examined fish. It is apparent, generally, that plankton feeders displayed the highest content of n3- polyunsaturated fatty acids followed by seaweed and algae grazers, with benthic carnivores feeding on invertebrates displaying the poorest content. The values reported here, however, are much lower than those reported for fish available in American markets and in Mediterranean fish. Warm water temperature and high salinity which lead to lowering of the density of phytoplankton and phytoplankton content of n3- polyunsaturated fatty acids are suggested as the reason for the observed low values of n3- polyunsaturated fatty acids in Bahrain fish.

  18. 77 FR 68699 - Defense Federal Acquisition Regulation Supplement: New Free Trade Agreement-Panama (DFARS Case...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... (Australia, Bahrain, Canada, Chile, Colombia, Costa Rica, Dominican Republic, El Salvador, Guatemala... Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Korea (Republic of), Mexico, Morocco...

  19. 75 FR 54352 - Agency Information Collection Activities: Free Trade Agreements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-07

    ... collection: Chile, Singapore, Australia, Morocco, Bahrain, Jordan, Oman, and Peru. These agreements involve... addition of free trade agreements with Oman and Peru. Type of Review: Extension (with change). Affected...

  20. 75 FR 68808 - Agency Information Collection Activities: Free Trade Agreements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... information collection: Chile, Singapore, Australia, Morocco, Bahrain, Jordan, Oman, and Peru. These... hours based on the addition of free trade agreements with Oman and Peru. Type of Review: Extension (with...

  1. Demand and supply of doctors and dentists in Bahrain, 1998-2005.

    PubMed

    Ahmed, A A; Fateha, B; Benjamin, S

    2000-01-01

    We examined the supply and demand of medical doctors and dentists in Bahrain. Demand for physicians and dentists was based on the objective of having a physician-to-population ratio of 1:650, and a dentist-to-population ratio of 1:5000. Analysis of the current workforce and projected graduates in the period 1998-2005 indicated that the supply of Bahraini medical doctors and dentists until the year 2005 will not be sufficient to meet the projected demand in these categories. By the year 2005, Bahraini doctors and dentists will provide 82.5% and 75.9% of medical and dental demands respectively. The remaining 17.2% of physicians and 24.1% of dentists will have to be recruited from abroad. Thus, the prospect of oversupply of Bahrainis among these categories until the year 2005 is highly unlikely.

  2. The association between physical symptoms and depression among medical students in Bahrain.

    PubMed

    Abdelaziz, Ammar M Y; Alotaibi, Khalid T; Alhurayyis, Jarah H; Alqahtani, Turky A; Alghamlas, Aamer M; Algahtani, Haifa M; Jahrami, Haitham A

    2017-12-15

    To examine the association between depression and physical symptoms among medical students in Bahrain.   The present study employed a cross-sectional design.  A total of 160 students were recruited, 41.3% were male and 58.8% female, using a convenience sampling approach. Participants completed the validated Patients Health Questionnaires (PHQs) in which they provided information about demographics, physical symptoms, and depression. Results were considered significant if p <0.05. Nearly nineteen percent of the participants have moderate to severe depression, and 42.2% has moderate to severe physical symptoms.  Participants reported different physical symptoms, sleep problems, 40%; lethargy, 31.9%; and headaches, 23.8%. The results of the logistic regression showed that there was a significant association between age and gender (χ 2 (3) = 32.28, p < 0.001). Sleep and gastrointestinal symptoms were the most associated with depression, respectively (χ 2 (3) =49.77, p<0.001) and (χ 2 (3) =49.77, p< 0.05). The association between depression and physical symptoms are considerably high among medical students in Bahrain.  Medical educators should take such symptoms seriously among medical students as it may have serious consequences on the mental health of medical students. In practice, adequate awareness initiatives should be organized and provided for medical students to help them overcome their challenges they face. Additionally, incorporating screening self-screening strategies in the medical curriculum can be beneficial for early detections of mental health problems. The Implications and limitations of the study are discussed.

  3. Trends in ophthalmic antimicrobial utilization pattern in Bahrain between 1993 and 2000: a resurgence of chloramphenicol?

    PubMed

    Jassim Al Khaja, K A; Sequeira, R R; Mathur, V S

    2003-01-01

    The occurrence of aplastic anemia following topical administration of ophthalmic chloramphenicol is controversial and debated internationally. We have determined the influence of such debate on the utilization of ophthalmic chloramphenicol in Bahrain, through studying the utilization patterns of ophthalmic antimicrobial preparations by the Ministry of Health, with an emphasis on chloramphenicol, between 1993 and 2000. Cost-implications of these patterns are examined. Information on the annual purchase of ophthalmic antimicrobial drug preparations and their unit price was obtained from the Directorate of Materials Management, Ministry of Health, and analyzed. In 1993, the 3 most commonly purchased ophthalmic antibacterial preparations were oxytetracycline 1% eye ointment (40.1%); sulfacetamide 10% and 20% eye drops (25.3%); and chloramphenicol 0.5% eye drops and 1% eye ointment (10.8%). In 2000, oxytetracycline remained the most frequently purchased preparation (33%), followed by chloramphenicol (21.2%). Between 1993 and 1999, chloramphenicol purchases fluctuated between 10% to 16.4% with a remarkable increase to 21.2%, in 2000. Chloramphenicol accounted for 8.6% and 15.1% of cost of total ophthalmic preparations purchased in 1993 and 2000, respectively. Despite continued concerns of potential risks of ophthalmic chloramphenicol, this preparation is extensively utilized in Bahrain. We are of the opinion that for minor infections, chloramphenicol ophthalmic preparations should be replaced by safer alternatives. Further, we recommend that their use be reserved for ocular infections that are resistant to other antimicrobials, and that ophthalmologists, at the secondary care level, should supervise such treatment.

  4. The Response of Living Benthic Foraminifera at an Organically Polluted Locality in Eastern Bahrain

    NASA Astrophysics Data System (ADS)

    Arslan, Muhammad; Kaminski, Michael; Frontalini, Fabrizio

    2017-04-01

    This study examines the response of living benthic foraminifera at a polluted site in eastern Bahrain, with the aim to determine the effects of anthropogenic pollution on their distribution patterns and the occurrence of morphological deformities. The boat harbor in Askar (Bahrain) is subjected to pollution by nutrients, organic matter, and hydrocarbons. Foraminiferal density is found to be higher at the polluted site compared with a nearby unpolluted site, suggesting a higher amount of available food for the benthic foraminifera. Seven taxonomical groups were recognized in the organically polluted transect including Ammonia, Glabratellina, Murrayinella, Elphidium, Brizalina, miliolids, and peneroplids. By comparing the foraminiferal assemblages with a nearby unpolluted transect, the genus Murrayinella appeared to be a dominant and pervasive taxon that was able to proliferate in an organically polluted environment. Strong correlations of Murrayinella with nitrates, sulfates, TOC, and THC put forward the opportunistic behavior of this taxon. Our results contrast with previously published findings on modern foraminiferal assemblage in the Arabian Gulf, as Murrayinella is rarely reported. The population of miliolids was drastically reduced at the polluted site, which suggests that the group was adversely affected by organic pollution when compared with the unpolluted transect. This reaffirms the sensitive nature of the miliolid group of foraminifera, supporting the findings of previous studies of the effect of historical coastal eutrophication on foraminiferal assemblages in the Gulf of Mexico and Japan. Therefore, the miliolids might be considered as a pollution proxy for future biomonitoring studies in the Gulf region.

  5. The right to practice medicine without repercussions: ethical issues in times of political strife.

    PubMed

    Hathout, Leith

    2012-09-13

    This commentary examines the incursion on the neutrality of medical personnel now taking place as part of the human rights crises in Bahrain and Syria, and the ethical dilemmas which these incursions place not only in front of physicians practicing in those nations, but in front of the international community as a whole.In Bahrain, physicians have recently received harsh prison terms, apparently for treating demonstrators who clashed with government forces. In Syria, physicians are under the same political pressure to avoid treating political demonstrators or to act as informants against their own patients, turning them in to government authorities. This pressure has been severe, to the point that some physicians have become complicit in the abuse of patients who were also political demonstrators.This paper posits that physicians in certain countries in the Middle East during the "Arab Spring," specifically Syria and Bahrain, are being used as both political pawns and political weapons in clear violation of Geneva Convention and World Medical Association guidelines, and that this puts them into the most extreme sort of "dual loyalty" dilemma. They are being forced to choose between their own safety and well-being and that of their patients - a negative sum scenario wherein there is no optimal choice. As such, an international call for a United Nations inquiry must be made in order to protect the neutrality of medical care and personnel during times of armed conflict.

  6. Labor, nationalism, and imperialism in eastern Arabia: Britain, the Shaikhs, and the Gulf oil workers in Bahrain, Kuwait and Qatar, 1932-1956

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Saleh, H.M.A.

    This study examines the lack of a noticeable indigenous labor movement in the contemporary Gulf Arab countries of Bahrain, Kuwait and Qatar; it focuses on the emergence, after the discovery of oil, of an industrial Gulf labor force, and on the evolution of the British policy towards oil and Gulf oil workers. The period examined begins with the discovery of oil in Bahrain in 1932 (the first such discovery on the Arab side of the Gulf), and ends with the Suez Crisis of 1956. The latter is a watershed event in Gulf history. It is argued that the Suez Crisismore » was in large part responsible for the long-term defeat of the indigenous labor movement in the Gulf. Attention is given to the parts played by the British Government of India, the Foreign Office, the local Shaikhs, the Gulf nationalists, and by the workers themselves. Policies towards workers passed through two different periods. In the first, 1932-1945, the Government of India had no direct interest in the Gulf labor situation; in the second, 1946-1956, the Foreign Office took increased interest in the welfare of local oil workers, primarily because of the importance of oil to reconstruction of the British economy after the war. However, the Suez Crisis in 1956 convinced the British to withdraw their support for the workers.« less

  7. The right to practice medicine without repercussions: ethical issues in times of political strife

    PubMed Central

    2012-01-01

    This commentary examines the incursion on the neutrality of medical personnel now taking place as part of the human rights crises in Bahrain and Syria, and the ethical dilemmas which these incursions place not only in front of physicians practicing in those nations, but in front of the international community as a whole. In Bahrain, physicians have recently received harsh prison terms, apparently for treating demonstrators who clashed with government forces. In Syria, physicians are under the same political pressure to avoid treating political demonstrators or to act as informants against their own patients, turning them in to government authorities. This pressure has been severe, to the point that some physicians have become complicit in the abuse of patients who were also political demonstrators. This paper posits that physicians in certain countries in the Middle East during the “Arab Spring,” specifically Syria and Bahrain, are being used as both political pawns and political weapons in clear violation of Geneva Convention and World Medical Association guidelines, and that this puts them into the most extreme sort of “dual loyalty” dilemma. They are being forced to choose between their own safety and well-being and that of their patients – a negative sum scenario wherein there is no optimal choice. As such, an international call for a United Nations inquiry must be made in order to protect the neutrality of medical care and personnel during times of armed conflict. PMID:22974272

  8. Incidence of Retinopathy of Prematurity in Bahrain, 2002–2011

    PubMed Central

    Al Alawi, Ebtisam K.; Al Omran, Mohamed Shaker; Al Bahrana, Ebtihal H.

    2015-01-01

    Purpose: The purpose was to determine the incidence of retinopathy of prematurity (ROP) in Bahrain. Designs and Methods: premature infants (gestation age ≤32 weeks, birth weight ≤1500 g) admitted to the Neonatal Intensive Care Unit at Salmaniya Medical Complex were examined based on a predetermined screening protocol. The first examination was performed at 4–6 weeks of age, from January 1, 2002 to December 3, 2011. Data were collected on the type and incidence of each of ROP, birth weight, and age. Odds ratios and 95% confidence intervals (CI) were calculated. Results: A total of 1795 premature infants comprised the study population. Group 1 (<1000 g), and Group II (1000–1500 g), included 700 (39%) and 1095 (61%) infants. ROP was detected in 367 (20.4%) infants (95% CI = 18.6–22.3). The proportions of stage III ROP, stage III threshold disease requiring laser retinal photocoagulation and stage IV were 19%, 6%, and 1%, respectively. There were 68 (18.5%) infants with stage III ROP, 21 infants with Stage III ROP with threshold, and 5 infants with stage IV ROP requiring vitreoretinal surgery. There were 203 (80%) infants with a birth weight <1000 g. Birth weight of <1000 g was significantly associated to ROP [OR = 2.3 (95% CI = 1.8–2.9)]. Conclusion: One-fifth of premature infants had ROP in Bahrain. Birth weight <1000 g was a risk factor for ROP. PMID:26180473

  9. 19 CFR 10.803 - Filing of claim for preferential tariff treatment upon importation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... RATE, ETC. United States-Bahrain Free Trade Agreement Import Requirements § 10.803 Filing of claim for... the method specified for equivalent reporting via an authorized electronic data interchange system. ...

  10. 77 FR 69723 - Federal Acquisition Regulation; Free Trade Agreement-Panama

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ...,777,000 Bahrain FTA 202,000 202,000 10,074,262 CAFTA-DR (Costa Rica, Dominican Republic, El Salvador... Republic, El Salvador, Guatemala, Honduras, Korea (Republic of), Mexico, Morocco, Nicaragua, Oman, Panama...

  11. 2 CFR 176.160 - Award term-Required Use of American Iron, Steel, and Manufactured Goods (covered under...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Trade Agreement (FTA) country (Australia, Bahrain, Canada, Chile, Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Israel, Mexico, Morocco, Nicaragua, Oman, Peru, or Singapore); or (3) A...

  12. Hydro-Crisis in the Middle East: Water Schemes for a Thirsty Region

    DTIC Science & Technology

    2001-06-01

    exploitation of the Eastern Province’s aquifer reduces water available to Bahrain and Qatar . Disputes have occurred between Saudi Arabia and Jordan...46 D. QATAR ... Qatar ............................................................................. 48 Figure 25. United Arab Emirates

  13. The epidemiology of trauma in an intensive care unit in Bahrain.

    PubMed

    Ruehsen, M M; Abdul-Wahab, A W

    1989-01-01

    Injuries resulting from trauma are over-represented in Bahrain's intensive care unit beds. Using data from 1984 and 1985, this study examines the most severe etiologic agents and high-risk population groups among ICU trauma patients. Road traffic accidents were the principal cause of admission, accounting for 57% of all injury admissions. Most occurred in pedestrians suffering from severe head injury. Poisonings were the second largest category, followed by falls. In comparison with medical cases admitted to the ICU during the same 2-year period, the trauma cases included a disproportionate number of children and males in their most productive years of life, further adding to the economic burden which injuries have inflicted on this small country. The authors call for a new approach, namely passive prevention such as environmental modifications and legislation and tertiary prevention such as improvement of the country's underutilized ambulance service.

  14. Understanding intercultural transitions of medical students.

    PubMed

    Hayes, Aneta L; Mansour, Nasser; Fisher, Ros

    2015-02-28

    The aim of this research was to explore the transition of medical students to an international branch campus of a medical university established in Bahrain. In order to gain insights into this transition, we explored two culturally diverse systems of learning of the university and the local schools in Bahrain, using Communities of Practice as a lens for understanding transitions. Focus groups were conducted with secondary school teachers and first year medical students. Additionally, semi-structured interviews were conducted with university lecturers. The findings suggest that, while Communities of Practice have been influential in contextualising transitions to university, this model does not seem to help us to fully understand intercultural transitions to the case-study university. The research emphasises that more attention should be given to learner individual agency within this theory as a framework for understanding transitions. It also challenges approaches within medical education that attempt to standardise systems of learning through acquisition of established practices.

  15. Assessing dietary and lifestyle risk factors and their associations with disease comorbidities among patients with schizophrenia: A case-control study from Bahrain.

    PubMed

    Jahrami, Haitham Ali; Faris, Mo'ez Al-Islam Ezzat; Saif, Zahraa Qassim; Hammad, Laila Habib

    2017-08-01

    Acquired dietary habits and lifestyle behaviors of patients with schizophrenia may affect their life expectancy, disease complications and prognosis. The objectives of the current study were to assess the dietary habits and other lifestyle behaviors for Bahraini patients with schizophrenia, and to determine their associations with different medical comorbidities. A case-control study was conducted during the period of March to December 2016. A sample of 120 cases were recruited from the Psychiatric Hospital, Bahrain and age-sex-matched with 120 controls. Controls were recruited from primary health centres, and were free from serious mental illness. Dietary habits and lifestyle behaviors including smoking, alcohol intake and physical activity were assessed using a questionnaire. All medical records were reviewed retrospectively. Logistic regression analysis was used to identify dietary and lifestyle risk factors that are associated with one or more disease comorbidities. Cases had higher prevalence of smoking and alcohol intake, excessive dietary intake, and decreased physical activity (all P<0.05) compared with controls. Cases appeared to be at higher risk for developing chronic medical conditions such as obesity, type 2 diabetes, hypertension, cardiovascular disease, and musculoskeletal disorders. Cases were three times more likely to have up to three or more medical comorbidities compared with controls. Excessive dietary intake and decreased physical activity were identified as the main risk factors. Excessive caloric intake and decreased physical activity represent the main dietary and lifestyle risk factors associated with comorbidities among patients with schizophrenia in Bahrain. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital

    PubMed Central

    Al-Baharna, Marwa M.; Whitford, David L.

    2013-01-01

    Objectives: Primary care audits in Bahrain have consistently revealed a failure to meet recognised standards of delivery of process and outcome measures to patients with diabetes. This study aimed to establish for the first time the quality of diabetes care in a Bahraini hospital setting. Methods: A retrospective clinical audit was conducted of a random sample of patients attending the Diabetes and Endocrine Center at the Bahrain Defence Forces Hospital over a 15-month period which ended in June 2010. The medical records of 287 patients with diabetes were reviewed electronically and manually for process and outcome measures, and a statistical analysis was performed. Results: Of the patients, 47% were male, with a median age of 54 years, and 5% had type 1 diabetes. Measured processes, including haemoglobin A1c, blood pressure, lipids, creatinine and weight, were recorded in over 90% of the patients. Smoking (8%) and the patient’s body mass index (19%) were less frequently recorded. Screening for complications was low, with retinal screening in 42%, foot inspection in 22% and microalbuminuria in 23% of patients. Conclusion: This study shows that the implementation of recognised evidence-based practice continues to pose challenges in routine clinical care. Screening levels for the complications of diabetes were low in this hospital diabetes clinic. It is important to implement a systematic approach to diabetes care to improve the quality of care of patients with diabetes which could lead to a lowering of cardiovascular risk and a reduction in healthcare costs in the long term. PMID:24273661

  17. Earthshots: Satellite images of environmental change – Bahrain

    USGS Publications Warehouse

    Adamson, Thomas

    2016-01-01

    Besides the large land additions, an obvious increase in urban areas dominates the images. Bahrain’s 1970 population was 213,000; in 2010 it was 1,252,000. The country’s urban extent doubled between 1987 and 2013.

  18. Microbial Keratitis in Kingdom of Bahrain: Clinical and Microbiology Study

    PubMed Central

    Al-Yousuf, Nada

    2009-01-01

    Background: Microbial keratitis is a potentially vision threatening condition worldwide. Knowing the predisposing factors and etiologic microorganism can help control and prevent this problem. This is the first study of its kind in Kingdom of Bahrain. Objective: To study the profile of microbial keratitis in Bahrain with special focus on risk factors, clinical outcome and microbilogical results. Methods: A retrospective analysis of all patients admitted in Salmaniya Medical Complex over a period of three years from January 2005 to January 2007 was performed. A total of 285 patients with keratitis were analysed. Non infectious corneal ulceration were excluded. Data collected from medical records were demographic features, predisposing factors, history of corneal trauma, associated ocular conditions, visual acuity at the time of presentation and the clinical course. Predisposing risk factors measured were contact lens use, presence of blepharitis, diabetes, lid abnormalities, dry eyes, keratoplasty and refractive surgery. For contact lens wearers any contact lens related risk factors that can lead to keratitis were measured. Pearson's chi-square test was used to carry out statistical analysis wherever required. Results: Contact lens wear, as a risk factor for microbial keratitis, formed 40% of the total study population. Other risk factors identified were dry eyes 24 cases (8%), 10 blepharitis (3%), 22 trauma (8%), abnormal lid position 14 cases (5%). 6 patients keratitis in a graft (2%), 3 had refractive surgery (1%). The most common causative organism isolated was pseudomonas aeroginosa (54%) followed by streptococcus 12%, staph 10%, other organisms 6%. 95% of contact lens wearers had pseudomonas Aeroginosa. This was statistically significant (p< 0.0001). The vast majority, 92% healed with scarring. 1% needed therapeutic keratoplasty and 7% lost to follow up. Risk factors in contact lens wearers were; 41 patients (36%) slept with the contact lenses. 12 (8%) had contact lens related trauma and 8 (7%) had poor hygiene. Sleeping with the contact lenses was statistically significant (p< 0.0001). Conclusion & Recommendation: Contact lens wear is the major risk factor for microbial keratitis in Bahrain. Pseudomonas aeroginosa was the commonest bacteria isolated. Sleeping with the contact lenses is the major risk factor among contact lens wearers. Majority of keratitis patients resulted in permanent scarring on the cornea. Educating the public, especially on contact lens care and precaution, can help reduce this visual morbidity. PMID:20142952

  19. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2012-08-13

    Nabeel Rajab, was summoned before the military court prosecuting alleged agitators. (On February 19, 2012, Matar was acquitted of all charges; Nabeel ...not dropped charges against persons practicing peaceful expression. Prominent activist Nabeel Rajab is serving a three month sentence for critical

  20. 19 CFR 10.844 - Value-content requirement.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... preference program. The producer ships to the United States four shipments during the initial applicable one... this subpart. (5) Inclusion of the cost of fabrics or yarns not available in commercial quantities in..., Singapore, Chile, Australia, Morocco, Bahrain, El Salvador, Honduras, Nicaragua, Guatemala, Dominican...

  1. Results from the Survey of Antibiotic Resistance (SOAR) 2011–13 in the Gulf States

    PubMed Central

    Jamsheer, A.; Rafay, A. M.; Daoud, Z.; Morrissey, I.; Torumkuney, D.

    2016-01-01

    Objectives To provide surveillance data on the susceptibility of community-acquired respiratory tract isolates from four Gulf and Near East countries from 2011 to 2013. Methods MICs were determined using Etests® for all antibiotics evaluated except erythromycin, where testing was by disc diffusion. Susceptibility was assessed using CLSI, EUCAST and pharmacokinetic/pharmacodynamic (PK/PD) breakpoints. Results Seven hundred and twenty-six respiratory isolates comprising 265 isolates of Streptococcus pneumoniae, 125 isolates of Streptococcus pyogenes and 336 isolates of Haemophilus influenzae were collected from Bahrain, Lebanon, Oman and the United Arab Emirates (UAE). Among S. pneumoniae, susceptibility to penicillin was low in the UAE and Bahrain. Macrolide susceptibility was ∼45%–60% in the UAE and Oman but higher in Lebanon (73.7%) and Bahrain (84%–85%). Penicillin susceptibility using CLSI intravenous breakpoints was >85% in all countries. Antibiotic susceptibility of S. pneumoniae was lower in UAE and Oman. Among S. pyogenes isolates, resistance to erythromycin was highest in Oman (31.6%) but <20% in the other countries. In H. influenzae, susceptibility to most antibiotics was high, except for ampicillin in Lebanon (70.2%) and amoxicillin in Oman (95.4%). Lebanon also had a high percentage (14.9%) of β-lactamase-positive isolates with non-susceptibility to ampicillin. Amoxicillin/clavulanic acid susceptibility was >95% in all countries. Use of EUCAST versus CLSI breakpoints demonstrated profound differences for cefaclor and cefuroxime in S. pneumoniae and H. influenzae, with EUCAST showing lower susceptibility. Conclusions There was considerable variability in susceptibility among countries in the same region. Thus, continued surveillance is necessary to track future changes in antibiotic resistance. PMID:27048582

  2. Solar radiation and street temperature as function of street orientation. An analysis of the status quo and simulation of future scenarios towards sustainability in Bahrain

    NASA Astrophysics Data System (ADS)

    Silva, Joao Pinelo

    2017-11-01

    This paper discusses the contribution of street orientation towards the development of a comfortable microclimate for pedestrians in Bahrain. Increasing walkability is a global agenda to address issues such as a) transportation, b) energy consumption, c) health, and d) air pollution, all of which are topics of the sustainability agenda. Thermal comfort is one of the pre-requisites for walkability. In warm climates, this is a challenging goal. Street design is paramount for pedestrian comfort in warm climates. The roles of street orientation and aspect ratio are of particular importance as they determine the intake of solar radiation into the urban canyon. We investigate the state of affairs in Bahrain, by measuring the frequency with which the street orientations E-W, N-S, NE-SW, and NW-SE, currently occur. Research suggests that the street orientation E-W presents the lesser performance for mitigating the effects of heat gain. The ideal grid orientation would, therefore, be N-S, and NE-SW - NW-SE, avoiding street segments with E-W orientation. A countrywide analysis shows that E-W orientation accounts for the highest overall street length with 37%. The second most frequent orientation is N-S (29%), the best performer. NW-SE and NE-SW both have frequencies of only 17%. Preference for a street grid with N-S, NW-SE, and NE-SW orientation would improve the thermal performance of streets and provide a continuous network of a comfortable pedestrian environment. We simulate two future scenarios based on avoiding new E-W streets, or not. We measure their potential reduction in thermal gain and conclude that a simple policy could reduce solar exposition in 40%.

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

    PubMed

    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 published in JMIR Research Protocols (http://www.researchprotocols.org), 28.11.2016.

  4. 78 FR 79620 - Defense Federal Acquisition Regulation Supplement; Trade Agreements Thresholds (DFARS Case 2013...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ... GPA 204,000 7,864,000 FTAs: Australia FTA 79,507 7,864,000 Bahrain FTA 204,000 10,335,931 CAFTA-DR (Costa Rica, 79,507 7,864,000 Dominican Republic, El Salvador, Guatemala, Honduras, and Nicaragua...

  5. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2012-04-13

    current head of the BCHR, Nabeel Rajab, was summoned before the military court prosecuting alleged agitators. (On February 19, 2012, Matar was...acquitted of all charges; Nabeel Rajab was arrested February 15, 2012, for further anti- government activities, released, and then re-arrested April 1

  6. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2012-02-21

    an activist considered a main leader of the opposition, the current head of the BCHR, Nabeel Rajab, was summoned before the military court...prosecuting alleged agitators. (On February 19, 2012, Matar was acquitted of all charges; Nabeel Rajab was arrested February 15, 2012, for further anti

  7. 75 FR 38689 - Federal Acquisition Regulation; FAR Case 2009-040, Trade Agreements Thresholds

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-02

    ..., El 70,079 70,079 7,804,000 Salvador, Guatemala, Honduras, and Nicaragua)..... Chile FTA 70,079 70,079...,079 7,804,000 Bahrain FTA 203,000 203,000 9,110,318 CAFTA-DR (Costa Rica, El Salvador, Dominican 70...

  8. Rethinking Strategy

    DTIC Science & Technology

    1992-04-01

    Cooperation Council (GCC), a regional economic and security alliance between Saudi Arabia, Kuwait, Oman, Bahrain, Qatar , and the United Arab Emirates. (1...west bank of the Jordan River provides 25 percent of the water to the aquife ±r from which Israel draws its water. (1:-) 4. Authoritarian Nature of

  9. 77 FR 27548 - Federal Acquisition Regulation; Free Trade Agreement-Colombia

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-10

    ... same as for the Bahrain FTA, Dominican Republic-Central American FTA, Chile FTA, NAFTA, Oman FTA, and... 77,494 10,074,262 --Mexico 77,494 77,494 10,074,262 Oman FTA 202,000 202,000 10,074,262 Peru FTA 202...

  10. Understanding intercultural transitions of medical students

    PubMed Central

    Mansour, Nasser; Fisher, Ros

    2015-01-01

    Objectives The aim of this research was to explore the transition of medical students to an international branch campus of a medical university established in Bahrain. Methods In order to gain insights into this transition, we explored two culturally diverse systems of learning of the university and the local schools in Bahrain, using Communities of Practice as a lens for understanding transitions. Focus groups were conducted with secondary school teachers and first year medical students. Additionally, semi-structured interviews were conducted with university lecturers.   Results The findings suggest that, while Communities of Practice have been influential in contextualising transitions to university, this model does not seem to help us to fully understand intercultural transitions to the case-study university. Conclusions The research emphasises that more attention should be given to learner individual agency within this theory as a framework for understanding transitions. It also challenges approaches within medical education that attempt to standardise systems of learning through acquisition of established practices. PMID:25725207

  11. Lead levels in deciduous teeth of children in Bahrain.

    PubMed

    al-Mahroos, F; al-Saleh, F S

    1997-06-01

    To determine lead exposure among children in Bahrain, a total of 280 shed deciduous whole teeth were collected from 269 children. Teeth were analyzed for lead concentrations using atomic absorption spectrophotometry with electrothermal atomization. Children were between 5 and 15 years old. The study period extended from July 1993 to April 1994. The study showed that the overall mean tooth-lead level was 4.3 micrograms/g dry weight with a range of 0.1-60.8 micrograms/g dry weight. The cumulative frequency distribution revealed that 35% of the teeth had a lead concentration of more than 4 micrograms/g dry weight. The tooth-lead concentrations differed according to the tooth type age. The child's sex, nationality, area of residence and socio-economic status had no impact on tooth-lead level. In conclusion, lead is present in toxic concentrations in 35% of the teeth of the children studied. Urgent measures are needed to eliminate lead from gasoline, paint and other sources in the environment.

  12. Does Sickle Cell Disease Protect Against Diabetes Mellitus?

    PubMed Central

    Mohamed, Ali A.; Al-Qurashi, Fathia; Whitford, David L.

    2015-01-01

    Objectives: The co-existence of diabetes mellitus (DM) and sickle cell disease (SCD) is rare. This study aimed to explore whether SCD patients have the same DM prevalence as the general population in a country with a high prevalence of DM. Methods: This cross-sectional study included all SCD adult patients admitted to Salmaniya Medical Complex, Bahrain, between 2003 and 2010 (n = 2,204). A random sample (n = 520) was taken to establish the prevalence of DM. Laboratory records were examined to determine the presence of DM. Results: There were 376 SCD patients with complete records; of these, 24 (6.4%) had DM. The age- and sex-standardised prevalence of DM was 8.3%. Conclusion: While the prevalence of DM in SCD patients in Bahrain was high, it was lower than expected in this population. SCD may have a protective effect towards DM development. However, the impact of these two conditions on vascular diseases suggest a need for screening and aggressive treatment in this population. PMID:25685370

  13. Major oil spill response coordination in the combat of spills in Bahrain waters

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Brown, D.J.S.; James, J.D.

    1985-01-01

    On Aug. 25, 1980, without warning, a large oil slick invaded the north and west coasts of Bahrain. This serious incident was designated a national emergency, and a special high-level government committee was established immediately to handle the response procedure. This paper describes how the committee functioned with the private sector and the problems encountered and overcome. The lessons learned have stimulated interest in the proposed use of computers to aid combat operations as both a technical tool and an information service. In addition, this experience can guide those responsible for controlling response operations for future major oil spills inmore » coastal areas. With proper planning, a highly satisfactory cooperative organization can be established between goverment and the private sector to respond effectively, economically, and with minimum environmental damage to a major oil spill affecting coastal waters and shorelines. Part of this planning is to collate and record the major available response equipment and material packages, thereby increasing the necessary state of readiness.« less

  14. Distribution of petroleum hydrocarbons and organochlorinated contaminants in marine biota and coastal sediments from the ROPME Sea Area during 2005.

    PubMed

    de Mora, Stephen; Tolosa, Imma; Fowler, Scott W; Villeneuve, Jean-Pierre; Cassi, Roberto; Cattini, Chantal

    2010-12-01

    The composition and spatial distribution of various petroleum hydrocarbons (PHs), comprising both aliphatic and polycyclic aromatic hydrocarbons (PAHs), and selected chlorinated pesticides and PCBs were measured in biota and coastal sediments from seven countries in the Persian Gulf and the Gulf of Oman (Bahrain, Iran, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates). Evidence of extensive marine contamination with respect to organochlorinated compounds and PHs was not observed. Only one site, namely the BAPCO oil refinery in Bahrain, was considered to be chronically contaminated. Comparison of the results from this survey for Σ DDTs and Σ PCBs in rock oysters from the Gulf of Oman with similar measurements made at the same locations over the past two decades indicates a temporal trend of overall decreasing Σ PCB concentrations in oysters, whereas Σ DDTs levels have little changed during that period. Copyright © 2010 Elsevier Ltd. All rights reserved.

  15. Trend of bacterial meningitis in Bahrain from 1990 to 2013 and effect of introduction of new vaccines.

    PubMed

    Saeed, N; AlAnsari, H; AlKhawaja, S; Jawad, J S; Nasser, K; AlYousef, E

    2016-06-15

    Meningitis is among the 10 commonest infectious causes of death worldwide. This retrospective analysis of reported cases of meningitis in Bahrain aimed to assess the trend in the incidence of bacterial meningitis from 1990 to 2013, before and after the introduction of new vaccines. Of 1455 reported cases of meningitis during the study period 73.1% were viral and 26.9% were bacterial etiology (tuberculous meningitis 8.3%; Streptococcus pneumoniae 4.9%, Haemophilus influenzae 3.6% and Neisseria meningitidis 1.7%). There was a peak of meningitis cases in 1995-1996. The incidence of meningitis due to H. influenzae and N. meningitidis showed a marked reduction after the introduction of the corresponding vaccines in 1998 and 2001 respectively, and S. pneumoniae became the predominant organism after Mycobacterium tuberculosis. The changing trend in the etiology of bacterial meningitis points to the need to study vaccination programme modifications, such as pneumococcal vaccine for the adult population, especially high-risk groups.

  16. 48 CFR 252.225-7021 - Trade agreements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... not granted duty-free treatment under the Caribbean Basin Economic Recovery Act (19 U.S.C. 2703(b... granted duty-free status in the Harmonized Tariff Schedule of the United States (HTSUS); (B) Tuna... United Kingdom); (ii) A Free Trade Agreement country (Australia, Bahrain, Canada, Chile, Colombia, Costa...

  17. 19 CFR 10.809 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. United States-Bahrain Free Trade Agreement... manufacture of a good, including: (1) Fuel and energy; (2) Tools, dies, and molds; (3) Spare parts and...) Equipment, devices, and supplies used for testing or inspecting the good; (7) Catalysts and solvents; and (8...

  18. 19 CFR 10.809 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. United States-Bahrain Free Trade Agreement... manufacture of a good, including: (1) Fuel and energy; (2) Tools, dies, and molds; (3) Spare parts and...) Equipment, devices, and supplies used for testing or inspecting the good; (7) Catalysts and solvents; and (8...

  19. 19 CFR 10.809 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. United States-Bahrain Free Trade Agreement... manufacture of a good, including: (1) Fuel and energy; (2) Tools, dies, and molds; (3) Spare parts and...) Equipment, devices, and supplies used for testing or inspecting the good; (7) Catalysts and solvents; and (8...

  20. 19 CFR 10.809 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. United States-Bahrain Free Trade Agreement... manufacture of a good, including: (1) Fuel and energy; (2) Tools, dies, and molds; (3) Spare parts and...) Equipment, devices, and supplies used for testing or inspecting the good; (7) Catalysts and solvents; and (8...

  1. 19 CFR 10.809 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. United States-Bahrain Free Trade Agreement... manufacture of a good, including: (1) Fuel and energy; (2) Tools, dies, and molds; (3) Spare parts and...) Equipment, devices, and supplies used for testing or inspecting the good; (7) Catalysts and solvents; and (8...

  2. The Future of Workforce Development--A Global Perspective.

    ERIC Educational Resources Information Center

    Twigger, Anthony J.

    Recent research has identified trends in the training systems of 13 countries in Africa (Egypt, Mauritius, South Africa); the Arab States (Bahrain, Jordan); Asia (Australia, Fiji, Malaysia); Eastern Europe (Albania, Slovenia); Western Europe (Ireland, Portugal); and the Mediterranean region (Malta). The trends identified are legislation;…

  3. Higher Education and Development in the Lower Gulf States.

    ERIC Educational Resources Information Center

    Shaw, K. E.

    1993-01-01

    The complex issues concerning expansion of higher education in the smaller states bordering the Persian Gulf (Kuwait, Qatar, Bahrain, United Arab Emirates, and Oman) are examined, including who provides higher education and why, cultural vs. national identity, the role of mass education, and the difference between growth and development. (MSE)

  4. Selected Bibliography of Arab Educational Materials, Vol. 1.

    ERIC Educational Resources Information Center

    Al-Ahram Center for Scientific Translations, Cairo (Egypt).

    One hundred fifty-four English language annotations of books, articles, and government publications about education in 11 Arab countries are contained in this bibliography. Drawing from materials published in 1976, the bibliography examines education for all age groups and ability levels in Egypt, Bahrain, Iraq, Jordan, Kuwait, Oman, Qatar, Saudi…

  5. Women in Higher Education Management.

    ERIC Educational Resources Information Center

    Commonwealth Secretariat, London (England).

    This volume contains 11 papers on the under-representation of women in higher education management in Bahrain, Finland, France, India, Indonesia, Malaysia, Nigeria, Peru, the United States and Canada, the South Pacific and the West Indies. All papers were written by women vice-chancellors, presidents and senior managers of universities in those…

  6. Regional Spillover Effects of the Iraq War

    DTIC Science & Technology

    2008-12-01

    buildings in many cases have been looted, vandalized , or rendered uninhabitable.73 AL-QAEDA AND OTHER TERRORIST ACTIVITIES INSIDE IRAQ The actual and... Teens Trained to be bombers,” Bahrain Tribune, May 27, 2008, internet. 90. Rowan Scarborough, “U.S. Military’s Restraint Not al- Qaeda’s War Code

  7. 19 CFR 102.0 - Scope.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    .... CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY RULES OF ORIGIN § 102.0 Scope. With the exception of §§ 102.21 through 102.25, this part sets forth rules for...-Bahrain Free Trade Agreement regulations. The rules for determining the country of origin of textile and...

  8. 78 FR 37695 - Federal Acquisition Regulation; Free Trade Agreement (FTA)-Panama

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-21

    ... Bahrain, Morocco, Oman, and Peru FTA thresholds for supplies and services ($202,000). The excluded..., Chile FTA, Colombia FTA, NAFTA, Oman FTA, and Peru FTA. II. Discussion and Analysis The Civilian Agency... Understanding or other International Agreement). In addition, the Oman FTA and the Israeli Trade Agreement do...

  9. A Framework for a WAP-Based Course Registration System

    ERIC Educational Resources Information Center

    AL-Bastaki, Yousif; Al-Ajeeli, Abid

    2005-01-01

    This paper describes a WAP-based course registration system designed and implemented to facilitating the process of students' registration at Bahrain University. The framework will support many opportunities for applying WAP based technology to many services such as wireless commerce, cashless payment... and location-based services. The paper…

  10. University Library Development in the Arab Gulf Region: A Survey and Analysis of Six State University Libraries.

    ERIC Educational Resources Information Center

    Zehery, Mohamed H.

    1997-01-01

    This study of state university libraries in Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates provides information on library organization and analysis of collections, services, staffing, budgeting, expenditures, automation, and information technology. Suggests further research is needed in collections, services and…

  11. Selected Bibliography of Arab Educational Materials Vol. 2, No. 1, 1977.

    ERIC Educational Resources Information Center

    Al-Ahram Center for Scientific Translations, Cairo (Egypt).

    A total of 176 English language notations of books, articles, and government publications about education in 11 Arab countries are contained in this bibliography. Drawing from materials published in 1977, the bibliography examines education for all age groups and ability levels in Egypt, Bahrain, Iraq, Jordan, Kuwait, Oman, Qatar, Saudi Arabia,…

  12. Books about the Middle East for Children and Youth.

    ERIC Educational Resources Information Center

    Kuntz, Patricia

    This bibliography comprises a list of 236 reviewed children's books about the Middle East. All books were published since 1970 in the United States. For the purpose of this document the countries of the Middle East number 16: Bahrain, Cyprus, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Syria, Turkey, United Arab…

  13. E-Learning Capability Maturity Level in Kingdom of Bahrain

    ERIC Educational Resources Information Center

    Al-Ammary, Jaflah; Mohammed, Zainab; Omran, Fatima

    2016-01-01

    Despite the effectiveness of using e-learning, educational institutions are still facing many challenges with the e-learning infrastructure and technical aspects, practices and capabilities, and improvement in learning outcome. Hence, a need for framework to benchmark the e-learning capability maturity level and measure the extent to what it is…

  14. Urbanization in contemporary Arab Gulf states.

    PubMed

    Qutub, I Y

    1983-01-01

    Urbanization in the Arab Gulf states of Bahrain, Kuwait, Oman, Qatar, and the United Arab Emirates is analyzed. Topics discussed include the historical background to urbanization; current demographic trends in the region; urban characteristics and growth; socioeconomic factors influencing urbanization, with an emphasis on labor force structure; future urban strategy; and the need for urban research.

  15. Reading Strategy Awareness of Arabic-Speaking Medical Students Studying in English

    ERIC Educational Resources Information Center

    Malcolm, Diane

    2009-01-01

    Skilled readers are often characterized as more metacognitively aware than less skilled readers. This questionnaire study of 160 students at a medical university in Bahrain compared reported academic reading strategy use of readers at varying initial English proficiency level and year of study. While all students reported high use of strategies…

  16. The Influence of the Tape-Recorder on Attainment in EFL.

    ERIC Educational Resources Information Center

    Al-Ansari, Saif; Wigzell, Roy

    1996-01-01

    Reports a study undertaken in Bahrain secondary schools to assess the contribution of tape recorders to learning outcomes in English as a Second Language (ESL). Findings revealed that students' proficiency correlated significantly with their perception of the frequency and skill with which their teacher use a tape recorder. (20 references)…

  17. 76 FR 35244 - Bureau of International Labor Affairs; Office of Trade and Labor Affairs; Bahrain-United States...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-16

    ... failing to fulfill its obligations and commitments under the International Labour Organization Declaration... were inconsistent with its commitments under the Labor Chapter. The objectives of the review of the... commitments or obligations arising under a labor chapter * * *.'' The Procedural Guidelines specify that OTLA...

  18. The Sources of Conflict in the Euphrates-Tigris Basin and Its Strategic Consequences in the Middle East

    DTIC Science & Technology

    2001-12-01

    lateral agreement signed between Bahrain, Iraq, Kuwait, Oman, Qatar , Saudi Arabia, and the UAE has existed in the basin since 1978...transpiration and another 69 billion cubic meters of precipitated water feed the underground water aquifers . Another 28 billion cubic meters of the aquifers

  19. Problems and Prospects of Turkey in the 1990s

    DTIC Science & Technology

    1992-04-01

    water for personal consumption, irrigation and power generation. With the depletion of underground aquifers and the growing salinity and pollution of...100,000 Dammam 200,000 Homs 100,000 Al Khobar 200,000 Damascus 600,000 Hufuf 200,000 1,100,055 806,60s Bahrain Manama 200,000 Jordan Qatar Amman 600,008

  20. Environmental Engineering Education (E3) in the Gulf Co-Operation Countries

    ERIC Educational Resources Information Center

    Jassim, Majeed; Coskuner, Gulnur

    2007-01-01

    The six members of the Gulf Co-operation Countries (GCC)--Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates--are facing enormous environmental challenges associated with rapid urbanisation and industrialisation, especially in the last three decades, due to its role as a global hydrocarbon energy centre. None of these…

  1. The cumulative impacts of reclamation and dredging on the marine ecology and land-use in the Kingdom of Bahrain.

    PubMed

    Zainal, Khadija; Al-Madany, Ismail; Al-Sayed, Hashim; Khamis, Abdelqader; Al Shuhaby, Suhad; Al Hisaby, Ali; Elhoussiny, Wisam; Khalaf, Ebtisam

    2012-07-01

    This article assesses the ecological and economic impacts of land reclamation and dredging through consulting recent environmental impact assessment reports. Geographic features of Bahrain during 1963-2008 are produced using Geographical Information System. Extensive but inexpensive shallow coastal areas and tidal flats have been reclaimed particularly from 1997 to 2007 at a high rate of 21 km(2)/year. Formal records show the increase in the original land mass by the year 2008 to be 91 km(2). An estimated total cumulative loss of major habitats resulting from 10 reclamation projects was around 153.58 km(2). Also much larger scale impacts should be considered resulting from the borrow areas used for the extraction of sand or infill materials. A number of key habitats and species are affected in the vicinity of these projects. The study attempts to assign a monetary value to the marine ecosystem functions. There is a need for efficient coastal zone management to regulate a sustainable use of the marine resources. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. Social, dietary and lifestyle factors associated with obesity among Bahraini adolescents.

    PubMed

    Musaiger, Abdulrahman O; Al-Roomi, Khaldoon; Bader, Zahra

    2014-02-01

    The main purpose of this study was to explore some of the social, dietary and lifestyle factors that could be related to the risk of obesity among adolescents in Bahrain. A multistage stratified method was used to select secondary school students (15-18years old) from governmental schools in Bahrain. The total sample selected was 735 (339 males and 396 females). A pre-validated self-report questionnaire was used to obtain information on socio-demographics, food and the lifestyle habits of adolescents. Weight and height were taken and percentiles of Body Mass Index for age and gender were used to classify the adolescents as non-obese and obese (overweight and obese), using NHANES-1 growth standard. In general, the prevalence of overweight and obesity was 29.5% and 36.8% among males and females, respectively. The risk of obesity was not consistent among male and female adolescents. Mothers' education was found to be a risk factor for obesity among both males and females (p=0.0167 and p=0.007, respectively). Bringing food from home to school (odds ratio (OR)=0.54, confidence interval (CI) 0.35-0.81) was protective factor for obesity among females but not among males. Fathers' education (p=0.0167), rank among siblings (p=0.009), place where breakfast is eaten (p=0.0398), eating between lunch and dinner (p=0.0152), fruit intake (p=0.042), sweet intake (p=0.0192), size of burger (p=0.002) and hours of watching television per day (p=0.004) were significantly associated with the risk of obesity among males, but not among females. Various social, dietary and lifestyle factors were found to contribute to obesity among adolescents in Bahrain. These factors should be considered in school health policy in the country. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Coordinated Economic Development and the Information Network.

    ERIC Educational Resources Information Center

    Easton, D. K.

    This is a discussion of some of the problems that the Advisory Organization for Gulf Industries (AOGI) will face when it undertakes (1) to organize both an information center (node) that will serve the information needs of the Gulf States of Iraq, Kuwait, Bahrain, Saudi Arabia, Qatar, the United Arab Emirates (UAE) and Oman; and (2) to compile an…

  4. Population, Labour and Education Dilemmas Facing GCC States at the Turn of the Century.

    ERIC Educational Resources Information Center

    Kapiszewski, Andrzej

    This study describes and analyzes certain population, labor, and education issues in oil monarchies of the Persian Gulf. The countries profiled are Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates (also known as the GCC [Gulf Cooperation Council] countries). Since the discovery of oil, these countries transformed themselves…

  5. Problem-Based Learning in the Educational Psychology Classroom: Bahraini Teacher Candidates' Experience

    ERIC Educational Resources Information Center

    Razzak, Nina Abdul

    2012-01-01

    There was a concern from faculty at Bahrain Teachers' College that undergraduate Bahraini students lack the necessary competencies needed for success in educational contexts that are conducive to active, student-centered learning. It was decided that the students be introduced to a problem-based learning (PBL) strategy in one of their educational…

  6. School-Based Human Rights Education: Young Bahrainis' Knowledge and Understanding

    ERIC Educational Resources Information Center

    Eid, Fatima H.

    2014-01-01

    The growing interest in Human Rights Education (HRE) is linked in this paper to the UN Convention on the Rights of the Child (CRC, 1989). The linkage between citizenship education and HRE is also highlighted, along with the necessary critiques of human rights pronouncements regarding the situation of HRE in Bahrain while the challenges ahead in…

  7. Science Self-Beliefs and Science Achievement of Adolescents in Gulf Cooperation Council Countries

    ERIC Educational Resources Information Center

    Areepattamannil, Shaljan

    2012-01-01

    This study explored the predictive effects of science self-beliefs on science achievement for 24,680 13-year-old students from Gulf Cooperation Council member countries--Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates--who participated in the Trends in International Mathematics and Science Study (TIMSS) 2007. The…

  8. Phonological Processing Skills as Predictors of Literacy amongst Arabic Speaking Bahraini Children

    ERIC Educational Resources Information Center

    al Mannai, Haya; Everatt, John

    2005-01-01

    This paper reports a study of the reading and spelling skills of grades 1-3 Arabic-speaking children in Bahrain. Children were tested on their literacy skills (single word reading and spelling), their ability to decode letter strings (non-word reading) and measures of phonological awareness, short-term memory, speed of processing and non-verbal…

  9. Defense.gov Special Report: Travels with Winnefeld: USO Tour

    Science.gov Websites

    Kaneohe Bay - Hawaii Osan Air Base - South Korea CIA Factbook - Diego Garcia Bagram Air Base - Afghanistan Naval Support Activity - Bahrain Naval Support Activity Naples - Italy Ramstein Air Base - Germany Photo Attacked in Seoul Stars Bring Piece of Home to Bagram Airfield During USO Spring Troop Visit Forward Base

  10. Bahrain-Iran Relations in Modern Times

    DTIC Science & Technology

    2014-09-01

    IN MODERN TIMES by Mohamed A. Al Khalifa September 2014 Thesis Co-Advisors: James Russell Mohammed Hafez THIS PAGE INTENTIONALLY... Russell Thesis Advisor Mohammed Hafez Thesis Advisor Mohammed Hafez Chair, Department of National Security Affairs iii THIS PAGE...advisors, associate professor James Russell , associate professor and chair Mohammed Hafez, and assistant professor Abbas Khadim at the Department of

  11. Regional Fears of Western Primacy and the Future of U.S. Middle Eastern Basing Policy

    DTIC Science & Technology

    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

  12. Worldwide Report, Telecommunications Policy, Research and Development.

    DTIC Science & Technology

    1984-02-01

    Bahrain, Bangladesh, Cuba, North Korea, Egypt, Ethiopia, Ghana, Indonesia, Iran, Jordan, Kuwait, Laos, Libya, Madagascar, Malaysia , Maldives...communication as in economic development, television and film banks could be built up. Each country could draw material of interest to it. "We have...personalities, includ- ing Prof. Yashpal, consultant to the Planning Commission, and film director Mrinal Sen at the plenary session. Technologies

  13. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2017-02-14

    Reflecting some radicalization of the opposition, underground factions have claimed responsibility for bombings and other attacks primarily against...settlement is the activity of violent, underground groups that, among their tactics, detonate bombs and Improvised Explosive Devices (IEDs) against...Sayara al-Ashtar (Ashtar Brigades). It issued its first public statement in April 2013 and has since claimed responsibility for about 20 bombings against

  14. The Impact of Assistive Technology on Down Syndrome Students in Kingdom of Bahrain

    ERIC Educational Resources Information Center

    Alammary, Jaflah; Al-Haiki, Fatima; Al-Muqahwi, Kawther

    2017-01-01

    Assistive Technology is playing an enabler role in the life of Down Syndrome. Assistive Technology can allow Down Syndrome to engage in the normal life activities and be more social and independent. The Arab countries are providing vital effort on facilitating the life of Down Syndrome and encouraging their engagement in normal social life.…

  15. A Multilevel Analysis of the Role of School Quality and Family Background on Students' Mathematics Achievement in the Middle East

    ERIC Educational Resources Information Center

    Kareshki, Hossein; Hajinezhad, Zahra

    2014-01-01

    The purpose of the present study is investigating the correlation between school quality and family socioeconomic background and students' mathematics achievement in the Middle East. The countries in comparison are UAE, Syria, Qatar, Iran, Saudi Arabia, Oman, Lebanon, Jordan, and Bahrain. The study utilized data from IEA's Trends in International…

  16. Labor immigration in the Arab Gulf states: patterns, trends and problems.

    PubMed

    Ali, A

    1986-09-01

    This is an overview of recent labor immigration in Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. Attention is given to factors contributing to the dependence of these countries on migrant labor, the impact of the decline in oil revenues, and future trends in the size and skill composition of the foreign labor supply.

  17. Reasons for Referral, Intervention Approaches and Demographic Characteristics of Clients with Intellectual Disability Attending Adult Psychiatric Outpatient Services in the Kingdom of Bahrain

    ERIC Educational Resources Information Center

    Grey, I.; Al-Saihati, B. A.; Al-Haddad, M.; McClean, B.

    2015-01-01

    Background: Relatively little information is available regarding the use of psychiatric services by individuals with intellectual disability (ID) in Arab countries. The current study aimed to identify (1) the reasons for referral; (2) demographic characteristics of individuals referred; (3) previous contact with child psychiatric services; (4)…

  18. On the (Im)Possibility of Democratic Citizenship Education in the Arab and Muslim World

    ERIC Educational Resources Information Center

    Waghid, Yusef; Davids, Nuraan

    2014-01-01

    The euphoria of the recent Arab Spring that was initiated in northern African countries such as Tunisia, Egypt and Libya and spilled over to Bahrain, Yemen and Syria brings into question as to whether democratic citizenship education or more pertinently, education for democratic citizenship can successfully be cultivated in most of the Arab and…

  19. Epidemiology of Breast Cancer among Bahraini Women

    PubMed Central

    Hamadeh, Randah R.; Abulfatih, Najat M.; Fekri, Majeda A.; Al-Mehza, Hala E.

    2014-01-01

    Objectives: The aim of this study was to describe the epidemiology of breast cancer among the Bahraini female population in the years 2000–2010 and examine its health policy implications. Methods: All breast cancer cases in the Bahrain Cancer Registry from 1st January 2000 to 31st December 2010 were included. Results: There were 1,005 cases, 12.7% of which were detected by screening. The overall mean age at diagnosis was 50.9 years (95% confidence interval 50.1–51.6). The age-standardised incidence rate declined from 58.2 per 100,000 in 2000 to 44.4 per 100,000 in 2010. The majority of cases were infiltrating ductal carcinoma (76.9%). Of the registered cases, 44.1% and 48.1% had an unknown grade and stage, respectively. The five-year survival rate was 63 ± 2%. Conclusion: The low percentage of cases detected by screening merits further evaluation of Bahrain’s screening programme. More effort should be made to reduce the proportion of unknown stage and grade breast cancers. Future research has to be directed towards understanding the reasons for Bahrain having the highest incidence rate of breast cancer in the Gulf Cooperation Council countries. PMID:24790739

  20. Distribution of heavy metals in marine bivalves, fish and coastal sediments in the Gulf and Gulf of Oman.

    PubMed

    de Mora, Stephen; Fowler, Scott W; Wyse, Eric; Azemard, Sabine

    2004-09-01

    An assessment of marine contamination due to heavy metals was made in the Gulf and Gulf of Oman based on marine biota (fish and various bivalves) and coastal sediment collected in Bahrain, Oman, Qatar, and the United Arab Emirates (UAE) during 2000-2001. Sediment metal loadings were generally not remarkable, although hot spots were noted in Bahrain (Cu, Hg, Pb, Zn) and on the east coast of the UAE (As, Co, Cr, Ni). Concentrations of As and Hg were typically low in sediments and the total Hg levels in top predator fish commonly consumed in the region were < 0.5 microg g(-1) and posed no threat to public health. Very high Cd concentrations (up to 195 microg g(-1)) in the liver of some fish from southern Oman may result from food-chain bioaccumulation of elevated Cd levels brought into the productive surface waters by upwelling in the region. Very high As concentrations (up to 156 microg g(-1)) were measured in certain bivalve species from the region. Although not certain, the As is probably derived from natural origins rather than anthropogenic contamination. Copyright 2004 Elsevier Ltd.

  1. Association of comorbid depression, anxiety, and stress disorders with Type 2 diabetes in Bahrain, a country with a very high prevalence of Type 2 diabetes.

    PubMed

    Almawi, W; Tamim, H; Al-Sayed, N; Arekat, M R; Al-Khateeb, G M; Baqer, A; Tutanji, H; Kamel, C

    2008-11-01

    This study examined the association of depression, anxiety, and stress with Type 2 diabetes (T2DM) in Bahrain, an island-country with a very high prevalence of T2DM. This was a cross-sectional study involving administering Depression Anxiety Stress Scales (DASS)-21 structured depression, anxiety, and stress scale to 143 T2DM patients and 132 healthy controls. Higher proportion of T2DM patients were found in the mild-moderate and severe- extremely severe depression (p=0.002), anxiety (p<0.001), and stress (p<0.001) groups. Chronic disease and disease duration were significantly associated with the 3 disturbances, while employment status was associated with anxiety and depression. Logistic regression analysis showed that anxiety, depression, and stress were associated with T2DM after adjusting for all variables, while age was the only significant variable associated with stress. These results suggest a positive contribution of T2DM to increased depressive and/or anxiety and/or stress disorders among the patients examined, thereby recommending counseling for T2DM patients.

  2. Energy policies of the world: Arab states of the Persian Gulf. [Iraq, Kuwait, Saudi Arabia, Bahrain, Qatar, United Arab Emirates, and Oman

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Barger, T.C.

    An attempt is made to trace the historical and social factors that affect the policies of the Arab states on the Gulf, especially with respect to the oil industry. The states are Iraq, Kuwait, Saudi Arabia, Bahrain, Qatar, United Arab Emirates, and Oman; Oman qualifies as contiguous to the Gulf by reason of its possession of the point of land that comprises the southern shore of the Straits of Hormuz. The book analyzes pricing, production, and participation in the oil industry in the Gulf region; the formation of the organization of OPEC; and the Arab embargo of 1973. By examiningmore » both the general policies of these countries and their individual needs and goals, an objective observer may be able to evaluate the future timing and tenor of energy policy in this region, which will surely affect world policies. Also discussed is the greatest assemblage of offshore oil fields in the world in the Persian Gulf. Considerations in making energy policy and the policies of the seven countries are discussed in Chapters 5 and 6. A bibliographical note follows a concluding chapter. (MCW)« less

  3. Growth assessment and risk factors of malnutrition in children with cystic fibrosis

    PubMed Central

    Isa, Hasan M.; Al-Ali, Lina F.; Mohamed, Afaf M.

    2016-01-01

    Objectives: To evaluate the nutritional status, to screen for the presence of malnutrition, and to study the possible risk factors associated with malnutrition in patients with cystic fibrosis (CF). Methods: A retrospective cross-sectional review of medical records of all diagnosed CF patients in the Pediatric Department, Salmaniya Medical Complex, Manama, Kingdom of Bahrain, between January 1984 and May 2015 was conducted. Demographic and anthropometric data were collected from records of last visit to CF clinic. Nutritional status and risk factors of malnutrition were assessed. Results: All records of 109 CF patients were reviewed. Forty-seven pediatric patients were included in the study. All included patients were on pancreatic enzyme replacement and 42 (89%) received high-calorie supplementation. Growth failure was noted in 34 (72%) patients, 19 (56%) were wasted and stunted, 8 (23.5%) were wasted only, and 7 (20.5%) were stunted. Low birth weight (p=0.032), and the presence of gastroesophageal reflux disease (GERD) (p=0.039) were the significant risk factors for malnutrition. Conclusion: Most CF patients in Bahrain (72%) are malnourished. Low birth weight and the presence of GERD are risk factors. PMID:26905352

  4. Ethnomycological aspects of the desert truffle among native Bahraini and non-Bahraini peoples of the Kingdom of Bahrain.

    PubMed

    Mandeel, Qaher A; Al-Laith, Abdul Ameer A

    2007-03-01

    This research was conducted to assess the general knowledge, attitude, and practice of native Bahraini and non-Bahraini peoples of Bahrain about ethnomycological aspects and traditional folklore of the desert truffle. The findings were obtained through interviews and a specially designed structured questionnaire administered to subjects who were randomly recruited. A total of three species were identified from the southern parts of Bahrain. Tirmania nivea "Zubaidi" was found to be the most preferred expensive and common type of truffle in the region to both groups of respondents due to its good light smell, delicacy, and soft white tissues. This was followed by Terfezia claveryi "Ikhlasi". Non-Bahraini respondents are more likely to believe that rain and soil (34%) or heavy thunder rains (23.4%) are the main factors responsible in truffle development, while Bahrainis perceive that an early heavy rainy season (57.8%) or soil type coupled with heavy rains (26.5%) are the most important reasons in truffle formation. Both respondent groups agree that heavy rains (>200 mm) during mild to warm weather, locally recognized as "Al-Wasm", coupled with heavy evening or early morning dewfalls and thunder and lightning are considered essential requirements for truffle formation. Trufflers in both groups similarly agree that mainly enjoying a good time was their motivations to collect truffles and not medicinal purposes. Truffle collection as a means for financial supplement and to pass this tradition from one generation to the next is no doubt another factors contributing for the collection. An analogous response from both groups indicated their unwillingness to buy truffles at relatively high price (mean 64%) or even off season but never objected to affordable price (mean 80.5%). About 95% of the non-Bahraini and 72% of the Bahraini respondents indicated their readiness to eat truffles for sexual reasons based on a physician's advice. The method used by almost 71% of the Bahraini respondents includes looking for an earth bulge with cracks on smooth surfaced sandy-loam soil whereas non-Bahrainis search randomly in unexploited desert habitats (49%) but not always looking for truffles, but by the presence of its host plant Helianthemum spp. (16.3%). For both groups, boiling the cleaned sliced truffle in salts and spices (mean 31%), or by deep-frying in local lamb ghee and spices (26%) is the most preferred way of eating truffles, while eating raw truffles is very rare. Finally, chilling cleaned truffles (45.6%) is the main method of preservation for short periods used by the Bahraini respondents, otherwise freezing (30.4%) is used for prolonged preservation, compared to non-Bahraini respondents who prefer freezing as the primary method (51.4%). Some Bedouins preserve clean truffles by pickling in 3-6% vinegar and salt. The influence of soil and environmental factors on truffle development and the role of desert truffles on traditional information, socioeconomic, ecology and sociocultural folklore in Bahrain are discussed.

  5. 75 FR 32637 - Defense Federal Acquisition Regulation Supplement; Trade Agreements Thresholds (DFARS Case 2009...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... exceeding) exceeding) WTO GPA $203,000 $7,804,000 FTAs: Australia FTA 70,079 7,804,000 Bahrain FTA 203,000 9,110,318 CAFTA-DR (Costa Rica, Dominican 70,079 7,804,000 Republic, El Salvador, Guatemala, Honduras, and Nicaragua) Chile FTA 70,079 7,804,000 Morocco FTA 203,000 7,804,000 NAFTA: --Canada 25,000 9,110...

  6. Teacher Professional Development and Student Achievement: Analysis of Trends from Grade 8 TIMSS 2003, 2007 and 2011 Math Data for the Kingdom of Bahrain

    ERIC Educational Resources Information Center

    Ajjawi, Samah

    2015-01-01

    It is a common knowledge that student achievement is a product of multiple individual and environmental factors. The literature developed various models to organize and explain the relationship between some of these variables and student learning which translates into student achievement. Yet, no comprehensive model is able to capture all possible…

  7. International Union of Physiological Sciences Physiology Teaching Workshop, March 31-April 1, 2012, Arabian Gulf University, Kingdom of Bahrain

    ERIC Educational Resources Information Center

    Subhan, M. M. F.

    2013-01-01

    Since 2009, the Department of Physiology had planned an International Union of Physiological Sciences Physiology Teaching Workshop at Arabian Gulf University. The date was set for March 5-6, 2011; however, due to civil unrest, the workshop was postponed to March 31-April 1, 2012. The workshop was a success, bringing together 92 speakers and…

  8. Prevalence of Tobacco Use among Students Aged 13-15 Years in Health Ministers' Council/Gulf Cooperation Council Member States, 2001-2004

    ERIC Educational Resources Information Center

    Al-Mulla, Ahmad Moh'd; Helmy, Sahar Abdou; Al-Lawati, Jawad; Nasser, Sami Al; Rahman, Salah Ali Abdel; Almutawa, Ayesha; Saab, Bassam Abi; Al-Bedah, Abdullah Mohammed; Al-Rabeah, Abdullah Mohamed; Bahaj, Ahmed Ali; El-Awa, Fatimah; Warren, Charles W.; Jones, Nathan R.; Asma, Samira

    2008-01-01

    Background: This article examines differences and similarities in adolescent tobacco use among Member States of the Health Ministers' Council for the Gulf Cooperation Council (HMC/GCC) using Global Youth Tobacco Survey (GYTS) data. Methods: Nationally representative samples of students in grades associated with ages 13-15 in Bahrain, Kuwait, Oman,…

  9. ACE/AACE Inspection and Analysis Handbook. Part 3. Profiling

    DTIC Science & Technology

    1985-06-30

    Peso Liberia Dollar Australia Dollar Libya Dinar Austria Schilling Liechtenstein Franc Bahamas Dollar Luxembourg Franc Bahrain Dinar Madagascar Franc...Dollar Mauritania Ouguiya Bolivia Peso Mauritius Rupee Botswana Pula Mexico Peso Brazil Cruzeiro Monaco Franc Bulgaria Lev Mongolia Tugrik Burma Kyat...Zealand Dollar Chad CFA Franc Nicaragua Cordoba Chile Peso Niger CFA Franc China Yuan Nigeria Naira Colombia Peso Norway Krone Congo CFA Franc Chan Rial

  10. Educational Reform and Educational Research: New Challenges in Linking Research, Information and Decision Making. Final Report of the International Meeting (Tokyo, Japan, September 4-14, 1995).

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    This document summarizes proceedings of a meeting held in September 1995. The purpose of the meeting was to gather educators and policymakers in order to establish criteria concerning links between educational research and decision making. Twenty participants from the following countries attended: Argentina, Australia, Bahrain, Botswana, Brazil,…

  11. Israel: Background and Relations with the United States

    DTIC Science & Technology

    2006-06-14

    relations with Israel during the intifadah. Former Foreign Minister Silvan Shalom had predicted that relations with Arab and Muslim countries would...agreed to accept Israeli humanitarian aid after a devastating earthquake in October. Shalom met the Indonesian, Qatari, Algerian, Moroccan, and...and the Bahrain-U.S. Free Trade Agreement, but it has vowed not to normalize relations. In September, Tunisian President Zine El Abidine Ben Ali sent

  12. Overcoming the Ulama: Globalizing Iran’s Political Economy

    DTIC Science & Technology

    2008-12-01

    in Shiite Social Movements: Bahrain, Lebanon and Iraq,” (Master’s Thesis, Naval Postgraduate School, 2005), 1. 2 religious authority to replace...a secular, modern state with a theocracy.”2 Almost overnight Iranian society became infused with new social , economic, political and military...uncomfortable. Thus, to accept globalization would be to abandon their traditional social values. D. LITERATURE REVIEW The Islamic Republic of Iran can

  13. Bahrain.

    PubMed

    1980-03-01

    Focus in this discussion of Bahrain is on the following: history of the country's demographic situation; the government's overall approach to population problems; statistical systems and development planning; institutional arrangements for the integration of population within development planning; the government's view of the importance of population policy in realizing development objectives; population size, growth, and natural increase; morbidity and mortality; fertility; international migration; and spatial distribution. During the last 4 decades, the population has almost quadrupled as indicated by subsequent censuses. The rates of growth during this period fluctuated around 3-4%, with the highest (4.3%) observed during 1970-1975 and the lowest (2.8%) between 1975 and 1980, according to the estimates of the UN Population Division. The government has no official, comprehensive population policy with specific demographic objectives, but the growing significance of demographic changes has stimulated a high level of awareness of population issues in government circles. The government's major concerns in regard to population are presently those issues related to the international migration situation, to the spatial distribution of the population, to economic and social restructuring, and to overall family welfare. Since 1941, 6 censuses have been conducted, and the most recent census was in 1981. Bahrain's vital registration system has continued to be less developed than its censuses. The country is at an initial stage of coordinating development planning at the central level. At present there are no formal arrangements for integration of population within development planning. A comprehensive population policy is yet to be articulated. The government increasingly recognizes interlinkages between economic expansion and demographic growth, particularly in regard to immigration and spatial distribution. The rate of natural increase remained at a relatively steady 33.3/1000 population in the 1960s. It declined in the early 1970s to about 28.5/1000. In the 1980s the rate of natural increase is expected to decline further. The government has generally perceived the rate of population growth and natural increase as satisfactory. The crude death rate declined from 13.8 deaths/1000 between 1960-1965 to 6.3 during 1975-1980. The crude birthrate declined from 47.0 during 1960-1965 to 34.4 during 1975-1980.

  14. The Arabian Gulf University College of Medicine and Medical Sciences: a successful model of a multinational medical school.

    PubMed

    Hamdy, Hossam; Anderson, M Brownell

    2006-12-01

    In the late 1970s, leaders of the Arabian [corrected] Gulf countries proposed a novel idea of a joint educational and cultural venture: establishing a new regional university based in the Kingdom of Bahrain that would be managed as a multinational consortium of Gulf countries including Saudi Arabia, United Arab Emirates, Kuwait, Oman, Qatar, and Bahrain. It was intended to promote higher education and research in the Gulf region; to serve the development needs of the region; to reflect the unique economic, social, and cultural attributes of the Gulf communities and their environments; and to respond to the health care needs of the member countries. Since its inception in 1982, the College of Medicine and Medical Sciences (CMMS) at Arabian Gulf University (AGU) has adopted the educational philosophy of problem-based learning (PBL) and self-directed, student-centered education. The curriculum is integrated, with early introduction of education to foster clinical skills and professional competencies. The strategic alliance with the health care systems in Bahrain and other Gulf regions has created a successful model of efficient and effective initialization of health care resources in the community. The experience that has accumulated at the AGU-CMMS from introducing innovative medical education has allowed it to take a leadership position in medical education in the Gulf region. The original goals of this unique experiment have been realized along with unanticipated outcomes of spearheading changes in medical education in the Gulf region. Old and new medical schools have adopted several characteristics of the AGU educational program. Several elements contributed to its success: a clear vision of providing quality medical education and realizing and sustaining this vision by a supportive leadership at the university and college levels; an alliance with the regional health care systems; a dedicated faculty who have been able to work as a team while continually developing themselves; proper student selection and the creation of a culture of student/faculty partnerships in education and in building an international reputation and credibility by cooperating with reputable international universities and organizations.

  15. Iran: Regional Perspectives and U.S. Policy

    DTIC Science & Technology

    2010-01-13

    unwilling to publicly challenge Iran on the issue because of their economic dependence on or relationships with Iran...of Iran’s neighbors, like Iraq, and poses direct military threats to others, like Israel and Lebanon. It also directly challenges U.S. efforts to...reports that a former speaker of the Iranian parliament and then- aide to Iran’s Supreme Leader had referred to Bahrain as Iran’s 14th province sparked a

  16. JPRS Report, Near East & South Asia

    DTIC Science & Technology

    1989-08-02

    Discusses Response to Teachers’ Demands [ ALGERIE -ACTUALITE 9-15 May] 19 BAHRAIN GCC Economic Activities Report Reviewed [AKHBAR AL-KHALIJ 23 May] 22...Education Discusses Response to Teachers’ Demands 45190095 Algiers ALGERIE -ACTUALITE in French 9-15 May 89 pp 11-12 [Interview conducted by Dalila...Lakhadar and Khadidja Zeghloul, entitled: "Slimane Cheikh, Minister of Educa- tion, Tells ALGERIE -ACTUALITE: ’Yes to Dialogue, Yes to Consultation

  17. Factors affecting employment in the Arabian Gulf region, 1975-1985.

    PubMed

    Looney, R E

    1991-01-01

    "This paper attempts to shed light on factors contributing to the identification of the main employment patterns in the countries of the Arab Gulf region. It also seeks to answer the question of how determinants of employment vary between national and foreign workforces and whether these determinants have changed over time." The countries concerned are Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. excerpt

  18. The Foreign Disclosure and Technical Information System (FORDTIS) User Manual

    DTIC Science & Technology

    1985-07-01

    INDIA 10 BRITISH INDIAN OCEAN TERRITORY IP CLIPPERTON ISLAND IQ UNITED STATES MISCELLANEOUS PACIFIC ISLANDS (obsolete) IR , IRAN IS ISRAEL IT...CARTIER ISLANDS AU AUSTRIA AV ANGUILLA AY ANTARCTICA BA BAHRAIN BB BARBADOS ’ - ’ BC BOTSWANA BD BERMUDA BE BELGIUM BP...BAHAMAS, THE BG BANGLADESH BH BELIZE BL BOLIVIA BM BURMA BN BENIN (formerly DM) BP SOLOMON ISLANDS BQ NAVASSA ISLAND BR BRAZIL BS BASSAS DA INDIA

  19. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2012-06-21

    head of the BCHR, Nabeel Rajab, was summoned before the military court prosecuting alleged agitators. (On February 19, 2012, Matar was acquitted of...all charges; Nabeel Rajab was arrested February 15, 2012, for further anti-government activities, released, and then re-arrested April 1, 2012...not acted on suggestions it release him to go to Denmark, where he also holds citizenship. The government again arrested Nabeel Rajab on May 6, 2012

  20. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2012-06-29

    Congressional Research Service 10 BCHR, Nabeel Rajab, was summoned before the military court prosecuting alleged agitators. (On February 19, 2012, Matar was...acquitted of all charges; Nabeel Rajab was arrested February 15, 2012, for further anti-government activities, released, and then re-arrested April 1...to go to Denmark, where he also holds citizenship. The government again arrested Nabeel Rajab on May 6, 2012, on charges of illegal gathering. As

  1. In Search of a Programme Review Framework for a Polytechnic in Bahrain: The Experience of a Bahraini Quality Coordinator

    ERIC Educational Resources Information Center

    Hasan, Jameel

    2015-01-01

    Across the Middle East and North Africa region the quality of education has been highlighted as an issue of concern by the World Bank, in particular the less than positive impact on economic development. Also, it has been found that improvement initiatives often fail if they are transferred from the Western world without the consideration of local…

  2. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2012-11-06

    released November 23, 2011, which was critical of the government’s actions against the unrest as well as the opposition’s dismissal of all of the...been enacted. Al Khalifa family members have consistently held at least half of all ministerial slots, including all strategic ministry positions...the Shiite majority population criticized the new constitution because it established that the elected Council of Representatives (COR)5 and the all

  3. Yemen: Background and U.S. Relations

    DTIC Science & Technology

    2010-01-13

    the military. Qatar has attempted to serve as a mediator between the warring parties and, in July 2007, brokered an 18-point peace plan which neither...water to irrigate crops. Most analysts believe that if Yemen’s major aquifers are depleted, the only realistic solution to the country’s water crisis...Cooperation Council (GCC), a sub-regional organization which groups Saudi Arabia, Kuwait, Bahrain, Qatar , the United Arab Emirates, and Oman in an

  4. Environmental Security and Engagement in Central Command

    DTIC Science & Technology

    2000-08-01

    political borders in the Middle East are artificial and divide various ethnic and religious groups, all Middle East rivers and most major aquifers are...are divided as follows: SUB-REGION NATIONS Arabian Peninsula and Iraq Bahrain, Iraq, Kuwait, Oman, Qatar , Saudi Arabia, United Arab Emirates, Yemen...institutional failures.”26 In fact, the continued distribution of water from limited river systems and aquifers is crucial for the survival of Middle

  5. Yemen: Background and U.S. Relations

    DTIC Science & Technology

    2009-01-22

    there were rumored reports of an aborted coup and shakeups within the Yemeni military. Qatar has attempted to serve as a mediator between the...analysts believe that if Yemen’s major aquifers are depleted, the only realistic solution to the country’s water crisis would be a strategy based on...groups Saudi Arabia, Kuwait, Bahrain, Qatar , the United Arab Emirates, and Oman in an economic and security alliance. GCC members have traditionally

  6. Iran: U.S. Concerns and Policy Responses

    DTIC Science & Technology

    2012-09-05

    advance. That Iranian progress has caused the government of Israel to assert that it might take unilateral military action against Iran’s nuclear...advantage of Shiite majority unrest against the Sunni-led, pro-U.S. government of Bahrain. To counter the perceived threat from Iran, the Obama...over day-to-day governance . It is likely that only hardliners will be significant candidates in the next presidential election to be held in June

  7. Management of Acute Diarrhoea in Primary Care in Bahrain: Self-reported Practices of Doctors

    PubMed Central

    Ismaeel, Abdulrahman Y.; Khaja, Khalid A.J. Al; Damanhori, Awatif H.H.; Sequeira, Reginald P.; Botta, Giuseppe A.

    2007-01-01

    This nationwide study was conducted to assess the extent of adherence of primary-care physicians to the World Health Organization (WHO)-recommended guidelines on the use of oral rehydration therapy (ORT), antimicrobials, and prescribing of other drugs used in treating symptoms of acute diarrhoea in Bahrain. A questionnaire-based, cross-sectional survey was carried out in primary-care health centres. During a six-week survey period (15 August–30 September 2003), 328 (25.2%) completed questionnaires were returned from 17 of 20 health centres. In a sample of 300 patients, oral rehydration salts (ORS) solution was prescribed to 89.3% (n=268) patients; 12.3% received ORS alone, whereas 77% received ORS in combination with symptomatic drugs. Antimicrobials were prescribed to 2% of the patients. In 11.4% of the cases, rehydration fluids and other drugs were given parenterally. The mean number of drugs was 2.2+0.87 per prescription. In approximately one-third of the patients, three or more drugs were used. Primary-care physicians almost always adhered to the WHO guidelines with respect to ORT and antimicrobials. However, in several instances, ORT was prescribed along with polypharmacy, including irrational use of drugs for symptomatic relief. Effective health policies are needed to reduce the unnecessary burden on the healthcare system. PMID:17985822

  8. Neonatal hemochromatosis. Case series from Bahrain.

    PubMed

    Isa, Hasan M; Mohamed, Afaf M

    2013-12-01

    To review clinical presentations, diagnosis, response to treatment, and outcome of infants with neonatal hemochromatosis (NH). This is a retrospective review of all cases admitted to the Pediatric Department at Salmaniya Medical Center, Manama, Bahrain between March 2008 and May 2011. The diagnosis was based on serum iron and ferritin, alpha-fetoprotein levels (AFP), liver and buccal biopsies, and abdominal MRI scan. Ten patients (8 males and 2 females) were diagnosed with NH. Two patients were intrauterine growth restriction (IUGR) and 6 were preterm. The median birth weight was 1.700 grams. The median age at presentation was 16 days, and at diagnosis was 23 days. Two patients had positive consanguinity. Clinical presentations of the infants were hepatosplenomegaly (n=5), ascites (n=3), and hypoglycemia (n=6). All patients had raised ferritin levels, prolonged prothrombin time, and 9 patients had high serum iron and serum AFP. Abdominal MRI showed iron overload in the liver (n=8). Liver biopsies showed evidence of hemochromatosis (n=3). Buccal biopsies stained positive for iron (n=1). Eight patients received antioxidant therapy and survived. Two patients passed away. Neonatal hemochromatosis is a rare liver disease of newborns with a spectrum of clinical severity. Elevated serum ferritin and AFP support the diagnosis after excluding other causes of neonatal liver failure. The use of antioxidant therapy helps to improve the outcome.

  9. Trafficking in Persons: U.S. Policy and Issues for Congress

    DTIC Science & Technology

    2008-08-14

    pairs, models, dancers, domestic workers, etc. Traffickers advertise these “jobs” as well as marriage opportunities abroad in local newspapers and on...is no single victim stereotype , a majority of trafficked women are under the age of 25, with many in their mid- to late teens. In Latin America, for...Emirates, Uruguay, Vietnam, and Yemen. 32 The Tier 2 Watch List of countries include Argentina , Armenia, Azerbaijan, Albania, Bahrain, Burundi, Cameroon

  10. Bahrain: Reform, Security, and U.S. Policy

    DTIC Science & Technology

    2012-10-05

    occurred long ago had the king’s reforms not been enacted. Al Khalifa family members have consistently held at least half of all ministerial slots...including all strategic ministry positions. Even before the 2011 unrest that has seen most senior Shiites in government resign, there were only 4 Shiite...Council of Representatives (COR)5 and the all -appointed Shura (Consultative) Council were to be of equal size (40 seats each). Together, they constitute a

  11. Somebody better find some rigs

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1997-08-01

    The paper discusses the outlook for the gas and oil industries of the Middle East. Field development projects abound, as the larger exporting nations pursue ambitious policies of production expansion. However, their plans may be hampered by the growing worldwide shortage of rigs. Separate evaluations are given for Saudi Arabia, Kuwait, Neutral Zone, Abu Dhabi, Iran, Iraq, Qatar, Yemen, Syria, Dubai, Turkey, Sharjah, and briefly for Bahrain, Israel, Jordan, UAE-Ajman, and UAE-Ras al-Khaimah.

  12. Smoking behavior of males attending the quit tobacco clinics in Bahrain and their knowledge on tobacco smoking health hazards.

    PubMed

    Hamadeh, Randah R; Ahmed, Jamil; Al Kawari, Maha; Bucheeri, Sharifa

    2018-01-30

    One third of Bahraini adult (20-64 years) males and 7.0% of females use some form of tobacco. The corresponding rates for cigarette and waterpipe tobacco smoking (WTS) are 11.0% and 6.0%, respectively. The objective of the study was to determine the knowledge on tobacco smoking and past smoking related behavior of male patients attending the Quit Tobacco Clinics (QTC) in Bahrain. A sample of 339 male clinic attendees was taken proportional to the population distribution in the three QTC at Al Hoora Health Center, Hamad Kanoo Health Center, and Bank of Bahrain and Kuwait Health Center. Data collection was performed until the sample size was completed (September 2015 to December 2016). Knowledge on the health effects of cigarette and WTS was examined based on 10 statements on cigarette and similar ones on WTS. Respondents "agreeing" with the statements were considered knowledgeable and those "disagreeing" or responding "don't know", not knowledgeable. All the "agree" responses for cigarette/WTS were summed across the 10 health effects and average health knowledge scores for cigarette/WTS were computed. Most of the study participants were Bahraini nationals, ever married and educated with at least secondary level. The majority (65.8%) of participants smoked a single type of tobacco product, and the rest, two (28.0%) or three or more (6.2%). Age of starting cigarette and WTS was 16.2 ± 4.0 and 19.3 ± 6.7 years, respectively. The majority (81%) smoked in the presence of other family members and 26.3% in the presence of a child. 76.2% smoked in the presence of others in their cars. 18.9% of the attendees had quit smoking at the time of interview. 81% of the participants knew about the hazards of both cigarette and WTS with a significantly higher (p = 0.0001) mean knowledge score for cigarette (93.3 ± 3.0%) than WTS (85.2 ± 2.1%). The relative lack of knowledge on the hazards of WTS in a sample of Arab country population with an increasing trend of WTS warrants the attention of health policy makers in the country and region.

  13. Middle East: Output expansions boost drilling

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1996-08-01

    Iraqi exports may return to the market in limited fashion, but none of the region`s producers seems particularly concerned. They believe that global oil demand is rising fast enough to justify their additions to productive capacity. The paper discusses exploration, drilling and development, and production in Saudi Arabia, Kuwait, the Neutral Zone, Abu Dhabi, Dubai, Oman, Iran, Iraq, Yemen, Qatar, Syria, Turkey, and Sharjah. The paper also briefly mentions activities in Bahrain, Israel, Jordan, and Ras al Khaimah.

  14. Middle East oil and gas

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1984-12-01

    The following subjects are covered in this publication: (1) position of preeminence of the Middle East; (2) history of area's oil operations for Iran, Iraq, Bahrain, Kuwait, Saudi Arabia, neutral zone, Qatar, United Arab Emirates, Oman and Egypt; (3) gas operations of Saudi Arabia, Iran, Kuwait, Qatar, Iraq and United Arab Emirates; (4) changing relationships with producing countries; (5) a new oil pricing environment; (6) refining and other industrial activities; and (7) change and progress. 10 figs., 12 tabs.

  15. Improving Fleet and Industrial Supply Center, Sigonella, Italy: Detachment Bahrain’s Ship Maintenance Contracts in Southwest Asia

    DTIC Science & Technology

    2011-05-16

    Project Sponsor: CAPT Chris Ray Black/Green Belt: CDR Mike Ryan Business Impact ($) KAIZEN / Rapid Improvement Event The expected impacts of this...Availability Contracts Project Methodology: DMAIC DFSS Kaizen Project Plan—list planned dates for each DMAIC phase Kaizen start and end dates...Initial Plan of Action for Kaizen Week 1) List and quantify elements that make the Big X metrics; 2) Capture the current competition categories into which

  16. Contracting but not without caution: experience with outsourcing of health services in countries of the Eastern Mediterranean Region.

    PubMed Central

    Siddiqi, Sameen; Masud, Tayyeb Imran; Sabri, Belgacem

    2006-01-01

    The public sector in developing countries is increasingly contracting with the non-state sector to improve access, efficiency and quality of health services. We conducted a multicountry study to assess the range of health services contracted out, the process of contracting and its influencing factors in ten countries of the Eastern Mediterranean Region: Afghanistan, Bahrain, Egypt, Islamic Republic of Iran, Jordan, Lebanon, Morocco, Pakistan, the Syrian Arab Republic and Tunisia. Our results showed that Afghanistan, Egypt, Islamic Republic of Iran and Pakistan had experience with outsourcing of primary care services; Jordan, Lebanon and Tunisia extensively contracted out hospital and ambulatory care services; while Bahrain, Morocco and the Syrian Arab Republic outsourced mainly non-clinical services. The interest of the non-state sector in contracting was to secure a regular source of revenue and gain enhanced recognition and credibility. While most countries promoted contracting with the private sector, the legal and bureaucratic support in countries varied with the duration of experience with contracting. The inherent risks evident in the contracting process were reliance on donor funds, limited number of providers in rural areas, parties with vested interests gaining control over the contracting process, as well as poor monitoring and evaluation mechanisms. Contracting provides the opportunity to have greater control over private providers in countries with poor regulatory capacity, and if used judiciously can improve health system performance. PMID:17143460

  17. Contracting but not without caution: experience with outsourcing of health services in countries of the Eastern Mediterranean Region.

    PubMed

    Siddiqi, Sameen; Masud, Tayyeb Imran; Sabri, Belgacem

    2006-11-01

    The public sector in developing countries is increasingly contracting with the non-state sector to improve access, efficiency and quality of health services. We conducted a multicountry study to assess the range of health services contracted out, the process of contracting and its influencing factors in ten countries of the Eastern Mediterranean Region: Afghanistan, Bahrain, Egypt, Islamic Republic of Iran, Jordan, Lebanon, Morocco, Pakistan, the Syrian Arab Republic and Tunisia. Our results showed that Afghanistan, Egypt, Islamic Republic of Iran and Pakistan had experience with outsourcing of primary care services; Jordan, Lebanon and Tunisia extensively contracted out hospital and ambulatory care services; while Bahrain, Morocco and the Syrian Arab Republic outsourced mainly non-clinical services. The interest of the non-state sector in contracting was to secure a regular source of revenue and gain enhanced recognition and credibility. While most countries promoted contracting with the private sector, the legal and bureaucratic support in countries varied with the duration of experience with contracting. The inherent risks evident in the contracting process were reliance on donor funds, limited number of providers in rural areas, parties with vested interests gaining control over the contracting process, as well as poor monitoring and evaluation mechanisms. Contracting provides the opportunity to have greater control over private providers in countries with poor regulatory capacity, and if used judiciously can improve health system performance.

  18. Breastfeeding and weaning practices in Bahrain: the role of mothers' education.

    PubMed

    Musaiger, A O; Abdulkhalek, N

    2000-01-01

    This rapid assessment survey was undertaken to find out the current practices of infant feeding in Bahrain and the impact of educational level of the mothers on these practices. A total sample of 200 Bahraini mothers of children less than 2 years were interviewed in the health centers. The age of mothers ranged from 18 to 47 years. About one third of mothers (39.8%) initiated breastfeeding at the first hour of delivery, and there was no significant association between education of mothers and initiating of breastfeeding. Most infants were placed in the same bed as their mothers (71%), however the proportion was lower among infants with high education (61.8%) compared to low (73.7%) and middle (72.5%) education mothers. The introduction of foods during the first 3 days of the infant's life as well as the practising of breastfeeding on schedule increased with the increased of educational level of mothers. Highly educated mothers tended to introduce rice, wheat, infant formula and fruit at an earlier age of the infant's life than other education groups. The study demonstrates an improvement in infant feeding practices during the last decade. However, the practice of sound infant feeding was less among highly educated mothers when compared to low and middle education mothers. This is mainly due to socio-economic factors rather than lack of awareness.

  19. A case report of neurological complications owing to lately diagnosed hyperargininemia emphasizing the role of national neonatal screening policies in the kingdom of Bahrain

    PubMed Central

    Bakhiet, Moiz; AlAwadi, Aminah M. I.; AlHammadi, Maryam M.; Ali, Maryam F.; Butti, Noora

    2018-01-01

    Abstract Introduction: Arginine is an essential amino acid that plays an important role in various body functions including cell division, wound healing, removal of ammonia, immune function, and release of hormones. Hyperargininemia, an autosomal recessive genetic disorder, is considered one of the least common urea cycle disorders. It rarely presents in the neonatal period but rather appears in children at the age between 2 and 4 years. Case Presentation: Herein, we demonstrate a case of a 14-year-old female who presented to the neurology clinic with several neurological complications, which were found to be a consequence of high levels of arginine discovered after performing a metabolic screening test. The hyperargininemia was because of a point mutation of A1 gene on 6q23 resulting in deficiency in arginase enzyme. The complications of this lately diagnosed case of hyperargininemia would have been avoided if a newborn screen were done as a part of a national program. Conclusion: This study presented certain neurological complications in a 14-year-old female who was lately diagnosed with hyperargininemia. Out case report strongly emphasizes the importance of establishing a national neonatal screening policy to ensure early detection of inherited metabolic disorders, in particular those which can be easily treated, in the Kingdom of Bahrain. PMID:29768370

  20. Hazard analysis and critical control point evaluation of school food programs in Bahrain.

    PubMed

    Ali, A A; Spencer, N J

    1996-03-01

    Hazard analyses were conducted in six food preparation sites and 16 school canteens in the State of Bahrain. Sandwiches made with cheese, meat, eggs, liver, and beef burgers were prepared in small shops or a bakery outside schools. Foods were cooked between 4 and 5 A.M. Time-temperature exposure during cooking was adequate to kill vegetative microbes and their spores, but potential for recontamination existed from the hands of food workers, utensils, and cloths and sponges used for wiping. All foods were left at room temperature before they were transported in vans to schools where they were also kept at room temperature between 17 degrees C and 41 degrees C. Air temperature inside the canteens during this investigation was between 18.5 and 28 degrees C with a relative humidity of 65 to 70%. Hazard analyses, which included observation of operations inside school canteens and sites of food preparation, measuring temperatures, and interviewing workers and consumers (teachers, students) were carried out. Hazards were primarily associated with preparation of foods long before they were consumed, physical touching of products, and holding foods at room temperature after preparation. Holding foods at room temperature would have allowed germination of bacterial spores and multiplication of microbes. Reheating of foods was not practiced. Health promoters must be aware of these hazards and need to educate food workers, administrators, and the public on the methods of prevention.

  1. The oil policies of the Gulf Arab Nations

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ripple, R.D.; Hagen, R.E.

    1995-03-01

    At its heart, Arab oil policy is inseparable from Arab economic and social policy. This holds whether we are talking about the Arab nations as a group or each separately. The seven Arab nations covered in this report-Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates--participate in several organizations focusing on regional cooperation regarding economic development, social programs, and Islamic unity, as well as organizations concerned with oil policies. This report focuses on the oil-related activities of the countries that may reveal the de facto oil policies of the seven Persian Gulf nations. Nevertheless it should bemore » kept in mind that the decision makers participating in the oil policy organizations are also involved with the collaborative efforts of these other organizations. Oil policies of five of the seven Arab nations are expressed within the forums of the Organization of Petroleum Exporting Countries (OPEC) and the Organization of Arab Petroleum Exporting Countries (OAPEC). Only Oman, among the seven, is not a member of either OAPEC or OPEC; Bahrain is a member of OAPEC but not of OPEC. OPEC and OAPEC provide forums for compromise and cooperation among their members. Nevertheless, each member state maintains its own sovereignty and follows its own policies. Each country deviates from the group prescription from time to time, depending upon individual circumstances.« less

  2. Intestinal lymphangiectasia in children

    PubMed Central

    Isa, Hasan M.; Al-Arayedh, Ghadeer G.; Mohamed, Afaf M.

    2016-01-01

    Intestinal lymphangiectasia (IL) is a rare disease characterized by dilatation of intestinal lymphatics. It can be classified as primary or secondary according to the underlying etiology. The clinical presentations of IL are pitting edema, chylous ascites, pleural effusion, acute appendicitis, diarrhea, lymphocytopenia, malabsorption, and intestinal obstruction. The diagnosis is made by intestinal endoscopy and biopsies. Dietary modification is the mainstay in the management of IL with a variable response. Here we report 2 patients with IL in Bahrain who showed positive response to dietary modification. PMID:26837404

  3. Intestinal lymphangiectasia in children. A favorable response to dietary modifications.

    PubMed

    Isa, Hasan M; Al-Arayedh, Ghadeer G; Mohamed, Afaf M

    2016-02-01

    Intestinal lymphangiectasia (IL) is a rare disease characterized by dilatation of intestinal lymphatics. It can be classified as primary or secondary according to the underlying etiology. The clinical presentations of IL are pitting edema, chylous ascites, pleural effusion, acute appendicitis, diarrhea, lymphocytopenia, malabsorption, and intestinal obstruction. The diagnosis is made by intestinal endoscopy and biopsies. Dietary modification is the mainstay in the management of IL with a variable response. Here we report 2 patients with IL in Bahrain who showed positive response to dietary modification.

  4. Station Climatic Summaries, Asia

    DTIC Science & Technology

    1989-07-01

    488640 7108 (CB) ......................................................... 589 CON SON/POULO CONDORE 489180 7105 (CB...STATION NAME BAHRAIN/KJS4ARR9AQ LoM4AIN pERlIOD: FEB 49-FES 81 9 STIN LYtS: 0111 MARCH 1982 LOCATION N26 17 EOS0 Z,7 ILEV 6 FT w gMo .; 325031 wwMoO. m A...357 0 WCLIMATBRIEF OABU NOME LUZON I, PHILIPPINEs PERIOO:1949-63 ’WMO * 98223 Pro ed by ETAC ( MAR 1972 N 1811 E120 2 FIELD ELEMTION: 13 ftSTNLTRS: RPML

  5. Dilemmas in Forward Basing: Understanding the Impact of the American Military Presence in Bahrain

    DTIC Science & Technology

    2014-06-01

    bases, local businessmen, a base workers group, and members of the self -defense force.75 Ultimately, Governor, Ota was voted out of office and a...U.S. access to Turkish soil in 1979 to rescue hostages in Tehran during the Islamic Revolution in Iran. Relations did not begin to heal until after...demonstrators from the roundabout with rubber bullets, and teargas. Four demonstrators were killed during the raid and others died shortly after. The

  6. A Baseline Analysis of In-Transit Shipping Time into and Through the Fifth Fleet Area of Operation With Respect to the Supply Chain Last Nautical Mile

    DTIC Science & Technology

    2011-12-01

    Figure 7. Final Delivery Methods ...................................................................................15 Figure 8. C-2 Greyhound (From USN...Delivery Methods COD aircraft are C-2 Greyhounds that can (only) deliver directly to aircraft carriers. The C-2 has a 1,300 nm range and a payload of...C-2 Greyhound (From USN, 2004a) 17 Figure 9. SH-60 Seahawk conducting VERTREP (From USN, 2004b) The MSC ships load material in Bahrain, Jebel

  7. A Strategic Plan for the Persian Gulf Region: Options for Deterring and/or Defeating an Emerging Threat

    DTIC Science & Technology

    1992-12-01

    Iraq, and the countries of the Gulf Cooperation Council (GCC-Saudi Arabia, Kuwait, Bahrain, the United Arab Emirates (UAE), Qatar , and Oman) are the...Council (GCC) itself. In October 1992 a border dispute between Qatar and Saudi Arabia flared up. Qatar accused Saudi forces of illegally occupying a...Qatari border post and killing two people. Qatar demanded the withdrawal of the Saudi troops. Riyadh denied that Saudi forces were involved in the

  8. Defense RDT and E Planning and Strategy Parameters: Methodological Considerations. Appendices

    DTIC Science & Technology

    1974-12-01

    true in the case of Saudi Arabia , Kuwait, Qatar and Libya. The "unaligned Third World" is neither unaligned nor is it the entity the term connotes...Liberial Ethiopia, Morocco, Bahrain, Kuwait, Saudi Arabia , etc., which relate to bases and broad considerations of intention relating to defense. The scope...garner a trade surplus of $65 billion, from a base of only $7 billion 3 in 1973. While Italy verges on bankruptcy Saudi Arabia , Kuwait, tne United

  9. Risk of Human Immunodeficiency Virus (HIV) Seroconversion in U.S. Navy Personnel Following Visits to Foreign Ports

    DTIC Science & Technology

    1991-03-25

    500 - 999 visits 47. Inchon, South Korea 78. Frederiksted, Virgin Is. 9. Bahrain 48. Palermo , Italy 79. Valencia, Spain 10. Augusta Bay, Italy 49...Muscat, Oman 80. Tunis, Tunisia 11. Hong Kong 81. Glasgow, Scotland 12. Palma, Spain 75 - 99 visits 82. Cartagena, Colombia 13. Singapore 50. Cannes...Holy Loch, Scotland 264 81. Glasgow, Scotland 57 32. Esquimalt, Canada 245 82. Cartagena, Colombia 55 33. Cartagena, Spain 206 83. Numazu, Japan 55 34

  10. Association between exposure to media and body weight concern among female university students in five Arab countries: a preliminary cross-cultural study.

    PubMed

    Musaiger, Abdulrahman O; Al-Mannai, Mariam

    2014-03-01

    Mass media play an important role in changing body image. This study aimed to determine the role of media (magazines and television) in body weight concern among university females in five Arab countries. A total sample of 1134 female university students was selected at convenience from universities in five Arab countries: Bahrain, Egypt, Jordan, Oman and Syria. The females' ages ranged from 17 to 32. A pre-tested questionnaire was used to assess the exposure to mass media regarding weight concerns. For the variables on exposure to mass media, girls were divided into two groups: infrequently exposed and frequently exposed. In general, the females who were exposed to mass media had a greater risk of having dieted to lose weight and changing their ideas of a perfect body shape than those who were not exposed or infrequently exposed. The association of exposure to magazines with having dieted to lose weight was only significant among females in Bahrain (p<0.044), Egypt (p<0.001) and Jordan (p<0.001). Exposure to television had a weaker association than exposure to magazines with body weight concerns of females. The association of exposure to television with females' idea of a perfect body shape was only statistically significant in females in Egypt (p<0.019) and Oman (p<0.019). The pressure from mass media on the body weight concern of female university students may lead these women to practise unhealthy weight control diets.

  11. The dialysis outcomes and practice patterns study phase 5 in the Gulf Cooperation Council countries: Design and study methods.

    PubMed

    Pisoni, Ronald L; Bieber, Brian A; Al Wakeel, Jamal; Al Arrayed, Sameer; Alkandari, Naser; Hassan, Mohamed; Karkar, Ayman; Al Lawati, Nabil M; Al Ali, Fadwa; Albert, Justin M; Robinson, Bruce M

    2016-11-01

    The Dialysis Outcomes and Practice Patterns Study (DOPPS) is an international prospective cohort study of the relationships between hemodialysis (HD) care practices and HD patient outcomes. The DOPPS began in 1996, in the United States, and has since expanded to 21 countries, collecting detailed data from >75,000 HD patients, with >200 scientific publications, focused on describing HD practices associated with improved HD patient outcomes. The goal of DOPPS is to help HD patients "live better and live longer." Starting in 2012, the DOPPS was able to expand to all six of the Gulf Cooperation Council (GCC) countries, namely, Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. The DOPPS study design consists of selecting HD facilities for study participation in each country to represent the different types of HD facilities and geographic regions within each GCC country. Within each study site, HD patients were randomly selected for detailed data collection to represent the HD practices within each participating HD facility. Altogether, 41 HD facilities have participated in the GCC-DOPPS Phase 5 study including 20 facilities from Saudi Arabia, nine from the United Arab Emirates, four each from Kuwait and Oman, two from Qatar, and one from Bahrain. Herein, we provide a detailed description of the study design and methods, data collection, study management, scientific investigator oversight and guidance, and study governance and support for the GCCDOPPS Phase 5 study.

  12. The Safety and Tolerability of 5-Aminolevulinic Acid Phosphate with Sodium Ferrous Citrate in Patients with Type 2 Diabetes Mellitus in Bahrain

    PubMed Central

    Al-Saber, Feryal; Aldosari, Waleed; Alselaiti, Mariam; Khalfan, Hesham; Kaladari, Ahmed; Khan, Ghulam; Harb, George; Rehani, Riyadh; Kudo, Sizuka; Koda, Aya; Tanaka, Tohru

    2016-01-01

    Type 2 diabetes mellitus is prevalent especially in Gulf countries and poses serious long-term risks to patients. A multifaceted treatment approach can include nutritional supplements with antioxidant properties such as 5-aminolevulinic acid (5-ALA) with sodium ferrous citrate (SFC). This prospective, randomized, single-blind, placebo-controlled, dose escalating pilot clinical trial assessed the safety of 5-ALA with SFC at doses up to 200 mg 5-ALA/229.42 mg SFC per day in patients living in Bahrain with type 2 diabetes mellitus that was uncontrolled despite the use of one or more antidiabetic drugs. Fifty-three patients (n = 53) from 3 sites at one center were enrolled by Dr. Feryal (Site #01), Dr. Hesham (Site #02), and Dr. Waleed (Site #03) (n = 35, 5-ALA-SFC; n = 18, placebo). There was no significant difference in incidence of adverse events reported, and the most frequent events reported were gastrointestinal in nature, consistent with the known safety profile of 5-ALA in patients with diabetes. No significant changes in laboratory values and no difference in hypoglycemia between patients receiving 5-ALA and placebo were noted. Overall, the current results support that use of 5-ALA-SFC up to 200 mg per day taken as 2 divided doses is safe in patients taking concomitant oral antidiabetic medications and may offer benefits in the diabetic population. This trial is registered with ClinicalTrials.gov NCT02481141. PMID:27738640

  13. Relationships between the quality of blended learning experience, self-regulated learning, and academic achievement of medical students: a path analysis.

    PubMed

    Kassab, Salah Eldin; Al-Shafei, Ahmad I; Salem, Abdel Halim; Otoom, Sameer

    2015-01-01

    This study examined the relationships between the different aspects of students' course experience, self-regulated learning, and academic achievement of medical students in a blended learning curriculum. Perceptions of medical students (n=171) from the Royal College of Surgeons in Ireland, Medical University of Bahrain (RCSI Bahrain), on the blended learning experience were measured using the Student Course Experience Questionnaire (SCEQ), with an added e-Learning scale. In addition, self-regulated learning was measured using the Motivated Strategies for Learning Questionnaire (MSLQ). Academic achievement was measured by the scores of the students at the end of the course. A path analysis was created to test the relationships between the different study variables. Path analysis indicated that the perceived quality of the face-to-face component of the blended experience directly affected the motivation of students. The SCEQ scale "quality of teaching" directly affected two aspects of motivation: control of learning and intrinsic goal orientation. Furthermore, appropriate course workload directly affected the self-efficacy of students. Moreover, the e-Learning scale directly affected students' peer learning and critical thinking but indirectly affected metacognitive regulation. The resource management regulation strategies, time and study environment, and effort regulation directly affected students' examination scores (17% of the variance explained). However, there were no significant direct relationships between the SCEQ scales and cognitive learning strategies or examination scores. The results of this study will have important implications for designing blended learning courses in medical schools.

  14. Risk Stratification and in Hospital Morality in Patients Presenting with Acute Coronary Syndrome (ACS) in Bahrain

    PubMed Central

    Garadah, Taysir S; Thani, Khalid Bin; Sulibech, Leena; Jaradat, Ahmed A; Al Alawi, Mohamed E; Amin, Haytham

    2018-01-01

    Background: Risk factors and short-term mortality in patients presented with Acute Coronary Syndrome (ACS) in Bahrain has not been evaluated before. Aim: In this prospective observational study, we aim to determine the clinical risk profiles of patients with ACS in Bahrain and describe the incidence, pattern of presentation and predictors of in-hospital clinical outcomes after admission. Methods: Patients with ACS were prospectively enrolled over a 12 month period. The rate of incidence of risk factors in patients was compared with 635 non-cardiac patient admissions that matched for age and gender. Multiple logistic regression analysis was used to predict poor outcomes in patients with ACS. The variables were ages >65 years, body mass index (BMI) >28 kg/m2, GRACE (Global Registry of Acute Coronary Events) score >170, history of diabetes mellitus (DM), systolic hypertension >180 mmHg, level of creatinine >160 μmol/l and Heart Rate (HR) on admission >90 bpm, serum troponin rise and ST segment elevation on the ECG. Results: Patients with ACS (n=635) were enrolled consecutively. Mean age was 61.3 ± 13.2 years, with 417 (65.6%) male. Mean age for patients with ST-segment elevation myocardial infarction (STEMI, n=156) compared with non-STEMI (NSTEMI, n=158) and unstable angina (UA, n=321) was 56.5± 12.8 vs 62.5±14.0 years respectively. In-hospital mortality was 5.1%, 3.1% and 2.5% for patients with STEMI, NSTEMI, and UA, respectively. In STEMI patients, thrombolytic therapy was performed in 88 (56.5%) patients and 68 (43.5%) had primary coronary angioplasty (PCI). The predictive value of different clinical variables for in-hospital mortality and cardiac events in the study were: 2.8 for GRACE score >170, 3.1 for DM, 2.2 for SBP >180 mmHg, 1.4 for age >65 years, 1.8 for BMI >28, 1.7 for creatinine >160 μmol/L, 2.1 for HR >90 bpm, 2.2 for positive serum troponin and 2.3 for ST elevation. Conclusion: Patients with STEMI compared with NSTEMI and UA were of younger age. There was higher in-hospital mortality in STEMI compared with NSTEMI and UA patients. The most significant predictors of death or cardiac events on admission in ACS were DM, GRACE Score >170, systolic hypertension >180 mmHg, positive serum troponin and HR >90 bpm. PMID:29541260

  15. Air Weather Service Master Station Catalog USAFETAC Climatic Database Users Handbook No. 6

    DTIC Science & Technology

    1993-03-01

    PENNSYLVANIA PA INDIANA IN RHODE ISLAND RI IOWA IA SOUTH CAROLINA SC KANSAS KS SOUTH DAKOTA SD KENTUCKY KY TENNESSEE TN LOUISIANA LA TEXAS TX MAINE ME...ASSOCIATED WMO BLOCKS AB ALBANIA 13 AG ARGENTINA 87,88 AH AFGHANISTAN 40 Al ASCENSION ISLAND 61 AL ALGERIA 60 AN ANGOLA 66 AT ANTIGUA, ST.KITTS...BENIN 65 BM BURMA/MYANMAR 48 BN BAHRAIN 40,41 BO BOLIVIA 85 BR BARBADOS 78 BT’ BRITISH INDIAN OCEAN TERRITORY 61 BU BULGARIA 15 BV BOUVET ISLAND 68 BW

  16. Dataset for petroleum based stock markets and GAUSS codes for SAMEM.

    PubMed

    Khalifa, Ahmed A A; Bertuccelli, Pietro; Otranto, Edoardo

    2017-02-01

    This article includes a unique data set of a balanced daily (Monday, Tuesday and Wednesday) for oil and natural gas volatility and the oil rich economies' stock markets for Saudi Arabia, Qatar, Kuwait, Abu Dhabi, Dubai, Bahrain and Oman, using daily data over the period spanning Oct. 18, 2006-July 30, 2015. Additionally, we have included unique GAUSS codes for estimating the spillover asymmetric multiplicative error model (SAMEM) with application to Petroleum-Based Stock Market. The data, the model and the codes have many applications in business and social science.

  17. Relationships between the quality of blended learning experience, self-regulated learning, and academic achievement of medical students: a path analysis

    PubMed Central

    Kassab, Salah Eldin; Al-Shafei, Ahmad I; Salem, Abdel Halim; Otoom, Sameer

    2015-01-01

    Purpose This study examined the relationships between the different aspects of students’ course experience, self-regulated learning, and academic achievement of medical students in a blended learning curriculum. Methods Perceptions of medical students (n=171) from the Royal College of Surgeons in Ireland, Medical University of Bahrain (RCSI Bahrain), on the blended learning experience were measured using the Student Course Experience Questionnaire (SCEQ), with an added e-Learning scale. In addition, self-regulated learning was measured using the Motivated Strategies for Learning Questionnaire (MSLQ). Academic achievement was measured by the scores of the students at the end of the course. A path analysis was created to test the relationships between the different study variables. Results Path analysis indicated that the perceived quality of the face-to-face component of the blended experience directly affected the motivation of students. The SCEQ scale “quality of teaching” directly affected two aspects of motivation: control of learning and intrinsic goal orientation. Furthermore, appropriate course workload directly affected the self-efficacy of students. Moreover, the e-Learning scale directly affected students’ peer learning and critical thinking but indirectly affected metacognitive regulation. The resource management regulation strategies, time and study environment, and effort regulation directly affected students’ examination scores (17% of the variance explained). However, there were no significant direct relationships between the SCEQ scales and cognitive learning strategies or examination scores. Conclusion The results of this study will have important implications for designing blended learning courses in medical schools. PMID:25610011

  18. The establishment of the United Arab Emirates

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Taryam, A.O.

    The United Arab Emirates were established in response to the British decision to withdraw from the Gulf by 1971. This decision, announced in 1968, had left the rulers of the emirates perplexed and alarmed. After decades of mutual suspicion and rivalry, fostered by British imperial dominance, the emirates were now obliged to seek security in federal union. Early in 1968 came the bilateral agreement for union between Abu Dhabi and Dubai. Then followed three years of prolonged negotiations between nine emirates, Bahrain, Qatar, Abu Dhabi, Dubai, Sharjah, Ajman, Umm al-Qaiwain, Ras al-Khaimah and Fujairah to establish a union of ninemore » emirates. Constitutional wrangles as to what form the union would take and hard bargaining as to who would get what position or who would give up which claim, prevailed throughout the negotiations. Behrain was beset by Iranian claims and had no mind to enter into any agreement before this problem was solved. Qatar did not want to enter any agreement that did not ensure it a dominant position. Eventually Bahrain and Qatar dropped out of the talks and declared themselves independent states in 1971. The other seven emirates entered into serious negotiations that ended, also in 1971, with the formation of a federal state to be called the United Arab Emirates. This book chronicles this process which led to the establishment of the UAE and explains the circumstances which brought it about. It also examines the record of the first fifteen years of the federation and concludes that despite serious problems it has been broadly successful.« less

  19. Prevalence of tobacco use among students aged 13-15 years in Health Ministers' Council/Gulf Cooperation Council Member States, 2001-2004.

    PubMed

    Moh'd Al-Mulla, Ahmad; Abdou Helmy, Sahar; Al-Lawati, Jawad; Al Nasser, Sami; Ali Abdel Rahman, Salah; Almutawa, Ayesha; Abi Saab, Bassam; Al-Bedah, Abdullah Mohammed; Al-Rabeah, Abdullah Mohamed; Ali Bahaj, Ahmed; El-Awa, Fatimah; Warren, Charles W; Jones, Nathan R; Asma, Samira

    2008-06-01

    This article examines differences and similarities in adolescent tobacco use among Member States of the Health Ministers' Council for the Gulf Cooperation Council (HMC/GCC) using Global Youth Tobacco Survey (GYTS) data. Nationally representative samples of students in grades associated with ages 13-15 in Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, United Arab Emirates, and Yemen. Schools were selected proportional to enrollment size, classes were randomly selected within participating schools, and all students in selected classes were eligible to participate. GYTS results confirmed that boys are significantly more likely than girls to smoke cigarettes or use shisha (water pipe). Students had higher rates of tobacco use than adults in Bahrain, Oman, and United Arab Emirates. For boys and girls, shisha use was higher than cigarette smoking in almost all countries. Susceptibility to initiate smoking among never smokers was higher than current cigarette smoking in all countries. Exposure to secondhand smoke in public places was greater than 30%, direct protobacco advertising exposure was greater than 70% on billboards and in newspapers, and more than 10% of students were influenced by indirect advertising. Finally, less than half of the students were taught in school about the dangers of tobacco use in the past year. For boys and girls, high prevalence of cigarette smoking, high prevalence of shisha use, and high susceptibility of never smokers to initiate smoking in the next year are troubling indicators for the future of chronic disease and tobacco-related mortality in the Member States of the HMC/GCC.

  20. Interrelationship of hepatitis C virus genotypes with patient characteristics in Bahrain

    PubMed Central

    Abdulla, Maheeba A; Murad, Eman A; Aljenaidi, Hend A; Aljowder, Duha R; Aljeeran, Omar IK; Farid, Eman; Al Qamish, Jehad R

    2017-01-01

    Aim Hepatitis C virus (HCV) shows genotype-based variation in prevalence across geographical regions. This study was conducted to understand the clinical interrelationship of HCV genotypes with patient characteristics. Methods Medical records of 122 patients positive for HCV RNA test collected during 2013 and 2014 were included for analysis. Only adults were included in the study. HCV RNA extraction and genotyping was done as part of the routine diagnostic requirements. The association of continuous and categorical variables with genotypes was analyzed through analysis of variance and chi-square tests, respectively. Results Of the 122 patients selected, 103 were Bahrainis, 18 non-Bahrainis, and 1 was unregistered. Genotype 1 was the predominant (53%) one, followed by types 3 (23%) and 4 (20%). Classical symptoms, clinical signs, liver function test, and ultrasonographic results were recorded. Cirrhosis and ascites showed significant variation across genotypes. Although alanine transaminase, total bilirubin, and albumin levels were increased, gamma-glutamyltransferase and alkaline phosphatase levels were normal. About 12% of the subjects were alcohol users, 4% were positive for HIV infection and 2.4% were positive for hepatitis B virus infection. The circulating HCV RNA load was at medium-level in the study cohort and showed significant association with the HCV genotypes and subtypes. Patients with genotype 1a had 6 times more load than patients with type 4 (P<0.05). Conclusion This study reconfirmed the incidence and distribution of different genotypes in Bahrain population, and delineated the relationship of HCV RNA viral load with the severity of liver disease in our cohort. PMID:28280398

  1. HIV Responses in Arab States on the Southern Persian Gulf Border: The First Review.

    PubMed

    Moradi, Afsaneh; Alammehrjerdi, Zahra; Daneshmand, Reza; Amini-Lari, Mahmood; Zarghami, Mehran; Dolan, Kate

    2016-09-01

    There is no review of HIV responses in Arab states on the southern Persian Gulf border. This narrative review aimed to describe and synthesize HIV responses in Kuwait, Qatar, Bahrain and the United Arab Emirates (UAE). A review of scientific databases and grey literature was conducted based on an international guide. Overall, 16 original studies and reports were found. The review indicates that HIV has been found present in each Arab state based on sporadic case finding. The prevalence of HIV is the result of heterosexual relationship and/or drug injection. Mandatory testing of the nationals and expatriate workers is the main route of HIV detection. In general, HIV knowledge and education are poor. Only Bahrain has some non-governmental organizations that provide HIV education. Lack of identifying key populations and high risk behaviors has been reported in all of the states. HIV responses are mainly for Arab and Arabic-speaking nationals. Effective strategic plans for HIV have not been developed in all of the states. The provision of antiretroviral therapy for the nationals is the main HIV response. Only Qatar has paid for the treatment of Qatari and non-Qatari HIV-infected patients. As a HIV response, drug treatment is based on short-term inpatient rehabilitation. Only Qatar has voluntary HIV counseling and testing. Lack of needle and syringe programs has been reported for people who inject drugs with HIV problem in all of the states. To conclude, HIV problem needs a comprehensive policy response in each state. Providing effective strategic plans for HIV and sero-surveillance data systems is required. Empowering human resources and infrastructural development are suggested.

  2. An Evaluation Quality Framework for Analysing School-Based Learning (SBL) to Work-Based Learning (WBL) Transition Module

    NASA Astrophysics Data System (ADS)

    Alseddiqi, M.; Mishra, R.; Pislaru, C.

    2012-05-01

    The paper presents the results from a quality framework to measure the effectiveness of a new engineering course entitled 'school-based learning (SBL) to work-based learning (WBL) transition module' in the Technical and Vocational Education (TVE) system in Bahrain. The framework is an extended version of existing information quality frameworks with respect to pedagogical and technological contexts. It incorporates specific pedagogical and technological dimensions as per the Bahrain modern industry requirements. Users' views questionnaire on the effectiveness of the new transition module was distributed to various stakeholders including TVE teachers and students. The aim was to receive critical information in diagnosing, monitoring and evaluating different views and perceptions about the effectiveness of the new module. The analysis categorised the quality dimensions by their relative importance. This was carried out using the principal component analysis available in SPSS. The analysis clearly identified the most important quality dimensions integrated in the new module for SBL-to-WBL transition. It was also apparent that the new module contains workplace proficiencies, prepares TVE students for work placement, provides effective teaching and learning methodologies, integrates innovative technology in the process of learning, meets modern industrial needs, and presents a cooperative learning environment for TVE students. From the principal component analysis finding, to calculate the percentage of relative importance of each factor and its quality dimensions, was significant. The percentage comparison would justify the most important factor as well as the most important quality dimensions. Also, the new, re-arranged quality dimensions from the finding with an extended number of factors tended to improve the extended version of the quality information framework to a revised quality framework.

  3. Nurses' care practices at the end of life in intensive care units in Bahrain.

    PubMed

    O'Neill, Catherine S; Yaqoob, Maryam; Faraj, Sumaya; O'Neill, Carla L

    2017-12-01

    The process of dying in intensive care units is complex as the technological environment shapes clinical decisions. Decisions at the end of life require the involvement of patient, families and healthcare professionals. The degree of involvement can vary depending on the professional and social culture of the unit. Nurses have an important role to play in caring for dying patients and their families; however, their knowledge is not always sought. This study explored nurses' care practices at the end of life, with the objective of describing and identifying end of life care practices that nurses contribute to, with an emphasis on culture, religious experiences and professional identity. Research Design and context: Grounded theory was used. In all, 10 nurses from intensive care unit in two large hospitals in Bahrain were participated. Ethical Considerations: Approval to carry out the research was given by the Research Ethics Committee of the host institution, and the two hospitals. A core category, Death Avoidance Talk, was emerged. This was supported by two major categories: (1) order-oriented care and (2) signalling death and care shifting. Death talk was avoided by the nurses, doctors and family members. When a decision was made by the medical team that a patient was not to be resuscitated, the nurses took this as a sign that death was imminent. This led to a process of signalling death to family and of shifting care to family members. Despite the avoidance of death talk and nurses' lack of professional autonomy, they created awareness that death was imminent to family members and ensured that end of life care was given in a culturally sensitive manner and aligned to Islamic values.

  4. Frequencies and phenotypic consequences of association of α- and β-thalassemia alleles with sickle-cell disease in Bahrain.

    PubMed

    Abuamer, S; Shome, D K; Jaradat, A; Radhi, A; Bapat, J P; Sharif, K A; Al-Touq, J; Al-Asheeri, A; Al-Ajami, A

    2017-02-01

    Bahrain has high prevalence rates of sickle cell and thalassemia in the population. This study reports the frequencies and phenotypic characteristics of α- and/or β-thalassemia associated with sickle-cell disease (SCD) in a tertiary care hospital. Adult SCD patients (n = 200) were screened for the common α- and β-thalassemia alleles prevalent in the region using molecular techniques. Results of CBC, hemoglobin analysis, and average annual frequencies of severe pain episodes and numbers of transfused red cell units were documented. Patients were grouped on the basis of molecular studies as sickle-cell anemia (SS, n = 131), SS/α-thalassemia with three normal genes (n = 27), SS/α-thalassemia with two normal genes (n = 11), sickle-β-thalassemia (Sβ, n = 23), and Sβ with co-inherited α-thalassemia (n = 8). Identified α-thalassemia determinants were -α 3.7 (n = 52), -α 4.2 (n = 4), α T-Saudi α (n = 1), and α Hph α (n = 1). All β-thalassemia alleles were β 0 defects. Sickle-thalassemia association resulted in higher hemoglobin, hematocrit, and erythrocyte counts with reduced MCV and reticulocytes. Significant clinical associations were as follows: increased severe pain frequency with α-thalassemia (three-gene group); red cell transfusion with β-thalassemia alleles and female gender. One-third of patients with SCD co-inherited α- and/or β-thalassemia alleles and these associations explained some of the observed phenotypic variability. A low prevalence of nondeletion α-thalassemia alleles was observed in these patients. The most significant disease amelioration occurred in SCD associated with two α-thalassemia alleles. © 2016 John Wiley & Sons Ltd.

  5. Rotavirus gastroenteritis in children under 5 years in the Kingdom of Bahrain: hospital-based surveillance

    PubMed Central

    Musawi, Muna Al; Zainaldeen, Hassan; Shafi, Fakrudeen; Anis, Sameh; DeAntonio, Rodrigo

    2013-01-01

    Purpose Rotavirus (RV) is the leading cause of morbidity and mortality in children under 5 years of age worldwide. This study assessed the role of RV as a cause of gastroenteritis (GE)-associated hospitalization in children, generating baseline information to evaluate the potential impact of the RV vaccine in reducing RVGE disease burden in the Kingdom of Bahrain. Methods This single, pediatric hospital-based surveillance study was conducted over a period of 12 months beginning April 1, 2006. A total of 314 children aged under 5 years and hospitalized due to GE were enrolled in the study, following collection of written informed consent from parents/guardians. Stool samples were tested for the presence of RV using enzyme immunoassay, and a random subset of RV-positive samples was further genotyped using reverse transcriptase-polymerase chain reaction and reverse hybridization assay. Results Of 314 enrolled children, 239 were included in the final analysis. RV was detected in 107 children (44.8%), mostly in the 6–23 months age group (82/107; 76.6%). RVGE occurred throughout the year, with the highest proportion occurring during April (26/42; 61.9%). G1P[8[ was the most commonly detected RV strain (10/17; 58.8%) in the limited number of samples analyzed. Vomiting and severe RVGE were more commonly observed in RV-positive than RV-negative children before hospitalization (P = 0.0008 and 0.0204, respectively). Conclusion In our study, RV accounted for over 40% of GE-associated hospitalizations and particularly affected children under 2 years of age. These data will serve as a baseline for assessing the potential changes in the epidemiology of RV disease and for evaluating the potential impact of the introduction of RV vaccination. PMID:23950659

  6. Vaccinations against respiratory infections in Arabian Gulf countries: Barriers and motivators.

    PubMed

    Alqahtani, Amani S; Bondagji, Daniah M; Alshehari, Abdullah A; Basyouni, Mada H; Alhawassi, Tariq M; BinDhim, Nasser F; Rashid, Harunor

    2017-06-16

    To study the uptake, barriers and motivators of influenza, pneumococcal, meningococcal and pertussis vaccines among members of public in Arabian Gulf countries. A cross-sectional survey among the Gulf Cooperation Council (GCC) countries' residents. Data collected electronically through a smartphone app. The survey variables aimed to investigate the respondents' awareness about vaccines against influenza, pneumococcal, meningococcal and pertussis infections. Collected data concerning the respondents' socio-demographic characteristics, their perception toward vaccine uptake and the factors that motivate or demotivate them from taking influenza vaccine. The data were analysed statistically using the SPSS v.23.0. Differences in the characteristics of users from different countries were quantified through bivariate analysis. Other important variables and controlling factors were studied using logistic regression. A total of 1812 respondents participated in the study. Their mean age was 27 years, 82% were male and 24% had ≥ 1 chronic diseases. The overall uptake of influenza vaccine was 17% (21% among "at risk" people) and ranged from 15% in Saudi Arabia to 24% in Qatar. Doctor's advice (23%) and a perception of having low body immunity (21%) were the main cited reasons for being vaccinated, whereas unawareness about the vaccine (43%) was the main barrier. The overall uptake of pneumococcal vaccine in the preceding three years was 22% (25% among "at risk" individuals) and ranged from 0% in Bahrain to 79% in Kuwait. The overall uptake of pertussis vaccine was 16% (31% among "vulnerable" people), and ranged from 7% in Saudi Arabia to 75% in Oman. The overall uptake of meningococcal vaccine was 20% (29% among the "at risk" people) and ranged from 3% in Oman to 50% in Bahrain. The vaccination uptake across GCC countries is suboptimal and varies widely across the countries. Further research is needed to unearth the reasons and formulate action plan.

  7. The New School-Based Learning (SBL) to Work-Based Learning (WBL) Transition Module: A Practical Implementation in the Technical and Vocational Education (TVE) System in Bahrain

    NASA Astrophysics Data System (ADS)

    Alseddiqi, M.; Mishra, R.; Pislaru, C.

    2012-05-01

    This paper diagnoses the implementation of a new engineering course entitled 'school-based learning (SBL) to work-based learning (WBL) transition module' in the Bahrain Technical and Vocational Education (TVE) learning environment. The module was designed to incorporate an innovative education and training approach with a variety of learning activities that are included in various learning case studies. Each case study was based on with learning objectives coupled with desired learning outcomes. The TVE students should meet the desired outcomes after the completion of the learning activities and assessments. To help with the implementation phase of the new module, the authors developed guidelines for each case study. The guidelines incorporated learning activities to be delivered in an integrated learning environment. The skills to be transferred were related to cognitive, affective, and technical proficiencies. The guidelines included structured instructions to help students during the learning process. In addition, technology was introduced to improve learning effectiveness and flexibility. The guidelines include learning indicators for each learning activity and were based on their interrelation with competencies to be achieved with respect to modern industrial requirements. Each learning indicator was then correlated against the type of learning environment, teaching and learning styles, examples of mode of delivery, and assessment strategy. Also, the learning activities were supported by technological features such as discussion forums for social perception and engagement and immediate feedback exercises for self-motivation. Through the developed module, TVE teachers can effectively manage the teaching and learning process as well as the assessment strategy to satisfy students' individual requirements and enable them to meet workplace requirements.

  8. Awareness and Knowledge of Ionizing Radiation Risks Between Prescribed and Self-Presenting Patients for Common Diagnostic Radiological Procedures in Bahrain

    PubMed Central

    Al-Mallah, Adel; Vaithinathan, Asokan G.; Al-Sehlawi, Mahdi; Al-Mannai, Mariam

    2017-01-01

    Objectives Between 20 to 50% of medical imaging examinations are considered inappropriate, and unnecessary ionizing radiation exposures may lead to cancer. We hypothesized that Bahraini patients who self-present for ionizing radiation procedures are not aware of, and lack the requisite knowledge of, the inherent risks associated with their use than patients prescribed for diagnostic purposes. We attempted to examine and compare the awareness and knowledge of the associated risks of ionizing radiation in common diagnostic radiological procedures between prescribed and self-presenting patients in Bahrain. Methods A cross-sectional survey was carried out among 416 Bahraini patients attending the radiology department of the Salmaniya Medical Complex (SMC), a secondary health care center, who had been referred by primary care physicians or self-presented to the center. Data was collected via face-to-face interviews. Results Prescribed patients (n = 358) had a better awareness than self-presenting (n = 58) patients on all ionizing radiation awareness statements (i.e., risks, permissible levels, willingness to undergo the procedure, and preference for a clinical examination over a radiological procedure) (p < 0.050). Of the 10 knowledge statements, the prescribed patients agreed on four statements than the self-presenting patients: preventing or minimizing exposure improves health, people can prevent or minimize exposure, a lifelong health concern, and radiological procedures offer best diagnoses compared to medical tests or procedures (p <  0.050). Conclusions Bahraini patients who reported to SMC lack awareness and knowledge on ionizing radiation. The proportion of appropriate responses to awareness and knowledge questions were paltry for self-presenting patients and deficient for the prescribed patients in the knowledge segment alone. PMID:29026468

  9. HIV Responses in Arab States on the Southern Persian Gulf Border: The First Review

    PubMed Central

    Moradi, Afsaneh; Alammehrjerdi, Zahra; Daneshmand, Reza; Amini-Lari, Mahmood; Zarghami, Mehran; Dolan, Kate

    2016-01-01

    Context There is no review of HIV responses in Arab states on the southern Persian Gulf border. This narrative review aimed to describe and synthesize HIV responses in Kuwait, Qatar, Bahrain and the United Arab Emirates (UAE). Evidence Acquisition A review of scientific databases and grey literature was conducted based on an international guide. Overall, 16 original studies and reports were found. Results The review indicates that HIV has been found present in each Arab state based on sporadic case finding. The prevalence of HIV is the result of heterosexual relationship and/or drug injection. Mandatory testing of the nationals and expatriate workers is the main route of HIV detection. In general, HIV knowledge and education are poor. Only Bahrain has some non-governmental organizations that provide HIV education. Lack of identifying key populations and high risk behaviors has been reported in all of the states. HIV responses are mainly for Arab and Arabic-speaking nationals. Effective strategic plans for HIV have not been developed in all of the states. The provision of antiretroviral therapy for the nationals is the main HIV response. Only Qatar has paid for the treatment of Qatari and non-Qatari HIV-infected patients. As a HIV response, drug treatment is based on short-term inpatient rehabilitation. Only Qatar has voluntary HIV counseling and testing. Lack of needle and syringe programs has been reported for people who inject drugs with HIV problem in all of the states. Conclusions To conclude, HIV problem needs a comprehensive policy response in each state. Providing effective strategic plans for HIV and sero-surveillance data systems is required. Empowering human resources and infrastructural development are suggested. PMID:27822284

  10. Correlation between hormone receptor status and age, and its prognostic implications in breast cancer patients in Bahrain

    PubMed Central

    AlZaman, Aysha S.; Mughal, Saad A.; AlZaman, Yahya S.; AlZaman, Entisar S.

    2016-01-01

    Objectives: To assess the correlation between hormone receptor status (HRS) and age, and its significance as a predictor of outcome in patients with breast cancer (BC). Methods: This retrospective review was conducted on 109 patients diagnosed with BC at Salmaniya Medical Complex, Manama, Bahrain from 2010-2013. Patients were divided into 2 age groups; under and over 40 years, and were analyzed for tumor histology, lymph node status, stage, and HRS. Results: Younger patients with BC were more likely to be of higher stage, grade, and of larger size. Older women were more likely to be estrogen receptor (ER) positive (72.6% versus 55.3%), and progesterone receptor (PR) positive (71% versus 53.2%) (p=0.03). The human epidermal growth factor receptor (HER)-2 over-expression was seen more in younger women (51% versus 40%) (p=0.2). Younger patients had higher lymph node metastases (88.6% versus 56.1%) (p=0.0004), and higher distant metastases (26.7% versus 6.8%) (p=0.005). The HER-2 over-expression strongly correlated with lymph node status. A total of 63.4% of lymph node positive patients had HER-2 over-expression compared with only 13.3% of lymph node negative patients (p<0.00001). Conclusion: Breast cancer is more aggressive and advanced in younger women, a fact that can be significantly attributed to under expression of ER and PR, and over expression of HER-2, which also correlates well with lymph node status, as a measure of aggressiveness. Further studies should evaluate the genetic profile of BC in such population to improve their outcomes. PMID:26739972

  11. Systematic thematic review of e-health research in the Gulf Cooperation Council (Arabian Gulf): Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and United Arab Emirates.

    PubMed

    Weber, Alan S; Turjoman, Rebal; Shaheen, Yanal; Al Sayyed, Farah; Hwang, Mu Ji; Malick, Faryal

    2017-05-01

    Introduction The Gulf Cooperation Council (GCC or 'Arabian Gulf'), comprising Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and United Arab Emirates, is a political organization sharing a common history and culture. All GCC nations have made substantial investments in telecommunications and electronic health infrastructure since 2000. Methods We conducted a literature search in English and Arabic on peer-reviewed e-health research up to December 2014 originating in the GCC. The objective was to retrieve all research on e-health in the GCC and to categorize and analyse it qualitatively to reveal the current state of e-health research and development in the region. Inclusion criteria included peer-reviewed articles, books, book chapters, conference papers and graduate theses written on e-health in the GCC. Blogs, health websites and non-peer-reviewed literature were excluded. Results Three hundred and six articles were retrieved, categorized and analysed qualitatively to reveal the state of e-health research in the GCC. Both country-specific and GCC-wide major themes were identified using NVivo 10.0 qualitative software and summarized. The most common type of study was an overview (35.0%), with common study designs of case studies (26.8%) and descriptive articles (46.4%). Significant themes were: prospective national benefits from e-health, implementation and satisfaction with electronic health records, online technologies in medical education, innovative systems (case studies), and information security and personal health information. Discussion This is the first comprehensive analytical literature review of e-health in the GCC. Important research gaps were identified: few cost-benefit analyses, controlled interventional studies, or research targeting gender and religious issues were retrieved.

  12. Petroleum developments in Middle East countries in 1969

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mason, J.F.; Moore, Q.M.

    1970-08-01

    Petroleum production in Middle East countries in 1969 totaled 4,525,475,000 bbl at an average rate of 12,398,561 bpd, compared with 4,113,838,000 bbl or 11,239,995 bpd in 1968. The principal production increases were in Iran, Kuwait, Saudi Arabia, Abu Dhabi, and Oman. New fields were found in Iraq, Iran, and Abu Dhabi. There were no exploratory activities in Bahrain, Qatar, Sharjah, Ajman, Umm al Qawain, Dhofar, Hadhramaut, Aden-Kamaran islands, Yemen, or Lebanon. The main areas of exploratory work were in Iran, Iraq, Saudi Arabia-Red Sea, and the S. Gulf (both on shore and off shore). (67 refs.)

  13. Determination of inorganic particulates: (cationic, anionic and heavy metals) in the atmosphere of some areas in Bahrain during the Gulf crisis in 1991

    NASA Astrophysics Data System (ADS)

    Ali-Mohamed, Ahmed Y.; Matter, Haifa A.

    Inorganic particulate matter was sampled weekly during the period March-May, 1991 at different sites at height of ˜6-9 m above the ground level. Deposited aerosols were chemically analyzed and a comparison was made between these sites. The percentage of tarry matter deposited on the airborne particulate matter was found to be 40% during the Gulf crisis compared to 5% prior to Gulf war (1985/86). Heavy metal analysis are also reported. The results were influenced differently by some atmospheric parameters such as temperature, humidity, rainfall, pressure and wind speed/direction.

  14. Managing health care organizations in an age of rapid change.

    PubMed

    Benjamin, S; al-Alaiwat, S

    1998-03-01

    Health care managers find their work increasingly difficult, due in part to rapid environmental change that plagues organizational life. Management practices and attitudes that may have been appropriate in previous eras are ineffective today. A study was conducted among managers in the Ministry of Health, State of Bahrain, seeking information about current trends in the macro or external environment that affect the Ministry of Health, as well as internal environmental pressures that may be similar or different. This article provides a clear picture of the context in which managers perform their work and offers recommendations for coping with change in dynamic, complex organizations.

  15. Petroleum developments in Middle East countries in 1968

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mason, J.F.; Moore, Q.M.

    1969-08-01

    Petroleum production in Middle East countries in 1968 totaled 4,113,838,000 bbl at an average rate of 11,239,995 bpd. This compares with 3,679,506,000 bbl or 10,080,838 bpd in 1967. The principal production increases were in Iraq, Iran, Saudi Arabia, Abu Dhabi, and Oman. New fields were found in offshore Iran, offshore and onshore Saudi Arabia, and Turkey. There were no exploratory activities in Bahrain, Qatar, Sharjah-Ajman-Umm al Qawain, Dhofar, Hadhramaut, Aden-Kamaran Islands, Yemen, Lebanon, and Cyprus The main areas of exploratory work were in Iran, Saudi Arabia, Neutral Zone, and the S. Gulf (both on shore and off shore). (30 refs.)

  16. Cardiovascular and cerebrovascular comorbidities in hemodialysis patients from the Gulf Cooperation Council countries enrolled in the dialysis outcome and practice pattern study phase 5 (2012-2015).

    PubMed

    Shaheen, Faissal A M; Al Wakeel, Jamal; Al-Ghamdi, Saeed M G; Alhelal, Bassam; AlGhareeb, Sumaya; Al Obaidli, Ali Abdulkarim; AlSalmi, Issa; Abdulaziz, Hani Ezzat; Bieber, Brian A; Pisoni, Ronald L

    2016-11-01

    To determine the prevalence of cardiovascular comorbidities and their active risk factors in the selected hemodialysis centers in the Gulf Cooperation Council (GCC) countries, the Dialysis Outcome and Practice Pattern Study (DOPPS) was performed on 40 dialysis centers in the six GCC countries from June 2012 to May 2015. There were 21 dialysis centers from Saudi Arabia, nine from the United Arab Emirates (UAE), four from Kuwait, four from Oman, two from Qatar, and one from Bahrain. There were 922 patients participating in the study; 419 patients from Saudi Arabia, 144 from the UAE, 164 from Kuwait, 89 from Oman, 58 from Qatar, and 25 from Bahrain. Baseline data and laboratory investigations were obtained from every study patient, and the patients with any new events, change of dialysis prescription, or death were reported to the DOPPS main center during follow-up. The median age of the patients in the GCC centers was 55 years (range 32- 80 years), and the median percentage of males was 57%. The most common cause of chronic kidney disease among the study patients was diabetes mellitus (median: 43%) followed by hypertension (median: 29%) and glomerulonephritis (median: 9%). Hypertension (median 90%) and diabetes mellitus (median 52%) were the most common predisposing comorbidities to cardiovascular events in the study patients. The median ratios of patients with coronary artery disease, peripheral vascular disease, and congestive heart failure were 34%, 23%, and 24%, respectively. The median ratio for cerebrovascular comorbidities was 9%. The median prevalence of the factors that may predispose to the cardiovascular and cerebrovascular comorbidities such as gender of the patients, adequacy of dialysis, diabetes, hypertension, hypercholesterolemia, levels of anemia, parathormone levels, and calcium and phosphorus levels in the GCC countries were comparable with those in the previous DOPPS in other countries.

  17. Migrants, healthy worker effect, and mortality trends in the Gulf Cooperation Council countries.

    PubMed

    Chaabna, Karima; Cheema, Sohaila; Mamtani, Ravinder

    2017-01-01

    The Gulf Cooperation Council (GCC) countries namely, Bahrain, Kuwait, Oman, Qatar, United Arab Emirates (UAE), and Saudi Arabia, have experienced unique demographic changes. The major population growth contributor in these countries is young migrants, which has led to a shift in the population age pyramid. Migrants constitute the vast proportion of GCC countries' population reaching >80% in Qatar and UAE. Using Global Burden of Disease Study 2015 (GBD 2015) and United Nations data, for the GCC countries, we assessed the association between age-standardized mortality and population size trends with linear and polynomial regressions. In 1990-2015, all-cause age-standardized mortality was inversely proportional to national population size (p-values: 0.0001-0.0457). In Bahrain, Qatar, Oman, and Saudi Arabia, the highest annual decrease in mortality was observed when the annual population growth was the highest. In Qatar, all-cause age-specific mortality was inversely proportional to age-specific population size. This association was statistically significant among the 5-14 and 15-49 age groups, which have the largest population size. Cause-specific age-standardized mortality was also inversely proportional to population size. This association was statistically significant for half of the GBD 2015-defined causes of death such as "cirrhosis and other chronic liver diseases" and "HIV/AIDS and tuberculosis". Remarkably, incoming migrants to Qatar have to be negative for HIV, hepatitis B and C, and tuberculosis. These results show that decline in mortality can be partly attributed to the increase in GCC countries' population suggesting a healthy migrant effect that influences mortality rates. Consequently, benefits of health interventions and healthcare improvement are likely to be exaggerated in such countries hosting a substantial proportion of migrants compared with countries where migration is low. Researchers and policymakers should be cautious to not exclusively attribute decline in mortality within the GCC countries as a result of the positive effects of health interventions or healthcare improvement.

  18. Reported child sexual abuse in Bahrain: 2000-2009.

    PubMed

    Al-Mahroos, Fadheela; Al-Amer, Eshraq

    2011-01-01

    Child sexual abuse (CSA) is a common problem with severe short and long-term consequences to the abused child, the family and to society. The aim of this study was to evaluate the extent of CSA, and demographic and other characteristics of the abused and their families. Retrospective and descriptive study based on a review of medical records of CSA cases from 2000-2009 at Sulmaniya Medical Complex, the main secondary and tertiary medical care facility in Bahrain. The review included demographic data, child and family characteristics, manifestations and interventions. The 440 children diagnosed with CSA had a mean age of 8 years (range, 9 months to 17 years); 222 were males (50.5%) and 218 were females (49.5%). There was a steady increase in cases from 31 per year in 2000 to 77 cases in 2009. Children disclosed abuse in 26% of cases, while health sector professionals recognized 53% of the cases. Genital touching and fondling (62.5%) were the most common form of CSA, followed by sodomy in 39%. Gonorrhea was documented in 2% of the cases and pregnancy in 4% of the females. The illiteracy rate among the fathers and mothers was 9% and 12%, respectively, which is higher than the rate among the adult general population. Children came from all socio-economic classes. There was referral to police in 56%, public prosecution in 31% of the cases, but only 8% reached the court. During ten years there has been a 2.5% increase in reported cases of CSA. Improving the skill of professionals in identifying CSA indicators and a mandatory reporting law might be needed to improve the rate of recognition and referral of CSA cases. Further general population-based surveys are needed to determine more accurately the scope of CSA and the risk and protective factors in the family and community.

  19. Reported child sexual abuse in Bahrain: 2000-2009

    PubMed Central

    Al-Mahroos, Fadheela; Al-Amer, Eshraq

    2011-01-01

    BACKGROUND AND OBJECTIVE: Child sexual abuse (CSA) is a common problem with severe short and long-term consequences to the abused child, the family and to society. The aim of this study was to evaluate the extent of CSA, and demographic and other characteristics of the abused and their families. DESIGN AND SETTING: Retrospective and descriptive study based on a review of medical records of CSA cases from 2000-2009 at Sulmaniya Medical Complex, the main secondary and tertiary medical care facility in Bahrain. PATIENTS AND METHODS: The review included demographic data, child and family characteristics, manifestations and interventions. RESULTS: The 440 children diagnosed with CSA had a mean age of 8 years (range, 9 months to 17 years); 222 were males (50.5%) and 218 were females (49.5%). There was a steady increase in cases from 31 per year in 2000 to 77 cases in 2009. Children disclosed abuse in 26% of cases, while health sector professionals recognized 53% of the cases. Genital touching and fondling (62.5%) were the most common form of CSA, followed by sodomy in 39%. Gonorrhea was documented in 2% of the cases and pregnancy in 4% of the females. The illiteracy rate among the fathers and mothers was 9% and 12%, respectively, which is higher than the rate among the adult general population. Children came from all socio-economic classes. There was referral to police in 56%, public prosecution in 31% of the cases, but only 8% reached the court. CONCLUSION: During ten years there has been a 2.5% increase in reported cases of CSA. Improving the skill of professionals in identifying CSA indicators and a mandatory reporting law might be needed to improve the rate of recognition and referral of CSA cases. Further general population-based surveys are needed to determine more accurately the scope of CSA and the risk and protective factors in the family and community. PMID:21808114

  20. Vaccinations against respiratory infections in Arabian Gulf countries: Barriers and motivators

    PubMed Central

    Alqahtani, Amani S; Bondagji, Daniah M; Alshehari, Abdullah A; Basyouni, Mada H; Alhawassi, Tariq M; BinDhim, Nasser F; Rashid, Harunor

    2017-01-01

    AIM To study the uptake, barriers and motivators of influenza, pneumococcal, meningococcal and pertussis vaccines among members of public in Arabian Gulf countries. METHODS A cross-sectional survey among the Gulf Cooperation Council (GCC) countries’ residents. Data collected electronically through a smartphone app. The survey variables aimed to investigate the respondents’ awareness about vaccines against influenza, pneumococcal, meningococcal and pertussis infections. Collected data concerning the respondents’ socio-demographic characteristics, their perception toward vaccine uptake and the factors that motivate or demotivate them from taking influenza vaccine. The data were analysed statistically using the SPSS v.23.0. Differences in the characteristics of users from different countries were quantified through bivariate analysis. Other important variables and controlling factors were studied using logistic regression. RESULTS A total of 1812 respondents participated in the study. Their mean age was 27 years, 82% were male and 24% had ≥ 1 chronic diseases. The overall uptake of influenza vaccine was 17% (21% among “at risk” people) and ranged from 15% in Saudi Arabia to 24% in Qatar. Doctor’s advice (23%) and a perception of having low body immunity (21%) were the main cited reasons for being vaccinated, whereas unawareness about the vaccine (43%) was the main barrier. The overall uptake of pneumococcal vaccine in the preceding three years was 22% (25% among “at risk” individuals) and ranged from 0% in Bahrain to 79% in Kuwait. The overall uptake of pertussis vaccine was 16% (31% among “vulnerable” people), and ranged from 7% in Saudi Arabia to 75% in Oman. The overall uptake of meningococcal vaccine was 20% (29% among the “at risk” people) and ranged from 3% in Oman to 50% in Bahrain. CONCLUSION The vaccination uptake across GCC countries is suboptimal and varies widely across the countries. Further research is needed to unearth the reasons and formulate action plan. PMID:28685134

  1. Prevalence of type 2 diabetes in the Arab world: impact of GDP and energy consumption.

    PubMed

    Meo, S A; Usmani, A M; Qalbani, E

    2017-03-01

    Diabetes Mellitus (DM) is a rapidly growing and most challenging health issue of the 21st century. This study aimed to investigate the prevalence of type-2 DM and its association with Gross Domestic Product (GDP) and energy consumption in the Arab world countries. We identified 88 articles through systematic searches including Institute of Scientific Information (ISI) Web of Science, PubMed and EMBASE databases published between 1980-2015. The related literature was searched by using the keywords including diabetes mellitus, prevalence, incidence, epidemiology of type-2 diabetes mellitus (T2DM), and names of the individual Arab world countries. The articles were selected and investigated for the prevalence of T2DM. No limitations were imposed in the design of the study or publication language. Finally, 50 peer-reviewed publications were included and the rest were excluded. Arab world countries with the highest prevalence of T2DM are: Kingdom of Saudi Arabia 31.6%, Oman 29%, Kuwait 25.4%, Bahrain 25.0% and United Arab Emirates 25.0%. The lowest prevalence was found in Mauritania (4.7%) and Somalia (3.9%). The highest prevalence was observed in Gulf Cooperation Council (GCC) countries (25.45%) whilst non-GCC countries had the lowest prevalence (12.69%). The combined mean prevalence of T2DM in both GCC and Non-GCC Arab countries was 16.17%. The prevalence of T2DM was found to be significantly associated with higher Gross Domestic Product (GDP) (p=0.020) and energy consumption (p=0.017). In the Arab world, the countries with the highest prevalence of type 2 diabetes mellitus are: Saudi Arabia, Oman, Kuwait, Bahrain and UAE, whilst the countries with the lowest prevalence are Mauritania and Somalia. This prevalence was significantly associated with high GDP per capita and energy consumption. Arab states must incorporate diabetes preventive policies on a war-footing basis to minimize the burden of the disease.

  2. Prepared to practice? Perception of career preparation and guidance of recent medical graduates at two campuses of a transnational medical school: a cross-sectional study.

    PubMed

    Kassim, Sameer S; McGowan, Yvonne; McGee, Hannah; Whitford, David L

    2016-02-09

    Graduating medical students enter the workforce with substantial medical knowledge and experience, yet little is known about how well they are prepared for the transition to medical practice in diverse settings. We set out to compare perceptions of medical school graduates' career guidance with their perceptions of preparedness to practice as interns. We also set out to compare perceptions of preparedness for hospital practice between graduates from two transnational medical schools. This was a cross-sectional study. A Preparedness for Hospital Practice (PHPQ) survey and career guidance questionnaire was sent to recent medical graduates, incorporating additional free text responses on career preparation. Data was analyzed using descriptive statistics and tests of association including Chi-square, Mann-Whitney U and Kruskal-Wallis H tests. Forty three percent (240/555) of graduates responded to the survey: 39 % of respondents were domestic (Dublin, Ireland or Manama, Kingdom of Bahrain) and interning locally; 15 % were overseas students interning locally; 42 % were overseas students interning internationally and 4 % had not started internship. Two variables explained 13 % of the variation in preparedness for hospital practice score: having planned postgraduate education prior to entering medical school and having helpful career guidance in medical school. Overseas graduates interning internationally were more likely to have planned their postgraduate career path prior to entering medical school. Dublin graduates found their career guidance more helpful than Bahrain counterparts. The most cited shortcomings were lack of structured career advice and lack of advice on the Irish and Bahraini postgraduate systems. This study has demonstrated that early consideration of postgraduate career preparation and helpful medical school career guidance has a strong association with perceptions of preparedness of medical graduates for hospital practice. In an era of increasing globalization of medical education, these findings can direct ongoing efforts to ensure all medical students receive career guidance and preparation for internship appropriate to their destination.

  3. Energy and macronutrient intake and dietary pattern among school children in Bahrain: a cross-sectional study

    PubMed Central

    2011-01-01

    Background Obesity is increasing in Bahrain and there is lack of information on the energy and macronutrient intake of children. The objective of this research was to study the energy and macronutrient intake as well as food frequency pattern of Bahraini school children. Methods This is a cross-sectional descriptive study conducted on Bahraini school boys and girls aged 6-18 years from all the 11 populated regions of the country. Data on food intake consisted of a 24-hour dietary recall and was obtained by interviewing a sub-sample of the study population. Information was also obtained through a self-administered questionnaire for the entire sample on the weekly frequency of food items that were grouped into 7 categories based on similarity of nutrient profiles. Dietary analysis was performed using the Nutritionist 5 (First Data Bank Version 1.6 1998). Results While the average energy intake of students was close to the Estimated Average Requirements of the UK Reference standards, protein intake substantially exceeded the Reference Nutrient Intake values as did daily sugar consumption. Dietary fiber fell short of the Dietary Recommended Values (UK) and 36%-50% students exceeded the Energy % limits for total fat, saturated fat and cholesterol. The Polyunsaturated: Saturated fat ratio remained at an unacceptable level of 0.6 for girls and boys. While sweets, snacks and regular soda drinks were popular, milk, fruits and vegetables were not commonly consumed. Conclusions High sugar consumption, low intake of dietary fiber and high energy % of saturated fat and dietary cholesterol by many Bahraini children, is likely to increase their risk of obesity and cardiovascular diseases in later life. Nutrition education programs in schools should emphasize the importance of healthy balanced diets for growth and health maintenance of children as well as dietary prevention of diseases. PMID:21645325

  4. Prevalence of medication errors in primary health care at Bahrain Defence Force Hospital – prescription-based study

    PubMed Central

    Aljasmi, Fatema; Almalood, Fatema

    2018-01-01

    Background One of the important activities that physicians – particularly general practitioners – perform is prescribing. It occurs in most health care facilities and especially in primary health care (PHC) settings. Objectives This study aims to determine what types of prescribing errors are made in PHC at Bahrain Defence Force (BDF) Hospital, and how common they are. Methods This was a retrospective study of data from PHC at BDF Hospital. The data consisted of 379 prescriptions randomly selected from the pharmacy between March and May 2013, and errors in the prescriptions were classified into five types: major omission, minor omission, commission, integration, and skill-related errors. Results Of the total prescriptions, 54.4% (N=206) were given to male patients and 45.6% (N=173) to female patients; 24.8% were given to patients under the age of 10 years. On average, there were 2.6 drugs per prescription. In the prescriptions, 8.7% of drugs were prescribed by their generic names, and 28% (N=106) of prescriptions included an antibiotic. Out of the 379 prescriptions, 228 had an error, and 44.3% (N=439) of the 992 prescribed drugs contained errors. The proportions of errors were as follows: 9.9% (N=38) were minor omission errors; 73.6% (N=323) were major omission errors; 9.3% (N=41) were commission errors; and 17.1% (N=75) were skill-related errors. Conclusion This study provides awareness of the presence of prescription errors and frequency of the different types of errors that exist in this hospital. Understanding the different types of errors could help future studies explore the causes of specific errors and develop interventions to reduce them. Further research should be conducted to understand the causes of these errors and demonstrate whether the introduction of electronic prescriptions has an effect on patient outcomes. PMID:29445304

  5. Dissolved and particulate trace metals in coastal waters of the Gulf and Western Arabian Sea

    NASA Astrophysics Data System (ADS)

    Fowler, S. W.; Huynh-Ngoc, L.; Fukai, R.

    Concentrations of chemical species of selected heavy metals (Cu, Zn, Cd, Hg and Pb) were determined in surface waters from a series of coastal sites in Bahrain, United Arab Emirates (UAE) and the Sultanate of Oman. Analyses were carried out on bulk sea water samples as well as on suspended particulates by anodic stripping voltammetry. Heavy metal concentrations were relatively low with the exception of some "hot spots" which occurred in the vicinity of industrial and port activities. Average copper levels along the coast of UAE were generally higher than those measured in sea water from either Bahrain of Oman. Waters from the more populated and industrialised northwest coast of Oman were found to contain approximately 3 to 4-fold higher Cd and Zn (pH 4-4.5) concentrations than those from the southern coast, an undeveloped region adjacent to the more open waters of the Arabian Sea. Possible reasons for the observed regional variations in trace metal concentrations in Oman are discussed in terms of natural and anthropogenic input sources. Average concentrations in the Gulf (inside the Strait of Hormuz) were 510 ng 1 -1 (Cu), 340 ng 1 -1 (Zn), 20 ng 1 -1 (Cd), 16 ng 1 -1 (Hg) and 76 ng 1 -1 (Pb); in the western Arabian Sea along the coast of Oman concentrations averaged 290 ng 1 -1 (Cu), 180 ng 1 -1 (Zn), 37 ng 1 -1 (Cd), 11 ng 1 -1 (Hg) and 80 ng 1 -1 (Pb). Ranges of concentrations for these metals in Gulf and western Arabian Sea waters approach those which have been reported for open surface waters of the Atlantic, Pacific, Indian Oceans and the Mediterranean Sea indicating that, in general, the coastal waters of this region are not impacted by metal pollution and that the existing natural levels can be used as a point of reference for future pollutant studies.

  6. Migrants, healthy worker effect, and mortality trends in the Gulf Cooperation Council countries

    PubMed Central

    Cheema, Sohaila; Mamtani, Ravinder

    2017-01-01

    The Gulf Cooperation Council (GCC) countries namely, Bahrain, Kuwait, Oman, Qatar, United Arab Emirates (UAE), and Saudi Arabia, have experienced unique demographic changes. The major population growth contributor in these countries is young migrants, which has led to a shift in the population age pyramid. Migrants constitute the vast proportion of GCC countries’ population reaching >80% in Qatar and UAE. Using Global Burden of Disease Study 2015 (GBD 2015) and United Nations data, for the GCC countries, we assessed the association between age-standardized mortality and population size trends with linear and polynomial regressions. In 1990–2015, all-cause age-standardized mortality was inversely proportional to national population size (p-values: 0.0001–0.0457). In Bahrain, Qatar, Oman, and Saudi Arabia, the highest annual decrease in mortality was observed when the annual population growth was the highest. In Qatar, all-cause age-specific mortality was inversely proportional to age-specific population size. This association was statistically significant among the 5–14 and 15–49 age groups, which have the largest population size. Cause-specific age-standardized mortality was also inversely proportional to population size. This association was statistically significant for half of the GBD 2015-defined causes of death such as “cirrhosis and other chronic liver diseases” and “HIV/AIDS and tuberculosis”. Remarkably, incoming migrants to Qatar have to be negative for HIV, hepatitis B and C, and tuberculosis. These results show that decline in mortality can be partly attributed to the increase in GCC countries’ population suggesting a healthy migrant effect that influences mortality rates. Consequently, benefits of health interventions and healthcare improvement are likely to be exaggerated in such countries hosting a substantial proportion of migrants compared with countries where migration is low. Researchers and policymakers should be cautious to not exclusively attribute decline in mortality within the GCC countries as a result of the positive effects of health interventions or healthcare improvement. PMID:28632794

  7. Urban environment and health: food security.

    PubMed

    Galal, Osman; Corroon, Meghan; Tirado, Cristina

    2010-07-01

    The authors examine the impact of urbanization on food security and human health in the Middle East. Within-urban-population disparities in food security represent one of the most dramatic indicators of economic and health disparities. These disparities are reflected in a double burden of health outcomes: increasing levels of chronic disease as well as growing numbers of undernourished among the urban poor. These require further comprehensive solutions. Some of the factors leading to food insecurity are an overdependence on purchased food commodities, lack of sufficient livelihoods, rapid reductions in peripheral agricultural land, and adverse impacts of climate change. The Food and Agriculture Organization of the United Nations (FAO) Food Security Framework is used to examine and compare 2 cities in the Middle East: Amman, Jordan, and Manama, Bahrain.

  8. Understanding the Dynamics of Violent Political Revolutions in an Agent-Based Framework.

    PubMed

    Moro, Alessandro

    2016-01-01

    This paper develops an agent-based computational model of violent political revolutions in which a subjugated population of citizens and an armed revolutionary organisation attempt to overthrow a central authority and its loyal forces. The model replicates several patterns of rebellion consistent with major historical revolutions, and provides an explanation for the multiplicity of outcomes that can arise from an uprising. The relevance of the heterogeneity of scenarios predicted by the model can be understood by considering the recent experience of the Arab Spring involving several rebellions that arose in an apparently similar way, but resulted in completely different political outcomes: the successful revolution in Tunisia, the failed protests in Saudi Arabia and Bahrain, and civil war in Syria and Libya.

  9. An outbreak of cholera in Australia due to food served in flight on an international aircraft.

    PubMed

    Sutton, R G

    1974-06-01

    An outbreak of cholera occurred in November 1972 among passengers on an aircraft that had flown from London to Sydney. The infection was confined to economy-class passengers and the available evidence indicates that it was due to a dish of hors d'oeuvres served on the aircraft between Bahrain and Singapore. Although one person died, the infection was generally mild, and almost half of those infected were symptomless. There was a significant difference between the immunization status of persons with clinical illness and the immunization status of other passengers. Current cholera immunization appeared to play a significant role in preventing symptoms of the disease, but it did not prevent a person becoming a carrier of the organism.

  10. Understanding the Dynamics of Violent Political Revolutions in an Agent-Based Framework

    PubMed Central

    Moro, Alessandro

    2016-01-01

    This paper develops an agent-based computational model of violent political revolutions in which a subjugated population of citizens and an armed revolutionary organisation attempt to overthrow a central authority and its loyal forces. The model replicates several patterns of rebellion consistent with major historical revolutions, and provides an explanation for the multiplicity of outcomes that can arise from an uprising. The relevance of the heterogeneity of scenarios predicted by the model can be understood by considering the recent experience of the Arab Spring involving several rebellions that arose in an apparently similar way, but resulted in completely different political outcomes: the successful revolution in Tunisia, the failed protests in Saudi Arabia and Bahrain, and civil war in Syria and Libya. PMID:27104855

  11. Seasonal Variations in the Number of the Summer Shamal Days in the Southern Arabian Gulf

    NASA Astrophysics Data System (ADS)

    Saleh Almehrezi, Ali Saif Ali; Shapiro, Georgy; Thain, Richard

    2014-05-01

    The purpose of this paper is to present the results of a study into seasonal variations in the number of Summer Shamal days in the southern Arabian Gulf. The Shamal wind is a north-westerly wind, which has acquired the local name of Shamal. It is the primary ambient wind in the Arabian Gulf and persists most of the year over the area, but with varying characteristics ( Godvina et al, 2001). The study is focused on the parameters of the wind cycles. The wind data are collected over a thirty year period (1981 to 2010) from Bahrain airport data set (Al Aali, 2011) as it is less affected by surrounding topography and the meteorological charts were obtained from NCEP Reanalysis -II data set (NCEP, 2013). The wind data is analyzed to show variations in the number of summer Shamal days over the southern Arabian Gulf. The synoptic conditions which help to understand the wind cycles are analyzed using NCEP Charts. A Shamal Day is defined when the prevailing wind over the Arabian Gulf is from the North-West sector and the strength of the daily mean Shamal wind is 11 knots and more. The condition for the existence of Summer Shamal days is the deepening of the thermal Monsoon Low or the ridging from the Mediterranean High or both (Govinda et al, 2003). A key finding is that the Summer Shamal days start in May and end in October of each year and the number of the Summer Shamal days is decreasing over the study period. During the months of May, June and July the number of Shamal days is the highest. Out of these three months, June has the highest number of Shamal day's. The analysis shows that the reduction in the number of Summer Shamal days over the thirty year period is potentially related to the variations in the parameters of the summer monsoon and the longitudinal location of the Azores High. Furthermore, in the summer there are two global systems: (i) El Nino, which effects the Summer Monsoon (Nazemosadat et al, 2003) and (ii) the Azores High, which have an indirect effect on the region. The high number of Summer Shamal days is associated with the strong summer monsoon or eastward-shift of the Azores High over land. Conversely, the low number of Summer Shamal days is associated with a westward-shift of the Azores High over the Atlantic or weak summer monsoon. References Al Aali, H. (2011); Collected wind data, over a thirty year period (1981 to 2010), from Bahrain Bahrain International airport wind data set, submitted by official communication using official email Hhalaali@caa.gov.bh. Govinda, R., Al-Sulaiti, M., Al-Mulla, A., (2001); Winter Shamals in Qatar, Arabian Gulf, Weather, Vol 56, No.12, PP 444-451. Govinda R., Hatwar, H., Al-Sulaiti, M., Al-Mulla, A., (2003); Summer Shamal over the Arabian Gulf, Weather, Vol 58, No.12, PP 471-477. Nazemosadat, M., Samani, N., Barry, D., and Niko, M., (2006); ENSO forcing on climate change in Iran: Precipitation analysis, Iranian Journal of Science & Technology, Transaction B, Engineering, Vol. 30, No B4, p. 555-565 NCEP, 2013; Monthly/Seasonal Climate Composites < http://www.esrl.noaa.gov/psd/cgi-bin/data/composites/printpage.pl >

  12. The Middle East population puzzle.

    PubMed

    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/woman by the age of 45. Muslim countries tend to have larger families. Contraceptive use is low in the region, with the exception of Turkey and Egypt and among urban and educated populations. More than 40% of the population is under 15 years of age. The region is about 50% Arabic (140 million). Educational status has increased, particularly for men; the lowest literacy rates for women are in Yemen and Egypt. The largest countries are Iran, Turkey, and Egypt.

  13. Middle East assessment.

    PubMed

    Mahran, M

    1984-06-01

    All governments of the Arab world are aware of the population issue, and there has been increasing interest in policies designed to bring about a lower rate of natural increase and older population age structure. Overpopulation is believed to be a major obstacle to economic development. The population activities of the Arab countries can be divided into 3 categories: national policy to reduce population growth; nongovernmental efforts to reduce population growth; and countries with pronatalist policies. The countries with a national policy to reduce population growth include Egypt, Tunisia, and Morocco. All suffer severe problems of high density, young age structure, and lack of balance between the population and the economy. In these countries an active national family planning program operates alongside many active nongovernmental family planning associations. Reduction of the growth rate is regarded as urgent, and emigration is encouraged. In egypt contraceptives are readily available through commerical outlets, and village level social and economic activities are promoted in conjunction with family planning services. Tunisia is the only country to offer voluntary sterilization and 1st trimester abortion on request. Morocco includes family planning in its health and welfare services and there is an active voluntary family planning association. Countries in the group who have made nongovernmental efforts to reduce population growth include Algeria, Bahrain, Iarq, Jordan, Lebanon, Sudan, Syria, and Democratic Yemen. all have major population problems and generally support reduced growth rated but as yet have no national family planning. In this group the highest rate of population increase is in Syria, 3.8% a year; the highest total fertility rate is in Bahrain with almost 8 children per women. Saudi Arabia, Kewait, Qwatar, Libya, and Oman have pronatalist policies. Methods of contraception are available in the private sector. The outstanding feature of these oil rich countries is their high per capita gross national product. A 1981 estimate showed Qatar's at US$27,790, to be the highest in the world. Generally, all the governments of the Arab world have become aware of population issues and of the population pressures within their own borders.

  14. A Geospatial Database for Wind and Solar Energy Applications: The Kingdom of Bahrain Study Case

    NASA Astrophysics Data System (ADS)

    Al-Joburi, Khalil; Dahman, Nidal

    2017-11-01

    This research is aimed at designing, implementing, and testing a geospatial database for wind and solar energy applications in the Kingdom of Bahrain. All decision making needed to determine economic feasibility and establish site location for wind turbines or solar panels depends primarily on geospatial feature theme information and non-spatial (attribute) data for wind, solar, rainfall, temperature and weather characteristics of a particular region. Spatial data includes, but is not limited to, digital elevation, slopes, land use, zonings, parks, population density, road utility maps, and other related information. Digital elevations for over 450,000 spot at 50 m spatial horizontal resolution plus field surveying and GPS (at selected locations) was obtained from the Surveying and Land Registration Bureau (SLRB). Road, utilities, and population density are obtained from the Central Information Organization (CIO). Land use zoning, recreational parks, and other data are obtained from the Ministry of Municipalities and Agricultural Affairs. Wind, solar, humidity, rainfall, and temperature data are obtained from the Ministry of Transportation, Civil Aviation Section. LandSat Satellite and others images are obtained from NASA and online sources respectively. The collected geospatial data was geo-referenced to Ain el-Abd UTM Zone 39 North. 3D Digital Elevation Model (DEM)-50 m spatial resolutions was created using SLRB spot elevations. Slope and aspect maps were generate based on the DEM. Supervised image classification to identify open spaces was performed utilizing satellite images. Other geospatial data was converted to raster format with the same cell resolution. Non-spatial data are entered as an attribute to spatial features. To eliminate ambiguous solution, multi-criteria GIS model is developed based on, vector (discrete point, line, and polygon representations) as well as raster model (continuous representation). The model was tested at the Al-Areen proposed project, a relatively small area (15 km2). Optimum site spatial location for the location of wind turbines and solar panels was determined and initial results indicates that the combination of wind and solar energy would be sufficient for the project to meet the energy demand at the present per capita consummation rate..

  15. Assessment of vitamin D levels in newly diagnosed children with type 1 diabetes mellitus comparing two methods of measurement: a facility’s experience in the Middle Eastern country of Bahrain

    PubMed Central

    Al-Haddad, Fatima Ahmed; Rajab, Mansoor H; Al-Qallaf, S Mahmood; Musaiger, Abdulrahman O; Hart, Kathryn H

    2016-01-01

    Background The number of children being diagnosed with type 1 diabetes mellitus (T1DM) is on the rise and has more than doubled in the past 10 years in Bahrain. Some studies have linked low vitamin D levels with an increased risk of diabetes. There are concerns regarding the variations in circulating 25(OH)D levels measured by different laboratories and by using different analytical techniques. Objective The aim of this study was to evaluate the vitamin D levels of newly diagnosed children with T1DM using the “gold standard method” with high-pressure liquid chromatography–tandem mass spectrometry methods compared to the chemiluminescence micro-particle immunoassay (CMIA) used in a hospital laboratory. Subjects Eighteen children, aged 6–12 years, who received a confirmed diagnosis of T1DM in 2014 were chosen as subjects. Methods Serum vitamin D levels were assessed in a hospital, while an extra aliquot of blood collected during routine blood collection after acquiring informed written consents from the subjects, and sent to Princess Al-Jawhara Center for Molecular Medicine and Inherited Disorders to be analyzed by ultra-performance liquid chromatography–tandem mass spectrometry (UPLC-MS/MS). Results The mean age of the study group was 9±2 years. The mean total of 25(OH)D levels (D3 and D2) assessed by UPLC-MS/MS was 49.7±18.8, whereas the mean total of 25(OH)D levels obtained from the CMIA assay was 44.60±13.20. The difference in classification between the two methods was found to be statistically significant (P=0.004). A Bland–Altman plot showed a poor level of agreement between the two assay methods. The CMIA overestimated insufficient values and underestimated deficiency, when compared to UPLC-MS/MS. Conclusion There was a statistically significant difference between the two assay methods with CMIA overestimating vitamin D insufficiency. Clinicians should be prudent in their assessment of a single vitamin D reading, when the gold standard method is not available or feasible. PMID:26869807

  16. Earth observation taken by the Expedition 33 crew.

    NASA Image and Video Library

    2012-10-13

    ISS033-E-014856 (13 Oct. 2012) --- A nighttime view of Qatar is featured in this image photographed by an Expedition 33 crew member on the International Space Station. Night lights can be very revealing regarding the distribution of people on the landscape. Here the lights of Qatar show the precise demographic geography of the country. The brightest group at center shows the capital city Doha with the neighboring smaller ports of Ad-Dahira and Umm Sa?id to the north and south, respectively. Even highways and their relative importance can be discerned. Highways are clearly visible leading from the capital west to the Dukhan oil fields, to Saudi Arabia, and to the north of the country--where, judging by the lack of night lights, the population is very low. The relatively low-traffic coast road between the oil fields and the Saudi frontier also stands out. This kind of highly informative human geographic detail is very difficult to discern in daylight images, in which even larger cities, especially in deserts, are hard to see. Almost the entire island nation of Bahrain appears at lower left, with its capital city Manama nearly as bright as the lights of Doha. The difference in light intensity reflects a difference in population?Doha has 1.45 million inhabitants, while the very dense Manama metro area has a population of 1.2 million. While some night views are highly informative about a landscape, they can also be difficult and confusing to identify. Astronauts learn to recognize where they are at night by flying over populated places repeatedly, even though coastlines?one of their best geographic indicators?are generally lost to view because water surfaces and unpopulated land surfaces look the same without illumination (such as from a full moon). Thus the thumb-shaped Qatari peninsula, so well-known in Middle Eastern geography, cannot be discerned at all in this night image. The inset at top right overlays the coastline as seen in daylight onto the night patterns of the image. It shows the Qatari peninsula, with the long arm of the Gulf of Bahrain separating it from Saudi Arabia.

  17. Factors Associated with Depression and Anxiety Symptoms Among Medical Students in Bahrain.

    PubMed

    Mahroon, Zaid A; Borgan, Saif M; Kamel, Charlotte; Maddison, Wendy; Royston, Maeve; Donnellan, Claire

    2018-02-01

    Medical training can be a stressful experience and may negatively impact mental health for some students. The purpose of this study was to identify the prevalence of depressive and anxiety symptoms among medical students in one international medical university in the Kingdom of Bahrain and to determine associations between these symptoms, the students' characteristics, and their satisfaction with life. This is a cross sectional study using a self-administered questionnaire, distributed to 350 enrolled medical students. We used Beck's Depression Inventory (BDI-II) and Beck's Anxiety Inventory (BAI) instruments to assess depressive and anxiety symptoms. The Satisfaction With Life Scale (SWLS) was used to measure global cognitive judgments of one's life satisfaction. Sociodemographic details including social background and academic information were also documented. Forty percent (n = 124) of the participants had depressive symptoms, of which 18.9% (n = 58) met the criteria for mild, 13% (n = 40) for moderate, and 8.5% (n = 26) for severe depressive symptoms. Depressive symptoms were associated with Arab ethnicity (χ 2  = 5.66, p = .017), female gender (χ 2  = 3.97, p = .046), relationship with peers (p < .001), year of study (χ 2  = 13.68, p = .008), and academic performance (p < 0.001). Anxiety symptoms were present in 51% (n = 158) of students. Anxiety symptoms were associated with female gender (χ 2  = 11.35, p < 0.001), year of study (χ 2  = 10.28, p = .036), and academic performance (χ 2  = 14.97, p = .002). The prevalence of depressive and anxiety symptoms among medical students was high. Medical universities in the Middle East may need to allocate more resources into monitoring and early detection of medical student distress. Medical education providers are encouraged to provide adequate pastoral and psychological support for medical students, including culturally appropriate self-care programs within the curriculum.

  18. [Family planning. A survey of United Nations around the world].

    PubMed

    1974-01-01

    Responses to the second worldwide survey of 80 nations on their population policy can be divided into 3 categories. First are countries with large official programs of family planning in existence: Egypt, Kenya, Tunisia, Barbados, Colombia, Panama, Trinidad and Tobago, China, India, Iran, Japan, Nepal, Pakistan, Philippines, Republic of Viet-nam, Singapore, Sri Lanka, Thailand, Turkey, Denmark, Netherlands, United Kingdom, Yugoslavia, Canada, and Fiji. Madagascar and New Zealand are starting programs. The second category is countries that encourage private family planning programs: Tanzania, Mexico, Israel, Cambodia, Bahrain, Jordan, Laos, Syria, Austria, France, West Germany, Finland, and Norway. Third are listed countries that do not officially support, or that forbid contraception: Gabon, Malawi, Zambia, Greece, Italy, and Spain. Thus Asia and North Africa have the most ambitious programs, but Europe and North America practice contraception universally.

  19. The Dammam aquifer in Bahrain - Hydrochemical characterization and alternatives for management of groundwater quality

    NASA Astrophysics Data System (ADS)

    Zubari, Waleed K.

    Over-ion of the Dammam aquifer, the principal aquifer in Bahrain, by the agricultural and domestic sectors, has led to its salinization by adjacent brackish and saline water bodies. A hydrochemical study identified the locations of the sources of aquifer salinization and delineated their areas of influence. The investigation indicates that the aquifer water quality is significantly modified as groundwater flows from the northwestern parts of Bahrain, where the aquifer receives its water by lateral underflow from eastern Saudi Arabia, to the southern and southeastern parts. Four types of salinization of the aquifer are identified: brackish-water up-flow from the underlying brackish-water zones in north-central, western, and eastern regions; seawater intrusion in the eastern region; intrusion of sabkha water in the southwestern region; and irrigation return flow in a local area in the western region. Four alternatives for the management of groundwater quality that are available to the water authorities in Bahrain are discussed and their priority areas are proposed, based on the type and extent of each salinization source, in addition to groundwater use in that area. The effectiveness of the proposed management options in controlling the degradation of water quality in the Dammam aquifer should be evaluated using simulation modeling. Résumé La surexploitation de l'aquifère de Damman, principal aquifère de Bahreïn, du fait des besoins agricoles et domestiques, a conduit à sa salinisation à partir d'eaux voisines saumâtres et salées. Une étude hydrochimique a identifié les origines de la salinisation de l'aquifère et a délimité leurs zones d'influence. Les recherches montrent que la qualité de l'eau souterraine est modifiée de façon significative pour les écoulements souterrains dirigés vers les secteurs sud et sud-est et provenant de la région nord-ouest de Bahreïn, là où l'aquifère est alimenté latéralement à partir de l'Arabie Saoudite orientale. Quatre types de salinisation de l'eau souterraine ont été identifiés : une drainance verticale en provenance d'eaux saumâtres sous-jacentes dans les régions nord-centrales, ouest et est, une intrusion marine dans la région est, une intrusion d'eau de sebkha dans la région sud-ouest, et le retour d'irrigation dans un secteur localisé de la région sud-ouest. Quatre démarches alternatives de gestion de la qualité des eaux souterraines, acceptables par les services chargés de l'eau à Bahreïn, sont discutées et des zones d'action prioritaire sont proposées, selon le type et l'étendue de chacune des sources de salinisation et en fonction des usages de les eaux souterraines dans chaque secteur. L'efficacité des options de gestion proposées pour le contrôle de la dégradation de la qualité de l'aquifère de Damman devrait être ensuite évaluée au moyen d'un modèle de simulation. Resumen El acuífero de Damman, el más importante de Bahrein, se explota para usos agrícolas y domésticos. La sobreexplotación del mismo ha provocado su salinización por cuerpos de agua salada y salobre cercanos. Un estudio hidroquímico identificó las fuentes de salinización y ayudó a dibujar sus áreas de influencia. La calidad del agua subterránea se modifica significativamente en la dirección del flujo, desde el noroeste del país, donde las entradas son laterales y procedentes de Arabia Saudí, hacia el sur y el sudeste. Se han identificado cuatro tipos de salinización: flujo ascendente de agua salobre en las regiones norte-central, este y oeste; intrusión de agua marina en la región este; intrusión de agua salobre al sudoeste y, finalmente, retorno de riego en un área local de la región oeste. Se discuten cuatro alternativas para la gestión del agua y se proponen áreas prioritarias basadas en el tipo y la extensión de cada fuente de salinización y en los usos de agua subterránea en cada zona. La efectividad de las opciones de gestión propuestas para controlar la degradación de la calidad del agua en el acuífero Damman deberá evaluarse mediante simulaciones realizadas con un modelo numérico

  20. Recent and future advances in anticancer drug delivery: an interview with Khaled Greish.

    PubMed

    Greish, Khaled

    2018-05-01

    Khaled Greish speaks to Hannah Makin, Commissioning Editor: Khaled Greish is Associate Professor of Molecular Medicine, and head of the Nano-research unit, at Princes Al-Jawhara Center, Arabian Gulf University, Kingdom of Bahrain. His previous appointments included Senior lecturer of Pharmacology at the University of Otago, New Zealand, and Assistant Professor of Pharmaceutical Chemistry at University of Utah (UT, USA). He has published >70 peer reviewed papers, and ten book chapters in the field of targeted anticancer drug delivery. Controlled Release Society (CRS) awarded him the CRS Postdoctoral Achievement Award in 2008 and in 2010; he was elected as member of the CRS College of Fellows. In recognition of his research, University of Otago awarded him "Early Career Awards for Distinction in Research" in 2014. His research focuses on nanomedicine, tumor vascular biology and anticancer drug discovery/development.

  1. Body image, health, and modernity: women's perspectives and experiences in the United Arab Emirates.

    PubMed

    Trainer, Sarah S

    2010-07-01

    The countries of the Arab Gulf have experienced accelerated development and urbanization over the last 50 years. Changes in health have likewise been dramatic: Kuwait, Saudi Arabia, Bahrain, and the UAE now have some of the highest proportions of obese/overweight people in the world, with correspondingly high rates of chronic disease. In the UAE, particularly high rates of obesity/overweight have been reported among middle-aged Emirati women, but other problems relating to health and nutrition are starting to be identified in younger age groups as well. This article describes preliminary data from a project among young Emirati women in the UAE. This study examines how these women cope with the increased availability of fast food, changing work patterns, and evolving ideas about body image, "risk," and health within a larger context of increasing chronic disease and weight gain throughout the UAE.

  2. Issues for storing plant-based alternative fuels in marine environments.

    PubMed

    Lee, Jason S; Ray, Richard I; Little, Brenda J; Duncan, Kathleen E; Aktas, Deniz F; Oldham, Athenia L; Davidova, Irene A; Suflita, Joseph M

    2014-06-01

    Two coastal seawaters (Key West, FL, USA and the Persian Gulf, Bahrain, representing oligotrophic and eutrophic environments, respectively) were used to evaluate potential biodegradation and corrosion problems during exposure to alternative and conventional fuels. Uncoated carbon steel was exposed at the fuel/seawater interface and polarization resistance was monitored. Under typical marine storage conditions, dioxygen in natural seawater exposed to fuel and carbon steel was reduced to <0.1parts-per-million within 2d due to consumption by corrosion reactions and aerobic microbial respiration. Sulfides, produced by anaerobic sulfate-reducing bacteria, and chlorides were co-located in corrosion products. Transient dioxygen influenced both metabolic degradation pathways and resulting metabolites. Catechols, indicative of aerobic biodegradation, persisted after 90d exposures. Detection of catechols suggested that initial exposure to dioxygen resulted in the formation of aerobic metabolites that exacerbated subsequent corrosion processes. Published by Elsevier B.V.

  3. Management in the Ministry of Health: what are the vital signs?

    PubMed

    Benjamin, S; Ahmed, A A; al-Darazi, F

    1997-01-01

    Effective and efficient management of health services is becoming more and more important in all countries and in all organizations whether profit or non-profit. Management practices and attitudes which may have been accepted in previous years are no longer appropriate. A study was conducted in the Ministry of Health, State of Bahrain to determine the current status of management skills and attitudes. Participants were asked to identify the best and the worst practices of managers. Eight key areas of concern were identified: participative vs. non-participative style, communication, motivation, delegation, human relations skills, style of supervision, goal-oriented behavior, and use of supervisory power. In each of these management-related skill areas, examples of best and worst practices are provided in order to aid the manager/leader in self-assessing his/her abilities as a first step toward improving management.

  4. Strategy to combat obesity and to promote physical activity in Arab countries.

    PubMed

    Musaiger, Abdulrahman O; Al Hazzaa, Hazzaa M; Al-Qahtani, Aayed; Elati, Jalila; Ramadan, Jasem; Aboulella, Nebal A; Mokhtar, Najat; Kilani, Hashem A

    2011-01-01

    Obesity has become a major public health problem in the Arab countries, creating a health and economic burden on these countries' government services. There is an urgent need to develop a strategy for prevention and control of obesity. The third Arab Conference on Obesity and Physical Activity was held in Bahrain in January 2010, and proposed the Strategy to Combat Obesity and Promote Physical Activity in Arab Countries. This strategy provides useful guidelines for each Arab country to prepare its own strategy or plan of action to prevent and control obesity. The strategy focused on expected outcomes, objectives, indicators to measure the objectives, and action needs for 9 target areas: child-care centers for preschool children, schools, primary health care, secondary care, food companies, food preparation institutes, media, public benefit organizations, and the workplace. Follow-up and future developments of this strategy were also included.

  5. A quality approach for conducting training needs assessments in the Ministry of Health, State of Bahrain.

    PubMed

    Benjamin, S; al-Darazi, F

    2000-01-01

    In health care organizations around the world, Training Needs Assessments (TNAs) have generally followed a professions-based approach. For example, the training needs of doctors, nurses, each allied health profession, and distinct support staff have been analyzed separately--individualized TNAs conducted for each speciality and functional area. Although a professions-based TNA model can provide useful information to human resource development (HRD) professionals, there are two major drawbacks: (1) it is possible that important training needs might be overlooked because of lack of information sharing among professions and (2) such an approach does not encourage an interdisciplinary, team orientation to service provision. This paper proposes an improved method of conceptualizing TNAs, using an approach that builds on the quality management literature (TQM, CQI, etc.) which stresses the importance of customer- and service-orientations to organizing and measuring organizational and individual performance.

  6. Discovery of a living coral reef in the coastal waters of Iraq

    PubMed Central

    Pohl, Thomas; Al-Muqdadi, Sameh W.; Ali, Malik H.; Fawzi, Nadia Al-Mudaffar; Ehrlich, Hermann; Merkel, Broder

    2014-01-01

    Until now, it has been well-established that coral complex in the Arabian/Persian Gulf only exist in the coastal regions of Bahrain, Iran, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates and it was thought that there are no coral reefs in Iraq. However, here for the first time we show the existence of a living 28 km2 large coral reef in this country. These corals are adapted to one of the most extreme coral-bearing environments on earth: the seawater temperature in this area ranges between 14 and 34°C. The discovery of the unique coral reef oasis in the turbid coastal waters of Iraq will stimulate the interest of governmental agencies, environmental organizations, as well as of the international scientific community working on the fundamental understanding of coral marine ecosystems and global climate today. PMID:24603901

  7. Discovery of a living coral reef in the coastal waters of Iraq.

    PubMed

    Pohl, Thomas; Al-Muqdadi, Sameh W; Ali, Malik H; Fawzi, Nadia Al-Mudaffar; Ehrlich, Hermann; Merkel, Broder

    2014-03-06

    Until now, it has been well-established that coral complex in the Arabian/Persian Gulf only exist in the coastal regions of Bahrain, Iran, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates and it was thought that there are no coral reefs in Iraq. However, here for the first time we show the existence of a living 28 km(2) large coral reef in this country. These corals are adapted to one of the most extreme coral-bearing environments on earth: the seawater temperature in this area ranges between 14 and 34°C. The discovery of the unique coral reef oasis in the turbid coastal waters of Iraq will stimulate the interest of governmental agencies, environmental organizations, as well as of the international scientific community working on the fundamental understanding of coral marine ecosystems and global climate today.

  8. Strategy to combat obesity and to promote physical activity in Arab countries

    PubMed Central

    Musaiger, Abdulrahman O; Al Hazzaa, Hazzaa M; Al-Qahtani, Aayed; Elati, Jalila; Ramadan, Jasem; AboulElla, Nebal A; Mokhtar, Najat; Kilani, Hashem A

    2011-01-01

    Obesity has become a major public health problem in the Arab countries, creating a health and economic burden on these countries’ government services. There is an urgent need to develop a strategy for prevention and control of obesity. The third Arab Conference on Obesity and Physical Activity was held in Bahrain in January 2010, and proposed the Strategy to Combat Obesity and Promote Physical Activity in Arab Countries. This strategy provides useful guidelines for each Arab country to prepare its own strategy or plan of action to prevent and control obesity. The strategy focused on expected outcomes, objectives, indicators to measure the objectives, and action needs for 9 target areas: child-care centers for preschool children, schools, primary health care, secondary care, food companies, food preparation institutes, media, public benefit organizations, and the workplace. Follow-up and future developments of this strategy were also included. PMID:21660292

  9. Demersal Fisheries of the Arabian Sea, the Gulf of Oman and the Arabian Gulf

    NASA Astrophysics Data System (ADS)

    Siddeek, M. S. M.; Fouda, M. M.; Hermosa, G. V.

    1999-08-01

    The demersal fisheries of the Arabian Sea, the Gulf of Oman and the Arabian Gulf are reviewed. The region comprises eight countries: Oman, United Arab Emirates (U.A.E.), Qatar, Saudi Arabia, Bahrain, Kuwait, Iraq and Iran. Over 350 commercial fish species, eight shrimp species, two spiny lobster species, one shovel nose lobster species, one cuttlefish species, one crab species, and one abalone species support the demersal fisheries in the continental shelves of the three regions. Artisanal and industrial vessels with over 120 000 fishermen were involved in demersal fisheries. Fishing boats include fish and shrimp trawlers (wooden and steel hulled), large wooden boats (dhow) with inboard engines, small dhows with outboard engines, and fibreglass boats. Fishing gear consists of trawls, bottom gill nets, traps (wire mesh and plastic types), barrier traps, hand lines, and bare hands and knives (to dislodge abalone). Demersal fish (primarily Lethrinidae, Sparidae, Serranidae, Siganidae, Sciaenidae, Stromateidae, Lutjanidae, Trichiuridae, and Nemipteridae) and shrimp (primarily Penaeus semisulcatus, Metapenaeus affinis, Parapenaeopsis stylifera, and Penaeus merguiensis) were the two commercial demersal resources. Approximately 198 000-214 000 tonnes (t) of demersals were landed annually during 1988-1993, accounting for nearly 40% of the total marine landings (475 000-552 000 t). This percentage, however varied among countries: 25% in Oman, 32% in U.A.E., 71% in Qatar, 52% in Saudi Arabia, 56% in Bahrain, 55% in Kuwait, close to 100% in Iraq, and 41% in Iran. Fishing effort on certain stocks may have been below the optimum level (e.g. certain Omani demersal fish), near the optimum level (e.g. Omani shrimp), or above the optimum level (e.g. Arabian Gulf shrimp and demersal fish). Overexploitation led to restriction of fishing effort by limiting fishing licences, regulating fishing gear (mesh size) and capture size, closing fishing areas, restricting fishing season, and banning certain fisheries. However, fisheries management was hampered by lack of appropriate management regulations, enforcement and data on most stocks. Pollution and degradation of nursery areas were also affecting the productivity of fisheries resources. To achieve sustainable demersal fisheries, maintaining a healthy marine environment, reducing fishing effort, and strictly enforcing closed seasons and closed areas are needed. These measures are being implemented with varying degrees of success by all the countries.

  10. Prevalence and Predisposing Factors of Atrial Fibrillation in a Multi-Ethnic Society: The Impact of Racial Differences in Bahrain

    PubMed Central

    Garadah, Taysir; Gabani, Saleh; Alawi, Mohamed Al; Abu-Taleb, Ahmed

    2011-01-01

    Background The prevalence and epidemiological data of atrial fibrillation (AF) among multi-ethnic populations is less well studied worldwide. Aim Evaluation of the prevalence and predisposing factors of AF in patients who were admitted to acute medical emergencies (ER) in Bahrain over the period of one year. Methods Two hundred and fifty three patients with onset of AF were studied. The mean difference of biochemical data and clinical characteristics between Middle Eastern (ME) and sub continental (SC) patients was evaluated. The odds ratio of different predisposing factors for the development of clinical events in AF patients was assessed using multiple logistic regression analysis. Results Out of 7,450 patients that were admitted to ER over one year, 253 had AF based on twelve leads Electrocardiogram (ECG), with prevalence of 3.4%. In the whole study, the mean age was 59.45 ± 18.27 years, with 164 (65%) male. There were 150 ME patients (59%), and 107 (41%) SC, 55 (22%) were Indian (IND) and 48 (19%) were South Asian (SA). In the whole study clinical presentation was of 48% for palpitation, pulmonary edema was of 14%, angina pectoris on rest of 12%, 10% had embolic phenomena, 6% had dizziness, and 7% were asymptomatic. The odds ratio of different variables for occurrence of clinical events in the study was positive of 2.2 for history of hypertension, 1.8 for sickle cell disease, 1.2 for high body mass index (BMI) >30, 1.1 for mitral valve disease. The ME patients, compared with SC, were older, had significantly higher body mass index, higher history of rheumatic valve disease, sickle cell disease with high level of uric acid and lower hemoglobin. The history of hypertension, DM and smoking was higher among the SC patients. The rate of thyroid disease was equal in both groups. Conclusion The prevalence of atrial fibrillation was 3.4% with male predominance of 65%. Patients of sub continental origin were younger with a significantly high history of hypertension and ischemic heart disease. The patients of Middle Eastern origin had significantly high rate of rheumatic heart disease, and sickle cell disease. The history of hypertension was the most important independent clinical predictor of adverse events in patients presented with AF. PMID:26949337

  11. In Vitro Regeneration of Endangered Medicinal Plant Heliotropium kotschyi (Ramram).

    PubMed

    Sadeq, Manal Ahmed; Pathak, Malabika Roy; Salih, Ahmed Ali; Abido, Mohammed; Abahussain, Asma

    2016-01-01

    Heliotropium kotschyi (Ramram) is an important endangered medicinal plant distributed in the Kingdom of Bahrain. Plant tissue culture technique is applied for ex situ conservation study. Nodal stem segments are cultured in modified MS media supplemented with various combination and concentration of plant growth regulators (PGRs). Plants are regenerated via shoot organogenesis from the nodal meristems. Plants are regenerated in three different steps: initial shoot development, shoot multiplication, and rooting. After 4 weeks of culture, 100 % explants respond to shoot initiation on the medium containing 8.88 μM BAP and 5.71 μM IAA. The highest frequency of shoot regeneration is observed in the same media after second subculture of shoots. The highest rooting frequency is observed in the presence of 2.85 μM IAA. After root development, the plantlets are transferred to pots filled with soil and 60 % of plants survived after 45 days. This plant regeneration protocol is of great value for rapid desert plant propagation program.

  12. Molecular Characterization of Carbapenemase-Producing Escherichia coli and Klebsiella pneumoniae in the Countries of the Gulf Cooperation Council: Dominance of OXA-48 and NDM Producers

    PubMed Central

    Sartor, Anna L.; Balkhy, Hanan H.; Walsh, Timothy R.; Al Johani, Sameera M.; AlJindan, Reem Y.; Alfaresi, Mubarak; Ibrahim, Emad; Al-Jardani, Amina; Al-Abri, Seif; Al Salman, Jameela; Dashti, Ali A.; Kutbi, Abdullah H.; Schlebusch, Sanmarié; Sidjabat, Hanna E.; Paterson, David L.

    2014-01-01

    The molecular epidemiology and mechanisms of resistance of carbapenem-resistant Enterobacteriaceae (CRE) were determined in hospitals in the countries of the Gulf Cooperation Council (GCC), namely, Saudi Arabia, United Arab Emirates, Oman, Qatar, Bahrain, and Kuwait. Isolates were subjected to PCR-based detection of antibiotic-resistant genes and repetitive sequence-based PCR (rep-PCR) assessments of clonality. Sixty-two isolates which screened positive for potential carbapenemase production were assessed, and 45 were found to produce carbapenemase. The most common carbapenemases were of the OXA-48 (35 isolates) and NDM (16 isolates) types; 6 isolates were found to coproduce the OXA-48 and NDM types. No KPC-type, VIM-type, or IMP-type producers were detected. Multiple clones were detected with seven clusters of clonally related Klebsiella pneumoniae. Awareness of CRE in GCC countries has important implications for controlling the spread of CRE in the Middle East and in hospitals accommodating patients transferred from the region. PMID:24637692

  13. Drug information, misinformation, and disinformation on social media: a content analysis study.

    PubMed

    Al Khaja, Khalid A J; AlKhaja, Alwaleed K; Sequeira, Reginald P

    2018-05-24

    Dissemination of misleading drug information through social media can be detrimental to the health of the public. This study, carried out in Bahrain, evaluated the truthfulness of 22 social media claims about drugs (72.7%), dietary supplements (22.7%), and toxic bisphenol-A (4.5%). They circulated on WhatsApp platform, as case studies. We categorized claims as objectively true, false, or potentially misleading. The content analysis revealed that "potentially misleading" claims were the most frequent messages (59.1%). They tend to exaggerate the efficacy or safety without sufficient evidence to substantiate claims. False claims (27.3%) were likely due to unfair competition or deception. Overall, 13.6% of the messages were objectively true claims that could withstand regulatory scrutiny. Majority of the drug-related messages on social media were potentially misleading or false claims that lacked credible evidence to support them. In the public interest, regulatory authorities should monitor such information disseminated via social media platforms.

  14. Obesity among secondary school students in Bahrain.

    PubMed

    Musaiger, A O; Matter, A M; Alekri, S A; Mahdi, A R

    1993-01-01

    The aim of this study is to estimate the prevalence of obesity and factors associated with it in Bahraini secondary school students. A cross-sectional study involving a sample of 825 students (417 boys and 408 girls) aged 15 to 21 years was obtained from secondary schools. Obesity was determined using body mass index (BMI = Wt/Ht2). The findings revealed that 15.6% of boys and 17.4% of girls were either overweight or obese (BMI > or = 25). Family size, parents education, and family history of obesity were significantly associated with obesity among boys, while family history was the only socio-economic factors statistically associated with obesity among girls. Meal patterns such as eating between meals, number of meals per day, and method of eating were not associated with obesity in students. Boys who ate alone were 3 times more likely to be obese than those who ate with family members (odd ratio = 3.4). Measures to prevent and control obesity among children are suggested.

  15. Policies and practices related to information system adoption in hospitals owned by Ministries of Health in the Arab Gulf.

    PubMed

    Nabali, H M

    1992-07-01

    This is a discussion paper based on the findings from a study of the factors affecting the adoption of computer-based hospital information systems (CBHIS) in the Arabian Gulf. The study involved on-site visits to hospitals in Bahrain, Kingdom of Saudi Arabia, Kuwait, Qatar and the United Arab Emirates as well as visits to ministries of health in these countries. The focus of this paper is on the adoption of CBHIS by ministry of health (MOH) hospitals, in specific, because of the main role that ministries of health play as providers of health care in the Region. Prior to describing CBHIS adoption practices, an overview of the Region in terms of its economic development and its health care delivery systems is presented. Next, the research setting along with the major findings are briefly described followed by a discussion of the advantages and disadvantages of centralized CBHIS adoptions. Finally, management guidelines related to the adoption of CBHIS by multi-hospital institutions are proposed.

  16. Utilisation of psychotropic drugs in patients of the long stay ward.

    PubMed

    El Hefny, F; Al Haddad, M K; Mathur, V

    1992-03-01

    A survey of the prescribing of psychotropic drugs was carried out at the Psychiatric Hospital of Bahrain. This retrospective study on 60 inpatients of the Long Stay Ward revealed a man:woman ratio of 2.7. 91% of the men and 88% of the women were over 40 years old. 44 of the 60 patients had a diagnosis of schizophrenia, the rest had dementia, depression, schizoaffective disorders, drug-induced psychosis, general paralysis or Huntington's chorea. 95% of patients received antipsychotic drugs. Thioridazine was the most common drug followed by chlorpromazine. The mean number of drugs/patient was 1.7, with 41.7% of patients receiving only 1 drug. Tardive dyskinesia was observed in 11 patients and 9 experienced varying degrees of tremor. The findings confirm that psychiatric illness treated by psychiatrists need not lead to polypharmacy. As a consequence, its treatment may be less likely to result in adverse reactions than when patients are treated by general practitioners.

  17. Effects of reclamation on macrobenthic assemblages in the coastline of the Arabian Gulf: a microcosm experimental approach.

    PubMed

    Naser, Humood A

    2011-03-01

    Coastal reclamation and modifications are extensively carried out in Bahrain, which may physically smother the coastal and subtidal habitats resulting in changes to abundance and distribution of macrobenthic assemblages. A microcosm laboratory experiment using three common macrobenthic invertebrates from a proposed reclaimed coastal area was preformed to examine their responses to mud burial using marine sediment collected from a designated borrow area. Significant difference in numbers of survived organisms between control and experimental treatments with a survival percentage of 41.8% for all of the selected species was observed. The polychaete Perinereis nuntia showed the highest percentage of survival (57.1%) followed by the bivalve Tellinavaltonis (42.3%) and the gastropod Cerithidea cingulata (24.0%). Quantifying species responses to sediment burial resulted from dredging and reclamation will aid in predicting the expected ecological impacts associated with coastal developments and subsequently minimizing these impacts and maintaining a sustainable use of coastal and marine ecosystems in the Arabian Gulf. Copyright © 2010 Elsevier Ltd. All rights reserved.

  18. Cancer Research in the Arab World

    PubMed Central

    Hamadeh, Randah R.; Borgan, Saif M.; Sibai, Abla M.

    2017-01-01

    This review aimed to examine trends in cancer research in the Arab world and identify existing research gaps. A search of the MEDLINE® database (National Library of Medicine, Bethesda, Maryland, USA) was undertaken for all cancer-related publications published between January 2000 and December 2013 from seven countries, including Bahrain, Kuwait, Iraq, Lebanon, Morocco, Palestine and Sudan. A total of 1,773 articles were identified, with a significant increase in yearly publications over time (P <0.005). Only 30.6% of the publications included subjects over the age of 50 years old. There was a dearth of cross-sectional/correlational studies (8.8%), randomised controlled trials (2.4%) and systematic reviews/meta-analyses (1.3%). Research exploring cancer associations mainly considered social and structural determinants of health (27.1%), followed by behavioural risk factors (14.1%), particularly tobacco use. Overall, more cancer research is needed in the Arab world, particularly analytical studies with high-quality evidence and those focusing on older age groups and associations with physical activity and diet. PMID:28690885

  19. After the oil boom: The holiday ends in the gulf

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Zanoyan, V.

    1995-11-01

    The most unmanageable risk facing American interests in the Persian Gulf is the slow but sure decay of the economic and political structure of the United States` key regional allies. They are the Gulf Cooperation Council (GCC) states: Saudia Arabia, Kuwait, Bahrain, Qatar, Oman, and the United Arab Emirates (UAE). External threats to these friendly governments and the direct risks to the continued flow of oil has blinded Washington to the end of these countries 20-year holiday from politics and economics. The holiday from economics was characterized by, among other syndromes, the lack of binding budget constraints, which reduced andmore » sometimes even eliminated the need to set spending priorities and allocate scarce economic resources. It is no longer possible to cover up structural weaknesses and policy inconsistencies. All major interest groups, including governments, ruling families, merchant families, and the population at large, are under pressure to earn not only their privileges but their keep. The need for Washington to address these new threats is examined.« less

  20. Status of blood transfusion in World Health Organization-Eastern Mediterranean Region (WHO-EMR): Successes and challenges.

    PubMed

    Darbandi, Arezoo; Mashati, Pargol; Yami, Amir; Gharehbaghian, Arshia; Namini, Mehdi Tabrizi; Gharehbaghian, Ahmad

    2017-06-01

    Blood products are used for patient treatment and survival in the cases of major surgery, hematological disorders or cancer therapy. Presently the main blood components are not yet replaceable by artificial products and all activities related to blood transfusion is highly dependent on the healthcare development of each country. The World Health Organization Eastern Mediterranean Region (WHO-EMR) comprises of 21 member states with variable socio-economic status effective on blood transfusion activities. The fundamental motivation behind this research was to accumulate some data of blood practices in this region and to have an appropriate image of the WHO-EMR region. The data were collected through the published papers or data, blood transfusion services websites, and the other health official websites like WHO. Among WHO-EMR countries there are some with a nationally organized blood transfusion establishment such as Egypt, Iran, Iraq, Kuwait, Morocco, Oman, Pakistan, and Syria. In a few, blood transfusion administrations are hospital-based like Saudi Arabia. The others are run by Red Crescent such as Bahrain, Tunisia and UEA or by Red Cross like Lebanon. Only Iran and UAE succeed to have 100% voluntary non-remunerated blood donors; however, most of them are still under the weight of family/replacement blood donation such as Afghanistan, Egypt, Iraq, Lebanon, Morocco, Saudi Arabia and Sudan or even paid donors like Pakistan and Yemen. The haemovigilance and training programs have been implemented in some countries including Bahrain, Iran, Jordan, Kuwait, Oman, Qatar, Saudi Arabia, Tunisia and UAE. Unfortunately, there are rare and inaccessible information about some EMR states like Djibouti, Palestine and Somalia so that little data can be independently discovered. In these countries different measures ought to be additionally designated to ensure blood products adequacy and safety such as the development of well-coordinated national blood transfusion centers with the increased government commitment, the establishment of a well-organized system for voluntary non-remunerated blood donor recruitment, the establishment of well-equipped laboratories for screening donor samples for transfusion transmitted infections (TTIs) for at least mandatory tests recommended by WHO, the implementation of an educational/training program for professionals working in the blood transfusion establishments or hospitals, the regular audit on the quality and the integrity of the blood transfusion chain, and the development of a regional network of collaboration to bolster the neighboring nations in the EMR through effective communication tools. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Bending the urban flow: a construction-migration strategy.

    PubMed

    Shaw, R P

    1980-01-01

    The excess rate of migration to urban centers is a problem affecting over 50 developing countries and 18 developed ones (68% of the world's population). Policies that rely on compulsion or disincentives have mostly failed because they do not deal with the cause of the problem. This paper proposes a strategy of increasing or decreasing the rate of housing construction in different urban areas as a means of stimulating or reducing migration to those areas; in most developing areas priority is given to residential construction in already congested metropolitan areas. 5 assumptions are the basis for this approach: 1) migrants tend to gravitate to the most powerful growth poles; 2) residential construction is a leading sector of regional and urban economies; 3) the encouragement of construction activity will make itself felt indirectly via its effect on construction-related employment; 4) rates of residential construction may be manipulated through government policy affecting the cost of materials, availability of loans, level of unionization, and price of housing; and 5) residential construction is amenable to quick policy action. The central idea of the strategy is that an increase in residential construction will exercise a pull on migrants, increasing job opportunities, raising incomes, lowering housing costs, and improving the chances of home ownership. This idea has been verified by various projects in Hong Kong, Ghana, Venezuela, Brazil, Bahrain, Mexico, Colombia, Poland, USSR, and the UK. In Bahrain low-income housing programs have been used to relocate Bahraini nationals in new outlying suburbs and to promote population growth in rural villages. In Mexico self-help and low-income housing programs have helped to redirect migrants headed for small towns toward smaller communities. There is also evidence to show that building construction has the potential to expand and contribute to economic growth. Some problems of implementation might be finding an adequate economic base, the need to place new communities close to primate cities, the use of large portions of the national budget, and profit-maximizing plans have been detrimental to the speed and development of construction migration. Some benefits for smaller urban areas of construction migrants in developing countries are: 1) emphasis on the development of a labor-intensive industry, 2) little training of workers as needed, 3) it can provide the housing required by industries planning to move to smaller areas, 4) this housing will be cheaper, and 5) incentives will exist to save and invest in the smaller areas.

  2. Molecular characterization of carbapenemase-producing Escherichia coli and Klebsiella pneumoniae in the countries of the Gulf cooperation council: dominance of OXA-48 and NDM producers.

    PubMed

    Zowawi, Hosam M; Sartor, Anna L; Balkhy, Hanan H; Walsh, Timothy R; Al Johani, Sameera M; AlJindan, Reem Y; Alfaresi, Mubarak; Ibrahim, Emad; Al-Jardani, Amina; Al-Abri, Seif; Al Salman, Jameela; Dashti, Ali A; Kutbi, Abdullah H; Schlebusch, Sanmarié; Sidjabat, Hanna E; Paterson, David L

    2014-06-01

    The molecular epidemiology and mechanisms of resistance of carbapenem-resistant Enterobacteriaceae (CRE) were determined in hospitals in the countries of the Gulf Cooperation Council (GCC), namely, Saudi Arabia, United Arab Emirates, Oman, Qatar, Bahrain, and Kuwait. Isolates were subjected to PCR-based detection of antibiotic-resistant genes and repetitive sequence-based PCR (rep-PCR) assessments of clonality. Sixty-two isolates which screened positive for potential carbapenemase production were assessed, and 45 were found to produce carbapenemase. The most common carbapenemases were of the OXA-48 (35 isolates) and NDM (16 isolates) types; 6 isolates were found to coproduce the OXA-48 and NDM types. No KPC-type, VIM-type, or IMP-type producers were detected. Multiple clones were detected with seven clusters of clonally related Klebsiella pneumoniae. Awareness of CRE in GCC countries has important implications for controlling the spread of CRE in the Middle East and in hospitals accommodating patients transferred from the region. Copyright © 2014, American Society for Microbiology. All Rights Reserved.

  3. Geographical distribution of biomedical publications from the Gulf Corporation Council countries.

    PubMed

    Deleu, D; Northway, M G; Hanssens, Y

    2001-01-01

    It was our purpose to perform a geographical analysis for the number of biomedical and clinical research publications from the six countries of the Gulf Cooperation Council over the past decade (1990-1999). Medline was searched with the aid of the Internet provider PubMed. By using the advanced search option, entries were based on the country name for each of the Gulf Cooperation Council countries and the time period considered. The number of Medline-listed biomedical research papers published in the Gulf Cooperation Council countries over the last 10 years totaled 6,960 and increased by 14% over the past decade. The Kingdom of Saudi Arabia followed by Kuwait was by far the most prolific and accounted for 67 and 16% of publications. The research output from the United Arab Emirates and Oman grew steadily over the past decade, while it appeared to plateau for both Bahrain and Qatar. Taking into account that Gulf Cooperation Council countries have a relatively short history of research, the data show that the Gulf Cooperation Council countries are very prolific in terms of Medline-indexed biomedical research publications.

  4. František Nábělek's Iter Turcico-Persicum 1909-1910 - database and digitized herbarium collection.

    PubMed

    Kempa, Matúš; Edmondson, John; Lack, Hans Walter; Smatanová, Janka; Marhold, Karol

    2016-01-01

    The Czech botanist František Nábělek (1884-1965) explored the Middle East in 1909-1910, visiting what are now Israel, Palestine, Jordan, Syria, Lebanon, Iraq, Bahrain, Iran and Turkey. He described four new genera, 78 species, 69 varieties and 38 forms of vascular plants, most of these in his work Iter Turcico-Persicum (1923-1929). The main herbarium collection of Iter Turcico-Persicum comprises 4163 collection numbers (some with duplicates), altogether 6465 specimens. It is currently deposited in the herbarium SAV. In addition, some fragments and duplicates are found in B, E, W and WU. The whole collection at SAV was recently digitized and both images and metadata are available via web portal www.nabelek.sav.sk, and through JSTOR Global Plants and the Biological Collection Access Service. Most localities were georeferenced and the web portal provides a mapping facility. Annotation of specimens is available via the AnnoSys facility. For each specimen a CETAF stable identifier is provided enabling the correct reference to the image and metadata.

  5. Oil jobs have big impact on heavily populated Middle East.

    PubMed

    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.

  6. HP-GPC characterization of asphalt and modified asphalts from gulf countries and their relation to performance based properties

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wahhab, H.I.A.; Ali, M.F.; Asi, I.M.

    Asphalt producing refineries in the Gulf countries include Ras Tanura and Riyadh (Saudi Arabia), Al-Ahmadi (Kuwait), and BAPCO (Bahrain). Riyadh and Ras Tanura refineries are located in the central and eastern Saudi Arabia respectively. Arabian light crude oil is used to produce 2000 to 3000 tons of asphalt per day using vacuum distillation, air blowing and grade blending techniques to produce 60/70 penetration grade asphalts in each of these two Saudi refineries. All of the asphalt cement used in Saudi Arabia, Qatar and parts of the United Arab Emirates is supplied by Riyadh and Ras Tanura refineries. Al-Ahmadi refinery suppliesmore » all of the asphalt cement needed for construction in the state of Kuwait. Ratwi-Burgan crude off mix is used to produce 750 to 1000 tons of asphalt per day using vacuum distillation and air blowing processes. This study was initiated to evaluate different locally available polymers in order to identify potential polymers to modify asphalts to satisfy the performance requirements in the Gulf countries environmental conditions.« less

  7. An assessment of Qatar's coral communities in a regional context.

    PubMed

    Burt, John A; Smith, Edward G; Warren, Christopher; Dupont, Jennifer

    2016-04-30

    Qatar's once extensive coral communities have undergone considerable change in recent decades. We quantitatively surveyed three coral assemblages in Qatar to assess current status, and compared these against 14 sites in Bahrain and the United Arab Emirates to evaluate Qatar in a larger biogeographic context. Umm Al-Arshan had the highest species richness of 17 sites examined in the southern Arabian Gulf, as well as the highest coral cover and the only Acropora observed on sites in Qatar. Coral cover and richness were more modest at Fuwayrit and Al-Ashat, reflecting greater impacts from earlier stress events. Two distinct communities were identified across the southern Gulf, with Umm Al-Arshan clustering with high-cover, mixed merulinid/poritid assemblages that were less impacted by earlier bleaching and long-term stress, while Fuwayrit and Al-Ashat grouped with a lower-cover, stress-tolerant community characteristic of more extreme environments in the southern Gulf. We recommend implementation of a nation-wide baseline assessment of coral communities to guide development of an MPA network and long-term coral monitoring program for Qatar. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Mental health research in the Arab world.

    PubMed

    Jaalouk, Doris; Okasha, Ahmed; Salamoun, Mariana M; Karam, Elie G

    2012-11-01

    To assess the progression of mental health research over four decades in the Arab world. Publications on mental health in 21 Arab countries from 1966 to 2006 were screened using PubMed and Psychinfo. Data were collected and analyzed for Arab authors and affiliations, publication year, topic and type of journal. In 40 years (1966-2005), the Arab world published 2,213 articles on a vast variety of topics, most common being mood, anxiety and substance use disorders, and mostly in international journals. By the last decade, the total yearly publications increased about eightfold since the first two decades, and nearly doubled from the third one. The disparity of output was high across countries. The highest yearly output was from Egypt, Saudi Arabia, Kuwait and Lebanon. Per million population, the top four producing countries were Kuwait, Bahrain, Lebanon and United Arab Emirates. Over a decade, the Arab world produced approximately 17% of the global output of mental health publications/million population and was comparative to Latin American and Caribbean countries. There is a wide gap in comparison with the industrialized world, with a fertile ground for cross-cultural and genetic studies.

  9. František Nábělek’s Iter Turcico-Persicum 1909–1910 – database and digitized herbarium collection

    PubMed Central

    Kempa, Matúš; Edmondson, John; Lack, Hans Walter; Smatanová, Janka; Marhold, Karol

    2016-01-01

    Abstract The Czech botanist František Nábělek (1884−1965) explored the Middle East in 1909-1910, visiting what are now Israel, Palestine, Jordan, Syria, Lebanon, Iraq, Bahrain, Iran and Turkey. He described four new genera, 78 species, 69 varieties and 38 forms of vascular plants, most of these in his work Iter Turcico-Persicum (1923−1929). The main herbarium collection of Iter Turcico-Persicum comprises 4163 collection numbers (some with duplicates), altogether 6465 specimens. It is currently deposited in the herbarium SAV. In addition, some fragments and duplicates are found in B, E, W and WU. The whole collection at SAV was recently digitized and both images and metadata are available via web portal www.nabelek.sav.sk, and through JSTOR Global Plants and the Biological Collection Access Service. Most localities were georeferenced and the web portal provides a mapping facility. Annotation of specimens is available via the AnnoSys facility. For each specimen a CETAF stable identifier is provided enabling the correct reference to the image and metadata. PMID:28127245

  10. Medical students as family-health advocates: Arabian Gulf University experience.

    PubMed

    Grant, Neil; Gibbs, Trevor; Naseeb, Tawfeeq Ali; Al-Garf, Ahmed

    2007-06-01

    The Arabian Gulf University is a coeducational Islamic institution in the Kingdom of Bahrain sponsored by the Gulf Cooperative Council. The College of Medicine follows a problem-based curriculum in which science is integrated with professional skills and a community-health programme, comprising of maternal and child health, family studies, and population-health research. The family-studies programme requires all third-year students to complete a wide series of activities under family-physician supervision. The aim of the study was to assess the performance of the programme with specific regard to students' family-health advocacy roles. A trained community-health nurse administered a semistructured questionnaire based on family empowerment to 30 families. Themes included health-knowledge gains, positive changes in lifestyle and communication practices, and accessing community resources. All families reported a gain in relevant health knowledge, and a number of families reported positive changes in lifestyle. Students proved to be valuable advocates for families in this programme. Their principal role lay in the uncovering of psychosocial distress, but they were able also to offer practical help in lifestyle behaviour changes, communication, and community-resource use.

  11. Antihypertensive drug prescription trends at the primary health care centres in Bahrain.

    PubMed

    Jassim al Khaja, K A; Sequeira, R P; Wahab, A W; Mathur, V S

    2001-05-01

    To determine the antihypertensive drug prescribing pattern by primary care physicians in patients with uncomplicated essential hypertension; to identify whether such pattern of prescription is appropriate and in accordance with international guidelines for pharmacotherapy of hypertension; and to estimate the impact of such prescriptions on cost of treatment. A prescription-based survey among patients with uncomplicated essential hypertension was conducted in seven out of a total of 18 health centres in Bahrain. The relevant data for our study was collected using cards, designed for chronically-ill patients. A total of 1019 male and 1395 female (62.9%) out of 3838 of the study population were on monotherapy, whereas 596 male and 828 female (37.1%) were on antihypertensive combination therapy. Among the monotherapy category, the various antihypertensive drugs used were as follows: beta-blockers (58.8%), angiotensin converting enzyme (ACE) inhibitors (14.2%), calcium channel blockers (11.1%), diuretics (8.1%) and alpha-methyldopa (7.0%). With respect to overall utilization pattern, beta-blockers were the most frequently prescribed (65.5%), diuretics ranked second (27.4%), followed by ACE inhibitors (20.6%), calcium channel blockers (19.9%) and alpha-methyldopa (8.5%). Within each class of antihypertensives used, the most frequently used individual agents were as follows: (a) among beta-blockers 97.7% used atenolol; (b) among the diuretics, indapamide (35.4%), hydrochlorothiazide (HCTZ) (32.7%), HCTZ in combination with triamterene (25.7%), and chlorthalidone (4.6%); (c) among the ACE inhibitors, captopril (44.9%), enalapril (29.7%), and lisinopril (19.0%); (d) among the calcium channel blockers, nifedipine (98.2%). Significant age- and gender-related differences in prescribing patterns were seen. Short-acting nifedipine monotherapy was inappropriately prescribed in a significant number of patients above the age of 50 years. ACE inhibitors accounted for approximately two-thirds of the total antihypertensive drug expenditure, although these drugs represent only one-fifth of overall antihypertensives used. There is a trend towards excessive use of expensive thiazide-like diuretics such as indapamide which seems to be unjustifiable practice, particularly in a study population free from diabetic hypertensive patients. The general pattern of antihypertensive utilization appears to be in accordance with the guidelines of WHO and the Joint National Committee issued in the 1990s. The trends of prescribing of antihypertensives were in favour of conventional ones such as the beta blockers and diuretics, and the introduction of newer classes of antihypertensives had a generally minimal impact on the prescribing profile. Almost two-thirds of the patients were treated with monotherapy. A disproportionately large percentage of antihypertensive drug cost was due to overt use of ACE inhibitors, and indapamide, instead of thiazide diuretics. The use of short-acting calcium channel blockers especially in the elderly is unjustifiable.

  12. Destructive versus non-destructive methods for geochemical analyses of ceramic artifacts: comparison of portable XRF and ICP-MS data on Bronze Age ceramics from Failaka Island (Kuwait) and Bahrain

    NASA Astrophysics Data System (ADS)

    Stremtan, Ciprian; Ashkanani, Hasan; Tykot, Robert H.

    2013-04-01

    The study of bi-phase (i.e. matrix and clasts) geochemical composition of ceramic artifacts is a very powerful tool in fingerprinting the raw materials used by ancient manufacturers (clay sources, tempering materials, coloring agents, etc.), as well as in understanding the physical parameters of the manufacturing techniques. Reliable datasets often require the deployment of destructive techniques that will irremediably damage the artifact. Recent advances in portable X-ray fluorescence instrumentation (pXRF) allow for quick measurements of a range of chemical elements that not too long ago were available only through complicated and often destructive means of analytical chemistry (instrumental neutron activation analysis - INAA, inductively coupled plasma mass spectrometry - ICP-MS, direct coupled plasma-optical emission spectroscopy - DCP-OES etc.). In this contribution we present a comparison of datasets acquired by means of pXRF, DCP-OES, and ICP-MS on Bronze Age ceramics from Failaka Island (Kuwait) and Bahrain. The samples chosen for this study are fine grained, with very well sorted mineral components, and lack any visible organic material fragments. The sample preparation for ICP-MS and DCP-OES analyses was carried out on powdered samples, by using LiBO2 flux fusion and Ge (for the DCP-OES) and In (for ICP-MS) were used as internal standards. The measurements were calibrated against certified reference materials ranging from shales to rhyolites (SGR-1, SDo-1, JA-2, and JR-1) and performed at Univerity of South Florida's Center for Geochemical Analyses. The analytical errors for major elements was smaller than 5 %, while for selected trace elements the error was usually smaller than 3 %. The same set of elements was measured on the same samples at University of South Florida's Anthropology Department using a pXRF device equipped with obsidian filter. Each sample was measured three times and the values were averaged. Two certified reference materials (NIST-612 glass and MACS-3 pressed powder) were also measured to check for accuracy and precision. Our preliminary data shows that most of the major and trace elemental data acquired by both methods are consistent. Some transition metals (e.g. Y, Fe, and Mn) yielded overall lower values when measured with pXRF device (ranging from 27 to 60 % difference), while Ni and Ba showed systematically higher values (20 to 53 %). If samples are chosen properly for pXRF measurements (i.e. thoroughly cleaned, fine grained, well sorted) and the device is properly calibrated, the results are comparable with DCP-OES and ICP-MS data, thus being suitable to use for geochemical fingerprinting

  13. Dermatological publications in the Gulf Cooperation Council countries. An analysis of 1966-2004 Medline papers.

    PubMed

    Al-Aboud, Fahad M; Al-Aboud, Khalid M; Al-Hawsawi, Khalid A; Ramesh, Venketshari

    2004-11-01

    To investigate the publications in dermatology cited in the Medline from 6 countries of the Gulf Cooperation Council (GCC) from 1966 to 2004. Medline was searched with the aid of Internet provider Pubmed using the same strategy at a given time for all countries. At the time of search, the Medline listed biomedical research papers from the GCC countries totaled 12837. Of these, 140 were in Dermatology. The Kingdom of Saudi Arabia followed by Kuwait was by far the most prolific contributor, whereas almost none were noted from Bahrain. The publications were highest during the year 2002 (19) followed by 2003 (13), most of them being in the English language in the International Journal of Dermatology (60 citations) and Pediatric Dermatology (13 citations). Though the GCC countries have seen a relatively small period in the history of development of medical research, data show that they are trying to keep pace with the rest of the developed world. What remains to be exploited is their good economy that should be directed to provide better infrastructure and improve the quality of training programs. Professional societies within the region must play an active role in ensuring optimum and judicious use of funds.

  14. Consensus building and recommendations based on the available epidemiology of meningococcal disease in Gulf Cooperation Council States.

    PubMed

    Memish, Ziad A; Shibl, Atef M

    2011-03-01

    The Gulf Cooperation Council (GCC) States share concerns about meningococcal disease, particularly in association with the Hajj and Umrah pilgrimages, which have been connected with outbreaks within the Kingdom of Saudi Arabia and among contacts of the pilgrims in their countries of origin. Currently, the most prevalent meningococcal serogroup in the GCC States is W-135. Although vaccination with polysaccharide vaccines has protected pilgrims and their close contacts from invasive disease, the potential availability of novel conjugate vaccines, such as the one currently used for vaccination of military personnel in the Kingdom of Saudi Arabia, prompted an evaluation of disease epidemiology in the region. For several countries, published data on recent epidemiology are not available. We report findings from a meeting of the GCC States Meningitis Study Group, which comprised experts from the Kingdom of Saudi Arabia, the Kingdom of Bahrain, Kuwait, Qatar, the Sultanate of Oman, and the United Arab Emirates. These experts provided an update on epidemiology and current vaccination practices in the GCC States, and discussed new approaches to more effective disease prevention. Copyright © 2011 Elsevier Ltd. All rights reserved.

  15. β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

    PubMed Central

    Balkhy, Hanan H.; Walsh, Timothy R.; Paterson, David L.

    2013-01-01

    SUMMARY Infections due to Gram-negative bacilli (GNB) are a leading cause of morbidity and mortality worldwide. The extent of antibiotic resistance in GNB in countries of the Gulf Cooperation Council (GCC), namely, Saudi Arabia, United Arab Emirates, Kuwait, Qatar, Oman, and Bahrain, has not been previously reviewed. These countries share a high prevalence of extended-spectrum-β-lactamase (ESBL)- and carbapenemase-producing GNB, most of which are associated with nosocomial infections. Well-known and widespread β-lactamases genes (such as those for CTX-M-15, OXA-48, and NDM-1) have found their way into isolates from the GCC states. However, less common and unique enzymes have also been identified. These include PER-7, GES-11, and PME-1. Several potential risk factors unique to the GCC states may have contributed to the emergence and spread of β-lactamases, including the unnecessary use of antibiotics and the large population of migrant workers, particularly from the Indian subcontinent. It is clear that active surveillance of antimicrobial resistance in the GCC states is urgently needed to address regional interventions that can contain the antimicrobial resistance issue. PMID:23824364

  16. Research on psychosocial aspects of epilepsy in Arab countries: a review of literature.

    PubMed

    Al-Khateeb, Jamal M; Al-Khateeb, Anas J

    2014-02-01

    This study reviewed research conducted on the psychological aspects of epilepsy in Arab countries. Several databases (Medline, PubMed, Science Direct, Springer Link, and PsycInfo) were searched using the following two sets of search words: (1) Arab, Jordan, Lebanon, United Arab Emirates (UAE), Bahrain, Qatar, Kuwait, Oman, Saudi Arabia, Syria, Iraq, Egypt, Yemen, Tunisia, Libya, Morocco, Algiers, Palestine, Mauritania, Djibouti, Sudan, Comoros, and Somalia; and (2) epilepsy, seizure disorders, and convulsive disorders. Fifty-one studies were conducted in 12 Arab states. Social/emotional, employment, and other problems; knowledge and attitudes; and quality of life (QOL) were the most commonly measured parameters of psychosocial aspects of epilepsy in Arab countries. Results revealed elevated levels of depression and anxiety, a decline in cognitive function, various behavioral problems, sexual dysfunction, and underemployment among persons with epilepsy (PWE). Misconceptions about epilepsy were found to be prevalent. While many studies reported limited knowledge of epilepsy, some studies found an average knowledge. Negative attitudes toward epilepsy were reported in most studies, and moderately positive attitudes were reported in some studies. Finally, PWE showed low overall QOL scores in the majority of studies. © 2013.

  17. Population Health Management and the Second Golden Age of Arab Medicine: Promoting Health, Localizing Knowledge Industries, and Diversifying Economies in the GCC Countries.

    PubMed

    Mattke, Soeren; Hunter, Lauren E; Magnuson, Madeline; Arifkhanova, Aziza

    2015-07-15

    Over the past half-century, the Gulf Cooperation Council (GCC) countries-Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates-have experienced rapid economic growth and, with it, dramatic lifestyle changes. Low levels of physical activity and calorie-dense diets have led to an increase in the prevalence of chronic disease, most prominently diabetes. After having successfully controlled communicable diseases and made advanced acute care accessible locally, the GCC countries now face the challenge of orienting their health care systems toward prevention and treatment of chronic diseases. In this study, Dr. Mattke and his colleagues argue that this challenge presents GCC countries with a historic opportunity to reestablish the thought leadership role that Arab medicine had in the Islamic Golden Age. They propose that GCC countries could apply their considerable wealth to design and implement innovative health care systems based on population health management principles and sophisticated health information technology. Taking this path would not only improve prevention and management of chronic disease in the GCC countries but also contribute to the diversification of their economies and localization of knowledge industries.

  18. SESAME, A 3rd Generation Synchrotron Light Source for the Middle East

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Einfeld, D.; Hasnain, S.S.; Sayers, Z.

    2004-05-12

    Developed under the auspices of UNESCO, SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) will be a major international research centre in the Middle East and Mediterranean region. On 6th of January 2003, the official foundation of SESAME took place. The facility is located in Allan, Jordan, 30 km North-West of Amman. As of August 2003 the Founding Members are Bahrain, Egypt, Iran, Israel, Jordan, Pakistan, Palestine, Turkey and United Arabic Emirates, representing a population of over 300 million. SESAME will be a 2.5 GeV 3rd Generation light source (emittance 24.6 nm.rad, circumference {approx}125m). About 40% ofmore » the circumference is available for insertion devices (average length 2.75m) in 13 straight sections. Beam lines are up to 36m. The site and a building are provided by Jordan. Construction started in August 2003. The scientific program will start with up to 6 beam lines: MAD Protein Crystallography, SAXS and WAXS for polymers and proteins, Powder Diffraction for material science, UV/VUV/SXR Photoelectron Spectroscopy and Photoabsorption Spectroscopy, IR Spectroscopy, and EXAFS.« less

  19. A scientometric study of general internal medicine domain among muslim countries of middle East (1991 - 2011).

    PubMed

    Hodhodinezhad, Niloofar; Zahedi, Razieh; Ashrafi-rizzi, Hassan; Shams, Asadollah

    2013-03-01

    The position of General Internal Medicine in the Islamic countries in the Middle East has been investigated in the present study. The scientific productions of the countries in the area on Web of science database during 1990-2011 constitute were examined. The result of the survey showed that the share of these countries in world scientific productions is very low. Turkey, Saudi Arabia and Iran are the first to third ones in this domain in order. In view of annual growth rate, Kuwait having high growth rate, is the first one. Libya and Syria are the next ones. The scientific poverty line of Islamic countries in the area was surveyed. The result showed that in view of the scientific poverty line, the highest is Kuwait with the population of 0.04 percent of the world. Next to it, Saudi Arabia and Bahrain are the second and third ones. The results of this research showed that the share of Islamic countries in the Middle East in scientific production of this medicine domain is very low. It needs to be paid more attention by the countries in the area.

  20. Offshore springs and seeps are focus of working group

    NASA Astrophysics Data System (ADS)

    Burnett, Bill

    People have been curious about offshore springs and seeps since at least the days of the Romans. In spite of many centuries of both casual and serious observations, there has been relatively little scientific study concerning the magnitude and effects of groundwater flow into the sea. Rather, studies were performed mostly to address water resource issues. Investigations over the past decade or so have now shown that groundwater discharge, at least in some cases, may be important for geochemical budgets and ecological effects.The Scientific Committee on Oceanic Research (SCOR) and the Land-Ocean Interactions in the Coastal Zone (LOICZ) Project of the International Geosphere-Biosphere Program have recently established a working group of experts to examine questions relating specifically to groundwater discharge in the coastal zone. Direct groundwater flow into the ocean is known to occur as springs and seeps in near-shore areas in many parts of the world. Submarine springs, for example, are well known off both coasts of Florida; Mexico's Yucatan Peninsula; in several areas around the Pacific rim including Chile, Hawaii, Guam, American Samoa, and Australia; in the Persian Gulf near Bahrain; in the Mediterranean Sea off Spain, France, Italy, Greece, Syria, Lebanon, Israel, and Libya; and in many other locations.

  1. SESAME -- A light source for the Middle East

    NASA Astrophysics Data System (ADS)

    Winick, Herman

    2012-02-01

    Developed under UNESCO and modelled on CERN, SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) is an international research centre in construction in Jordan, enabling world-class research while promoting peace through scientific cooperation. Its centerpiece, a new 2.5 GeV 3rd Generation Electron Storage Ring (133m circumference, 26nm-rad emittance, 12 places for insertion devices), will provide intense light from infra-red to hard X-rays. The Council (Bahrain, Cyprus, Egypt, Iran, Israel, Jordan, Pakistan, Palestinian Authority, Turkey), provides the annual budget. Concrete shielding is complete, and a staff of 21 is installing the refurbished 0.8 GeV BESS Y I injector system, a gift from Germany. The facility can serve 25 simultaneous experiments. Beamline equipment has been provided by Daresbury (UK), the Helmholtz Assoc. (Germany), the Swiss Light Source, LURE (France), the Univ. of Liverpool, Elettra (Italy) and US labs. Jordan has contributed 3.3M, in addition to a building and land. The EU has contributed 4.8M. Commitments confirmed by Members look set to provide most of 35M needed to complete construction of the ring and 3 beamlines. A training program has been underway since 2000. See www.sesame.org.jo

  2. SESAME -- A third generation synchrotron light source for the Middle East

    NASA Astrophysics Data System (ADS)

    Winick, Herman

    2012-03-01

    Developed under the auspices of UNESCO and modeled on CERN, SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) is an international research centre in construction in Jordan, enabling world-class research while promoting peace through scientific cooperation. Its centerpiece, a new 2.5 GeV 3rd Generation Electron Storage Ring (133m circumference, 26nm-rad emittance, 12 places for insertion devices), will provide intense light from infra-red to hard X-rays. Members of the Council (Bahrain, Cyprus, Egypt, Iran, Israel, Jordan, Pakistan, Palestinian Authority,Turkey) provide the operations budget. Voluntary contributions by several Council Members that could amount to over 20 million over 5 years are now being finalized. This, plus funds from other sources, will enable acquisition of the technical components of the new ring and the upgrading of beamline equipment donated by several European and US labs. All concrete shielding is complete. The 0.8 GeV BESSY I injector system, a gift from Germany, is now being installed. A training program has been underway since 2000. SESAME is on track to start operation with four day-one beam lines in 2015.

  3. Hypertensive crisis. Clinical presentation, comorbidities, and target organ involvement.

    PubMed

    Al-Bannay, Rashed; Husain, Aysha A

    2010-08-01

    To evaluate the clinical presentation and comorbidities of hypertensive crisis in our own population. In this cohort based study, we investigate the clinical presentation and comorbidities of hypertensive crisis by evaluating the data collected between January and April 2009. We included 154 patients admitted with systolic and diastolic blood pressure of >179 mm Hg and >119 mm Hg (based on the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure criteria) in the Department of Internal Medicine, Salmaniya Medical Complex, Kingdom of Bahrain. In the study population, 64.3% had hypertensive urgency (blood pressure elevation without end organ damage) and 35.7% had hypertensive emergency (blood pressure elevation with end organ damage). The mean age group was 45-65 years (56% of the study population) and more men were affected than women (100:54). Shortness of breath and neurological deficits had a strong statistical association with hypertensive emergency, and headache and blurring of vision had the same tendency toward hypertensive urgency. Diabetes mellitus was an independent risk factor for hypertensive crisis. Most of the studied patients were known hypertensive. Diabetes mellitus is powerful predictor for hypertensive crisis. Dyspnea and neurological deficits have significant statistical correlation with hypertensive emergencies.

  4. Prevalence of overweight and obesity among children aged 2-5 years in Bahrain: a comparison between two reference standards.

    PubMed

    Al-Raees, Ghada Y; Al-Amer, Maryam A; Musaiger, Abdulrahman O; D'Souza, Reshma

    2009-01-01

    A cross-sectional study was carried out on Bahraini preschoolers aged 2-5 years (354 males and 344 females) to determine the prevalence of overweight and obesity using the World Health Organization and the International Obesity Task Force cut-off values. Weight and height were recorded and body mass index (BMI) was calculated to determine the proportion of overweight and obesity. Using the World Health Organization percentile cut-off values, overweight (12.3%) and obesity (8.4%) was higher in females between 2 and <4 years of age whereas, the proportion of both overweight (8.4%) and obesity (7.2%) were higher in males between 4 and <6 years of age. Relative to the International Obesity Task Force indicators, the World Health Organization cut-off values produced nearly a 2-fold increase in both overweight and obesity at most ages. It is therefore important to ensure that the same cut-off reference values are used to define overweight and obesity particularly in preschoolers. Shifting to the new World Health Organization child growth standards may have important implications for child health programmes.

  5. Tackling cancer control in the Gulf Cooperation Council Countries.

    PubMed

    Al-Othman, Saleh; Haoudi, Abdelali; Alhomoud, Samar; Alkhenizan, Abdullah; Khoja, Tawfik; Al-Zahrani, Ali

    2015-05-01

    Cancer is a major health problem in both high income and middle-to-low income countries, and is the second leading cause of death in the world. Although more than a third of cancer could be prevented and another third could be cured if diagnosed early, it remains a huge challenge to health-care systems worldwide. Despite substantial improvements in health services some of the countries in the Gulf region, the burden of non-communicable diseases is a major threat, primarily due to the rapid socioeconomic shifts that have led to unfavourable changes in lifestyle such as increased tobacco use, decreased physical activity, and consumption of unhealthy food. In the Gulf Cooperation Council states (United Arab Emirates, Bahrain, Saudi Arabia, Oman, Qatar, and Kuwait), advanced breast cancer, colorectal cancer, leukaemia, thyroid cancer, and non-Hodgkin lymphomas are the most common cancers affecting younger populations compared with other countries. By contrast with cancer prevalence in developed countries, prostate, lung, and cervical cancers are not among the most common cancers in the Gulf region. In view of the increased cost of cancer management worldwide, integrated approaches between primary, secondary, and tertiary health-care systems with special focus on prevention and early detection is an essential step in the countries' efforts in the fight against cancer. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Gulf Cooperation Council-dialysis outcomes and practice patterns study: An overview of anemia management trends at the regional and country specific levels in the Gulf Cooperation Council countries.

    PubMed

    Abouchacra, Samra; Obaidli, Ali; Al-Ghamdi, Saeed M G; Al Wakeel, Jamal; Al Salmi, Issa; Al Ghareeb, Sumaya; Al Azmi, Mohammad; Elsayed, Mohammed; Bieber, Brian A; Pisoni, Ronald L

    2016-11-01

    The Gulf Cooperation Council-Dialysis Outcomes and Practice Patterns Study (GCC-DOPPS) marks the joining of the six Gulf region countries including Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates to the main DOPPS study in 2012. The current review is a descriptive reporting on results related to the management of anemia from these countries. Our data demonstrate consistent anemia management patterns across the GCC countries allowing the achievement of international treatment levels. Overall, the majority of hemodialysis patients were prescribed appropriate erythropoiesis-stimulating agents (ESAs) and supplemental iron, enabling the attainment of mean hemoglobin (Hb) level of 10.9 g/dL. Comparisons of the individual country profiles reveal individual differences in the choice and mode of ESA and iron administration. However, all countries displayed good compliance with guideline recommendations. The same challenges as elsewhere are faced in the GCC, with respect to optimizing Hb levels and judiciously using ESA and iron supplements. Some opportunities exist for focused efforts to fine tune inter-facility variability in anemia management based on continued data tracking. The latter is vital in enabling adopting new trends to further improve not only anemia management but also the wholesome care of dialysis patients.

  7. Hepatitis B epidemiology in Asia, the Middle East and Africa.

    PubMed

    André, F

    2000-02-18

    Asia and Africa have previously been classified as areas of high endemicity for hepatitis B virus (HBV), but in some countries highly effective vaccination programmes have shifted this pattern towards intermediate or low endemicity. Thus, China is now the only country in Asia where HBV endemicity is high. Countries with intermediate endemicity include India, Korea, the Philippines, Taiwan and Thailand, and those with low endemicity include Japan, Pakistan, Bangladesh, Singapore, Sri Lanka and Malaysia. Most countries in Africa have high HBV endemicity, with the exceptions of Tunisia and Morocco, which have intermediate endemicity. Zambia has borderline intermediate/high endemicity. In the Middle East, Bahrain, Iran, Israel and Kuwait are areas of low endemicity, Cyprus, Iraq and the United Arab Emirates have intermediate endemicity, and Egypt, Jordan, Oman, Palestine, Yemen and Saudi Arabia have high endemicity. All of these Middle East countries reach a large proportion of their population with hepatitis B vaccination, which is reducing the infection rate, particularly in Saudi Arabia. The vaccination programme in Taiwan has also greatly reduced the HBV infection rate. Future vaccination programmes must take into account the mode of transmission of HBV, the healthcare infrastructure to deliver vaccination, and the socioeconomic and political factors in each individual country, to determine the most cost-effective way of infection control.

  8. Tear gas: an epidemiological and mechanistic reassessment

    PubMed Central

    Rothenberg, Craig; Achanta, Satyanarayana; Svendsen, Erik R.

    2016-01-01

    Deployments of tear gas and pepper spray have rapidly increased worldwide. Large amounts of tear gas have been used in densely populated cities, including Cairo, Istanbul, Rio de Janeiro, Manama (Bahrain), and Hong Kong. In the United States, tear gas was used extensively during recent riots in Ferguson, Missouri. Whereas tear gas deployment systems have rapidly improved—with aerial drone systems tested and requested by law enforcement—epidemiological and mechanistic research have lagged behind and have received little attention. Case studies and recent epidemiological studies revealed that tear gas agents can cause lung, cutaneous, and ocular injuries, with individuals affected by chronic morbidities at high risk for complications. Mechanistic studies identified the ion channels TRPV1 and TRPA1 as targets of capsaicin in pepper spray, and of the tear gas agents chloroacetophenone, CS, and CR. TRPV1 and TRPA1 localize to pain‐sensing peripheral sensory neurons and have been linked to acute and chronic pain, cough, asthma, lung injury, dermatitis, itch, and neurodegeneration. In animal models, transient receptor potential inhibitors show promising effects as potential countermeasures against tear gas injuries. On the basis of the available data, a reassessment of the health risks of tear gas exposures in the civilian population is advised, and development of new countermeasures is proposed. PMID:27391380

  9. Undergraduate medical research in the Gulf Cooperation Council (GCC) countries: a descriptive study of the students' perspective.

    PubMed

    Sayedalamin, Zaid; Halawa, Taher Fawzy; Baig, Mukhtiar; Almutairi, Osama; Allam, Hassan; Jameel, Tahir; Gazzaz, Zohair Jamil; Atta, Hazem

    2018-05-08

    There is a lack of research-oriented physicians in several Arab countries and especially in Gulf region countries. In this context, it is important to explore medical students' perceptions and motivations towards research. The aim of the present study was to investigate research attitude, practices, and motivations among medical students from GCC countries. There were 228 students who participated in this study (male 88, females 140). Thirty-eight percent of the students were participating from Saudi Arabia, 20.6% from the UAE, 17.1% from Oman, 12.7% from Kuwait and 11.4% from Bahrain. Among participants, 43.0% had experience of funded research, and 53.1% had a contribution to research. The confidence of participants in their ability to interpret and to write a research paper was quite high (70.2%). The majority of the students (87.3%) believed that undergraduate students could conduct research and can present at conferences. Improving research skills, attaining research publication, and improvement in patient care were claimed as the top three motives for conducting research. The majority (75.0%) were compelled to research to facilitate their acceptance to a residency program and 63.6% due to compulsion for a research methodology course.

  10. Evaluation of clinical pharmacy services offered for palliative care patients in Qatar.

    PubMed

    Wilby, Kyle John; Mohamad, Alaa Adil; AlYafei, Sumaya AlSaadi

    2014-09-01

    Palliative care is an emerging concept in the countries of the Gulf Cooperation Council, a political and economic union of Arab states bordering the Persian Gulf, namely Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. Clinical pharmacy services have not yet been evaluated in this region. The objectives of this study were to create a baseline inventory of clinical pharmacy interventions in palliative care and to assess the perceived importance of interventions made. This was a prospective, single-center characterization study. Interventions were documented from September 30 to December 1, 2013. They were characterized into predetermined categories and analyzed using descriptive statistics. Physician acceptance rate and intervention rate per patient were calculated. Classification categories were sent to 10 practicing pharmacists in each of Qatar and Canada, who ranked the categories on the basis of perceived importance. A total of 96 interventions were documented, giving 3 interventions per patient and an acceptance rate of 81%. Discontinuing therapy (29%), initiating therapy (25%), and provision of education/counseling (13.5%) were most common. No differences were found between rankings from pharmacists in Qatar or Canada. Clinical pharmacy interventions are frequent, and those relating to alterations in drug therapy are most common. Interventions align with the perceived importance from pharmacists in both Qatar and Canada.

  11. United Arab Emirates (UAE): regional and global dimensions

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Al-Nabeh, N.A.

    1984-01-01

    The study traces the background and development of the United Arab Emirates as a federal entity in an essentially tribal culture. It also identifies and discusses the political dynamics that form the vital region in which the Union has emerged, the function played by major regional individuals in this emergence, and the importance of this part of the Middle East in the conception of foreign policy makers of the super powers. The issues of the regional economic policies resulted in formation of the Gulf Cooperation Council (GCC) in 1981 among six Arab Gulf countries: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia,more » and the United Arab Emirates. Formation of the GCC was an essential step toward the comprehensive economic development of the region. One of the conclusions is that the attainment of socio-economic and political development is not a necessary condition for the emergence of a federal structure among highly authoritarian and formalistic political systems. The emergence of the UAE took place mainly as a consequence of the conception by pertinent political elites of the inability of the emirates to individually assume the responsibilities of statehood in a highly complicated world, and in light of the poor material and human resources each commanded after over a century of dependence on a foreign power.« less

  12. The current status of medical education in the Gulf Cooperation Council countries.

    PubMed

    Khalid, Bin Abdulrahman A

    2008-01-01

    In the last two decades, the curriculum in medical education has changed so as to maintain its efficiency and effectiveness. Considerable changes are underway in many medical colleges worldwide. This study assessed the current status of the undergraduate curricula in the medical colleges of the Gulf Cooperative Council (GCC) countries, in relation to the SPICES (student-centered, problem-based, integrated, community-based, elective and systematic) model. A structured open-ended data form was used in the collection of information from the appropriate authorities in 30 medical colleges of the GCC countries (Saudi Arabia, Oman, Kuwait, Qatar, Bahrain, United Arab Emirates and Yemen) in the year 2005. Of 30 medical colleges, 13 (43.3%) were located in Saudi Arabia. The annual intake of students in the year 2005 in these 30 colleges was 3225, of which 64.15% were males. Twelve colleges (40%) followed the traditional curriculum, while the remaining (60%) followed a hybrid problem-based learning (PBL) curricula. Most of the colleges were moving towards the more desirable aspects of the SPICES model. The majority of the traditional colleges were planning to change their curricula to hybrid PBL curricula. Almost all new medical colleges were adopting the hybrid PBL curricula. Despite the diversity in the curricula followed in medical colleges in GCC countries, most of these colleges either are following or are moving towards the new trends in medical education curricula.

  13. The Potential Role of Social Media Platforms in Community Awareness of Antibiotic Use in the Gulf Cooperation Council States: Luxury or Necessity?

    PubMed

    Zowawi, Hosam Mamoon; Abedalthagafi, Malak; Mar, Florie A; Almalki, Turki; Kutbi, Abdullah H; Harris-Brown, Tiffany; Harbarth, Stephan; Balkhy, Hanan H; Paterson, David L; Hasanain, Rihab Abdalazez

    2015-10-15

    The increasing emergence and spread of antimicrobial resistance (AMR) is a serious public health issue. Increasing the awareness of the general public about appropriate antibiotic use is a key factor for combating this issue. Several public media campaigns worldwide have been launched; however, such campaigns can be costly and the outcomes are variable and difficult to assess. Social media platforms, including Twitter, Facebook, and YouTube, are now frequently utilized to address health-related issues. In many geographical locations, such as the countries of the Gulf Cooperation Council (GCC) States (Saudi Arabia, United Arab Emirates, Kuwait, Oman, Qatar, and Bahrain), these platforms are becoming increasingly popular. The socioeconomic status of the GCC states and their reliable communication and networking infrastructure has allowed the penetration and scalability of these platforms in the region. This might explain why the Saudi Ministry of Health is using social media platforms alongside various other media platforms in a large-scale public awareness campaign to educate at-risk communities about the recently emerged Middle East respiratory syndrome coronavirus (MERS-CoV). This paper discusses the potential for using social media tools as cost-efficient and mass education platforms to raise awareness of appropriate antibiotic use in the general public and in the medical communities of the Arabian Peninsula.

  14. Lecturing skills as predictors of tutoring skills in a problem-based medical curriculum.

    PubMed

    Kassab, Salah Eldin; Hassan, Nahla; Abu-Hijleh, Marwan F; Sequeira, Reginald P

    2016-01-01

    Recruitment of tutors to work in problem-based learning (PBL) programs is challenging, especially in that most of them are graduated from discipline-based programs. Therefore, this study aims at examining whether lecturing skills of faculty could predict their PBL tutoring skills. This study included evaluation of faculty (n=69) who participated in both tutoring and lecturing within particular PBL units at the College of Medicine and Medical Sciences (CMMS), Arabian Gulf University, Bahrain. Each faculty was evaluated by medical students (n=45±8 for lecturing and 8±2 for PBL tutoring) using structured evaluation forms based on a Likert-type scale (poor to excellent). The prediction of tutoring skills using lecturing skills was statistically analyzed using stepwise linear regression. Among the parameters used to judge lecturing skills, the most important predictor for tutoring skills was subject matter mastery in the lecture by explaining difficult concepts and responding effectively to students' questions. Subject matter mastery in the lecture positively predicted five tutoring skills and accounted for 25% of the variance in overall effectiveness of the PBL tutors (F=22.39, P=0.000). Other important predictors for tutoring skills were providing a relaxed class atmosphere and effective use of audiovisual aids in the lecture. Predicting the tutoring skills based on lecturing skills could have implications for recruiting tutors in PBL medical programs and for tutor training initiatives.

  15. Gulf Cooperation Council: Arabia's model of integration

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Etaibi, G.T.

    1984-01-01

    This study is an analysis of the foundations and emergence in 1981 of the Gulf Cooperation Council (GCC), which consists of six traditional Arab Gulf states (the United Arab Emirates, Bahrain, Saudi Arabia, Oman, Qatar, and Kuwait). It finds the GCC to be a unique case among twentieth-century integrative schemes. The study also identifies and analyzes relevant local, regional, and international forces. Among the local forces are traditional religio-political systems, economic dependence on a depletable resource, and the presence of a large number of foreign residents. On the regional level, this study takes into consideration such issues as the Arabmore » League, Arab Nationalism, and the Islamic revolutionary movement in Iran. On the international level, the influence of the superpowers and the major industrialized nations on the emergence and future of the GCC Community are analyzed. Throughout the past decade there has been a growing scholarly interest in the Gulf region. In preparation for this study, the author relied heavily on the literature generated by this new research, as well as on documents and official publications, mostly in Arabic. A survey was conducted among a limited number of GCC graduate students during the summer of 1983. In addition, interviews with selected members of the GCC Secretariat-General and various member-state officials were conducted during a research trip in the region in the spring of 1984.« less

  16. Trends in Middle East climate extreme indices from 1950 to 2003

    NASA Astrophysics Data System (ADS)

    Zhang, Xuebin; Aguilar, Enric; Sensoy, Serhat; Melkonyan, Hamlet; Tagiyeva, Umayra; Ahmed, Nader; Kutaladze, Nato; Rahimzadeh, Fatemeh; Taghipour, Afsaneh; Hantosh, T. H.; Albert, Pinhas; Semawi, Mohammed; Karam Ali, Mohammad; Said Al-Shabibi, Mansoor Halal; Al-Oulan, Zaid; Zatari, Taha; Al Dean Khelet, Imad; Hamoud, Saleh; Sagir, Ramazan; Demircan, Mesut; Eken, Mehmet; Adiguzel, Mustafa; Alexander, Lisa; Peterson, Thomas C.; Wallis, Trevor

    2005-11-01

    A climate change workshop for the Middle East brought together scientists and data for the region to produce the first area-wide analysis of climate extremes for the region. This paper reports trends in extreme precipitation and temperature indices that were computed during the workshop and additional indices data that became available after the workshop. Trends in these indices were examined for 1950-2003 at 52 stations covering 15 countries, including Armenia, Azerbaijan, Bahrain, Cyprus, Georgia, Iran, Iraq, Israel, Jordan, Kuwait, Oman, Qatar, Saudi Arabia, Syria, and Turkey. Results indicate that there have been statistically significant, spatially coherent trends in temperature indices that are related to temperature increases in the region. Significant, increasing trends have been found in the annual maximum of daily maximum and minimum temperature, the annual minimum of daily maximum and minimum temperature, the number of summer nights, and the number of days where daily temperature has exceeded its 90th percentile. Significant negative trends have been found in the number of days when daily temperature is below its 10th percentile and daily temperature range. Trends in precipitation indices, including the number of days with precipitation, the average precipitation intensity, and maximum daily precipitation events, are weak in general and do not show spatial coherence. The workshop attendees have generously made the indices data available for the international research community.

  17. Prevalence of hepatitis C virus infection among hemodialysis patients in the Middle-East: A systematic review and meta-analysis.

    PubMed

    Ashkani-Esfahani, Soheil; Alavian, Seyed Moayed; Salehi-Marzijarani, Mohammad

    2017-01-07

    To determine hepatitis C virus (HCV) infection prevalence in each country of the Middle-East and the overall prevalence of the region. In this systematic review, we gathered all documents related to HCV infection prevalence among hemodialysis patients in 17 middle-east countries from April 2006 to March 2016. We selected only cross-sectional studies that had proper sampling and measurement methods as well as a valid statistical analysis. After screening of 7311 documents, 56 studies were selected reporting the prevalence of HCV infection among hemodialysis patients from 10 countries of the region. Seven countries including United Arab Emirates, Afghanistan, Qatar, Bahrain, Kuwait, Oman, Israel, and Cyprus did not have any relevant document; thus, their latest reports were just mentioned. We performed the meta-analysis and determined the prevalence rates for each country as well as the whole region. The overall HCV infection prevalence among hemodialysis patients in the region was reported to be 25.3%; Egypt and Syria had the highest reported rates while Iran and Lebanon had the lowest. Further investigations are still needed to provide more reliable databases, find main risk factors, and to improve diagnosis and treatment plans, particularly in higher prevalent countries. Controlling the prevalence and improving the management methods of HCV infection among hemodialysis patients are of a great concern in the Middle-East region.

  18. [Imbalance of distribution of physicians in the Arab world].

    PubMed

    el Matri, A

    1990-01-01

    The Arab world, as a whole, now has 8.5 medical doctors per 10,000 population. This average covers a great diversity of national situations; for example 0.6 doctors per 10,000 population in Somalia, and 17.5 doctors per 10,000 population in Qatar. From the viewpoint of medical staffing, the Arab countries can be grouped into four categories: (i) Countries with low medical density: their national staff is scarce, they do not have a long academic tradition, and they have to rely on foreign physicians (Yemen, Djibouti, Somalia, Mauritania). (ii) Countries with acceptable medical density: they have strengthened their medical training system during the last decades, their production of medical graduates is now fairly high, and there is seemingly a threat of oversupply (Algeria, Tunisia, Syria, Iraq). (iii) Countries with relatively high medical density: their medical staffing is below that of developed countries, but their economic possibilities are reduced, which leads to an oversupply; these countries are exporters of medical manpower (Egypt, Jordan). (iv) Countries that import medical manpower although their own medical density is quite high: their medical training is recent or non-existent and their health system relies to a great extent on foreign doctors (Saudi Arabia, Bahrain, Qatar, United Arab Emirates, Libya, Kuwait). They are all oil producers. In brief, a shortage and an oversupply of medical doctors coexist in the Arab world, and concerted action is required.

  19. Policy-Relevant Context of Waterpipe Tobacco Smoking among University Students in Six Countries Across the Eastern Mediterranean Region: A Qualitative Study

    PubMed Central

    Salloum, Ramzi G; Abu-Rmeileh, Niveen; Hamadeh, Randah; Thomas, Justin; Mostafa, Aya; Yusufali, Afzalhussein; Kheirallah, Khalid A; Macauda, Mark M; Theis, Ryan P; Kadi, Lama El; Johnson, Evan J; Darawad, Muhammad W; Nakkash, Rima

    2017-01-01

    Background: Waterpipe tobacco smoking rates in the Eastern Mediterranean region are some of the highest worldwide, especially among young people. This study aimed to improve our knowledge of the policy-relevant context of waterpipe smoking among six countries in the Eastern Mediterranean region. Methods: In-depth interviews were conducted in Bahrain, Egypt, Jordan, Lebanon, Palestine, and the United Arab Emirates. Participants were young adult university students (18-29 years) from both genders who had ever smoked the waterpipe, recruited from universities participating in this study. Directed content analysis was used to analyze the transcripts. Results: A total of 53 in-depth interviews were conducted in Arabic in 2016. Findings were organized around 5 themes: waterpipe product characteristics; patterns of waterpipe smoking; the waterpipe café setting; perceived health consequences; and health warning labels. Waterpipe smoking was commonly perceived as a safe alternative to cigarettes. Waterpipe tobacco was reported to be widely accessible and affordable to young participants. There is a lack of knowledge among waterpipe smokers about the associated health effects. Warning labels are effective at communicating health risks associated with waterpipe smoking. Conclusions: Regulatory frameworks for waterpipe tobacco smoking should be developed and enforced, including waterpipe-specific health warning labels that elucidate the harmful effects of waterpipe smoking. PMID:28952296

  20. The Potential Role of Social Media Platforms in Community Awareness of Antibiotic Use in the Gulf Cooperation Council States: Luxury or Necessity?

    PubMed Central

    Zowawi, Hosam Mamoon; Abedalthagafi, Malak; Mar, Florie A; Almalki, Turki; Kutbi, Abdullah H; Harris-Brown, Tiffany; Harbarth, Stephan; Balkhy, Hanan H; Paterson, David L

    2015-01-01

    The increasing emergence and spread of antimicrobial resistance (AMR) is a serious public health issue. Increasing the awareness of the general public about appropriate antibiotic use is a key factor for combating this issue. Several public media campaigns worldwide have been launched; however, such campaigns can be costly and the outcomes are variable and difficult to assess. Social media platforms, including Twitter, Facebook, and YouTube, are now frequently utilized to address health-related issues. In many geographical locations, such as the countries of the Gulf Cooperation Council (GCC) States (Saudi Arabia, United Arab Emirates, Kuwait, Oman, Qatar, and Bahrain), these platforms are becoming increasingly popular. The socioeconomic status of the GCC states and their reliable communication and networking infrastructure has allowed the penetration and scalability of these platforms in the region. This might explain why the Saudi Ministry of Health is using social media platforms alongside various other media platforms in a large-scale public awareness campaign to educate at-risk communities about the recently emerged Middle East respiratory syndrome coronavirus (MERS-CoV). This paper discusses the potential for using social media tools as cost-efficient and mass education platforms to raise awareness of appropriate antibiotic use in the general public and in the medical communities of the Arabian Peninsula. PMID:26471079

  1. Prevalence of hepatitis C virus infection among hemodialysis patients in the Middle-East: A systematic review and meta-analysis

    PubMed Central

    Ashkani-Esfahani, Soheil; Alavian, Seyed Moayed; Salehi-Marzijarani, Mohammad

    2017-01-01

    AIM To determine hepatitis C virus (HCV) infection prevalence in each country of the Middle-East and the overall prevalence of the region. METHODS In this systematic review, we gathered all documents related to HCV infection prevalence among hemodialysis patients in 17 middle-east countries from April 2006 to March 2016. We selected only cross-sectional studies that had proper sampling and measurement methods as well as a valid statistical analysis. RESULTS After screening of 7311 documents, 56 studies were selected reporting the prevalence of HCV infection among hemodialysis patients from 10 countries of the region. Seven countries including United Arab Emirates, Afghanistan, Qatar, Bahrain, Kuwait, Oman, Israel, and Cyprus did not have any relevant document; thus, their latest reports were just mentioned. We performed the meta-analysis and determined the prevalence rates for each country as well as the whole region. The overall HCV infection prevalence among hemodialysis patients in the region was reported to be 25.3%; Egypt and Syria had the highest reported rates while Iran and Lebanon had the lowest. Further investigations are still needed to provide more reliable databases, find main risk factors, and to improve diagnosis and treatment plans, particularly in higher prevalent countries. CONCLUSION Controlling the prevalence and improving the management methods of HCV infection among hemodialysis patients are of a great concern in the Middle-East region. PMID:28104991

  2. SESAME-A 3rd Generation Synchrotron Light Source for the Middle East

    NASA Astrophysics Data System (ADS)

    Winick, Herman

    2010-02-01

    Developed under the auspices of UNESCO and modeled on CERN, SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) is an international research center in construction in Jordan. It will enable world class research by scientists from the region, reversing the brain drain. It will also build bridges between diverse societies, contributing to a culture of peace through international cooperation in science. The centerpiece is a synchrotron light source originating from BESSY I, a gift by Germany. The upgraded machine, a 2.5 GeV 3rd Generation Light Source (133m circumference, 26nm-rad emittance and 12 places for insertion devices), will provide light from infra-red to hard X-rays, offering excellent opportunities to train local scientists and attract those working abroad to return. The SESAME Council meets twice each year and presently has nine Members (Bahrain, Cyprus, Egypt, Iran, Israel, Jordan, Pakistan, Palestinian Authority, Turkey). Members have responsibility for the project and provide the annual operations budget (1.5M US dollars in 2009, expected to rise to about 5M when operation starts in 2012-13). Jordan provided the site, building, and infrastructure. A staff of 20 is installing the 0.8 GeV BESSY I injection system. The facility will have the capacity to serve 30 or more experiments operating simultaneously. See www.sesame.org.jo )

  3. Concorde Re-visited

    NASA Astrophysics Data System (ADS)

    Horton, Peter; Moore, Peter

    This year marks the twentieth anniversary of the introduction of Concorde into commercial airline service. The first commercial flights were on 21 January 1976 - British Airways from Heathrow to Bahrain and Air France from Paris to Rio via Dakar. Later in that year commercial flights to Washington/Dulles began on 24 May. Services to New York were delayed until 22 November 1977. The first flight of Concorde was some seven years earlier. The prototype took off out of Toulouse on 2 March 1969 and this was followed by 002 from Filton to Fairford on 9 April. At the time it was anticipated that this was the beginning of an era when supersonic flight would be the normal way to travel long distances. Now, in 1996, Concorde is still the world's only supersonic commercial passenger airliner in airline service. This is an extraordinary achievement. The Boeing SST proved to be too ambitious and the programme was halted in 1971 after the United States Government withdrew support, while the Russian TU 144 was beset with problems. One TU 144 crashed at the Paris Air Show in 1973. The aircraft entered internal airline service in December 1975, flying supersonically between Moscow and Alma-Ata, capital of Kazakhstan, carrying mail and freight, but it did not have the range to operate viable intercontinental passenger serives. Certainly by 1985, if not many years before, the TU 144 was out of service.

  4. Leadership competencies in the context of health services.

    PubMed

    Jahrami, Haitham; Marnoch, Gordon; Gray, Ann Marie

    2008-05-01

    In a rapidly changing health-care environment, clinicians are increasingly called upon to assume complex leadership responsibilities. The research was undertaken to develop an understanding of the limits to the conceptual and methodological basis of leadership competency modelling in health services context. Data were collected from all of the clinicians in a Psychiatric Hospital, Bahrain using a researcher-developed questionnaire. Data were gathered to critically assess the validity of the competency-based approach to leadership on the basis of subjects' capacity to discriminate in terms of importance and accomplishment between the items featured in a research tool containing a comprehensive list of 124 leadership competencies. The results of the analyses indicate a weak identification with the competencies in the sense of revealing low levels of discriminatory sophistication on the part of subjects. The study design was limited to participants working in single hospital; therefore, the conclusions made cannot yet be regarded categorically as generalizable. Leadership selection, development and education activities may not achieve their ultimate outcomes due to the subject identification problem associated with the competence approach. It might be necessary to reconsider the efficiency of human resource activities that rely solely on the competency approach. The conceptual basis of leadership competence in health services has been previously neglected. This research casts doubt on competency approaches to leadership if based on subject identification with pre-defined items.

  5. Applicability of the theory of customs unions to the case of the cooperation council for the Arab States of the Gulf (The GCC)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    As-Sudais, A.A.S.

    1985-01-01

    In 1981, six Arab Gulf states formed the Gulf Cooperation Council (GCC). These states are Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates (UAE). One of the main stated objectives of the GCC is regional economic integration. This objective was expressed in the GCC Unified Economic Agreement which called for gradual creation of the GCC common market and cooperation and coordination in all economic fields at all levels. The GCC has chosen to approach economic integration in a gradual manner. The first step taken was the formation of a customs union. This study investigates the applicability ofmore » the theory of customs unions to this particular group at this time. The economies of the GCC members exhibit similar characteristics such as reliance on the export of a single nonrenewable commodity (oil), similar large-scale industrial projects (mainly petrochemicals), lack of complementarity of economic resource endowment, and little diversity in industrial production. The main conclusion of the study is that the possible gains suggested by the theory of customs unions are not expected to be realized to a significant extent as a result of forming the GCC customs union. Trade effects (if any) will be negligible due to various factors including low-pre-union tariff levels.« less

  6. Mashreq Arab interconnected power system potential for economic energy trading

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Al-Shehri, A.M.; El-Amin, I.M.; Opoku, G.

    1994-12-01

    The Mashreq Arab countries covered in this study are Bahrain, Egypt, Jordan, Lebanon, Oman, Qatar, Saudi Arabia, Syria, the United Arab Emirates, and Yemen. A feasibility study for the interconnection of the electrical networks of the Mashreq Arab countries, sponsored by the Arab Fund, was completed in June 1992. Each country is served by one utility except Saudi Arabia, which is served by four major utilities and some smaller utilities serving remote towns and small load centers. The major utilities are the Saudi consolidated electric Company in the Eastern Province (SCECO East), SCECO Center, SCECO West, and SCECO South. Thesemore » are the ones considered in this study. The Mashreq Arab region has a considerable mix of energy resources. Egypt and Syria have some limited amounts of hydropower resources, and the Arabian Gulf region is abundant in fossil fuel reserves. Owing to the differences in energy production costs, a potential exists for substantial energy trading between electric utilities in the region. The major objective of this project is to study the feasibility of electric energy trading between the Mashreq Arab countries. The basis, assumptions, and methodologies on which this energy trading study is based relate to the results and conclusions arising out of the previous study, power plant characteristics and costs, assumptions on economic parameters, rules for economy energy exchange, etc. This paper presents the basis, methodology, and major findings of the study.« less

  7. Hemodialysis delivery, dialysis dose achievement, and vascular access types in hemodialysis patients from the Gulf Cooperation Council countries enrolled in the dialysis outcomes and practice patterns study phase 5 (2012-2015).

    PubMed

    AlYousef, Anas; AlGhareeb, Sumaya; Al Wakeel, Jamal; Al-Ghamdi, Saeed M G; Bieber, Brian A; Hassan, Mohamad; Al Maimani, Yacoub; Alkandari, Naser; Ahmed, Haroun Z; Fawzy, Ashraf; Pisoni, Ronald L

    2016-11-01

    The prospective observational Dialysis Outcomes and Practice Patterns Study (DOPPS) was initiated in late 2012 in national samples of hemodialysis (HD) units (n = 41 study sites) in all six Gulf Cooperation Council (GCC) countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates). For many years, guidelines have recommended single pool Kt/V ≥1.2 as the minimum adequate dose for chronic HD patients. Here, we report initial DOPPS results regarding HD practices related to dialysis dose achievement in the GCC. A total of 928 adult HD patients were included in this analysis from 41 centers representing all six GCC countries. Baseline descriptive statistics (e.g., mean, standard deviation, median, interquartile range, or percentage) were calculated for the study sample. Results were weighted according to the fraction of HD patients sampled within each participating study site. Mean age varied between 51 years in Bahrain, Oman, and Saudi Arabia, 55 years in the United Arab Emirates (UAE) and Kuwait, and 62 years in Qatar. Mean body mass index (BMI) was the lowest in Oman patients (23.9 kg/m 2 , but the remaining GCC countries had mean BMIs of 25.7-28.9 kg/m 2 and substantial fractions of overweight patients. Median dialysis vintage ranged from 1.52 years in Kuwait to 3.52 years in Oman. Mean treatment time per session varied from 202 min in Saudi Arabia to 230 min in Qatar while mean blood flow rate (BFR) ranged between 267 mL/min in Oman and 310 mL/min in Saudi Arabia. Interdialytic weight gain varied considerably among GCC countries between 3.1 and 4.0 kg. Central venous catheter use was high among GCC countries, ranging from 29% in Oman to 56% in Kuwait, with other countries averaging 30-40% catheter use. Data were available only for 50-76% of patients in four GCC countries (Kuwait, Qatar, Saudi Arabia, and UAE) for calculating single pool Kt/V to indicate dialysis adequacy. When calculated for patients with vintage >1 year and dialyzing three times per week, mean single pool Kt/V was highest in Qatar and the UAE (1.50-1.51), intermediate in Kuwait (1.35), and lowest in Saudi Arabia (1.29). A higher risk of mortality was observed for patients having a single pool Kt/V <1.2 (vs. ≥1.2) [hazard ratio (HR) = 1.71, 95% confidence interval [CI]: 1.01-2.92]. Achievement of Kt/V in the GCC, although lower than in other DOPPS regions such as Europe/ANZ and North America, was similar to that in Japan. Japan and the GCC also share the practice of having a lower blood volume filtered per HD session per kg body weight. These findings suggest that increasing mean BFR and treatment time in the GCC, along with reducing catheter use, would substantially increase overall achievement of Kt/V >1.2 in the GCC, and hence, may improve survival. These mortality findings will need to be confirmed with up-coming GCC-DOPPS 6 analysis.

  8. Biomedical publications profile and trends in gulf cooperation council countries.

    PubMed

    Al-Maawali, Almundher; Al Busadi, Ahmed; Al-Adawi, Samir

    2012-02-01

    There is a dearth of studies examining the relationship between research output and other socio-demographic indicators in the Gulf Cooperation Council (GCC) countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates). The three interrelated aims of this study were, first, to ascertain the number of biomedical publications in the GCC from 1970 to 2010; second, to establish the rate of publication according population size during the same period and, third, to gauge the relationship between the number of publications and specific socio-economic parameters. The Medline database was searched in October 2010 by affiliation, year and publication type from 1970 to 2010. Data obtained were normalised to the number of publications per million of the population, gross domestic product, and the number of physicians in each country. The number of articles from the GCC region published over this 40 year period was 25,561. Saudi Arabia had the highest number followed by Kuwait, UAE, and then Oman. Kuwait had the highest profile of publication when normalised to population size, followed by Qatar. Oman is the lowest in this ranking. Overall, the six countries showed a rising trend in publication numbers with Oman having a significant increase from 1990 to 2005. There was a significant relationship between the number of physicians and the number of publications. The research productivity from GGC has experienced complex and fluctuating growth in the past 40 years. Future prospects for increasing research productivity are discussed with particular reference to the situation in Oman.

  9. An Audit on the Appropriateness of Coronary Computed Tomography Angiography Referrals in a Tertiary Cardiac Center.

    PubMed

    Alderazi, Ahmed Ali; Lynch, Mary

    2017-01-01

    In response to growing concerns regarding the overuse of coronary computed tomography angiography (CCTA) in the clinical setting, multiple societies, including the American College of Cardiology Foundation, have jointly published revised criteria regarding the appropriate use of this imaging modality. However, previous research indicates significant discrepancies in the rate of adherence to these guidelines. To assess the appropriateness of CCTA referrals in a tertiary cardiac center in Bahrain. This retrospective clinical audit examined the records of patients referred to CCTA between the April 1, 2015 and December 31, 2015 in Mohammed bin Khalifa Cardiac Center. Using information from medical records, each case was meticulously audited against guidelines to categorize it as appropriate, inappropriate, or uncertain. Of the 234 records examined, 176 (75.2%) were appropriate, 47 (20.1%) were uncertain, and 11 (4.7%) were inappropriate. About 74.4% of all referrals were to investigate coronary artery disease (CAD). The most common indication that was deemed appropriate was the detection of CAD in the setting of suspected ischemic equivalent in patients with an intermediate pretest probability of CAD (65.9%). Most referrals deemed inappropriate were requested to detect CAD in asymptomatic patients at low or intermediate risk of CAD (63.6%). This audit demonstrates a relatively low rate of inappropriate CCTA referrals, indicating the appropriate and efficient use of this resource in the Mohammed bin Khalifa Cardiac Center. Agreement on and reclassification of "uncertain" cases by guideline authorities would facilitate a deeper understanding of referral appropriateness.

  10. Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries

    PubMed Central

    van Weel, Chris; Alnasir, Faisal; Farahat, Taghreed; Usta, Jinan; Osman, Mona; Abdulmalik, Mariam; Nashat, Nagwa; Alsharief, Wadeia Mohamed; Sanousi, Salwa; Saleh, Hassan; Tarawneh, Mohammed; Goodyear-Smith, Felicity; Howe, Amanda; Kassai, Ryuki

    2018-01-01

    Abstract Background: Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available. Objectives: This paper describes and analyses the health systems of Bahrain, Egypt, Lebanon, Qatar, Sudan and the United Arab Emirates, in relation to PHC. Methods: Data were collected during a workshop at the WONCA East Mediterranean Regional Conference in 2017. Academic family physicians (FP) presented their country, using the WONCA framework of 11 PowerPoint slides with queries of the country demographics, main health challenges, and the position of PHC in the health system. Results: All six countries have improved the health of their populations, but currently face challenges of non-communicable diseases, aging populations and increasing costs. Main concerns were a lack of trained FPs in community settings, underuse of prevention and of equitable access to care. Countries differed in the extent to which this had resulted in coherent policy. Conclusion: Priorities were (i) advocacy for community-based PHC to policymakers, including the importance of coordination of healthcare at the community level, and UHC to respond to the needs of populations; (ii) collaboration with universities to include PHC as a core component of every medical curriculum; (iii) collaboration with communities to improve public understanding of PHC; (iv) engagement with the private sector to focus on PHC and UHC. PMID:29168411

  11. Lecturing skills as predictors of tutoring skills in a problem-based medical curriculum

    PubMed Central

    Kassab, Salah Eldin; Hassan, Nahla; Abu-Hijleh, Marwan F; Sequeira, Reginald P

    2016-01-01

    Purpose Recruitment of tutors to work in problem-based learning (PBL) programs is challenging, especially in that most of them are graduated from discipline-based programs. Therefore, this study aims at examining whether lecturing skills of faculty could predict their PBL tutoring skills. Methods This study included evaluation of faculty (n=69) who participated in both tutoring and lecturing within particular PBL units at the College of Medicine and Medical Sciences (CMMS), Arabian Gulf University, Bahrain. Each faculty was evaluated by medical students (n=45±8 for lecturing and 8±2 for PBL tutoring) using structured evaluation forms based on a Likert-type scale (poor to excellent). The prediction of tutoring skills using lecturing skills was statistically analyzed using stepwise linear regression. Results Among the parameters used to judge lecturing skills, the most important predictor for tutoring skills was subject matter mastery in the lecture by explaining difficult concepts and responding effectively to students’ questions. Subject matter mastery in the lecture positively predicted five tutoring skills and accounted for 25% of the variance in overall effectiveness of the PBL tutors (F=22.39, P=0.000). Other important predictors for tutoring skills were providing a relaxed class atmosphere and effective use of audiovisual aids in the lecture. Conclusion Predicting the tutoring skills based on lecturing skills could have implications for recruiting tutors in PBL medical programs and for tutor training initiatives. PMID:26793014

  12. Physicians attitudes toward living non-related renal transplantation (LNRRT). The Living non-Related Renal Transplant Study Group.

    PubMed

    1993-06-01

    Renal transplantation is considered now the definitive treatment for patients with end-stage renal disease (ESRD). Unfortunately, the worldwide shortage of kidneys remains the most important obstacle to transplantation. In developing countries, including those of the Middle East, the shortage is even more dramatic. Despite great efforts to establish and maintain successful transplant centers, the number of kidneys that have been transplanted in the last few years has actually declined. The lack of a dependable kidney source played well into the hands of unscrupulous entrepreneurs who started brokerage of organs for profit. In this practice, patients with ESRD travel to India and other countries to purchase kidneys from living genetically non-related poor donors. Patient care was therefore relegated to the laws of the marketplace and both patients and donors were exploited to maximize profit. Additionally, reported results of this type of transplantation were inferior to those of other types of transplantation. Not unexpectedly, these issues have created intense controversy among transplant physicians and the general public in which moral, ethical and medical issues were debated. To investigate these issues, we conducted a large multicenter study in Saudi Arabia, Bahrain and Egypt. In the first phase of this study, we surveyed 50 institutions regarding their attitude toward LNRRT, of which 22 responded. The results of our survey clearly show that patients with ESRD take the initiative in seeking LNRRT despite physician discouragement and significant financial burden.(ABSTRACT TRUNCATED AT 250 WORDS)

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

    PubMed

    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.

  14. Student generated learning objectives: extent of congruence with faculty set objectives and factors influencing their generation.

    PubMed

    Abdul Ghaffar Al-Shaibani, Tarik A; Sachs-Robertson, Annette; Al Shazali, Hafiz O; Sequeira, Reginald P; Hamdy, Hosam; Al-Roomi, Khaldoon

    2003-07-01

    A problem-based learning strategy is used for curriculum planning and implementation at the Arabian Gulf University, Bahrain. Problems are constructed in a way that faculty-set objectives are expected to be identified by students during tutorials. Students in small groups, along with a tutor functioning as a facilitator, identify learning issues and define their learning objectives. We compared objectives identified by student groups with faculty-set objectives to determine extent of congruence, and identified factors that influenced students' ability at identifying faculty-set objectives. Male and female students were segregated and randomly grouped. A faculty tutor was allocated for each group. This study was based on 13 problems given to entry-level medical students. Pooled objectives of these problems were classified into four categories: structural, functional, clinical and psychosocial. Univariate analysis of variance was used for comparison, and a p > 0.05 was considered significant. The mean of overall objectives generated by the students was 54.2%, for each problem. Students identified psychosocial learning objectives more readily than structural ones. Female students identified more psychosocial objectives, whereas male students identified more of structural objectives. Tutor characteristics such as medical/non-medical background, and the years of teaching were correlated with categories of learning issues identified. Students identify part of the faculty-set learning objectives during tutorials with a faculty tutor acting as a facilitator. Students' gender influences types of learning issues identified. Content expertise of tutors does not influence identification of learning needs by students.

  15. The National Commitment Towards Conserving the Heritage (documentation of Historical and Cultural Sites in Gcc Countries)

    NASA Astrophysics Data System (ADS)

    AlSulaiti, F.

    2013-07-01

    The five Arab Gulf countries of Kuwait, Bahrain, Qatar, the United Arab Emirates and Oman possess many shared characteristics and historical ties across their common peninsula. The prime factor uniting them is the historical nature of their entwined involvement with peoples and nations beyond the region. That the Gulf has been an important water passageway since ancient times suggests that the inhabitants of its shores met early on with other civilizations. The knowledge of one's roots, history, and traditional arts supports awareness of inherited culture and can help contextualize and illuminate community reflection and identification. The intricacy of the recording and understanding processes of documentation requires skilled professionals, with knowledge and awareness for the associated tasks. Responsible of cultural heritage should provide the adequate documentations, recording and updating of the records. Collaboration of different individuals such as specialist heritage, archaeologists, surveyors, conservators, researchers, architectural historians, and many other expert personnel is the golden key of successful documentation. The purpose of this document is to show the authorities of Gulf Arab countries and their planning measures, management and sharing effect of recording the cultural heritage. This essay identifies key points in the approach to contextualizing and developing cultural identity in a way that respects organic qualities. Through highlighting a number of archeological ruins and outlining management plans, the essay explores frameworks that can be applied to promote and preserve integral identity of important sites and their greater surrounding communities.

  16. 3-D seismology in the Arabian Gulf

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Al-Husseini, M.; Chimblo, R.

    Since 1977 when Aramco and GSI (Geophysical Services International) pioneered the first 3-D seismic survey in the Arabian Gulf, under the guidance of Aramco`s Chief Geophysicist John Hoke, 3-D seismology has been effectively used to map many complex subsurface geological phenomena. By the mid-1990s extensive 3-D surveys were acquired in Abu Dhabi, Oman, Qatar and Saudi Arabia. Also in the mid-1990`s Bahrain, Kuwait and Dubai were preparing to record surveys over their fields. On the structural side 3-D has refined seismic maps, focused faults and fractures systems, as well as outlined the distribution of facies, porosity and fluid saturation. Inmore » field development, 3D has not only reduced drilling costs significantly, but has also improved the understanding of fluid behavior in the reservoir. In Oman, Petroleum Development Oman (PDO) has now acquired the first Gulf 4-D seismic survey (time-lapse 3D survey) over the Yibal Field. The 4-D survey will allow PDO to directly monitor water encroachment in the highly-faulted Cretaceous Shu`aiba reservoir. In exploration, 3-D seismology has resolved complex prospects with structural and stratigraphic complications and reduced the risk in the selection of drilling locations. The many case studies from Saudi Arabia, Oman, Qatar and the United Arab Emirates, which are reviewed in this paper, attest to the effectiveness of 3D seismology in exploration and producing, in clastics and carbonates reservoirs, and in the Mesozoic and Paleozoic.« less

  17. Recent spread of a new strain (A-Iran-05) of foot-and-mouth disease virus type A in the Middle East.

    PubMed

    Knowles, N J; Nazem Shirazi, M H; Wadsworth, J; Swabey, K G; Stirling, J M; Statham, R J; Li, Y; Hutchings, G H; Ferris, N P; Parlak, U; Ozyörük, F; Sumption, K J; King, D P; Paton, D J

    2009-06-01

    This report describes the characterization of a new genotype of foot-and-mouth disease virus (FMDV) type A responsible for recent FMD outbreaks in the Middle East. Initially identified in samples collected in 2003 from Iran, during 2005 and 2006 this FMDV lineage (proposed to be named A-Iran-05) spread into Saudi Arabia and Jordan and then further west into Turkey reaching European Thrace in January 2007. Most recently A-Iran-05 has been found in Bahrain. To the east of Iran, it has been recognized in Afghanistan (2004-07) and Pakistan (2006-07). Throughout the region, this lineage is now the predominant genotype of FMDV serotype A sampled, and has appeared to have replaced the A-Iran-96 and A-Iran-99 strains which were previously encountered. In August 2007, a new A-Iran-05 sub-lineage (which we have called A-Iran-05(ARD-07)) was identified in Ardahan, Turkey, close to the border with Georgia. This new sub-lineage appeared to predominate in Turkey in 2008, but has, so far, not been identified in any other country. Vaccine matching tests revealed that the A-Iran-05 viruses are antigenically different to A-Iran-96 and more like A(22). These findings emphasize the importance of undertaking continued surveillance in the Middle East and Central Asia in order to detect and monitor the emergence and spread of new FMDV strains.

  18. Effectiveness of an electronic hand hygiene monitoring system on healthcare workers' compliance to guidelines.

    PubMed

    Al Salman, J M; Hani, S; de Marcellis-Warin, N; Isa, Sister Fatima

    2015-01-01

    Hand hygiene is a growing concern among populations and is a crucial element in ensuring patient safety in a healthcare environment. Numerous management efforts have been conducted in that regard, including education, awareness and observations. To better evaluate the possible impact of technology on a healthcare setting, we observed the impact of a particular niche technology developed as an answer to the growing hand hygiene concerns. A study was conducted at Salmaniya Medical Complex (SMC) in Bahrain on a total of 16 Coronary Care Unit (CCU) beds where the system was installed, and the hand hygiene activity of healthcare workers (HCWs) in this area was monitored for a total period of 28 days. Comments, remarks and suggestions were noted, and improvements were made to the technology during the course of the trial. While resistance to change was significant, overall results were satisfactory. Compliance with hand hygiene techniques went from 38-42% to 60% at the beginning of the trial and then increased to an average of 75% at the end of the 28-day trial. In some cases, compliance peaked at 85% or even at 100%. Our case study demonstrates that technology can be used effectively in promoting and improving hand hygiene compliance in hospitals, which is one way to prevent cross-infections, especially in critical care areas. Copyright © 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  19. Potential Risk Factors for Surgical Site Infection after Isolated Coronary Artery Bypass Grafting in a Bahrain Cardiac Centre: A Retrospective, Case-Controlled Study

    PubMed Central

    Abuzaid, Ahmed Abdulaziz; Zaki, Mahmood; Al Tarief, Habib

    2015-01-01

    Objective: The purposes of this study were to determine the incidence of surgical site infections (SSI) and associated risk factors in patients undergoing isolated coronary artery bypass grafting (CABG) in our cardiac center during a 2-year period. Materials and Methods: Retrospective case-control analysis for 80 patients who underwent isolated cardiac surgery CABG. These patients were divided into the SSI study group (n = 40) and the noninfected control group (n = 40). Eight potential perioperative risk variables were compared between the two groups using univariate logistic regression analysis. Results: Univariate analysis was carried out for eight potential risk factors. The risk factors found to be significant were: Impaired estimated glomerular filtration rate (P = 0.011) and impaired left ventricular ejection fraction (P = 0.015). However, Factors found to have no significant influence on the incidence of SSIs were: Perioperative length of hospital stay (days), urgency of surgery, use of bilateral internal mammary artery (BIMA) grafting, prolonged cardiopulmonary bypass duration, elevated body mass index. Conclusions: Patients with comorbidities of impaired renal function and/or impaired left ventricular systolic function are at high risk of developing SSI. There appears to be a relationship between SSIs in CABG patients and impaired renal or LV function (low ejection fraction). CABG with BIMA grafting could be performed safely even in diabetics. Future studies should consider further scrutiny of these and other factors in relation to SSIs in a larger surgical population. PMID:27326347

  20. Emergence of new virulent rabbit hemorrhagic disease virus strains in Saudi Arabia.

    PubMed

    Ismail, Mahmoud M; Mohamed, Mahmoud H A; El-Sabagh, Ibrahim M; Al-Hammadi, Mohamed A

    2017-02-01

    Rabbit hemorrhagic disease is an acute fatal highly contagious viral infectious disease that causes high losses among rabbitries. The disease was first reported in China in 1984 and later on in Saudi Arabia in 1996. The aim of this study was to investigate the emergence and pathogenicity of new rabbit hemorrhagic disease virus (RHDV) strains in Saudi Arabia. The pathogenicity was confirmed by inoculation in susceptible rabbits. Three RHDV strains were detected by reverse transcriptase polymerase chain reaction (RT-PCR) using primers targeting VP60 capsid protein gene in infected rabbitries during 2012 and 2013. These strains clustered into two genetically distinct genogroups related to year of isolation (G2 and G3). All new Saudi Arabia viruses clustered with the European strains, while the old strains clustered with strains from China and America. Based on amino acids and nucleotide sequences, the Saudi Arabia strains (RHD/1/SA/2012, RHD/2/SA/2012, and RHD/3/SA /2013) had high identity with Mexico89, Ca11-ITA, and 00-13,FRA virus; on the other hand, there was a relatively high identity with Bahrain strain. The evolutionary relationship of Saudi RHDVs strains revealed significant nucleotides and amino acid substitutions in hypervariable region E, suggesting the emergence of new RHDVs circulating in Saudi Arabia rabbitries. These antigenic changes represented by the antigenic index might be a potential cause of vaccination failure and raises the need to review the vaccination strategies against RHD.

  1. Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review.

    PubMed

    Elbarazi, I; Loney, T; Yousef, S; Elias, A

    2017-07-17

    Burnout among healthcare professionals is one of the key challenges affecting health care practice and quality of care. This systematic review aims to (1) estimate the prevalence of burnout among health care professionals (HCP) in Arab countries; and (2) explore individual and work-related factors associated with burnout in this population. Multiple electronic databases were searched for studies published in English or Arabic from January 1980 to November 2014 assessing burnout (using the Maslach Burnout Inventory; MBI) amongst health care professionals (HCP) in Arab countries. Nineteen studies (N = 4108; 49.3% females) conducted on HCP in Bahrain, Egypt, Jordan, Lebanon, Palestine, Saudi Arabia and Yemen were included in this review. There was a wide range of prevalence estimates for the three MBI subscales, high Emotional Exhaustion (20.0-81.0%), high Depersonalization (9.2-80.0%), and low Personal Accomplishment (13.3-85.8%). Gender, nationality, service duration, working hours, and shift patterns were all significantly associated with burnout. Within the constraints of the study and the range of quality papers available, our review revealed moderate-to-high estimates of self-reported burnout among HCP in Arab countries that are similar to prevalence estimates in non-Arabic speaking westernized developed countries. In order to develop culturally appropriate interventions, further research using longitudinal designs is needed to confirm the risk factors for burnout in specific HCP settings and specialties in Arab countries.

  2. Research productivity of Gulf Cooperation Council (GCC) countries in science and social sciences.

    PubMed

    Meo, Sultan Ayoub; Mahesar, Abdul Latif; Sheikh, Saeed Ahmed; Sattar, Kamran; Bukhari, Ishfaq A

    2016-10-01

    To investigate the research progress of Gulf Cooperation Council countries in science and social sciences. This study was conducted in the Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia, from June 2014 to February 2015.All research documents related to the 1996-2013 period having an affiliation with Gulf Cooperation Council countries, including Saudi Arabia, the United Arab Emirates, Kuwait, Qatar, Bahrain and Oman, were tracked. The main source for data-gathering was World Association of Universities, Sci-mago Journal and Country ranking and Web of Science Institute of Scientific Information (ISI) Thomson Reuters. Of the 544 institutions produced research papers, 141(25.92%) were universities or degree-awarding institutes, 372(68.38%) were research institutes and 31(5.7%) were Institute of Scientific Information-indexed scientific journals. The number of degree awarding institutes were 68(48.23%) in Saudi Arabia, 33(23.4%) in the United Arab Emirates and 12(8.51%) in Qatar. The total number of publications contributed by the region was 133638 (Mean ± SD: 22273 ± 26302.20); citable documents 127739 (Mean ± SD: 21289.83 ±25241.22); self-citations 105,716 (Mean ± SD: 17619.33 ± 23328.44); total citations 756141 (Mean ± SD: 126023.5 ± 143260.95) and citations per documents 33.22 (Mean ± SD: 5.53 ± 1.09).The overall and mean Hirschindex was 513and 85.5± 35.39. Among Gulf Cooperation Council countries, Saudi Arabia was the most productive country producing adequate number of research publications, citations and holding the highest Hirsch index value.

  3. Quality of life of patients with chronic obstructive pulmonary disease in the Gulf Cooperation Council countries.

    PubMed

    Al Moamary, Mohamed S; Tamim, Hani M; Al-Mutairi, Sana S; Al-Khouzaie, Thamer H; Mahboub, Bassam H; Al-Jawder, Suhaila E; Alamoudi, Omer S; Al Ghobain, Mohammed O

    2012-10-01

    To assess the health-related quality of life (HRQL) of patients with chronic obstructive pulmonary disease (COPD) in 4 Gulf Council Cooperation (GCC) countries. We conducted a cross-sectional survey between December 2011 and March 2012 in the following countries: Kingdom of Saudi Arabia (Riyadh, Dammam, and Jeddah), Kuwait, Bahrain, and the United Arab Emirates. The HRQL was measured using the COPD Assessment Test (CAT) and the Chronic Respiratory Disease Questionnaire-Self-Administered Standardized questionnaire (CRQ-SAS). We recruited 120 patients from 6 centers in 4 countries. Their average forced expiratory volume (FEV)1 was 49.3% ( +/- 13.4) of predicted, and the ratio of FEV1 to forced vital capacity was 0.58 ( +/- 0.11). The average COPD Assessment Test (CAT) score was 20.4 +/- 7.6; CAT scores were highest for Riyadh (24.1 +/- 7.7) and lowest for Kuwait (18.5 +/- 9.2), with no significant difference between the centers. For the CRQ-SAS, the dyspnea domain score was 4.6 +/- 1.6, the fatigue domain score was 4.3 +/- 1.3, the emotional domain was 4.6 +/- 1.2, and the mastery domain was 4.8 +/- 1.4. The correlation coefficients of the association between the CAT score and the 4 domains of the CRQ-SAS for all of the centers combined was statistically significant. The CAT and CRQ-SAS revealed that the patients with COPD experienced a moderate to severe impact from the disease, and a considerably compromised quality of life in the GCC countries.

  4. Ventilator-associated pneumonia rates in critical care units in 3 Arabian Gulf countries: A 6-year surveillance study.

    PubMed

    El-Saed, Aiman; Al-Jardani, Amina; Althaqafi, Abdulhakeem; Alansari, Huda; Alsalman, Jameela; Al Maskari, Zaina; El Gammal, Ayman; Al Nasser, Wafa; Al-Abri, Seif S; Balkhy, Hanan H

    2016-07-01

    Data estimating the rates of ventilator-associated pneumonia (VAP) in critical patients in Gulf Cooperation Council (GCC) countries are very limited. The aim of this study was to estimate VAP rates in GCC hospitals and to compare rates with published reports of the U.S. National Healthcare Safety Network (NHSN) and International Nosocomial Infection Control Consortium (INICC). VAP rates and ventilator utilization between 2008 and 2013 were calculated from aggregate VAP surveillance data using NHSN methodology pooled from 6 hospitals in 3 GCC countries: Saudi Arabia, Oman, and Bahrain. The standardized infection ratios of VAP in GCC hospitals were compared with published reports of the NHSN and INICC. A total of 368 VAP events were diagnosed during a 6-year period covering 76,749 ventilator days and 134,994 patient days. The overall VAP rate was 4.8 per 1,000 ventilator days (95% confidence interval, 4.3-5.3), with an overall ventilator utilization of 0.57. The VAP rates showed a wide variability between different types of intensive care units (ICUs) and were decreasing over time. After adjusting for the differences in ICU type, the risk of VAP in GCC hospitals was 217% higher than NHSN hospitals and 69% lower than INICC hospitals. The risk of VAP in ICU patients in GCC countries is higher than pooled U.S. VAP rates but lower than pooled rates from developing countries participating in the INICC. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  5. Biomedical Publications Profile and Trends in Gulf Cooperation Council Countries

    PubMed Central

    Al-Maawali, Almundher; Al Busadi, Ahmed; Al-Adawi, Samir

    2012-01-01

    Objectives There is a dearth of studies examining the relationship between research output and other socio-demographic indicators in the Gulf Cooperation Council (GCC) countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates). The three interrelated aims of this study were, first, to ascertain the number of biomedical publications in the GCC from 1970 to 2010; second, to establish the rate of publication according population size during the same period and, third, to gauge the relationship between the number of publications and specific socio-economic parameters. Methods: The Medline database was searched in October 2010 by affiliation, year and publication type from 1970 to 2010. Data obtained were normalised to the number of publications per million of the population, gross domestic product, and the number of physicians in each country. Results: The number of articles from the GCC region published over this 40 year period was 25,561. Saudi Arabia had the highest number followed by Kuwait, UAE, and then Oman. Kuwait had the highest profile of publication when normalised to population size, followed by Qatar. Oman is the lowest in this ranking. Overall, the six countries showed a rising trend in publication numbers with Oman having a significant increase from 1990 to 2005. There was a significant relationship between the number of physicians and the number of publications. Conclusion: The research productivity from GGC has experienced complex and fluctuating growth in the past 40 years. Future prospects for increasing research productivity are discussed with particular reference to the situation in Oman. PMID:22375257

  6. Hepatitis C virus genotypes in the Middle East and North Africa: Distribution, diversity, and patterns

    PubMed Central

    Mahmud, Sarwat; Al‐Kanaani, Zaina; Chemaitelly, Hiam; Chaabna, Karima; Kouyoumjian, Silva P.

    2017-01-01

    Our objective was to characterize the distribution, diversity and patterns of hepatitis C virus (HCV) genotypes in the Middle East and North Africa (MENA). Source of data was a database of HCV genotype studies in MENA populated using a series of systematic literature searches. Pooled mean proportions were estimated for each genotype and by country using DerSimonian‐Laird random‐effects meta‐analyses. Genotype diversity within countries was assessed using Shannon Diversity Index. Number of chronic infections by genotype and country was calculated using the pooled proportions and country‐specific numbers of chronic infection. Analyses were conducted on 338 genotype studies including 82 257 genotyped individuals. Genotype 1 was dominant (≥50%) in Algeria, Iran, Morocco, Oman, Tunisia, and UAE, and was overall ubiquitous across the region. Genotype 2 was common (10‐50%) in Algeria, Bahrain, Libya, and Morocco. Genotype 3 was dominant in Afghanistan and Pakistan. Genotype 4 was dominant in Egypt, Iraq, Jordan, Palestine, Qatar, Saudi Arabia, and Syria. Genotypes 5, 6, and 7 had limited or no presence across countries. Genotype diversity varied immensely throughout MENA. Weighted by population size, MENA's chronic infections were highest among genotype 3, followed by genotype 4, genotype 1, genotype 2, genotype 5, and genotype 6. Despite ubiquitous presence of genotype 1, the vast majority of chronic infections were of genotypes 3 or 4, because of the sizable epidemics in Pakistan and Egypt. Three sub‐regional patterns were identified: genotype 3 pattern centered in Pakistan, genotype 4 pattern centered in Egypt, and genotype 1 pattern ubiquitous in most MENA countries. PMID:28842995

  7. The Policy Trade-off Between Energy Security and Climate Change in the GCC States

    NASA Astrophysics Data System (ADS)

    Shahbek, Shaikha Ali

    Developing policies for energy security and climate change simultaneously can be very challenging as there is a trade-off. This research project strives to analyze the policies regarding the same that should be developed in the Gulf Co-operation Council (GCC) States which are; Saudi Arabia, Kuwait, Qatar, United Arab Emirates, Bahrain and Oman. Energy security is important in these countries because it is the prominent sector of their economies. Yet, the environment is being negatively impacted because of the energy production. There has been lot of international pressure on the GCC to divert its production and move towards clean energy production. It needs more research and development, as well as better economic diversification to maintain and improve the economic growth. Along with the literature review that has been used to study the cases and impacts of the GCC states, six in-depth interviews were conducted with professors, scholars and specialists in the environment and natural science fields to discuss about the GCC's situation. It has been alluded that the GCC states cannot be held solely responsible about the climate change because they are not the only energy producing nations in the world. Based on OPEC, there are 14 countries including the United States and China that also have prominent energy sectors. They should also be held accountable for the causes of environmental and climate change. This research provides recommendations for the GCC states to follow and apply in order to move forward with clean energy production, economic diversification and develop better policies.

  8. Arab Teens Lifestyle Study (ATLS): objectives, design, methodology and implications.

    PubMed

    Al-Hazzaa, Hazzaa M; Musaiger, Abdulrahman O

    2011-01-01

    There is a lack of comparable data on physical activity, sedentary behavior, and dietary habits among Arab adolescents, which limits our understanding and interpretation of the relationship between obesity and lifestyle parameters. Therefore, we initiated the Arab Teens Lifestyle Study (ATLS). The ATLS is a multicenter collaborative project for assessing lifestyle habits of Arab adolescents. The objectives of the ATLS project were to investigate the prevalence rates for overweight and obesity, physical activity, sedentary activity and dietary habits among Arab adolescents, and to examine the interrelationships between these lifestyle variables. This paper reports on the objectives, design, methodology, and implications of the ATLS. The ATLS is a school-based cross-sectional study involving 9182 randomly selected secondary-school students (14-19 years) from major Arab cities, using a multistage stratified sampling technique. The participating Arab cities included Riyadh, Jeddah, and Al-Khobar (Saudi Arabia), Bahrain, Dubai (United Arab Emirates), Kuwait, Amman (Jordan), Mosel (Iraq), Muscat (Oman), Tunisia (Tunisia) and Kenitra (Morocco). Measured variables included anthropometric measurements, physical activity, sedentary behavior, sleep duration, and dietary habits. The ATLS project will provide a unique opportunity to collect and analyze important lifestyle information from Arab adolescents using standardized procedures. This is the first time a collaborative Arab project will simultaneously assess broad lifestyle variables in a large sample of adolescents from numerous urbanized Arab regions. This joint research project will supply us with comprehensive and recent data on physical activity/inactivity and eating habits of Arab adolescents relative to obesity. Such invaluable lifestyle-related data are crucial for developing public health policies and regional strategies for health promotion and disease prevention.

  9. Burden of rotavirus gastroenteritis in the Middle Eastern and North African pediatric population.

    PubMed

    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.

  10. Research on psychosocial aspects of asthma in the Arab world: a literature review.

    PubMed

    Al-Khateeb, Anas J; Al Khateeb, Jamal M

    2015-01-01

    The importance of psychosocial factors in the management of bronchial asthma has long been recognized. This paper offers a review of research published in the English language related to psychosocial aspects of bronchial asthma in Arab countries. Several databases (PubMed, Science Direct, Springer Link, ERIC, and PsychInfo) were searched using the following keywords: bronchial asthma, Arab countries, Algiers, Bahrain, Comoros, Djibouti, Egypt, Iraq, Jordan, Kuwait, Lebanon, Libya, Mauritania, Morocco, Oman, Palestine (West Bank, Gaza), Qatar, Saudi Arabia, Syria, Tunisia, Sudan, Somalia; United Arab Emirates, and Yemen. Thirty-two studies were conducted in 9 Arab countries. Almost all studies found were published in the last fourteen years with an apparent increasing rate in the last five years. In descending order, these studies addressed: knowledge of and attitudes toward asthma, quality of life, behavioral and emotional problems and factors related to academic achievement. The main results of the studies reviewed were: (a) physicians', school staff's, and parents' knowledge of and attitudes toward asthma were generally unsatisfactory, (b) in-service asthma education programs significantly impacted parent and staff knowledge and attitudes, and asthma management practices, (c) quality of life in children and adolescents was significantly adversely affected by asthma, (d) asthma was a common cause of school absenteeism, and had a significant negative impact on academic achievement of students, and (e) students with asthma had significantly higher rates of behavioral and emotional difficulties compared to students without asthma. The paper concludes with a discussion about the implications of these results and a call for further research in this area.

  11. A Cross-Sectional Survey Study to Assess Prevalence and Attitudes Regarding Research Misconduct among Investigators in the Middle East.

    PubMed

    Felaefel, Marwan; Salem, Mohamed; Jaafar, Rola; Jassim, Ghufran; Edwards, Hillary; Rashid-Doubell, Fiza; Yousri, Reham; Ali, Nahed M; Silverman, Henry

    2018-03-01

    Recent studies from Western countries indicate significant levels of questionable research practices, but similar data from low and middle-income countries are limited. Our aims were to assess the prevalence of and attitudes regarding research misconduct among researchers in several universities in the Middle East and to identify factors that might account for our findings. We distributed an anonymous questionnaire to a convenience sample of investigators at several universities in Egypt, Lebanon, and Bahrain. Participants were asked to a) self-report their extent of research misconducts, as well as their knowledge of colleagues engaging in similar research misconducts and b) provide their extent of agreement with certain attitudes about research misconduct. We used descriptive, bivariate, and multivariate logistic regression statistics to analyze the data. Data from 278 participants showed a high prevalence of misconduct, as 59.4% of our respondents self-reported to committing at least one misbehaviors and 74.5% reported having knowledge of any misbehaviors among any of their colleagues. The most common type of self-report misconduct was "circumventing research ethics regulations" (50.5%) followed by "fabrication and falsification" (28.6%). A significant predictor of misconduct included a lack of "prior ethics training". Scientific misconduct represents a significant issue in several universities in the Middle East. The demonstration that a lack of "prior ethics training" was a significant predictor of misconduct should lead to educational initiatives in research integrity. Further studies are needed to confirm whether our results can be generalized to other universities in the Middle East.

  12. Understanding Preclerkship Medical Students' Poor Performance in Prescription Writing.

    PubMed

    James, Henry; Al Khaja, Khalid A J; Tayem, Yasin I; Veeramuthu, Sindhan; Sequeira, Reginald P

    2016-05-01

    This study aimed to explore reasons for poor performance in prescription writing stations of the objective structured practical examination (OSPE) and absenteeism in prescription writing sessions among preclerkship medical students at the Arabian Gulf University (AGU) in Manama, Bahrain. This descriptive study was carried out between September 2014 and June 2015 among 157 preclerkship medical students at AGU. Data were collected using focus group discussions and a questionnaire with closed- and open-ended items. All 157 students participated in the study (response rate: 100.0%). The most frequently cited reasons for poor performance in OSPE stations were an inability to select the correct drugs (79.6%), treatment duration (69.4%), drug quantity (69.4%) and drug formulation (68.2%). Additionally, students reported inadequate time for completing the stations (68.8%). During focus group discussions, students reported other reasons for poor performance, including examination stress and the difficulty of the stations. Absenteeism was attributed to the length of each session (55.4%), lack of interest (50.3%), reliance on peers for information (48.4%) and optional attendance policies (47.1%). Repetitive material, large group sessions, unmet student expectations and the proximity of the sessions to summative examinations were also indicated to contribute to absenteeism according to open-ended responses or focus group discussions. This study suggests that AGU medical students perform poorly in prescription writing OSPE stations because of inadequate clinical pharmacology knowledge. Participation in prescription writing sessions needs to be enhanced by addressing the concerns identified in this study. Strategies to improve attendance and performance should take into account the learner-teacher relationship.

  13. OMI air-quality monitoring over the Middle East

    NASA Astrophysics Data System (ADS)

    Barkley, Michael P.; González Abad, Gonzalo; Kurosu, Thomas P.; Spurr, Robert; Torbatian, Sara; Lerot, Christophe

    2017-04-01

    Using Ozone Monitoring Instrument (OMI) trace gas vertical column observations of nitrogen dioxide (NO2), formaldehyde (HCHO), sulfur dioxide (SO2), and glyoxal (CHOCHO), we have conducted a robust and detailed time series analysis to assess changes in local air quality for over 1000 locations (focussing on urban, oil refinery, oil port, and power plant targets) over the Middle East for 2005-2014. Apart from NO2, which is highest over urban locations, average tropospheric column levels of these trace gases are highest over oil ports and refineries. The highest average pollution levels over urban settlements are typically in Bahrain, Kuwait, Qatar, and the United Arab Emirates. We detect 278 statistically significant and real linear NO2 trends in total. Over urban areas NO2 increased by up to 12 % yr-1, with only two locations showing a decreasing trend. Over oil refineries, oil ports, and power plants, NO2 increased by about 2-9 % yr-1. For HCHO, 70 significant and real trends were detected, with HCHO increasing by 2-7 % yr-1 over urban settlements and power plants and by about 2-4 % yr-1 over refineries and oil ports. Very few SO2 trends were detected, which varied in direction and magnitude (23 increasing and 9 decreasing). Apart from two locations where CHOCHO is decreasing, we find that glyoxal tropospheric column levels are not changing over the Middle East. Hence, for many locations in the Middle East, OMI observes a degradation in air quality over 2005-2014. This study therefore demonstrates the capability of OMI to generate long-term air-quality monitoring at local scales over this region.

  14. Osteoarthritis among women in bahrain: a public health audit.

    PubMed

    Asokan, Gv; Hussain, Muna S Hussain Abdullah; Ali, Eman Jm; Awate, Rajendra V; Khadem, Zahra Ka; Al-Safwan, Zainab Am

    2011-11-01

    This study aims to train students on public health survey; correlate risk factors of osteoarthritis and to identify modifiable risk factors. Osteoarthritis survey was carried out among 420 Bahraini women, above 40 years of age, diagnosed of osteoarthritis, attending ministry of health facilities. Most cases in the study were from the age group of 50-59 years with a mean age of 57. Osteoarthritis: of major joints alone was 74%; of generalized was 21% and of small joints of hands and feet alone was 5%. Within major osteoarthritis: 48% were knees alone; 51% were knee and hip and 2% were hip alone. Combinations of co-morbidities were found among 43%. History of diagnosed: diabetes in 10%, hypertension among 13% and hypercholesterolemia in 5% of cases. Half of the cases in the study were obese and 30% were overweight. Osteoarthritis of the Knee and the combination of the osteoarthritis of knee and hip was highest among obese followed by overweight cases. Menopause was found among 68%of patients. Patients on medication accounted for 85% and 75% were on Physiotherapy. Half of the sample had family history of osteoarthritis. While over 90% were less educated with odds ratio for being housewives at 3.085. The multivariate analysis of ordinal regression returned pseudo R(2) of 30% for the model with the following significant variables: age, BMI, menopause status, exercise, chronic morbidities and family history of osteoarthritis. Overall, the proportion of major osteoarthritis of the weight bearing joints is very high. The modifiable risk factors identified from this study are sedentary lifestyle, obesity and overweight, as well as chronic morbidities.

  15. Evaluation of fluoride levels in bottled water and their contribution to health and teeth problems in the United Arab Emirates.

    PubMed

    Abouleish, Mohamed Yehia Z

    2016-10-01

    Fluoride is needed for better health, yet if ingested at higher levels it may lead to health problems. Fluoride can be obtained from different sources, with drinking water being a major contributor. In the United Arab Emirates (UAE), bottled water is the major source for drinking. The aim of this research is to measure fluoride levels in different bottled water brands sold in UAE, to determine whether fluoride contributes to better health or health problems. The results were compared to international and local standards. Fluoride was present in seven out of 23 brands. One brand exhibited high fluoride levels, which exceeded all standards, suggesting it may pose health problems. Other brands were either below or above standards, suggesting either contribution to better health or health problems, depending on ingested amount. A risk assessment suggested a potential for non-cancer effects from some brands. The results were compared to fluoride levels in bottled water sold in UAE and neighboring countries (e.g. Saudi Arabia, Qatar, Kuwait, and Bahrain), over 24 years, to reflect on changes in fluoride levels in bottled water in this region. The research presents the need for creating, stricter regulations that require careful fluoride monitoring and new regulations that require listing fluoride level on the bottled water label, internationally and regionally. The research will have local and global health impact, as bottled water sold in UAE and neighboring countries, is produced locally and imported from international countries, e.g. Switzerland, the USA, France, Italy, New Zealand, and Fiji.

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

    PubMed

    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.

  17. Electric network interconnection of Mashreq Arab Countries

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    El-Amin, I.M.; Al-Shehri, A.M.; Opoku, G.

    1994-12-01

    Power system interconnection is a well established practice for a variety of technical and economical reasons. Several interconnected networks exist worldwide for a number of factors. Some of these networks cross international boundaries. This presentation discusses the future developments of the power systems of Mashreq Arab Countries (MAC). MAC consists of Bahrain, Egypt, Iraq, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, United Arab Emirates (UAE), and Yemen. Mac power systems are operated by government or semigovernment bodies. Many of these countries have national or regional electric grids but are generally isolated from each other. With the exception of Saudi Arabiamore » power systems, which employ 60 Hz, all other MAC utilities use 50 Hz frequency. Each country is served by one utility, except Saudi Arabia, which is served by four major utilities and some smaller utilities serving remote towns and small load centers. The major utilities are the Saudi Consolidated electric Company in the Eastern Province (SCECO East), SCECO Center, SCECO West, and SCECO South. These are the ones considered in this study. The energy resources in MAC are varied. Countries such as Egypt, Iraq, and Syria have significant hydro resources.The gulf countries and Iraq have abundant fossil fuel, The variation in energy resources as well as the characteristics of the electric load make it essential to look into interconnections beyond the national boundaries. Most of the existing or planned interconnections involve few power systems. A study involving 12 countries and over 20 utilities with different characteristics represents a very large scale undertaking.« less

  18. Mineral bone disorder and its management among hemodialysis patients in the Gulf Cooperation Council: Initial findings from the dialysis outcomes and practice patterns study (2012-2015).

    PubMed

    Al Salmi, Issa; AlRukhaimi, Mona; AlSahow, Ali; Shaheen, Faisal A M; Al-Ghamdi, Saeed M G; AlAli, Fadwa; AlGhareeb, Sumaya; Al Maimani, Yacoub; AlGhonaim, Mohammed; Bieber, Brian; Tentori, Francesca; Pisoni, Ronald L

    2016-11-01

    The prospective cohort Dialysis Outcomes and Practice Patterns Study (DOPPS) initiated data collection in national samples of hemodialysis (HD) units (total of 41 study sites) in all six Gulf Cooperation Council (GCC) countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates) in late 2012. Here, we report initial results regarding mineral bone disorders (MBDs) and its management in the GCC countries. Forty-one randomly selected HD facilities, treating >23 HD patients each, were sampled and represent care for >95% of GCC HD patients. Descriptive results for the GCC countries based on a random sample of 20-30 HD patients in each study facility. Initial results for the GCC are from 931 HD patients treated at 41 dialysis units (ranging from 1 unit in Bahrain to 21 in Saudi Arabia). Results are presented as weighted estimates, accounting for the sampling fraction in each unit. Baseline descriptive statistics (e.g., mean, median, or percentage), weighted by facility sampling fraction were calculated for the study sample. For analyses examining the percent of facility patients having (a) serum phosphorus >6.0 mg/dL or (b) parathyroid hormone (PTH) >600 pg/mL, analyses were restricted to facilities having at least 10 HD patients with a reported serum phosphorus or PTH measurement, respectively. Logistic regression analyses of the indicated binary outcomes were based on the use of generalized estimating equations and were adjusted for GCC country, patient age category (<45 years, 45-65 years, and >65 years old), sex, and whether the patient was diagnosed with diabetes mellitus. Logistic models accounted for clustering of patients within facilities, assuming an exchangeable working correlation matrix. Mean age of HD patients in the GCC countries was 53 years vs. 61-64 years in the three other DOPPS regions. MBD markers showed slightly lower mean serum Calcium in the GCC countries, similar mean serum phosphorus, and intermediate median PTH levels compared with the three other DOPPS regions. Among GCC countries, the country mean value of MBD markers ranged from 8.6-9.0 mg/dL for serum calcium, 4.4-5.4 mg/dL for serum phosphorus, whereas median PTH ranged from 163-389 pg/mL. Similar to other DOPPS regions, PTH was higher among patients who were younger or without diabetes, and serum phosphorus was lower with older age (P <0.001 for each). History of parathyroidectomy was lower in the GCC countries versus other regions but did not differ when adjusted for age and dialysis vintage. Among treatments used for managing MBD, the GCC countries showed one of the highest uses of cinacalcet (24%) and phosphorus binder use (81%), whereas intravenous Vitamin D use (24%) was slightly higher than that in EURANZ. A much larger fraction of HD patients in the GCC countries had a dialysate calcium bath ≥3.5 mEq/L (43%) versus 0-4% in the three other DOPPS regions. Although many aspects of MBD management and MBD marker achievement are similar in the GCC countries to that seen in other DOPPS study regions, large variability was seen across countries and facilities in the GCC. Mean serum calcium was lower in the GCC despite the much greater use of dialysate Ca of ~3.5 mEq/L which may be due to the relatively low use of vitamin D and higher cinacalcet use, meriting further study. Future work will focus on GCC facility HD practices and patient characteristics most strongly related to the achievement of MBD target levels and associated outcomes.

  19. Climate change impacts on marine biodiversity, fisheries and society in the Arabian Gulf

    PubMed Central

    Lam, Vicky W. Y.; Reygondeau, Gabriel; Teh, Lydia C. L.; Al-Abdulrazzak, Dalal; Khalfallah, Myriam; Pauly, Daniel; Palomares, Maria L. Deng; Zeller, Dirk; Cheung, William W. L.

    2018-01-01

    Climate change–reflected in significant environmental changes such as warming, sea level rise, shifts in salinity, oxygen and other ocean conditions–is expected to impact marine organisms and associated fisheries. This study provides an assessment of the potential impacts on, and the vulnerability of, marine biodiversity and fisheries catches in the Arabian Gulf under climate change. To this end, using three separate niche modelling approaches under a ‘business-as-usual’ climate change scenario, we projected the future habitat suitability of the Arabian Gulf (also known as the Persian Gulf) for 55 expert-identified priority species, including charismatic and non-fish species. Second, we conducted a vulnerability assessment of national economies to climate change impacts on fisheries. The modelling outputs suggested a high rate of local extinction (up to 35% of initial species richness) by 2090 relative to 2010. Spatially, projected local extinctions are highest in the southwestern part of the Gulf, off the coast of Saudi Arabia, Qatar and the United Arab Emirates (UAE). While the projected patterns provided useful indicators of potential climate change impacts on the region’s diversity, the magnitude of changes in habitat suitability are more uncertain. Fisheries-specific results suggested reduced future catch potential for several countries on the western side of the Gulf, with projections differing only slightly among models. Qatar and the UAE were particularly affected, with more than a 26% drop in future fish catch potential. Integrating changes in catch potential with socio-economic indicators suggested the fisheries of Bahrain and Iran may be most vulnerable to climate change. We discuss limitations of the indicators and the methods used, as well as the implications of our overall findings for conservation and fisheries management policies in the region. PMID:29718919

  20. Disparity in ST-segment Elevation Myocardial Infarction Practices and Outcomes in Arabian Gulf Countries (Gulf COAST Registry)

    PubMed Central

    Zubaid, Mohammad; Rashed, Wafa; Alsheikh-Ali, Alawi A.; Garadah, Taysir; Alrawahi, Najib; Ridha, Mustafa; Akbar, Mousa; Alenezi, Fahad; Alhamdan, Rashed; Almahmeed, Wael; Ouda, Hussam; Al-Mulla, Arif; Baslaib, Fahad; Shehab, Abdulla; Alnuaimi, Abdulla; Amin, Haitham

    2017-01-01

    Objectives: The objective of this study is to describe contemporary management and 1-year outcomes of patients hospitalized with ST-segment elevation myocardial infarction (STEMI) in Arabian Gulf countries. Methods: Data of patients admitted to 29 hospitals in four Gulf countries [Bahrain, Kuwait, Oman, United Arab Emirates (UAE)] with the diagnosis of STEMI were analyzed from Gulf locals with acute coronary syndrome (ACS) events (Gulf COAST) registry. This was a longitudinal, observational registry of consecutive citizens, admitted with ACS from January 2012 to January 2013. Patient management and outcomes were analyzed and compared between the four countries. Results: A total of 1039 STEMI patients were enrolled in Gulf COAST Registry. The mean age was 58 years, and there was a high prevalence of diabetes (47%). With respect to reperfusion, 10% were reperfused with primary percutaneous coronary intervention, 66% with fibrinolytic therapy and 24% were not reperfused. Only one-third of patients who received fibrinolytic therapy had a door-to-needle time of 30 min or less. The in-hospital mortality rate was 7.4%. However, we noted a significant regional variability in mortality rate (3.8%-11.9%). In adjusted analysis, patients from Oman were 4 times more likely to die in hospital as compared to patients from Kuwait. Conclusions: In the Gulf countries, fibrinolytic therapy is the main reperfusion strategy used in STEMI patients. Most patients do not receive this therapy according to timelines outlined in recent practice guidelines. There is a significant discrepancy in outcomes between the countries. Quality improvement initiatives are needed to achieve better adherence to management guidelines and close the gap in outcomes. PMID:28706594

  1. Venous Thromboembolism Risk and Adequacy of Prophylaxis in High Risk Pregnancy in the Arabian Gulf

    PubMed Central

    Alsayegh, Faisal; Al-Jassar, Waleed; Wani, Salima; Tahlak, Muna; Al-Bahar, Awatef; Al-Kharusi, Lamya; Al-Tamimi, Halima; El-Taher, Faten; Mahmood, Naeema; Al-Zakwani, Ibrahim

    2016-01-01

    Objectives: To estimate the prevalence of venous thromboembolism (VTE) risk factors in pregnancy and the proportion of pregnancies at risk of VTE that received the recommended prophylaxis according to the American College of Chest Physicians (ACCP) 2012 published guidelines in antenatal clinics in the Arabian Gulf. Methods: The evaluation of venous thromboembolism (EVE)-Risk project was a non-interventional, cross-sectional, multi-centre, multi-national study of all eligible pregnant women (≥17 years) screened during antenatal clinics from 7 centres in the Arabian Gulf countries (United Arab Emirates, Kuwait, Bahrain, Qatar and Oman). Pregnant women were recruited during a 3-month period between September and December 2012. Results: Of 4,131 screened pregnant women, 32% (n=1,337) had ≥1 risk factors for VTE. Common VTE risk factors included obesity (76%), multiparity (33%), recurrent miscarriages (9.1%), varicose veins (6.9%), thrombophilia (2.6%), immobilization (2.0%), sickle cell disease (2.8%) and previous VTE (1.6%). Only 8.3% (n=111) of the high risk patients were on the recommended VTE prophylaxis. Enoxaparin was used in 80% (n=89) of the cases followed by tinzaparin (4%; n=4). Antiplatelet agents were prescribed in 11% (n=149) of pregnant women. Of those on anticoagulants (n=111), 59% (n=66) were also co-prescribed antiplatelet agents. Side effects (mainly local bruising at the injection site) were reported in 12% (n=13) of the cases. Conclusion: A large proportion of pregnant women in the Arabian Gulf countries have ≥1 VTE risk factor with even a smaller fraction on prophylaxis. VTE risk assessment must be adopted to identify those at risk who would need VTE prophylaxis. PMID:26517701

  2. Molecular Epidemiology of Carbapenem-Resistant Acinetobacter baumannii Isolates in the Gulf Cooperation Council States: Dominance of OXA-23-Type Producers

    PubMed Central

    Sartor, Anna L.; Sidjabat, Hanna E.; Balkhy, Hanan H.; Walsh, Timothy R.; Al Johani, Sameera M.; AlJindan, Reem Y.; Alfaresi, Mubarak; Ibrahim, Emad; Al-Jardani, Amina; Al Salman, Jameela; Dashti, Ali A.; Johani, Khalid; Paterson, David L.

    2015-01-01

    The molecular epidemiology and mechanisms of resistance of carbapenem-resistant Acinetobacter baumannii (CRAB) were determined in hospitals in the states of the Cooperation Council for the Arab States of the Gulf (Gulf Cooperation Council [GCC]), namely, Saudi Arabia, United Arab Emirates, Oman, Qatar, Bahrain, and Kuwait. Isolates were subjected to PCR-based detection of antibiotic resistance genes and repetitive sequence-based PCR (rep-PCR) assessments of clonality. Selected isolates were subjected to multilocus sequence typing (MLST). We investigated 117 isolates resistant to carbapenem antibiotics (either imipenem or meropenem). All isolates were positive for OXA-51. The most common carbapenemases were the OXA-23-type, found in 107 isolates, followed by OXA-40-type (OXA-24-type), found in 5 isolates; 3 isolates carried the ISAba1 element upstream of blaOXA-51-type. No OXA-58-type, NDM-type, VIM-type, or IMP-type producers were detected. Multiple clones were detected with 16 clusters of clonally related CRAB. Some clusters involved hospitals in different states. MLST analysis of 15 representative isolates from different clusters identified seven different sequence types (ST195, ST208, ST229, ST436, ST450, ST452, and ST499), as well as three novel STs. The vast majority (84%) of the isolates in this study were associated with health care exposure. Awareness of multidrug-resistant organisms in GCC states has important implications for optimizing infection control practices; establishing antimicrobial stewardship programs within hospital, community, and agricultural settings; and emphasizing the need for establishing regional active surveillance systems. This will help to control the spread of CRAB in the Middle East and in hospitals accommodating transferred patients from this region. PMID:25568439

  3. Identification of carbapenem-resistant Pseudomonas aeruginosa in selected hospitals of the Gulf Cooperation Council States: dominance of high-risk clones in the region.

    PubMed

    Zowawi, Hosam M; Syrmis, Melanie W; Kidd, Timothy J; Balkhy, Hanan H; Walsh, Timothy R; Al Johani, Sameera M; Al Jindan, Reem Y; Alfaresi, Mubarak; Ibrahim, Emad; Al-Jardani, Amina; Al Salman, Jameela; Dashti, Ali A; Sidjabat, Hanna E; Baz, Omar; Trembizki, Ella; Whiley, David M; Paterson, David L

    2018-04-17

    The molecular epidemiology and resistance mechanisms of carbapenem-resistant Pseudomonas aeruginosa (CRPA) were determined in hospitals in the countries of the Gulf Cooperation Council (GCC), namely, Saudi Arabia, the United Arab Emirates, Oman, Qatar, Bahrain and Kuwait. Isolates were screened for common carbapenem-resistance genes by PCR. Relatedness between isolates was assessed using previously described genotyping methods: an informative-single nucleotide polymorphism MassARRAY iPLEX assay (iPLEX20SNP) and the enterobacterial repetitive intergenic consensus (ERIC)-PCR assay, with selected isolates being subjected to multilocus sequence typing (MLST). Ninety-five non-repetitive isolates that were found to be resistant to carbapenems were subjected to further investigation.Results/Key findings. The most prevalent carbapenemase-encoding gene, blaVIM-type, was found in 37/95 (39 %) isolates, while only 1 isolate (from UAE) was found to have blaIMP-type. None of the CRPA were found to have blaNDM-type or blaKPC-type. We found a total of 14 sequence type (ST) clusters, with 4 of these clusters being observed in more than 1 country. Several clusters belonged to the previously recognized internationally disseminated high-risk clones ST357, ST235, ST111, ST233 and ST654. We also found the less predominant ST316, ST308 and ST823 clones, and novel MLST types (ST2010, ST2011, ST2012 and ST2013), in our collection. Overall our data show that 'high-risk' CRPA clones are now detected in the region and highlight the need for strategies to limit further spread of such organisms, including enhanced surveillance, infection control precautions and further promotion of antibiotic stewardship programmes.

  4. Molecular epidemiology of carbapenem-resistant Acinetobacter baumannii isolates in the Gulf Cooperation Council States: dominance of OXA-23-type producers.

    PubMed

    Zowawi, Hosam M; Sartor, Anna L; Sidjabat, Hanna E; Balkhy, Hanan H; Walsh, Timothy R; Al Johani, Sameera M; AlJindan, Reem Y; Alfaresi, Mubarak; Ibrahim, Emad; Al-Jardani, Amina; Al Salman, Jameela; Dashti, Ali A; Johani, Khalid; Paterson, David L

    2015-03-01

    The molecular epidemiology and mechanisms of resistance of carbapenem-resistant Acinetobacter baumannii (CRAB) were determined in hospitals in the states of the Cooperation Council for the Arab States of the Gulf (Gulf Cooperation Council [GCC]), namely, Saudi Arabia, United Arab Emirates, Oman, Qatar, Bahrain, and Kuwait. Isolates were subjected to PCR-based detection of antibiotic resistance genes and repetitive sequence-based PCR (rep-PCR) assessments of clonality. Selected isolates were subjected to multilocus sequence typing (MLST). We investigated 117 isolates resistant to carbapenem antibiotics (either imipenem or meropenem). All isolates were positive for OXA-51. The most common carbapenemases were the OXA-23-type, found in 107 isolates, followed by OXA-40-type (OXA-24-type), found in 5 isolates; 3 isolates carried the ISAba1 element upstream of blaOXA-51-type. No OXA-58-type, NDM-type, VIM-type, or IMP-type producers were detected. Multiple clones were detected with 16 clusters of clonally related CRAB. Some clusters involved hospitals in different states. MLST analysis of 15 representative isolates from different clusters identified seven different sequence types (ST195, ST208, ST229, ST436, ST450, ST452, and ST499), as well as three novel STs. The vast majority (84%) of the isolates in this study were associated with health care exposure. Awareness of multidrug-resistant organisms in GCC states has important implications for optimizing infection control practices; establishing antimicrobial stewardship programs within hospital, community, and agricultural settings; and emphasizing the need for establishing regional active surveillance systems. This will help to control the spread of CRAB in the Middle East and in hospitals accommodating transferred patients from this region. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  5. Gender differences in prevalence of the metabolic syndrome in Gulf Cooperation Council Countries: a systematic review.

    PubMed

    Mabry, R M; Reeves, M M; Eakin, E G; Owen, N

    2010-05-01

    To systematically review studies documenting the prevalence of the metabolic syndrome among men and women in Member States of the Gulf Cooperative Council (GCC; Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates)-countries in which obesity, Type 2 diabetes and related metabolic and cardiovascular diseases are highly prevalent. A search was conducted on PubMed and CINAHL using the term 'metabolic syndrome' and the country name of each GCC Member State. The search was limited to studies published in the English language. The metabolic syndrome was defined according to the Third Adult Treatment Panel (ATPIII) of the National Cholesterol Education Program (NCEP) and/or International Diabetes Federation (IDF) definitions. The methodological quality of each study was evaluated based on four criteria: a national-level population sample; equal gender representation; robustness of the sample size; an explicit sampling methodology. PubMed, CINAHL and reference list searches identified nine relevant studies. Only four were considered high quality and found that, for men, the prevalence of the metabolic syndrome ranged from 20.7% to 37.2% (ATPIII definition) and from 29.6% to 36.2% (IDF definition); and, for women, from 32.1% to 42.7% (ATPIII definition) and from 36.1% to 45.9% (IDF definition). Overall, the prevalence of the metabolic syndrome in the GCC states is some 10-15% higher than in most developed countries, with generally higher prevalence rates for women. Preventive strategies will require identifying socio-demographic and environmental correlates (particularly those influencing women) and addressing modifiable risk behaviours, including lack of physical activity, prolonged sitting time and dietary intake.

  6. Epidemiology of end-stage renal disease in the countries of the Gulf Cooperation Council: a systematic review.

    PubMed

    Hassanien, Amal A; Al-Shaikh, Fahdah; Vamos, Eszter P; Yadegarfar, Ghasem; Majeed, Azeem

    2012-06-01

    To describe the epidemiology of end stage renal disease (ESRD). Mixed-methods systematic review. The countries of the Gulf Cooperation Council (GCC) which consist of Saudi Arabia, the United Arab Emirates, Kuwait, Qatar, Bahrain, and Oman. Defined to have ESRD or patients on regular dialysis for a minimum dialysis period of at least three months. Since many outcomes were reviewed, studies that estimated the incidence and prevalence of ESRD as outcomes should not have defined the study population as ESRD population or patients on regular dialysis. Studies where the study population mainly comprised children or pregnant woman were excluded. The trends of the incidence, prevalence, and mortality rate of ESRD; also, causes of mortality, primary causes and co-morbid conditions associated with ESRD. 44 studies included in this review show that the incidence of ESRD has increased while the prevalence and mortality rate of ESRD in the GCC has not been reported sufficiently. The leading primary causes of ESRD recorded in the countries of the GCC is diabetes with the most prevalent co-morbid conditions being Hypertension and Hepatitis C Virus infection; the most common cause of death was cardiovascular disease and sepsis. This review highlights that the lack of national renal registries data is a critical issue in the countries of the GCC. The available data also do not provide an accurate and updated estimate for relevant outcomes. Additionally, considering the increasing burden of chronic kidney disease (CKD), these results stressed the needs and the importance of preventative strategies for leading causes of ESRD. Furthermore, more studies are needed to describe the epidemiology of ESRD and for assessing the overall quality of renal care.

  7. Epidemiology of thyroid cancer: a review with special reference to Gulf Cooperation Council (GCC) states.

    PubMed

    Al-Zahrani, A S; Ravichandran, K

    2007-07-01

    A wide variation in incidence of thyroid cancer according to age, sex, ethnicity and geographic region was observed. In general, it occurs more frequently in women than men and a substantially higher rate was observed particularly during fertile period of women compared with men of the same age. Papillary carcinoma is the most prevalent histological type, irrespective of gender and conditions like iodine level. Over the years the incidence of thyroid cancer, especially papillary type, increases around the world. Ionizing radiation, in particular radiotherapy to head and neck region was the most established risk factor for thyroid cancer. Goiter, miscarriage or abortion (particularly in the first pregnancy) may also predispose to thyroid cancer risk. Cigarette smoking and use of contraceptives may be modifier of thyroid cancer risk. In all the GCC states thyroid cancer is the second most common cancer except in Babrain and Kuwait (where it stands third). During the five year peribd (1998-2002) 549 male and 1898 female thyroid caneers were diagnosed in all the GCC states. Papillary carcinoma is the predominant histological type followed by follicular carcinoma in both genders. Among females, Qatar has the highest incidence with an age standardized incidence rate of 13.5 per 100,000 followed by Kuwait (7.7), Bahrain (7.6), Emirates (6.0), Oman (5.9), and Saudi Arabia (5.0). There were at least 2.6 female thyroid cancer cases (in Kuwait) for each male thyroid cancer case and this goes up to 6.6 in Babrain. Incidence of thyroid cancer in the GCC states is closer or higher than that of some of the developed countries.

  8. Undergraduate medical education in the Gulf Cooperation Council: a multi-countries study (Part 1).

    PubMed

    Hamdy, H; Telmesani, A W; Al Wardy, N; Abdel-Khalek, N; Carruthers, G; Hassan, F; Kassab, S; Abu-Hijleh, M; Al-Roomi, K; O'malley, K; El Din Ahmed, M G; Raj, G A; Rao, G M; Sheikh, K

    2010-01-01

    The Gulf Cooperation Council (GCC) countries have witnessed over the last 40 years a rapid and major social, cultural, and economic transformation. The development of medical education in the region is relatively new, dating from the late 1960s. An important goal among the medical colleges in the region is to graduate national physicians who can populate the healthcare service of each country. The aim of this study is to provide understanding of undergraduate medical education in each of the six GCC countries and the challenges that each face. This is a descriptive cross-sectional study. Fourteen senior medical faculty were requested to submit information about undergraduate medical education in their own countries, focusing on its historical background, student selection, curriculum, faculty, and challenges. The information provided was about 27 medical colleges: 16 from the Kingdom of Saudi Arabia (KSA), five from the United Arab Emirates (UAE), two from the Kingdom of Bahrain, two from Sultanate of Oman, one from Kuwait, and one from the State of Qatar. It was found that older colleges are reviewing their curriculum while new colleges are developing their programs following current trends in medical education, particularly problem-based learning and integrated curricula. The programs as described 'on paper' look good but what needs to be evaluated is the curriculum 'in action'. Faculty development in medical education is taking place in most of the region's medical colleges. The challenges reported were mainly related to shortages of faculty, availability of clinical training facilities and the need to more integration with the National Health Care services. Attention to quality, standards, and accreditation is considered essential by all colleges.

  9. Rates of catheter-associated urinary tract infection in tertiary care hospitals in 3 Arabian Gulf countries: A 6-year surveillance study.

    PubMed

    Al Nasser, Wafa; El-Saed, Aiman; Al-Jardani, Amina; Althaqafi, Abdulhakeem; Alansari, Huda; Alsalman, Jameela; Maskari, Zaina Al; El Gammal, Ayman; Al-Abri, Seif S; Balkhy, Hanan H

    2016-12-01

    The true burden of catheter-associated urinary tract infections (CAUTIs) remains largely unknown because of a lack of national and regional surveillance reports in Gulf Cooperation Council (GCC) countries. The purpose of this study was to estimate location-specific CAUTI rates in the GCC region and to compare them with published reports from the U.S. National Healthcare Safety Network (NHSN) and the International Nosocomial Infection Control Consortium (INICC). CAUTI rates and urinary catheter utilization between 2008 and 2013 were calculated using NHSN methodology pooled from 6 hospitals in 3 GCC countries: Saudi Arabia, Oman, and Bahrain. The standardized infection ratios of the CAUTIs were compared with published reports of the NHSN and INICC. A total of 286 CAUTI events were diagnosed during 6 years of surveillance, covering 89,254 catheter days and 113,807 patient days. The overall CAUTI rate was 3.2 per 1,000 catheter days (95% confidence interval, 2.8-3.6), with an overall urinary catheter utilization of 0.78. The CAUTI rates showed a wide variability between participating hospitals, with approximately 80% reduction during the study. The overall compliance with the urinary catheter bundle implementation during the second half of the study was 65%. The risk of CAUTI in GCC hospitals was 35% higher than the NHSN hospitals, but 37% lower than the INICC hospitals. CAUTI rates pooled from a sample of GCC hospitals are quite different from rates in both developing and developed countries. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  10. Undergraduate medical education in the Gulf Cooperation Council: a multi-countries study (Part 2).

    PubMed

    Hamdy, H; Telmesani, A W; Wardy, N Al; Abdel-Khalek, N; Carruthers, G; Hassan, F; Kassab, S; Abu-Hijleh, M; Al-Roomi, K; O'Malley, K; El Din Ahmed, M G; Raj, G A; Rao, G M; Sheikh, J

    2010-01-01

    The Gulf Cooperation Council (GCC) countries have witnessed over the last 40 years a rapid and major social, cultural, and economic transformation. The development of medical education in the region is relatively new, dating from the late 1960s. An important goal among the medical colleges in the region is to graduate national physicians who can populate the healthcare service of each country. The aim of this study is to provide understanding of undergraduate medical education in each of the six GCC countries and the challenges that each face. This is a descriptive cross-sectional study. Fourteen senior medical faculty were requested to submit information about undergraduate medical education in their own countries, focusing on its historical background, student selection, curriculum, faculty, and challenges. The information provided was about 27 medical colleges: 16 from the Kingdom of Saudi Arabia (KSA), five from the United Arab Emirates, two from the Kingdom of Bahrain, two from Sultanate of Oman, one from Kuwait and one from the State of Qatar. It was found that older colleges are reviewing their curriculum while new colleges are developing their programs following current trends in medical education particularly problem-based learning and integrated curricula. The programs as described 'on paper' look good but what needs to be evaluated is the curriculum 'in action'. Faculty development in medical education is taking place in most of the region's medical colleges. The challenges reported were mainly related to shortages of faculty, availability of clinical training facilities, and the need to more integration with the National Health Care services. Attention to quality, standards, and accreditation is considered essential by all colleges.

  11. Medical Students’ Perceptions of Peer Assessment in a Problem-based Learning Curriculum

    PubMed Central

    Tayem, Yasin I.; James, Henry; Al-Khaja, Khalid A. J.; Razzak, Rima L. A.; Potu, Bhagath K.; Sequeira, Reginald P.

    2015-01-01

    Objectives: Peer assessment (PA) is believed to support learning and help students develop both professionally and personally. The aim of this study was to examine medical students’ perceptions of intragroup PA in a problem-based learning (PBL) setting. Methods: This study was carried out between September and November 2014 and involved six random groups of fourth-year undergraduate medical students (n = 60) enrolled at the Arabian Gulf University in Manama, Bahrain. While working on set tasks within a curriculum unit, each student evaluated a randomly selected peer using an English language adapted assessment tool to measure responsibility and respect, information processing, critical analysis, interaction and collaborative skills. At the end of the unit, students’ perceptions of PA were identified using a specifically-designed voluntary and anonymous self-administered questionnaire in English. Results: A total of 55 students participated in the study (response rate: 92%). The majority of students reported that their learning (60%), attendance (67%), respect towards group members (70%) and participation in group discussions (71%) improved as a result of PA. Regarding problem analysis skills, most participants believed that PA improved their ability to analyse problems (65%), identify learning needs (64%), fulfil tasks related to the analysis of learning needs (72%) and share knowledge within their group (74%). Lastly, a large proportion of students reported that this form of assessment helped them develop their communication (71%) and self-assessment skills (73%), as well as collaborative abilities (75%). Conclusion: PA was well accepted by the students in this cohort and led to self-reported improvements in learning, skills, attitudes, engagement and other indicators of personal and professional development. PA was also perceived to have a positive impact on intragroup attitudes. PMID:26355668

  12. Epidemiology of end-stage renal disease in the countries of the Gulf Cooperation Council: a systematic review

    PubMed Central

    Hassanien, Amal A.; Al-Shaikh, Fahdah; Vamos, Eszter P.; Yadegarfar, Ghasem; Majeed, Azeem

    2012-01-01

    Objectives To describe the epidemiology of end stage renal disease (ESRD). Design Mixed-methods systematic review. Setting The countries of the Gulf Cooperation Council (GCC) which consist of Saudi Arabia, the United Arab Emirates, Kuwait, Qatar, Bahrain, and Oman. Participants Defined to have ESRD or patients on regular dialysis for a minimum dialysis period of at least three months. Since many outcomes were reviewed, studies that estimated the incidence and prevalence of ESRD as outcomes should not have defined the study population as ESRD population or patients on regular dialysis. Studies where the study population mainly comprised children or pregnant woman were excluded. Main outcome measures The trends of the incidence, prevalence, and mortality rate of ESRD; also, causes of mortality, primary causes and co-morbid conditions associated with ESRD. Results 44 studies included in this review show that the incidence of ESRD has increased while the prevalence and mortality rate of ESRD in the GCC has not been reported sufficiently. The leading primary causes of ESRD recorded in the countries of the GCC is diabetes with the most prevalent co-morbid conditions being Hypertension and Hepatitis C Virus infection; the most common cause of death was cardiovascular disease and sepsis. Conclusions This review highlights that the lack of national renal registries data is a critical issue in the countries of the GCC. The available data also do not provide an accurate and updated estimate for relevant outcomes. Additionally, considering the increasing burden of chronic kidney disease (CKD), these results stressed the needs and the importance of preventative strategies for leading causes of ESRD. Furthermore, more studies are needed to describe the epidemiology of ESRD and for assessing the overall quality of renal care. PMID:22768372

  13. The effects of different methods of cooking on proximate, mineral and heavy metal composition of fish and shrimps consumed in the Arabian Gulf.

    PubMed

    Musaiger, Abdulrahman O; D'Souza, Reshma

    2008-03-01

    This study analyzed eight cooked species of fish and one species of shrimps (grilled, curried, fried and cooked in rice) commonly consumed in Bahrain for their proximate, mineral and heavy metal content. The results reveled that the protein content was in the range of 22.8-29.2 g/100 g, while the fat content was between 2.9-11.9 g/100 g. The energy content was the highest in the fried Scomberomorus commerson being 894.2 KJ/100 g, followed by Scomberomorus commerson cooked in rice (867.3 KJ/100 g). The samples also had a considerable content of sodium ranging from 120-600 mg/100 g, potassium (310-560 mg/100 g) phosphorous (200-330 mg/100 g), magnesium (26-54 mg/100 g) and zinc (0.4-2.0 mg/100 g), while the other minerals were present to a lower extent. Lead was present to an extent of 0.30 microg/g in the grilled Plectorhinchus sordidus while Lethrinus nebulosus cooked in rice contained 0.35 microg/g of mercury. Cadmium levels were constant at <0.02 microg/g. It can be concluded the traditional methods of cooking fish and shrimps have an effect on their nutrient composition and heavy metal content hence, it is advisable to avoid excessive frying and use minimal salt. In addition, consuming of a wide variety of species of fish and alternating between the various modes of cooking is the best approach to achieve improved dietary habits, minimizing mercury exposure and increasing omega-3 fatty acid intake.

  14. Prescription Writing in Small Groups as a Clinical Pharmacology Educational Intervention: Perceptions of Preclerkship Medical Students.

    PubMed

    James, Henry; Tayem, Yasin I Y; Al Khaja, K A J; Veeramuthu, Sindhan; Sequeira, Reginald P

    2016-08-01

    Medical students do not perform well in writing prescriptions, and the 3 variables-learner, teacher, and instructional method-are held responsible to various degrees. The objective of this clinical pharmacology educational intervention was to improve medical students' perceptions, motivation, and participation in prescription-writing sessions. The study participants were second-year medical students of the College of Medicine and Medical Sciences of the Arabian Gulf University, Bahrain. Two prescription-writing sessions were conducted using clinical case scenarios based on problems the students had studied as part of the problem-based learning curriculum. At the end of the respiratory system subunit, the training was conducted in small groups, each facilitated by a tutor. At the end of the cardiovascular system subunit, the training was conducted in a traditional large-group classroom setting. Data were collected with the help of a questionnaire at the end of each session and a focus group discussion. A majority of the students (95.3% ± 2.4%) perceived the small-group method better for teaching and learning of all aspects of prescription writing: analyzing the clinical case scenario, applying clinical pharmacology knowledge for therapeutic reasoning, using a formulary for searching relevant prescribing information, and in writing a complete prescription. Students also endorsed the small-group method for better interaction among themselves and with the tutor and for the ease of asking questions and clarifying doubts. In view of the principles of adult learning, where motivation and interaction are important, teaching and learning prescription writing in small groups deserve a serious consideration in medical curricula. © 2015, The American College of Clinical Pharmacology.

  15. Epidemiology of seasonal influenza in the Middle East and North Africa regions, 2010-2016: Circulating influenza A and B viruses and spatial timing of epidemics.

    PubMed

    Caini, Saverio; El-Guerche Séblain, Clotilde; Ciblak, Meral A; Paget, John

    2018-05-01

    There is a limited knowledge regarding the epidemiology of influenza in Middle East and North Africa. We described the patterns of influenza circulation and the timing of seasonal epidemics in countries of Middle East and North Africa. We used virological surveillance data for 2010-2016 from the WHO FluNet database. In each country, we calculated the median proportion of cases that were caused by each virus type and subtype; determined the timing and amplitude of the primary and secondary peaks; and used linear regression models to test for spatial trends in the timing of epidemics. We included 70 532 influenza cases from seventeen countries. Influenza A and B accounted for a median 76.5% and 23.5% of cases in a season and were the dominant type in 86.8% and 13.2% of seasons. The proportion of influenza A cases that were subtyped was 85.9%, while only 4.4% of influenza B cases were characterized. For most countries, influenza seasonality was similar to the Northern Hemisphere, with a single large peak between January and March; exceptions were the countries in the Arabian Peninsula and Jordan, all of which showed clear secondary peaks, and some countries had an earlier primary peak (in November-December in Bahrain and Qatar). The direction of the timing of influenza activity was east to west and south to north in 2012-2013 and 2015-2016, and west to east in 2014-2015. The epidemiology of influenza is generally uniform in countries of Middle East and North Africa, with influenza B playing an important role in the seasonal disease burden. © 2018 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

  16. A multi-faceted approach to promote knowledge translation platforms in eastern Mediterranean countries: climate for evidence-informed policy.

    PubMed

    El-Jardali, Fadi; Ataya, Nour; Jamal, Diana; Jaafar, Maha

    2012-05-06

    Limited work has been done to promote knowledge translation (KT) in the Eastern Mediterranean Region (EMR). The objectives of this study are to: 1.assess the climate for evidence use in policy; 2.explore views and practices about current processes and weaknesses of health policymaking; 3.identify priorities including short-term requirements for policy briefs; and 4.identify country-specific requirements for establishing KT platforms. Senior policymakers, stakeholders and researchers from Algeria, Bahrain, Egypt, Iran, Jordan, Lebanon, Oman, Sudan, Syria, Tunisia, and Yemen participated in this study. Questionnaires were used to assess the climate for use of evidence and identify windows of opportunity and requirements for policy briefs and for establishing KT platforms. Current processes and weaknesses of policymaking were appraised using case study scenarios. Closed-ended questions were analyzed descriptively. Qualitative data was analyzed using thematic analysis. KT activities were not frequently undertaken by policymakers and researchers in EMR countries, research evidence about high priority policy issues was rarely made available, and interaction between policymakers and researchers was limited, and policymakers rarely identified or created places for utilizing research evidence in decision-making processes. Findings emphasized the complexity of policymaking. Donors, political regimes, economic goals and outdated laws were identified as key drivers. Lack of policymakers' abilities to think strategically, constant need to make quick decisions, limited financial resources, and lack of competent and trained human resources were suggested as main weaknesses. Despite the complexity of policymaking processes in countries from this region, the absence of a structured process for decision making, and the limited engagement of policymakers and researchers in KT activities, there are windows of opportunity for moving towards more evidence informed policymaking.

  17. Evaluating the relative environmental impact of countries.

    PubMed

    Bradshaw, Corey J A; Giam, Xingli; Sodhi, Navjot S

    2010-05-03

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy 'models' can be identified. We provide novel metrics of country-specific environmental impact ranks - one proportional to total resource availability per country and an absolute (total) measure of impact - that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional) and 171 (absolute) had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened). Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in less-developed countries, especially those in Asia, there is also a requirement to focus on the development of environmentally friendly practices in wealthier countries.

  18. Mental illness research in the Gulf Cooperation Council: a scoping review.

    PubMed

    Hickey, Jason E; Pryjmachuk, Steven; Waterman, Heather

    2016-08-04

    Rapid growth and development in recent decades has seen mental health and mental illness emerge as priority health concerns for the Gulf Cooperation Council (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates). As a result, mental health services in the region are being redefined and expanded. However, there is a paucity of local research to guide ongoing service development. Local research is important because service users' experience of mental illness and mental health services are linked to their sociocultural context. In order for service development to be most effective, there is a need for increased understanding of the people who use these services.This article aims to review and synthesize mental health research from the Gulf Cooperation Council. It also seeks to identify gaps in the literature and suggest directions for future research. A scoping framework was used to conduct this review. To identify studies, database searches were undertaken, regional journals were hand-searched, and reference lists of included articles were examined. Empirical studies undertaken in the Gulf Cooperation Council that reported mental health service users' experience of mental illness were included. Framework analysis was used to synthesize results. Fifty-five studies met inclusion criteria and the following themes were identified: service preferences, illness (symptomology, perceived cause, impact), and recovery (traditional healing, family support, religion). Gaps included contradictory findings related to the supportive role of the Arabic extended family and religion, under-representation of women in study samples, and limited attention on illness management outside of the hospital setting.From this review, it is clear that the sociocultural context in the region is linked to service users' experience of mental illness. Future research that aims to fill the identified gaps and develop and test culturally appropriate interventions will aid practice and policy development in the region.

  19. A multi-faceted approach to promote knowledge translation platforms in eastern Mediterranean countries: climate for evidence-informed policy

    PubMed Central

    2012-01-01

    Objectives Limited work has been done to promote knowledge translation (KT) in the Eastern Mediterranean Region (EMR). The objectives of this study are to: 1.assess the climate for evidence use in policy; 2.explore views and practices about current processes and weaknesses of health policymaking; 3.identify priorities including short-term requirements for policy briefs; and 4.identify country-specific requirements for establishing KT platforms. Methods Senior policymakers, stakeholders and researchers from Algeria, Bahrain, Egypt, Iran, Jordan, Lebanon, Oman, Sudan, Syria, Tunisia, and Yemen participated in this study. Questionnaires were used to assess the climate for use of evidence and identify windows of opportunity and requirements for policy briefs and for establishing KT platforms. Current processes and weaknesses of policymaking were appraised using case study scenarios. Closed-ended questions were analyzed descriptively. Qualitative data was analyzed using thematic analysis. Results KT activities were not frequently undertaken by policymakers and researchers in EMR countries, research evidence about high priority policy issues was rarely made available, and interaction between policymakers and researchers was limited, and policymakers rarely identified or created places for utilizing research evidence in decision-making processes. Findings emphasized the complexity of policymaking. Donors, political regimes, economic goals and outdated laws were identified as key drivers. Lack of policymakers’ abilities to think strategically, constant need to make quick decisions, limited financial resources, and lack of competent and trained human resources were suggested as main weaknesses. Conclusion Despite the complexity of policymaking processes in countries from this region, the absence of a structured process for decision making, and the limited engagement of policymakers and researchers in KT activities, there are windows of opportunity for moving towards more evidence informed policymaking. PMID:22559007

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

    PubMed

    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. All rights reserved.

  1. MPOWER, needs and challenges: trends in the implementation of the WHO FCTC in the Eastern Mediterranean Region.

    PubMed

    Heydari, Gholamreza; Zaatari, Ghazi; Al-Lawati, Jawad A; El-Awa, Fatimah; Fouad, Heba

    2018-04-05

    WHO MPOWER aims to help countries prioritize tobacco control measures in line with the WHO Framework Convention on Tobacco Control. This paper assessed the progress and challenges in implementing the 6 priority policies of MPOWER in countries of the WHO Eastern Mediterranean Region since 2011. A checklist was developed and scores assigned based on the MPOWER indicators (maximum score 37). MPOWER data for the Region in the 2015 and 2017 tobacco control reports were extracted and scored. Data from similar analyses for 2011 and 2013 were also included. Countries were ranked by scores for each indicator for 2015 and 2017 and for overall scores for 2011 to 2017. The Islamic Republic of Iran, Egypt and Pakistan had the highest scores in 2015 (33, 29 and 27 respectively) and the Islamic Republic of Iran, Pakistan and Yemen had the highest scores in 2017 (34, 31 and 27 respectively). The indicators with the highest and lowest combined score for all countries were for advertising bans and compliance with smoke-free policies: 67 and 18 respectively in 2015, and 73 and 15 respectively in 2017. Most countries (15/22) had higher total scores in 2017 than 2015: Afghanistan, Bahrain and Syrian Arab Republic had the greatest increases. The total score for the Region increased from 416 out of a maximum score of 814 in 2011 to 471 in 2017. Although notable achievements have been made in the Region, many challenges to policy implementation remain and require urgent action by governments of the countries of the Region. Copyright © World Health Organization (WHO) 2018. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO license (https://creativecommons.org/licenses/by-nc-sa/3.0/igo).

  2. Climate change impacts on marine biodiversity, fisheries and society in the Arabian Gulf.

    PubMed

    Wabnitz, Colette C C; Lam, Vicky W Y; Reygondeau, Gabriel; Teh, Lydia C L; Al-Abdulrazzak, Dalal; Khalfallah, Myriam; Pauly, Daniel; Palomares, Maria L Deng; Zeller, Dirk; Cheung, William W L

    2018-01-01

    Climate change-reflected in significant environmental changes such as warming, sea level rise, shifts in salinity, oxygen and other ocean conditions-is expected to impact marine organisms and associated fisheries. This study provides an assessment of the potential impacts on, and the vulnerability of, marine biodiversity and fisheries catches in the Arabian Gulf under climate change. To this end, using three separate niche modelling approaches under a 'business-as-usual' climate change scenario, we projected the future habitat suitability of the Arabian Gulf (also known as the Persian Gulf) for 55 expert-identified priority species, including charismatic and non-fish species. Second, we conducted a vulnerability assessment of national economies to climate change impacts on fisheries. The modelling outputs suggested a high rate of local extinction (up to 35% of initial species richness) by 2090 relative to 2010. Spatially, projected local extinctions are highest in the southwestern part of the Gulf, off the coast of Saudi Arabia, Qatar and the United Arab Emirates (UAE). While the projected patterns provided useful indicators of potential climate change impacts on the region's diversity, the magnitude of changes in habitat suitability are more uncertain. Fisheries-specific results suggested reduced future catch potential for several countries on the western side of the Gulf, with projections differing only slightly among models. Qatar and the UAE were particularly affected, with more than a 26% drop in future fish catch potential. Integrating changes in catch potential with socio-economic indicators suggested the fisheries of Bahrain and Iran may be most vulnerable to climate change. We discuss limitations of the indicators and the methods used, as well as the implications of our overall findings for conservation and fisheries management policies in the region.

  3. A brief summary of the epidemiology and genetic relatedness of avian influenza H9N2 virus in birds and mammals in the Middle East and North Africa.

    PubMed

    Nagy, A; Mettenleiter, T C; Abdelwhab, E M

    2017-12-01

    H9N2 is the most widespread avian influenza virus subtype in poultry worldwide. It infects a broad spectrum of host species including birds and mammals. Infections in poultry and humans vary from silent to fatal. Importantly, all AIV, which are fatal in humans (e.g. H5N1, H7N9) acquired their 'internal' gene segments from H9N2 viruses. Although H9N2 is endemic in the Middle East (ME) and North Africa since the late 1990s, little is known about its epidemiology and genetics on a regional level. In this review, we summarised the epidemiological situation of H9N2 in poultry and mammals in Iran, Iraq, Kuwait, Qatar, United Arab Emirates, Oman, Bahrain, Yemen, Saudi Arabia, Jordan, Palestine, Israel, Syria, Lebanon, Turkey, Egypt, Sudan, Libya, Tunisia, Algeria and Morocco. The virus has been isolated from humans in Egypt and serosurveys indicated widespread infection particularly among poultry workers and pigs in some countries. Some isolates replicated well in experimentally inoculated dogs, mice, hamsters and ferrets. Insufficient protection of immunised poultry was frequently reported most likely due to concurrent viral or bacterial infections and antigenic drift of the field viruses from outdated vaccine strains. Genetic analysis indicated several distinct phylogroups including a panzootic genotype in the Asian and African parts of the ME, which may be useful for the development of vaccines. The extensive circulation of H9N2 for about 20 years in this region where the H5N1 virus is also endemic in some countries, poses a serious public health threat. Regional surveillance and control strategy are highly recommended.

  4. Confirmation of Arabia plate slow motion by new GPS data in Yemen

    NASA Astrophysics Data System (ADS)

    Vigny, Christophe; Huchon, Philippe; Ruegg, Jean-Claude; Khanbari, Khaled; Asfaw, Laike M.

    2006-02-01

    During the last 10 years, a network of about 30 GPS sites was measured in Djibouti, East Africa. Additional points were also measured in Yemen, Oman, Ethiopia, Iran, and on La Réunion island. Merged with data from the available International GPS Service permanent stations scattered on the different plates in the area (Eurasia, Anatolia, Africa, Arabia, Somalia), this unique data set provides new insight on the current deformation in the Africa-Somalia-Arabia triple junction area and on the Arabian plate motion. Here we show that coherent motions of points in Yemen, Bahrain, Oman, and Iran allow us to estimate a geodetically constrained angular velocity for the Arabian plate (52.59°N, 15.74°W, 0.461°/Myr in ITRF2000). This result differs significantly from earlier determinations and is based upon our vectors in Yemen. They provide new additional data and better geometry for angular velocity determination. Combined with the African and Somalian motions, this new angular velocity results in predicted spreading rates in the Red Sea and the Gulf of Aden which are 15-20% lower than those measured from oceanic magnetic anomalies and thus averaged over the last 3 Myr. With respect to Eurasia, the geodetic motion of Arabia is also about 30% slower than predicted by NUVEL-1A. On the basis of the kinematic results presented here and on other evidence for a similar slower geodetic rate of the Indian plate, we suggest that the whole collision zone between Africa, Arabia, India on one hand and Eurasia on the other hand has slowed down in the last 3 Myr.

  5. Burden of Diarrhea in the Eastern Mediterranean Region, 1990–2013: Findings from the Global Burden of Disease Study 2013

    PubMed Central

    Khalil, Ibrahim; Colombara, Danny V.; Forouzanfar, Mohammad Hossein; Troeger, Christopher; Daoud, Farah; Moradi-Lakeh, Maziar; El Bcheraoui, Charbel; Rao, Puja C.; Afshin, Ashkan; Charara, Raghid; Abate, Kalkidan Hassen; El Razek, Mohammed Magdy Abd; Abd-Allah, Foad; Abu-Elyazeed, Remon; Kiadaliri, Aliasghar Ahmad; Akanda, Ali Shafqat; Akseer, Nadia; Alam, Khurshid; Alasfoor, Deena; Ali, Raghib; AlMazroa, Mohammad A.; Alomari, Mahmoud A.; Al-Raddadi, Rajaa Mohammad Salem; Alsharif, Ubai; Alsowaidi, Shirina; Altirkawi, Khalid A.; Alvis-Guzman, Nelson; Ammar, Walid; Antonio, Carl Abelardo T.; Asayesh, Hamid; Asghar, Rana Jawad; Atique, Suleman; Awasthi, Ashish; Bacha, Umar; Badawi, Alaa; Barac, Aleksandra; Bedi, Neeraj; Bekele, Tolesa; Bensenor, Isabela M.; Betsu, Balem Demtsu; Bhutta, Zulfiqar; Bin Abdulhak, Aref A.; Butt, Zahid A.; Danawi, Hadi; Dubey, Manisha; Endries, Aman Yesuf; Faghmous, Imad D. A.; Farid, Talha; Farvid, Maryam S.; Farzadfar, Farshad; Fereshtehnejad, Seyed-Mohammad; Fischer, Florian; Fitchett, Joseph Robert Anderson; Gibney, Katherine B.; Ginawi, Ibrahim Abdelmageem Mohamed; Gishu, Melkamu Dedefo; Gugnani, Harish Chander; Gupta, Rahul; Hailu, Gessessew Bugssa; Hamadeh, Randah Ribhi; Hamidi, Samer; Harb, Hilda L.; Hedayati, Mohammad T.; Hsairi, Mohamed; Husseini, Abdullatif; Jahanmehr, Nader; Javanbakht, Mehdi; Jibat, Tariku; Jonas, Jost B.; Kasaeian, Amir; Khader, Yousef Saleh; Khan, Abdur Rahman; Khan, Ejaz Ahmad; Khan, Gulfaraz; Khoja, Tawfik Ahmed Muthafer; Kinfu, Yohannes; Kissoon, Niranjan; Koyanagi, Ai; Lal, Aparna; Latif, Asma Abdul Abdul; Lunevicius, Raimundas; El Razek, Hassan Magdy Abd; Majeed, Azeem; Malekzadeh, Reza; Mehari, Alem; Mekonnen, Alemayehu B.; Melaku, Yohannes Adama; Memish, Ziad A.; Mendoza, Walter; Misganaw, Awoke; Mohamed, Layla Abdalla Ibrahim; Nachega, Jean B.; Le Nguyen, Quyen; Nisar, Muhammad Imran; Peprah, Emmanuel Kwame; Platts-Mills, James A.; Pourmalek, Farshad; Qorbani, Mostafa; Rafay, Anwar; Rahimi-Movaghar, Vafa; Ur Rahman, Sajjad; Rai, Rajesh Kumar; Rana, Saleem M.; Ranabhat, Chhabi L.; Rao, Sowmya R.; Refaat, Amany H.; Riddle, Mark; Roshandel, Gholamreza; Ruhago, George Mugambage; Saleh, Muhammad Muhammad; Sanabria, Juan R.; Sawhney, Monika; Sepanlou, Sadaf G.; Setegn, Tesfaye; Sliwa, Karen; Sreeramareddy, Chandrashekhar T.; Sykes, Bryan L.; Tavakkoli, Mohammad; Tedla, Bemnet Amare; Terkawi, Abdullah S.; Ukwaja, Kingsley; Uthman, Olalekan A.; Westerman, Ronny; Wubshet, Mamo; Yenesew, Muluken A.; Yonemoto, Naohiro; Younis, Mustafa Z.; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Al Rabeeah, Abdullah A.; Wang, Haidong; Naghavi, Mohsen; Vos, Theo; Lopez, Alan D.; Murray, Christopher J. L.; Mokdad, Ali H.

    2016-01-01

    Diarrheal diseases (DD) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one (95% uncertainty interval [UI] = 0–1) in Bahrain and Oman to 471 (95% UI = 245–763) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI = 520–989) in Syria to 40,869 (95% UI = 21,540–65,823) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden. PMID:27928080

  6. The NURSING-Positive Recruitment Arabic Model (NURS-P.R.A.M.): A Mixed Methods Study.

    PubMed

    Tawash, Eman; Cowman, Seamus

    2018-06-12

    To identify factors influencing high school students' choice of nursing and explore strategic interventions to promote nursing as a career in the Arab region. This study forms part of a PhD thesis, conducted in Bahrain, in a healthcare environment with a high dependence on expatriate nurses to maintain nursing services. However, in attracting local candidates to study nursing, the public image of nursing in the Middle East must be improved by implementing strategies that are sensitive to the Arabic culture. A mixed methods approach incorporating quantitative and qualitative dimensions. Data were collected between 2012-2015 using self-administered questionnaires, semi-structured interviews, focus groups and written narratives. The study sample included high school students, parents, career guidance counsellors and nursing students. A one-group pre-test post-test design was used to introduce a nursing recruitment intervention to high school students. SPSS was used to analyse quantitative data. Colaizzi's (1978) and Krueger's (1994) frameworks were applied to analyse the qualitative data. It is proposed that the public perceptions of Arab people about nursing may be grounded in strong cultural influences and any efforts to improve the enrolment and retention of local nurses should consider enhancing the social values of the nursing profession. The NURSING-Positive Recruitment Arabic Model incorporates essential elements which will guide nursing recruitment in the Arabic cultures. The study findings reflect certain issues similar to the core international literature on nursing recruitment, however there are fundamental issues particular to the Arab region, which must be included in the development of a nursing recruitment strategy for Arabic nursing. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  7. Xylitol Chewing Gums on the Market: Do They Prevent Caries?

    PubMed

    Alanzi, Abrar; Soderling, Eva; Varghese, Anisha; Honkala, Eino

    To measure the xylitol content in sugar-free chewing gums available on the market in Gulf Cooperation Council (GCC) countries in the Middle East, in order to identify those products that can provide the recommended daily dose of xylitol for caries prevention (6-7 g). Acid production from chewing gums was also measured in vitro and in vivo. Twenty-one chewing gums containing xylitol were identified and collected from the GCC market (Kuwait, Bahrain, Qatar, Saudi Arabia, UAE and Oman). Xylitol was extracted and its concentration was analysed using a special enzymatic kit. The pH of extracts was measured during 30-min incubation with Streptococcus mutans. Changes in saliva and plaque pH were noted in four subjects after the consumption of highly concentrated xylitol gums. The xylitol content in grams was clearly mentioned only on one product's label. Twelve products stated the percentage of xylitol (3.5% to 35%). The rest did not specify the amount. The mean measured weight of one piece of gum was 1.67 ± 0.38 g. The mean measured xylitol content/piece was 0.33 ± 0.21 g. Xylitol content was < 0.3 g/ piece in 9 products, 0.3-0.5 g in 7 and > 0.5 g in 5 products. None of the highly concentrated xylitol gums showed a pH drop in vitro or in vivo. One chewing gum, containing xylitol and glucose, resulted in a low pH level (< 5.5) when tested in vitro. The majority of xylitol chewing gums sold on the GCC market do not provide the consumers with the recommended daily dose of xylitol for caries prevention. Clear, accurate labeling is recommended.

  8. Exploring the Effectiveness of Mandatory Premarital Screening and Genetic Counselling Programmes for β-Thalassaemia in the Middle East: A Scoping Review.

    PubMed

    Saffi, Marwa; Howard, Natasha

    2015-01-01

    β-Thalassaemia is a common genetic blood disorder in the Middle Eastern region. Mandatory premarital screening and genetic counselling (PMSGC) programmes are implemented in 8 Middle East countries to reduce at-risk marriages and thus disease prevalence. A scoping review was conducted to explore the effectiveness of these programmes. The 6-stage scoping framework of Arksey and O'Malley [Int J Soc Res Methodol 2005;8:19-32] was used. Reported outcomes were analysed per country, with success defined as achieving a 65% reduction in at-risk marriages and/or thalassaemia-affected births. Emergent enablers and barriers were analysed thematically. Twenty-one sources were included from the 1,348 identified, discussing 7 country programmes, with 95% (20/21) published during 2003-2013. Five publications each were included for Iran and Saudi Arabia, 3 for Turkey, 2 each for Bahrain and Iraq (Kurdistan), and 1 for the United Arab Emirates, plus 2 multi-country evaluations. No programme achieved a 65% at-risk marriage cancellation rate. Though data on thalassaemia-affected birth reductions were minimal, programmes in Iran, Turkey and Iraq reported at least 65% reductions. A thematic analysis found that screening timing, access to prenatal detection and abortion, socio-religious issues, awareness and counselling affected decisions. This review found that PMSGC programmes were unsuccessful in discouraging at-risk marriages but successful in reducing the prevalence of affected births in countries providing prenatal detection and therapeutic abortion. A life cycle approach to prevention, incorporation of school screening, awareness campaigns, reconsideration of therapeutic abortion, and screening and counselling of couples married prior to programme inception are likely to improve the effectiveness of such programmes in the Middle Eastern region. © 2015 S. Karger AG, Basel.

  9. Arab Teens Lifestyle Study (ATLS): objectives, design, methodology and implications

    PubMed Central

    Al-Hazzaa, Hazzaa M; Musaiger, Abdulrahman O

    2011-01-01

    Background There is a lack of comparable data on physical activity, sedentary behavior, and dietary habits among Arab adolescents, which limits our understanding and interpretation of the relationship between obesity and lifestyle parameters. Therefore, we initiated the Arab Teens Lifestyle Study (ATLS). The ATLS is a multicenter collaborative project for assessing lifestyle habits of Arab adolescents. The objectives of the ATLS project were to investigate the prevalence rates for overweight and obesity, physical activity, sedentary activity and dietary habits among Arab adolescents, and to examine the interrelationships between these lifestyle variables. This paper reports on the objectives, design, methodology, and implications of the ATLS. Design/Methods The ATLS is a school-based cross-sectional study involving 9182 randomly selected secondary-school students (14–19 years) from major Arab cities, using a multistage stratified sampling technique. The participating Arab cities included Riyadh, Jeddah, and Al-Khobar (Saudi Arabia), Bahrain, Dubai (United Arab Emirates), Kuwait, Amman (Jordan), Mosel (Iraq), Muscat (Oman), Tunisia (Tunisia) and Kenitra (Morocco). Measured variables included anthropometric measurements, physical activity, sedentary behavior, sleep duration, and dietary habits. Discussion The ATLS project will provide a unique opportunity to collect and analyze important lifestyle information from Arab adolescents using standardized procedures. This is the first time a collaborative Arab project will simultaneously assess broad lifestyle variables in a large sample of adolescents from numerous urbanized Arab regions. This joint research project will supply us with comprehensive and recent data on physical activity/inactivity and eating habits of Arab adolescents relative to obesity. Such invaluable lifestyle-related data are crucial for developing public health policies and regional strategies for health promotion and disease prevention. PMID:22253540

  10. Burden of Diarrhea in the Eastern Mediterranean Region, 1990-2013: Findings from the Global Burden of Disease Study 2013.

    PubMed

    Khalil, Ibrahim; Colombara, Danny V; Forouzanfar, Mohammad Hossein; Troeger, Christopher; Daoud, Farah; Moradi-Lakeh, Maziar; Bcheraoui, Charbel El; Rao, Puja C; Afshin, Ashkan; Charara, Raghid; Abate, Kalkidan Hassen; Razek, Mohammed Magdy Abd El; Abd-Allah, Foad; Abu-Elyazeed, Remon; Kiadaliri, Aliasghar Ahmad; Akanda, Ali Shafqat; Akseer, Nadia; Alam, Khurshid; Alasfoor, Deena; Ali, Raghib; AlMazroa, Mohammad A; Alomari, Mahmoud A; Al-Raddadi, Rajaa Mohammad Salem; Alsharif, Ubai; Alsowaidi, Shirina; Altirkawi, Khalid A; Alvis-Guzman, Nelson; Ammar, Walid; Antonio, Carl Abelardo T; Asayesh, Hamid; Asghar, Rana Jawad; Atique, Suleman; Awasthi, Ashish; Bacha, Umar; Badawi, Alaa; Barac, Aleksandra; Bedi, Neeraj; Bekele, Tolesa; Bensenor, Isabela M; Betsu, Balem Demtsu; Bhutta, Zulfiqar; Abdulhak, Aref A Bin; Butt, Zahid A; Danawi, Hadi; Dubey, Manisha; Endries, Aman Yesuf; Faghmous, Imad D A; Farid, Talha; Farvid, Maryam S; Farzadfar, Farshad; Fereshtehnejad, Seyed-Mohammad; Fischer, Florian; Fitchett, Joseph Robert Anderson; Gibney, Katherine B; Ginawi, Ibrahim Abdelmageem Mohamed; Gishu, Melkamu Dedefo; Gugnani, Harish Chander; Gupta, Rahul; Hailu, Gessessew Bugssa; Hamadeh, Randah Ribhi; Hamidi, Samer; Harb, Hilda L; Hedayati, Mohammad T; Hsairi, Mohamed; Husseini, Abdullatif; Jahanmehr, Nader; Javanbakht, Mehdi; Jibat, Tariku; Jonas, Jost B; Kasaeian, Amir; Khader, Yousef Saleh; Khan, Abdur Rahman; Khan, Ejaz Ahmad; Khan, Gulfaraz; Khoja, Tawfik Ahmed Muthafer; Kinfu, Yohannes; Kissoon, Niranjan; Koyanagi, Ai; Lal, Aparna; Latif, Asma Abdul Abdul; Lunevicius, Raimundas; Razek, Hassan Magdy Abd El; Majeed, Azeem; Malekzadeh, Reza; Mehari, Alem; Mekonnen, Alemayehu B; Melaku, Yohannes Adama; Memish, Ziad A; Mendoza, Walter; Misganaw, Awoke; Mohamed, Layla Abdalla Ibrahim; Nachega, Jean B; Nguyen, Quyen Le; Nisar, Muhammad Imran; Peprah, Emmanuel Kwame; Platts-Mills, James A; Pourmalek, Farshad; Qorbani, Mostafa; Rafay, Anwar; Rahimi-Movaghar, Vafa; Rahman, Sajjad Ur; Rai, Rajesh Kumar; Rana, Saleem M; Ranabhat, Chhabi L; Rao, Sowmya R; Refaat, Amany H; Riddle, Mark; Roshandel, Gholamreza; Ruhago, George Mugambage; Saleh, Muhammad Muhammad; Sanabria, Juan R; Sawhney, Monika; Sepanlou, Sadaf G; Setegn, Tesfaye; Sliwa, Karen; Sreeramareddy, Chandrashekhar T; Sykes, Bryan L; Tavakkoli, Mohammad; Tedla, Bemnet Amare; Terkawi, Abdullah S; Ukwaja, Kingsley; Uthman, Olalekan A; Westerman, Ronny; Wubshet, Mamo; Yenesew, Muluken A; Yonemoto, Naohiro; Younis, Mustafa Z; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Rabeeah, Abdullah A Al; Wang, Haidong; Naghavi, Mohsen; Vos, Theo; Lopez, Alan D; Murray, Christopher J L; Mokdad, Ali H

    2016-12-07

    Diarrheal diseases (DD) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one (95% uncertainty interval [UI] = 0-1) in Bahrain and Oman to 471 (95% UI = 245-763) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI = 520-989) in Syria to 40,869 (95% UI = 21,540-65,823) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden. © The American Society of Tropical Medicine and Hygiene.

  11. Organization of the Arab Petroleum Exporting Countries: objectives and potential

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    El Mallakh, R.

    1977-01-01

    Established in 1968 by Kuwait, Saudi Arabia, and Libya, the Organization of the Arab Petroleum Exporting Countries (OAPEC) was preoccupied in its early years with efforts to increase its membership. Headquartered in Kuwait, OAPEC now also includes Algeria, Egypt, Syria, Qatar, Bahrain, Iraq, and the United Arab Emirates; only the Arab oil-exporting states of Tunisia and Oman remain outside the body. The timing of OAPEC's creation heavily influenced its direction and goals. In the wake of the June 1967 Middle East conflict, the Arab oil states individually reacted in diverse degrees through production slowdowns, stoppages, and ad hoc boycotts singularlymore » marked by lack of coordination and success. The trends then underway toward expanding participation of producer governments and rising pressure for higher prices had not gathered the sweeping momentum evident by the opening of the 1970s. The initial impulse in fashioning the body was two-pronged: (a) to reduce the disarray in Arab policies through a formalized or institutionalized level of coordination, and (b) to provide a means of channeling ''crisis aid'' to Egypt, Jordan, and Syria. The prime goals of OAPEC have centered upon (1) promotion of coordination of petroleum policies with special emphasis on development; (2) promotion of exchange of information and coordination in training programs and research; and (3) actual establishment and operation of joint ventures in the field of hydrocarbons on a commercial scale, entailing formation of independent companies in which shares are held by member states. The importance of OAPEC to the U.S. and other members of OECD lies in the increasing level and direction of trade and economic interdependence between the two groups. 12 footnotes, 7 tables.« less

  12. Rationale, Design, Methodology and Hospital Characteristics of the First Gulf Acute Heart Failure Registry (Gulf CARE).

    PubMed

    Sulaiman, Kadhim J; Panduranga, Prashanth; Al-Zakwani, Ibrahim; Alsheikh-Ali, Alawi; Al-Habib, Khalid; Al-Suwaidi, Jassim; Al-Mahmeed, Wael; Al-Faleh, Husam; El-Asfar, Abdelfatah; Al-Motarreb, Ahmed; Ridha, Mustafa; Bulbanat, Bassam; Al-Jarallah, Mohammed; Bazargani, Nooshin; Asaad, Nidal; Amin, Haitham

    2014-01-01

    There is paucity of data on heart failure (HF) in the Gulf Middle East. The present paper describes the rationale, design, methodology and hospital characteristics of the first Gulf acute heart failure registry (Gulf CARE). Gulf CARE is a prospective, multicenter, multinational registry of patients >18 year of age admitted with diagnosis of acute HF (AHF). The data collected included demographics, clinical characteristics, etiology, precipitating factors, management and outcomes of patients admitted with AHF. In addition, data about hospital readmission rates, procedures and mortality at 3 months and 1-year follow-up were recorded. Hospital characteristics and care provider details were collected. Data were entered in a dedicated website using an electronic case record form. A total of 5005 consecutive patients were enrolled from February 14, 2012 to November 13, 2012. Forty-seven hospitals in 7 Gulf States (Oman, Saudi Arabia, Yemen, Kuwait, United Gulf Emirates, Qatar and Bahrain) participated in the project. The majority of hospitals were community hospitals (46%; 22/47) followed by non-University teaching (32%; 15/47 and University hospitals (17%). Most of the hospitals had intensive or coronary care unit facilities (93%; 44/47) with 59% (28/47) having catheterization laboratory facilities. However, only 29% (14/47) had a dedicated HF clinic facility. Most patients (71%) were cared for by a cardiologist. Gulf CARE is the first prospective registry of AHF in the Middle East, intending to provide a unique insight into the demographics, etiology, management and outcomes of AHF in the Middle East. HF management in the Middle East is predominantly provided by cardiologists. The data obtained from this registry will help the local clinicians to identify the deficiencies in HF management as well as provide a platform to implement evidence based preventive and treatment strategies to reduce the burden of HF in this region.

  13. Rationale, Design, Methodology and Hospital Characteristics of the First Gulf Acute Heart Failure Registry (Gulf CARE)

    PubMed Central

    Sulaiman, Kadhim J.; Panduranga, Prashanth; Al-Zakwani, Ibrahim; Alsheikh-Ali, Alawi; Al-Habib, Khalid; Al-Suwaidi, Jassim; Al-Mahmeed, Wael; Al-Faleh, Husam; El-Asfar, Abdelfatah; Al-Motarreb, Ahmed; Ridha, Mustafa; Bulbanat, Bassam; Al-Jarallah, Mohammed; Bazargani, Nooshin; Asaad, Nidal; Amin, Haitham

    2014-01-01

    Background: There is paucity of data on heart failure (HF) in the Gulf Middle East. The present paper describes the rationale, design, methodology and hospital characteristics of the first Gulf acute heart failure registry (Gulf CARE). Materials and Methods: Gulf CARE is a prospective, multicenter, multinational registry of patients >18 year of age admitted with diagnosis of acute HF (AHF). The data collected included demographics, clinical characteristics, etiology, precipitating factors, management and outcomes of patients admitted with AHF. In addition, data about hospital readmission rates, procedures and mortality at 3 months and 1-year follow-up were recorded. Hospital characteristics and care provider details were collected. Data were entered in a dedicated website using an electronic case record form. Results: A total of 5005 consecutive patients were enrolled from February 14, 2012 to November 13, 2012. Forty-seven hospitals in 7 Gulf States (Oman, Saudi Arabia, Yemen, Kuwait, United Gulf Emirates, Qatar and Bahrain) participated in the project. The majority of hospitals were community hospitals (46%; 22/47) followed by non-University teaching (32%; 15/47 and University hospitals (17%). Most of the hospitals had intensive or coronary care unit facilities (93%; 44/47) with 59% (28/47) having catheterization laboratory facilities. However, only 29% (14/47) had a dedicated HF clinic facility. Most patients (71%) were cared for by a cardiologist. Conclusions: Gulf CARE is the first prospective registry of AHF in the Middle East, intending to provide a unique insight into the demographics, etiology, management and outcomes of AHF in the Middle East. HF management in the Middle East is predominantly provided by cardiologists. The data obtained from this registry will help the local clinicians to identify the deficiencies in HF management as well as provide a platform to implement evidence based preventive and treatment strategies to reduce the burden of HF in this region. PMID:24949181

  14. Socioeconomic indicators are strong predictors of hepatitis A seroprevalence rates in the Middle East and North Africa.

    PubMed

    Koroglu, Mehmet; Jacobsen, Kathryn H; Demiray, Tayfur; Ozbek, Ahmet; Erkorkmaz, Unal; Altindis, Mustafa

    The goal of this analysis was to examine the association between age-specific hepatitis A virus (HAV) seroprevalence rates and various socioeconomic indicators within the Middle East and North Africa (MENA) region. We conducted a systematic review of all recently published studies on HAV conducted in the MENA region and identified the highest quality studies for inclusion in our analysis. We calculated the age at midpoint of population immunity (AMPI) for each study and estimated seroprevalence rates at the ages of 5, 10, and 15 years. Next, we identified the correlations between these metrics and several socioeconomic variables. HAV data collected in or after 2000 were available for 14 of the 19 countries in the MENA region. Four of the 14 included countries had intermediate HAV endemicity (Algeria, Saudi Arabia, Turkey, and UAE), five had high endemicity (Iran, Jordan, Lebanon, Morocco, and Tunisia), and five had very high endemicity (Egypt, Iraq, Palestine, Syria, and Yemen). Water and sanitation were not significant predictors of AMPI or seroprevalence, most likely because most countries in this region have high rates of access to these utilities. However, gross domestic product (GDP), gross national income (GNI), and the human development index (HDI) were all highly associated with AMPI and prevalence. The observed correlations suggest that of the MENA countries without recent HAV data, Bahrain, Kuwait, and Qatar most likely have low endemicity, Oman likely has intermediate endemicity, and Libya likely has high endemicity. While it is unlikely that a single correlation model would be suitable for use in all world regions, the approach utilized in this analysis might provide a simple but accurate method for using economic data to impute the endemicity profiles of countries without recent data in regions where at least several neighboring countries have conducted recent serostudies. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  15. Use of health systems evidence by policymakers in eastern mediterranean countries: views, practices, and contextual influences

    PubMed Central

    2012-01-01

    Background Health systems evidence can enhance policymaking and strengthen national health systems. In the Middle East, limited research exists on the use of evidence in the policymaking process. This multi-country study explored policymakers’ views and practices regarding the use of health systems evidence in health policymaking in 10 eastern Mediterranean countries, including factors that influence health policymaking and barriers and facilitators to the use of evidence. Methods This study utilized a survey adapted and customized from a similar tool developed in Canada. Health policymakers from 10 countries (Algeria, Bahrain, Jordan, Lebanon Oman, Pakistan, Palestine, Sudan, Tunisia, and Yemen) were surveyed. Descriptive and bi-variate analyses were performed for quantitative questions and thematic analysis was done for qualitative questions. Results A total of 237 policymakers completed the survey (56.3% response rate). Governing parties, limited funding for the health sector and donor organizations exerted a strong influence on policymaking processes. Most (88.5%) policymakers reported requesting evidence and 43.1% reported collaborating with researchers. Overall, 40.1% reported that research evidence is not delivered at the right time. Lack of an explicit budget for evidence-informed health policymaking (55.3%), lack of an administrative structure for supporting evidence-informed health policymaking processes (52.6%), and limited value given to research (35.9%) all limited the use of research evidence. Barriers to the use of evidence included lack of research targeting health policy, lack of funding and investments, and political forces. Facilitators included availability of health research and research institutions, qualified researchers, research funding, and easy access to information. Conclusions Health policymakers in several countries recognize the importance of using health systems evidence. Study findings are important in light of changes unfolding in some Arab countries and can help undertake an analysis of underlying transformations and their respective health policy implications including the way evidence will be used in policy decisions. PMID:22799440

  16. Evaluating the Relative Environmental Impact of Countries

    PubMed Central

    Bradshaw, Corey J. A.; Giam, Xingli; Sodhi, Navjot S.

    2010-01-01

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy ‘models’ can be identified. We provide novel metrics of country-specific environmental impact ranks – one proportional to total resource availability per country and an absolute (total) measure of impact – that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional) and 171 (absolute) had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened). Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in less-developed countries, especially those in Asia, there is also a requirement to focus on the development of environmentally friendly practices in wealthier countries. PMID:20454670

  17. Stroke in Arab countries: a systematic literature review.

    PubMed

    Benamer, Hani T S; Grosset, Donald

    2009-09-15

    Stroke is second only to ischaemic heart disease as a cause of death, and over a third of stroke deaths occur in developing countries. Arab countries constitute populations with a similar lifestyle and diet that may influence stroke risk, type and survival after stroke, as well as other characteristics in comparison to Western and Oriental populations. Therefore, a review of published reports of stroke in Arab countries was undertaken to provide a background for designing future stroke studies in Arab populations. Thirty-one articles related to incidence, prevalence, types, risk factors and outcome of stroke in Arab countries were identified by keyword searching of Medline and Embase, and review of references in all relevant papers. Studies were available for Saudi Arabia (n=16), Qatar (n=4), Libya (n=3), Kuwait (n=2), Jordan (n=1), United Arab Emirates (n=1), Bahrain (n=1), Tunisia (n=1), Iraq (n=1), and Sudan (n=1). The publication dates ranged from 1983-2008. The annual stroke incidence ranged from 27.5 to 63 per 100,000 population and prevalence was between 42 and 68 per 100,000 population. Ischaemic stroke was the commonest subtype in all series. However, one series from Sudan had a 41% rate of intracerebral haemorrhage, which is more similar to East Asian countries. Non-lacunar infarction occurred more frequently than lacunar infarcts in all but two series. Hypertension, diabetes mellitus, hyperlipidaemia, and cardiac disease were the commonest risk factors. The case-fatality rate at 30 days was between 10 and 17.5%. Therefore, the incidence and prevalence of stroke in Arab countries are lower than the Western world but within the range reported in Chinese populations. Stroke types and risk factors are similar, but an apparently higher rate of lacunar infarction in some settings needs further investigation. There is therefore a significant opportunity for further evaluation of stroke in Arab countries, especially in unstudied areas such as the populous countries of Egypt, Algeria, Syria, and Morocco.

  18. Desalinated drinking water in the GCC countries - The need to address consumer perceptions.

    PubMed

    Shomar, Basem; Hawari, Jalal

    2017-10-01

    The Gulf Cooperation Council (GCC) countries consist of Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. These countries depend mainly on seawater desalination to meet their water needs. Although great emphasis is given to characterize desalinated water for its physicochemical and microbial properties, e.g. presence of metals, other organic contaminants and for bacteria, sensorial characteristics including smell, taste and color have not received the same attention. This is possibly attributed to the fact that inhabitants of GCC States do not use desalinated tap water for drinking consumption, rather they depend on locally produced or imported bottled water where color, taste and odor are not problematic. To address the consumer needs and perceptions of drinking desalinated water in GCC countries, water quality standards and guidelines, should respond to the public concern about other sensorial characteristics (organoleptic properties) including taste, odor, and trigeminal sensations. Often the root causes of color and smell in water are attributed to the presence of organic and inorganic contaminants and to bacterial growth which is frequently accompanied by the production of metabolites and byproducts that are obnoxious. The unpleasant sensorial problems associated with desalinated drinking tap water may constitute the driving force for most people in GCC countries to depend on bottled water. To encourage people in the GCC countries to consume desalinated tap water, it is essential that water testing include measurements of physicochemical properties, biofilm presence and organoleptic parameters to improve overall water quality. This review highlights the contribution of organoleptics for consumers of desalinated tap water. It extends water quality research to be addressed by standards for organoleptic parameters in desalinated drinking water. Accordingly, consumer awareness and outreach campaigns should be implemented to encourage people to drink tap water in the GCC countries. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Factors Associated with Discussion of Disasters by Final Year High School Students: An International Cross-sectional Survey.

    PubMed

    Codreanu, Tudor A; Celenza, Antonio; Alabdulkarim, Ali A Rahman

    2015-08-01

    Introduction The effect on behavioral change of educational programs developed to reduce the community's disaster informational vulnerability is not known. This study describes the relationship of disaster education, age, sex, and country-specific characteristics with students discussing disasters with friends and family, a measure of proactive behavioral change in disaster preparedness. Three thousand eight hundred twenty-nine final year high school students were enrolled in an international, multi-center prospective, cross-sectional study using a pre-validated written questionnaire. In order to obtain information from different educational systems, from countries with different risk of exposure to disasters, and from countries with varied economic development status, students from Bahrain, Croatia, Cyprus, Egypt, Greece, Italy, Portugal, Romania, and Timor-Leste were surveyed. Logistic regression analyses examined the relationship between the likelihood of discussing disasters with friends and family (dependent variable) and a series of independent variables (age, gender, participation in school lessons about disasters, existence of a national disaster educational program, ability to list pertinent example of disasters, country's economic group, and disaster risk index) captured by the questionnaire or available as published data. There was no statistically significant relationship between age, awareness of one's surroundings, planning for the future, and foreseeing consequences of events with discussions about potential hazards and risks with friends and/or family. The national educational budget did not have a statistically significant influence. Participants who lived in a low disaster risk and high income Organization for Economic Co-operation and Development (OECD) country were more likely to discuss disasters. While either school lessons or a national disaster education program had a unique, significant contribution to the model, neither had a better predictive utility. The predictors (national disaster program, school lessons, gender, ability to list examples of disasters, country's disaster risk index, and level of economic development), although significant, were not sufficient in predicting disaster discussions amongst teenagers.

  20. Potential for the international spread of middle East respiratory syndrome in association with mass gatherings in saudi arabia.

    PubMed

    Khan, Kamran; Sears, Jennifer; Hu, Vivian Wei; Brownstein, John S; Hay, Simon; Kossowsky, David; Eckhardt, Rose; Chim, Tina; Berry, Isha; Bogoch, Isaac; Cetron, Martin

    2013-07-17

    A novel coronavirus (MERS-CoV) causing severe, life-threatening respiratory disease has emerged in the Middle East at a time when two international mass gatherings in Saudi Arabia are imminent. While MERS-CoV has already spread to and within other countries, these mass gatherings could further amplify and/or accelerate its international dissemination, especially since the origins and geographic source of the virus remain poorly understood. We analyzed 2012 worldwide flight itinerary data and historic Hajj pilgrim data to predict population movements out of Saudi Arabia and the broader Middle East to help cities and countries assess their potential for MERS-CoV importation. We compared the magnitude of travel to countries with their World Bank economic status and per capita healthcare expenditures as surrogate markers of their capacity for timely detection of imported MERS-CoV and their ability to mount an effective public health response. 16.8 million travelers flew on commercial flights out of Saudi Arabia, Jordan, Qatar, and the United Arab Emirates between June and November 2012, of which 51.6% were destined for India (16.3%), Egypt (10.4%), Pakistan (7.8%), the United Kingdom (4.3%), Kuwait (3.6%), Bangladesh (3.1%), Iran (3.1%) and Bahrain (2.9%). Among the 1.74 million foreign pilgrims who performed the Hajj last year, an estimated 65.1% originated from low and lower-middle income countries. MERS-CoV is an emerging pathogen with pandemic potential with its apparent epicenter in Saudi Arabia, where millions of pilgrims will imminently congregate for two international mass gatherings. Understanding global population movements out of the Middle East through the end of this year's Hajj could help direct anticipatory MERS-CoV surveillance and public health preparedness to mitigate its potential global health and economic impacts.

  1. Volatile Organic Compounds (VOCs) onboard the HALO research aircraft during OMO-ASIA

    NASA Astrophysics Data System (ADS)

    Safadi, Layal; Neumaier, Marco; Fischbeck, Garlich; Zahn, Andreas

    2016-04-01

    We report on first results of VOC measurements during the OMO-Asia campaign that took place in summer 2015 on Cyprus and on the island of Gan (Maldives) to study the free-radical chemistry at higher altitudes during the Asian summer monsoon. The deployed instrument (KMS = Karlsruhe Mass Spectrometer) is based on a commercial PTRMS from Ionicon and was strongly modified for the use onboard the research aircraft HALO (a modified Gulfstream GV-550 having a ceiling altitude of ~15.5 km). By the construction of an aluminum vacuum system, the development of largely custom-made electronics and the use of light-weight pumps, the weight was reduced to ~55 kg compared to 120-130 kg of the commercial instrument. The KMS is in addition very robust and field-compliant. Before OMO-Asia the HALO payload was tested first during a technical field campaign OMO-EU which took place in Oberpfaffenhofen (Germany) in winter 2015. During OMO-Asia the instrument was calibrated before and after each flight by diluting an external gas standard (Apel-Riemer Environmental, Inc. Denver, Colorado) containing ~1 ppm of 10 VOCs. The determined sensitivity for acetone was ~380 cps/ppb showing a variation of ±5% over a period of 8 weeks. The detection limit amounted to ~35 ppt for acetone at an integration time of 6 s. The measurements during all together 17 flights took place over a wide range of Asia, including Saudi Arabia, Bahrain, Oman and Sri Lanka. Referring to the meteorological forecasts of carbon monoxide (CO), remnant of the Asia monsoon outflow was measured during some flights (e.g. over Oman). Acetone mixing ratios of up to ~1500 ppt and up to ~100 ppt of benzene were measured in the outflow of the plume. The gathered data shows a good correlation with the measurements taken with other instruments (e.g. CO measurements by Max Planck Institute for Chemistry). The poster will describe the instrument and the main features derived.

  2. Use of health systems and policy research evidence in the health policymaking in eastern Mediterranean countries: views and practices of researchers.

    PubMed

    El-Jardali, Fadi; Lavis, John N; Ataya, Nour; Jamal, Diana

    2012-01-11

    Limited research exists on researchers' knowledge transfer and exchange (KTE) in the eastern Mediterranean region (EMR). This multi-country study explores researchers' views and experiences regarding the role of health systems and policy research evidence in health policymaking in the EMR, including the factors that influence health policymaking, barriers and facilitators to the use of evidence, and the factors that increase researchers' engagement in KTE. Researchers who published health systems and policy relevant research in 12 countries in the EMR (Bahrain, Egypt, Iran, Jordan, Lebanon, Libya, Morocco, Oman, Palestine, Sudan, Syria, and Yemen) were surveyed. Descriptive analysis and Linear Mixed Regression Models were performed for quantitative sections and the simple thematic analysis approach was used for open-ended questions. A total of 238 researchers were asked to complete the survey (response rate 56%). Researchers indicated transferring results to other researchers (67.2%) and policymakers in the government (40.5%). Less than one-quarter stated that they produced policy briefs (14.5%), disseminated messages that specified possible actions (24.4%), interacted with policymakers and stakeholders in priority-setting (16%), and involved them in their research (19.8%). Insufficient policy dialogue opportunities and collaboration between researchers and policymakers and stakeholders (67.9%), practical constraints to implementation (66%), non-receptive policy environment (61.3%), and politically sensitive findings (57.7%) hindered the use of evidence. Factors that increase researchers' engagement in KTE activities in the region were associated with involving policymakers and stakeholders at various stages such as priority-setting exercises and provision of technical assistance. Researchers in the EMR recognize the importance of using health systems evidence in health policymaking. Potential strategies to improve the use of research evidence emphasize two-way communication between researchers and policymakers. Findings are critical for the upcoming World Health Report 2012, which will emphasize the significance of conducting and translating health research to inform health policies. © 2012 El-Jardali et al; licensee BioMed Central Ltd.

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

    PubMed

    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 build and maintain a resilient public health system for detection and response to all acute public health events.

  4. Use of health systems and policy research evidence in the health policymaking in eastern Mediterranean countries: views and practices of researchers

    PubMed Central

    2012-01-01

    Background Limited research exists on researchers' knowledge transfer and exchange (KTE) in the eastern Mediterranean region (EMR). This multi-country study explores researchers' views and experiences regarding the role of health systems and policy research evidence in health policymaking in the EMR, including the factors that influence health policymaking, barriers and facilitators to the use of evidence, and the factors that increase researchers' engagement in KTE. Methods Researchers who published health systems and policy relevant research in 12 countries in the EMR (Bahrain, Egypt, Iran, Jordan, Lebanon, Libya, Morocco, Oman, Palestine, Sudan, Syria, and Yemen) were surveyed. Descriptive analysis and Linear Mixed Regression Models were performed for quantitative sections and the simple thematic analysis approach was used for open-ended questions. Results A total of 238 researchers were asked to complete the survey (response rate 56%). Researchers indicated transferring results to other researchers (67.2%) and policymakers in the government (40.5%). Less than one-quarter stated that they produced policy briefs (14.5%), disseminated messages that specified possible actions (24.4%), interacted with policymakers and stakeholders in priority-setting (16%), and involved them in their research (19.8%). Insufficient policy dialogue opportunities and collaboration between researchers and policymakers and stakeholders (67.9%), practical constraints to implementation (66%), non-receptive policy environment (61.3%), and politically sensitive findings (57.7%) hindered the use of evidence. Factors that increase researchers' engagement in KTE activities in the region were associated with involving policymakers and stakeholders at various stages such as priority-setting exercises and provision of technical assistance. Conclusions Researchers in the EMR recognize the importance of using health systems evidence in health policymaking. Potential strategies to improve the use of research evidence emphasize two-way communication between researchers and policymakers. Findings are critical for the upcoming World Health Report 2012, which will emphasize the significance of conducting and translating health research to inform health policies. PMID:22236561

  5. The Impact of the SESAME Project on Science and Society in the Middle East

    NASA Astrophysics Data System (ADS)

    Winick, Herman

    2008-04-01

    SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) is a UNESCO-sponsored project that is constructing an international research laboratory, closely modeled on CERN, in Jordan (www.sesame.org.jo). Ten Members of the governing Council (Bahrain, Cyprus, Egypt, Iran, Iraq, Israel, Jordan, Pakistan, Palestinian Authority, and Turkey) have responsibility for the project, led by Herwig Schopper, Council President since 1999. In late 2008 Chris Llewellyn-Smith will become Council President. SESAME was initiated by a gift from Germany of the decommissioned BESSY I facility. The BESSY I 0.8 GeV injector is now being installed in the recently completed building, funded by Jordan, as components are procured for a new 133 m circumference, 2.5 GeV third-generation storage ring with 12 locations for insertion devices. Beam line equipment has been provided by laboratories in France, UK, and US. Support also comes from EU, IAEA, ICTP, Japan Society for the Promotion of Science, the US Department of Energy and State Department, and laboratories around the world. The broad scientific program includes biomedical, environmental, and archaeological programs particularly relevant to the Middle East. Five scientific workshops and six annual Users' meetings have brought together several hundred scientists from the region, along with researchers from around the world. Training programs have enabled about 100 scientists from the region to work at synchrotron radiation laboratories. These activities have already had significant impact on science and society in the Middle East, for example leading to collaborations between scientists from countries that are not particularly friendly with each other, and to national planning emphasizing synchrotron radiation research. When research starts in 2011 this impact will grow as graduate students are trained in the region in many scientific disciplines, and scientists working abroad are attracted to return.

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

    PubMed Central

    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 build and maintain a resilient public health system for detection and response to all acute public health events. PMID:29098145

  7. Neonatal indirect hyperbilirubinemia and glucose-6-phosphate dehydrogenase deficiency.

    PubMed

    Isa, Hasan M; Mohamed, Masooma S; Mohamed, Afaf M; Abdulla, Adel; Abdulla, Fuad

    2017-04-01

    This study aimed to determine the prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency among infants with neonatal indirect hyperbilirubinemia (NIH); compare G6PD-deficient and G6PD-normal patients regarding hyperbilirubinemia and need for exchange transfusions (ET); and assess risk factors for ET and kernicterus. This is a case-control retrospective study. Medical records of NIH patients admitted to the Pediatric Department, Salmaniya Medical Complex, Bahrain, between January 2007 and June 2010 were reviewed. Data on sex, age at presentation, hospitalization duration, need for ET, hemoglobin (Hb) level, reticulocyte count, direct Coombs test, serum total and indirect bilirubin levels, thyroid function, blood and urine cultures, G6PD status, and blood groups were collected and compared between the G6PD-deficent and G6PD-normal patients. Of 1,159 NIH patients admitted, 1,129 were included, of whom 646 (57%) were male. Among 1,046 patients tested, 442 (42%) were G6PD deficient, 49 (4%) needed ET, and 11 (1%) had suspected Kernicterus. The G6PD-deficient patients were mainly male ( P <0.0001), and had lower Hb levels ( P <0.0001) and higher maximum bilirubin levels ( P =0.001). More G6PD-deficient patients needed ET ( P <0.0001). G6PD deficiency ( P =0.006), lower Hb level ( P =0.002), lower hematocrit count ( P =0.02), higher bilirubin level ( P <0.0001), higher maximal bilirubin level ( P <0.0001), and positive blood culture result ( P <0.0001) were significant risk factors for ET. Maximal bilirubin level was a significant risk factor for kernicterus ( P =0.021) and independently related to ET ( P =0.03). G6PD deficiency is an important risk factor for severe NIH. In G6PD-deficent neonates, management of NIH should be hastened to avoid irreversible neurological complications.

  8. Health Policy and Systems Research in Twelve Eastern Mediterranean Countries: a stocktaking of production and gaps (2000-2008).

    PubMed

    El-Jardali, Fadi; Jamal, Diana; Ataya, Nour; Jaafar, Maha; Raouf, Saned; Matta, Claudia; Michael, Saja; Smith, Colette

    2011-10-07

    The objectives of this study are to: (1) profile the production of Health Policy and Systems Research (HPSR) published between 2000 and 2008 in 12 countries in the Eastern Mediterranean Region (EMR): Bahrain, Egypt, Jordan, Lebanon, Libya, Morocco, Oman, Palestine, Sudan, Syria, Tunisia, and Yemen; (2) identify gaps; and (3) assess the extent to which existing HPSR produced in the region addresses regional priorities pertaining to Health Financing, Human Resources for Health and the Role of the Non-State Sector. This is the first stocktaking paper of HPSR production and gaps in the EMR. Articles indexed on Medline between years 2000 and 2008 for the 12 study countries were selected. A MeSH term based search was conducted using country names. Articles were assessed using a coding sheet adapted for the region which included themes on: Governance Arrangements, Financial Arrangements, Delivery Arrangements, and Implementation Strategies. Identified articles were matched against regional research priorities to assess the extent to which research production aligns with priorities. A total of 1,487 articles (11.94%) fit the criteria in the coding sheet. Results showed an increase in HPSR production which peaked after 2005. Most identified articles focused on Delivery Arrangements (68.1%), and Implementation Strategies (24.4%). Most HPSR addressed priorities in Human Resources for Health (39%), and some articles focused on Health Financing (12%) and Role of the Non-State Sector (6.1%). Despite global calls for producing and translating HPSR into policy, there are still significant gaps in the EMR. More efforts are needed to produce HPSR and align production and translation with the demand for evidence by policymakers. Findings can help inform and direct future plans and activities for the Evidence Informed Policy Network- EMR, World Health Organization- EMR, and the Middle East and North Africa Health Policy Forum, in addition to being useful for countries that host or are planning to host KT platforms in the region.

  9. Nutritional status and outcomes in hemodialysis patients from the Gulf Cooperation Council countries enrolled in the dialysis outcome and practice patterns study phase 5 (2012-2015).

    PubMed

    Al-Ali, Fadwa S; Bieber, Brian A; Pisoni, Ronald L; Ezzat, Hany; AlGhonaim, Mohammed; AlHejaili, Fayez; AlGhareeb, Sumaya; Saleh, Abdulkarim; Al Maimani, Yacoub; Alyousef, Anas; Ahmed, Haroun Z; Hamad, Abdullah

    2016-11-01

    Nutrition is an important factor in maintaining good health of hemodialysis (HD) patients, affecting their morbidity and mortality. The Dialysis Outcomes and Practice Patterns Study (DOPPS) is an international observational study assessing differences in dialysis practices and outcomes across >20 countries. Here, we present the results for the Gulf Cooperation Council (GCC) countries regarding nutrition data and its relationship with outcomes as a part of the DOPPS Phase 5 study (2012-2015). Data were from Phase 5 of the DOPPS. Main analyses were based on 927 adult chronic HD patients enrolled at the start of the GCC-DOPPS Phase 5 study from each of the 40 randomly selected GCC HD facilities from Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. Within each participating facility, 20-30 patients were randomly selected, depending on facility size. Analysis showed minor differences across GCC countries in age, albumin levels, nutrition supplement use, and being bothered by the lack of appetite. Elderly (>60 years old) and diabetic HD patients displayed poorer nutritional parameters than young and nondiabetic patients. A low albumin level (<3.2 g/dL) was associated with the highest risk of mortality with a hazard ratio (HR) of 2.47 (P <0.0001) followed by diabetes with HR 1.57 (P <0.04) and older age [HR= 1.27/10 years older (P <0.01)]. Quality of life measures physical component summary and mental component summary correlated negatively with albumin <3.2 g/dL (-2.18 and -5.5, respectively, P <0.05 for each), and with serum creatinine level <7.5 mg/dL (-2.29 and -2.1 respectively, P <0.05 for each. We are presenting the first study of the nutrition status and outcomes for HD patients in the GCC countries in DOPPS. Our results were mostly comparable to findings in previous trials in other countries. Although the data are observational, our study provides good insight into aspects of nutrition in the GCC countries and can be compared to the rest of the world to better understand trends and practice differences.

  10. Statistical Inter-comparison Analysis of MODIS, MISR, and AERONET Over the Middle East and North Africa

    NASA Astrophysics Data System (ADS)

    Farahat, A.; El-Askary, H. M.; Kalashnikova, O. V.; Garay, M. J.

    2016-12-01

    Several space-borne and ground based sensors can provide long-standing monitoring of aerosols characteristics, but inconsistencies among different sensors reduce data reliability and lead to uncertainty in analysing long-term data. In this study, we perform statistical inter-comparison of the Aerosol Optical Depth (AOD) among MISR, MODIS/Terra, MODIS/Aqua and Aerosol Robotic Network (AERONET) over seven sites located in the Middle East and North Africa during the period (1995 -2015). The sites are categorized into two regions based on their geographic location and possible dominate particles composition. Compared to MISR, MODIS and AERONET AOD data retrievals indicate larger uncertainty over all sites with a larger daily variability in MODIS measurements. In general, MISR and MODIS AOD matches during high dust seasons but MODIS tends to under estimate the AOD values on low dust seasons. While Terra measurements give a negative trend over the time series at the dust-dominated sites, Aqua, MISR and AERONET show a positive trend. In general, MODIS/Aqua displays stable measurements over the time line at the dust dominated sites. MODIS/Terra, MODIS/Aqua and MISR display a positive trend over Cairo_EMA site while AERONET shows a negative trend over the time line. Terra was found to overestimate AOD during 2002 - 2004 and underestimates it after 2004. We also observe a deviation between Aqua and Terra regardless of the region and data sampling. Excluding Bahrain and Cairo_EMA for low data retrievals the performance of MODIS tends to be similar over all region with 68 % of the retrieved AOD values fall within the confidence range of the AERONET matched data, within global averaged level (> 66 %). MISR indicated better data performance with 72 % falls within the same confidence range. Complimentary MISR and MODIS data was found to provide a better picture of dust storms evolution over Arabian Peninsula and the Middle East. Acknowledgement The authors would like to acknowledge the support provided by the Deanship of Scientific Research (DSR) at the King Fahd University of Petroleum and Minerals (KFUPM) for funding this work through project No. IN141051.

  11. The impact of dietary habits and metabolic risk factors on cardiovascular and diabetes mortality in countries of the Middle East and North Africa in 2010: a comparative risk assessment analysis.

    PubMed

    Afshin, Ashkan; Micha, Renata; Khatibzadeh, Shahab; Fahimi, Saman; Shi, Peilin; Powles, John; Singh, Gitanjali; Yakoob, Mohammad Yawar; Abdollahi, Morteza; Al-Hooti, Suad; Farzadfar, Farshad; Houshiar-Rad, Anahita; Hwalla, Nahla; Koksal, Eda; Musaiger, Abdulrahman; Pekcan, Gulden; Sibai, Abla Mehio; Zaghloul, Sahar; Danaei, Goodarz; Ezzati, Majid; Mozaffarian, Dariush

    2015-05-20

    We conducted a comparative risk assessment analysis to estimate the cardiometabolic disease (CMD) mortality attributable to 11 dietary and 4 metabolic risk factors in 20 countries of the Middle East by age, sex and time. The national exposure distributions were obtained from a systematic search of multiple databases. Missing exposure data were estimated using a multilevel Bayesian hierarchical model. The aetiological effect of each risk factor on disease-specific mortality was obtained from clinical trials and observational studies. The number of disease-specific deaths was obtained from the 2010 Global Burden of Disease mortality database. Mortality due to each risk factor was determined using the population attributable fraction and total number of disease-specific deaths. Adult population in the Middle East by age, sex, country and time. Suboptimal diet was the leading risk factor for CMD mortality in 11 countries accounting for 48% (in Morocco) to 72% (in the United Arab Emirates) of CMD deaths. Non-optimal systolic blood pressure was the leading risk factor for CMD deaths in eight countries causing 45% (in Bahrain) to 68% (in Libya) of CMD deaths. Non-optimal body mass index and fasting plasma glucose were the third and fourth leading risk factors for CMD mortality in most countries. Among individual dietary factors, low intake of fruits accounted for 8% (in Jordan) to 21% (in Palestine) of CMD deaths and low intake of whole grains was responsible for 7% (in Palestine) to 22% (in the United Arab Emirates) of CMD deaths. Between 1990 and 2010, the CMD mortality attributable to most risk factors had decreased except for body mass index and trans-fatty acids. Our findings highlight key similarities and differences in the impact of the dietary and metabolic risk factors on CMD mortality in the countries of the Middle East and inform priorities for policy measures to prevent CMD. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  12. Real life management of community-acquired Pneumonia in adults in the Gulf region and comparison with practice guidelines: a prospective study.

    PubMed

    Mahboub, Bassam; Al Zaabi, Ashraf; Al Ali, Ola Mohamed; Ahmed, Raees; Niederman, Michael S; El-Bishbishi, Rania

    2015-09-30

    Very few data exist on the management of community-acquired pneumonia (CAP) in patients admitted to hospitals in the Gulf region. The objectives of this study were to describe treatment patterns for CAP in 38 hospitals in five Gulf countries (United Arab Emirates, Kuwait, Bahrain, Oman, and Qatar) and to compare the findings to the most recent Infectious Diseases Society of America (IDSA)/American Thoracic Society (ATS) guidelines. This was a prospective, observational study conducted between January 2009 and February 2011. Adult patients hospitalised (excluding intensive care units) for CAP and subsequently discharged were included. Data were collected retrospectively at hospital discharge, and prospectively during two follow-up visits. Data on medical history, mortality-risk scores, diagnostic criteria, antibiotic treatment, isolated pathogens and clinical and radiographic outcomes were collected. Care practices were compared to the IDSA/ATS guidelines. A total of 684 patients were included. The majority (82.9 %) of patients were classified as low risk for mortality (pneumonia severity index II and III). The majority of patients fulfilled criteria for treatment success at discharge, although only 77.6 % presented a normalised leukocyte count. Overall, the management of CAP in Gulf countries is in line with the IDSA/ATS guidelines. This applied to the diagnosis of CAP, to the identification of high-risk CAP patients, to the identification of etiologic agent responsible for CAP and to the type of treatment despite the fact that combinations of antimicrobial agents were not consistent with the guidelines in 10 % of patients. In all patients, information about Gram's staining was not captured as recommended by the IDSA/ATS and in the majority of patients (>85 %) chest radiography was not systematically performed at the post-discharge follow-up visits. The management of CAP in the Gulf region is globally in line with current IDSA/ATS guidelines, although rates of pathogen characterisation and post-discharge follow-up need to be improved. Compliance with established guidelines should be encouraged in order to improve the management of the disease in this region.

  13. Human health risk assessment due to global warming--a case study of the Gulf countries.

    PubMed

    Husain, Tahir; Chaudhary, Junaid Rafi

    2008-12-01

    Accelerated global warming is predicted by the Intergovernmental Panel on Climatic Change (IPCC) due to increasing anthropogenic greenhouse gas emissions. The climate changes are anticipated to have a long-term impact on human health, marine and terrestrial ecosystems, water resources and vegetation. Due to rising sea levels, low lying coastal regions will be flooded, farmlands will be threatened and scarcity of fresh water resources will be aggravated. This will in turn cause increased human suffering in different parts of the world. Spread of disease vectors will contribute towards high mortality, along with the heat related deaths. Arid and hot climatic regions will face devastating effects risking survival of the fragile plant species, wild animals, and other desert ecosystems. The paper presents future changes in temperature, precipitation and humidity and their direct and indirect potential impacts on human health in the coastal regions of the Gulf countries including Yemen, Oman, United Arab Emirates, Qatar, and Bahrain. The analysis is based on the long-term changes in the values of temperature, precipitation and humidity as predicted by the global climatic simulation models under different scenarios of GHG emission levels. Monthly data on temperature, precipitation, and humidity were retrieved from IPCC databases for longitude 41.25 degrees E to 61.875 degrees E and latitude 9.278 degrees N to 27.833 degrees N. Using an average of 1970 to 2000 values as baseline, the changes in the humidity, temperature and precipitation were predicted for the period 2020 to 2050 and 2070 to 2099. Based on epidemiological studies on various diseases associated with the change in temperature, humidity and precipitation in arid and hot regions, empirical models were developed to assess human health risk in the Gulf region to predict elevated levels of diseases and mortality rates under different emission scenarios as developed by the IPCC.The preliminary assessment indicates increased mortality rates due to cardiovascular and respiratory illnesses, thermal stress, and increased frequency of infectious vector borne diseases in the region between 2070 and 2099.

  14. For the sake of purity (and control). Female genital mutilation.

    PubMed

    Gilbert, D

    1993-01-01

    In 1973 approximately 1 million girls will be victimized by female genital mutilation (FGM), widely practiced in more than 20 African nations from Mauritania to the Ivory Coast in the west, to Egypt and North Tanzania in the east, as well as in Oman, Bahrain, North and South Yemen, and the United Arab Emirates. FGM takes place among the Moslem populations of the Philippines, Indonesia, and Malaysia and the Jewish Falashas in Ethiopia. FGM is practiced on babies just a few days old to girls right before marriage or young women pregnant with their first child. The most extreme mutilation is called infibulation. In Somalia, almost 100% of the women are infibulated, and so are more than 80% of the women in north and central Sudan. In Ethiopia/Eritrea, Mali, and Sierra Leone, 90% of the women have undergone some form of genital mutilation. The rate reaches 70% in Burkina Faso; 60% in Kenya, Gambia, and the Ivory Coast; and 50% in Senegal, Egypt, Guinea Bissau, and Nigeria. The mutilation often results in accumulation of menstrual blood and pelvic inflammatory disease often leading to infertility. Between 20% and 25% of infertility in Sudan has been attributed to female genital mutilation. The practice of FGM has existed for centuries, and some claim it originated in the Nile Valley during the Pharaonic era. On the other hand, Muslim countries like Iraq, Syria, and Tunisia do not practice FGM. The London Black Women's Health Action Project set up an educational network to prevent mutilations and to dispel the myth of religion about FGM. FORWARD convened the First Study Conference on Genital Mutilation of Girls in Europe in 1992 and deemed FGM a form of child abuse. Local campaigns in Africa, Asia, and the Arab world educate against FGM. The Inter-Africa Committee on Traditional Practices Affecting the Health of Women and Children, based in Addis Ababa, Ethiopia, has offices in more than 20 African nations to sensitize the public about the harmful effects of FGM. In Nigeria, the National Association of Nigerian Nurses and Midwives presents plays in the local markets about the complications of FGM.

  15. 'One health' in action series: nos 1-8.

    PubMed

    Kahn, Laura H; Kaplan, Bruce; Monath, Thomas P

    2009-01-01

    This series of short articles was published in 2007 and distributed to the Kahn-Kaplan-Monath 'One Health' email distribution list. The articles are further examples of historical achievements obtained across numerous scientific disciplines, including human and veterinary medicine. Each article was written and developed with assistance from the Kahn-Kaplan-Monath 'One Health' team. The expanding 'One Health' email distribution list now totals approximately 590 individuals in 38 countries including Argentina, Australia, Bangladesh, Bahrain, Belgium, Belize, Bosnia and Herzegovina, Brazil, Canada, China, Colombia, Costa Rica, Croatia, France, Germany, Grenada, India, Indonesia, Israel, Japan, Malta, The Netherlands, Nepal, New Zealand, Nigeria, Norway, Portugal, Puerto Rico, Senegal, South Africa, Sri Lanka, Sweden, Switzerland, Thailand, Turkey, United Kingdom, United States and Uruguay. The list of supporters currently totals 417. If these lists are still being actively maintained by the publication date of this 'One Medicine - One Health' monograph, any allied health scientist, physician, osteopath or veterinarian may be added to one and/or both lists by contacting us at bkapdvm@verizon.net. Please include your curriculum vitae or brief biography, title, degree(s), affiliation and address consistent with those currently acknowledged as 'One Health - One Medicine' supporters. There are no obligations attached to joining this group and you may have your name removed at any time upon request. Those who have prepared this message and the two lists act independently of any other entity or organisation. However, where feasible, we attempt to augment and support those organisations' efforts to recognise, promote and implement this initiative, such as the American Veterinary Medical Association, American Medical Association, Society for Tropical Veterinary Medicine, Croatian Society for Infectious Diseases, American Society of Tropical Medicine and Hygiene, World Association of Veterinary Laboratory Diagnosticians, Delta Society, American Association of Veterinary Laboratory Diagnosticians, American Phytopathological Society, Association of American Veterinary Medical Colleges, Association of Schools of Public Health, American Society for Microbiology, National Association of State Public Health Veterinarians, Council of State and Territorial Epidemiologists, Association of Academic Health Centers, Association of American Medical Colleges and Immuno Valley Consortium in The Netherlands. This autonomous endeavour has been maintained pro bono due to our firm conviction regarding the enormous value of the 'One Medicine - One Health' concept.

  16. A Call for More Research from the Arabian Gulf.

    PubMed

    AlMarri, Fatemah; Al Sabah, Salman; Al Haddad, Eliana; Vaz, Jonathan D

    2017-08-01

    Obesity has become an epidemic in the Arabian Gulf, with the prevalence of obesity according to the latest report from the World Health Organization (WHO) showing the gulf region to be countries with the highest incidence of obesity in the 30% plus group. This study aims to examine publications on bariatric surgery and compare them with the other countries with a high incidence of obesity in the world. A literature review on bariatric surgery published from the earliest detected year of publication up until March 2016 using SCOPUS, PubMed, Ovid, and Google Scholar was conducted. Individual papers were assessed for types of surgery, preoperative measures, names of journals, authors, and outcomes. The data was analyzed using Endnote library and SPSS. Key words used in the search included "Bariatric Surgery," "Arabian Gulf," "Kuwait," "Qatar," "Saudi Arabia," "United Arab Emirates," "Oman," "USA," "Australia," "weight loss surgery," "sleeve gastrectomy," "gastric bypass," "gastric band," "mini-gastric bypass," "biliropancreatic diversion," "duodenal switch," and "intragastric balloon." Original papers, systematic reviews and case reports were included. From our review, the gastric sleeve proved to be the most popular published on procedure in the Arabian Gulf, whereas the USA had the highest percentage of gastric bypass surgeries and Australia had equivalent numbers when it came to gastric bypass and band. The numbers of studies from Saudi Arabia, Kuwait, UAE, Bahrain, Qatar, and Oman were 70, 44, 20, 7, 6, and 0, respectively. The mean impact factor of the published articles was 2.53 +/- 1.76 SD. Most of the publications were published in Obesity Surgery (29%), Surgery for Obesity and Related Diseases (5%), and Surgical Endoscopy (5%). The Arabian Gulf has both the highest percentage of bariatric procedures performed as well as the highest prevalence of obesity. However, they have the lowest number of publications and research when compared to their western counterparts; therefore, more research and publications are needed in the Arabian Gulf region, as well as the possibility of producing a regional registry to be able to have a good overview of bariatric surgery in the region.

  17. Forecasting the Depletion of Transboundary Groundwater Resources in Hyper-Arid Environments

    NASA Astrophysics Data System (ADS)

    Mazzoni, A.; Heggy, E.

    2014-12-01

    The increase in awareness about the overexploitation of transboundary groundwater resources in hyper-arid environments that occurred in the last decades has highlighted the need to better map, monitor and manage these resources. Climate change, economic and population growth are driving forces that put more pressure on these fragile but fundamental resources. The aim of our approach is to address the question of whether or not groundwater resources, especially non-renewable, could serve as "backstop" water resource during water shortage periods that would probably affect the drylands in the upcoming 100 years. The high dependence of arid regions on these resources requires prudent management to be able to preserve their fossil aquifers and exploit them in a more sustainable way. We use the NetLogo environment with the FAO Aquastat Database to evaluate if the actual trends of extraction, consumption and use of non-renewable groundwater resources would remain feasible with the future climate change impacts and the population growth scenarios. The case studies selected are three: the Nubian Sandstone Aquifer System, shared between Egypt, Libya, Sudan and Chad; the North Western Sahara Aquifer System, with Algeria, Tunisia and Libya and the Umm Radhuma Dammam Aquifer, in its central part, shared between Saudi Arabia, Qatar and Bahrain. The reason these three fossil aquifers were selected are manifold. First, they represent properly transboundary non-renewable groundwater resources, with all the implications that derive from this, i.e. the necessity of scientific and socio-political cooperation among riparians, the importance of monitoring the status of shared resources and the need to elaborate a shared management policy. Furthermore, each country is characterized by hyper-arid climatic conditions, which will be exacerbated in the next century by climate change and lead to probable severe water shortage periods. Together with climate change, the rate of population growth will be at unprecedented levels for these areas causing the water demand of these nations to grow largely. Our preliminary simulation results suggest that fossil aquifers cannot be used as a long-term solution for water shortage in hyper-arid environments. Aquifers in the Arabian Peninsula are forecasted to be depleted within decades.

  18. The impact of dietary habits and metabolic risk factors on cardiovascular and diabetes mortality in countries of the Middle East and North Africa in 2010: a comparative risk assessment analysis

    PubMed Central

    Afshin, Ashkan; Micha, Renata; Khatibzadeh, Shahab; Fahimi, Saman; Shi, Peilin; Powles, John; Singh, Gitanjali; Yakoob, Mohammad Yawar; Abdollahi, Morteza; Al-Hooti, Suad; Farzadfar, Farshad; Houshiar-rad, Anahita; Hwalla, Nahla; Koksal, Eda; Musaiger, Abdulrahman; Pekcan, Gulden; Sibai, Abla Mehio; Zaghloul, Sahar; Danaei, Goodarz; Ezzati, Majid; Mozaffarian, Dariush

    2015-01-01

    Objective/design We conducted a comparative risk assessment analysis to estimate the cardiometabolic disease (CMD) mortality attributable to 11 dietary and 4 metabolic risk factors in 20 countries of the Middle East by age, sex and time. The national exposure distributions were obtained from a systematic search of multiple databases. Missing exposure data were estimated using a multilevel Bayesian hierarchical model. The aetiological effect of each risk factor on disease-specific mortality was obtained from clinical trials and observational studies. The number of disease-specific deaths was obtained from the 2010 Global Burden of Disease mortality database. Mortality due to each risk factor was determined using the population attributable fraction and total number of disease-specific deaths. Setting/population Adult population in the Middle East by age, sex, country and time. Results Suboptimal diet was the leading risk factor for CMD mortality in 11 countries accounting for 48% (in Morocco) to 72% (in the United Arab Emirates) of CMD deaths. Non-optimal systolic blood pressure was the leading risk factor for CMD deaths in eight countries causing 45% (in Bahrain) to 68% (in Libya) of CMD deaths. Non-optimal body mass index and fasting plasma glucose were the third and fourth leading risk factors for CMD mortality in most countries. Among individual dietary factors, low intake of fruits accounted for 8% (in Jordan) to 21% (in Palestine) of CMD deaths and low intake of whole grains was responsible for 7% (in Palestine) to 22% (in the United Arab Emirates) of CMD deaths. Between 1990 and 2010, the CMD mortality attributable to most risk factors had decreased except for body mass index and trans-fatty acids. Conclusions Our findings highlight key similarities and differences in the impact of the dietary and metabolic risk factors on CMD mortality in the countries of the Middle East and inform priorities for policy measures to prevent CMD. PMID:25995236

  19. Multinational comparative cross-sectional survey of views of medical students about acceptable terminology and subgroups in schizophrenia

    PubMed Central

    Rathod, Shanaya; Irfan, Muhammad; Bhargava, Rachna; Pinninti, Narsimha; Scott, Joseph; Mohammad Algahtani, Haifa; Guo, Zhihua; Gupta, Rishab; Nadkarni, Pallavi; Naeem, Farooq; Howells, Fleur; Sorsdahi, Katherine; Thorne, Kerensa; Osman-Hicks, Victoria; Pallikadavath, Sasee; Phiri, Peter; Carr, Hannah; Graves, Lizi; Kingdon, David

    2018-01-01

    Aim The aim of this study was to inform thinking around the terminology for ‘schizophrenia’ in different countries. Objectives The objective of this study was to investigate: (1) whether medical students view alternative terminology (psychosis subgroups), derived from vulnerability-stress models of schizophrenia, as acceptable and less stigmatising than the term schizophrenia; (2) if there are differences in attitudes to the different terminology across countries with different cultures and (3) whether clinical training has an impact in reducing stigma. Design This is a cross-sectional survey that examined the attitudes of medical students towards schizophrenia and the alternative subgroups. Setting The study was conducted across eight sites: (1) University of Southampton, UK; (2) All India Institute of Medical Science, India; (3) Rowan University, USA; (4) Peshawar Medical College, Pakistan; (5) Capital Medical University, China; (6) College of Medicine and Medical sciences, Bahrain; (7) Queens University, Kingston, Canada and (8) University of Cape Town, South Africa. Method This study extended an initial pilot conducted by the Royal College of Psychiatrists on the term schizophrenia and psychosis subgroups to assess whether the subgroup terminology might have an effect on the attitudes of a convenience sample of medical students from eight different countries and potentially play a role in reducing stigmatisation. Results 1873 medical students completed a questionnaire recording their attitudes to schizophrenia and the psychosis subgroups. A reduction in negative perceptions were found for the psychosis subgroups, especially for the stress sensitivity psychosis and anxiety psychosis subgroups. Negative perceptions were found for drug-related psychosis. Participants who had undergone clinical training had overall positive attitudes. Differences across different countries were found. Conclusion The attitudes towards psychosis subgroups used in this study have shown mixed results and variation across countries. Further research is warranted to investigate acceptability of terminology. Methods of reducing stigma are discussed in line with the findings. Ethics The study received ethical approval from ERGO (Ethics and Research Governance Online; ID: 15972) and subsequently from the ethics committee at each site. PMID:29880569

  20. Multinational comparative cross-sectional survey of views of medical students about acceptable terminology and subgroups in schizophrenia.

    PubMed

    Rathod, Shanaya; Irfan, Muhammad; Bhargava, Rachna; Pinninti, Narsimha; Scott, Joseph; Mohammad Algahtani, Haifa; Guo, Zhihua; Gupta, Rishab; Nadkarni, Pallavi; Naeem, Farooq; Howells, Fleur; Sorsdahi, Katherine; Thorne, Kerensa; Osman-Hicks, Victoria; Pallikadavath, Sasee; Phiri, Peter; Carr, Hannah; Graves, Lizi; Kingdon, David

    2018-06-07

    The aim of this study was to inform thinking around the terminology for 'schizophrenia' in different countries. The objective of this study was to investigate: (1) whether medical students view alternative terminology (psychosis subgroups), derived from vulnerability-stress models of schizophrenia, as acceptable and less stigmatising than the term schizophrenia; (2) if there are differences in attitudes to the different terminology across countries with different cultures and (3) whether clinical training has an impact in reducing stigma. This is a cross-sectional survey that examined the attitudes of medical students towards schizophrenia and the alternative subgroups. The study was conducted across eight sites: (1) University of Southampton, UK; (2) All India Institute of Medical Science, India; (3) Rowan University, USA; (4) Peshawar Medical College, Pakistan; (5) Capital Medical University, China; (6) College of Medicine and Medical sciences, Bahrain; (7) Queens University, Kingston, Canada and (8) University of Cape Town, South Africa. This study extended an initial pilot conducted by the Royal College of Psychiatrists on the term schizophrenia and psychosis subgroups to assess whether the subgroup terminology might have an effect on the attitudes of a convenience sample of medical students from eight different countries and potentially play a role in reducing stigmatisation. 1873 medical students completed a questionnaire recording their attitudes to schizophrenia and the psychosis subgroups. A reduction in negative perceptions were found for the psychosis subgroups, especially for the stress sensitivity psychosis and anxiety psychosis subgroups. Negative perceptions were found for drug-related psychosis. Participants who had undergone clinical training had overall positive attitudes. Differences across different countries were found. The attitudes towards psychosis subgroups used in this study have shown mixed results and variation across countries. Further research is warranted to investigate acceptability of terminology. Methods of reducing stigma are discussed in line with the findings. The study received ethical approval from ERGO (Ethics and Research Governance Online; ID: 15972) and subsequently from the ethics committee at each site. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  1. The level of awareness of stroke risk factors and symptoms in the Gulf Cooperation Council countries: Gulf Cooperation Council stroke awareness study.

    PubMed

    Kamran, S; Bener, A B; Deleu, D; Khoja, W; Jumma, M; Al Shubali, A; Inshashi, J; Sharouqi, I; Al Khabouri, J

    2007-01-01

    To assess the knowledge of stroke in the general public in the Gulf Cooperation Council (GCC) countries. The Arabian Gulf is a rapidly developing part of the world with major changes in the lifestyle that can increase the risk of stroke. To design effective stroke treatment and prevention strategies, an assessment of the public knowledge of stroke is required. A cross-sectional community-based survey was conducted at primary health care centers (PHCs), in urban and semi-urban areas, of the GCC countries (Qatar, Saudi Arabia, Kuwait, Bahrain, the United Arab Emirates, Oman) on the level of stroke awareness in the general public. Health care workers completed 3,750 face-to-face interviews. 1,089 (29.0%) were familiar with the term 'stroke', and 29.3% considered the age group 30-50 at the highest risk for stroke. The commonest risk factors identified were hypertension (23.1%) and smoking (27.3%). People who did not know the term stroke had a higher incidence of diabetes, hypertension, and had more than one risk factor (p < 0.05). The most frequently identified stroke symptoms were weakness (23%) and speech problems (21.7%). Of those who recognized stroke, blockage of blood vessels was identified as the commonest cause of stroke (22%) followed by tension/worrying (20%). Doctors and nurses were regarded as the best source of stroke information (70%). In the univariate comparison, younger age (p < 0.001), higher level of education (p < 0.001), and female gender (p = 0.008) better predicted stroke recognition. In a multivariate logistic regression analysis, the level of education, monthly income and smoking were independent variables predicting stroke knowledge. The majority of the patients had not even heard the term stroke. Stroke knowledge was poorest among the groups that were at the highest risk for stroke. Stroke education has to focus on the high-risk groups, particularly the younger population. The health care workers at the PHCs and hospitals will need instructions on providing stroke information to the public. The level of knowledge of stroke risk factors and symptoms emphasizes the need for stroke education efforts in the community. (c) 2008 S. Karger AG, Basel.

  2. A diversity of cancer incidence and mortality in West Asian populations.

    PubMed

    Roshandel, Gholamreza; Boreiri, Majid; Sadjadi, Alireza; Malekzadeh, Reza

    2014-01-01

    Western Asia comprises a large proportion of the world population with different ethnicities and religions inhabiting areas of diverse geographic features. The countries of this region have experienced rapid economic growth over the latter half of the 20th century, which continues to this day, resulting in major changes in lifestyle of the population. The aim of this study was to compare the incidence and mortality of cancer in West Asia using the estimates reported by the International Agency for Research on Cancer (IARC) in Globocan-2012. Countries with high-quality data or national data (based on the definition of the Globocan-2012) were included in the analysis. These included Bahrain, Iran, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and Turkey. We also found high-quality cancer data from regional cancer registries in 3 Iranian and 3 Turkish provinces. Data on cancer incidence and mortality were collected and described in tables and graphs. Spearman's correlation test was used to assess the correlation between geographic coordinates and the incidence age-standardized rate (ASR; per 100,000 person-years) of cancers. Nine countries and 6 regional registries were included. Cancers of the lung (ASR, 33.3), prostate (24.9), bladder (19.1), stomach (16.5), and colorectal (15.9) were the most common malignancies in men. The most common cancers in women were those of the breast (35.4), colorectal (12.1), thyroid (10.3), stomach (9.2), and lung (6.7). The incidence rates of upper gastrointestinal and lung cancers were considerably higher in the northern part of this region, including Turkey and northern Iran compared with southern countries. High incidences of breast, colorectal, prostate, and bladder cancers were found in countries located in the northwest including Jordan, Lebanon, and Turkey. The most common cancers differed by country. Consequently, cancer control programs must be tailored to the most common types of cancers in each country. Lack of high-quality data for some West Asian countries was the major limitation of this study. Therefore, as the first step of cancer control programs, it is recommended that well-structured population-based cancer registries be established in all of these countries. Copyright © 2014 Icahn School of Medicine at Mount Sinai. Published by Elsevier Inc. All rights reserved.

  3. Influence of medical training on self-medication by students.

    PubMed

    James, H; Handu, S S; Khaja, K A J Al; Sequeira, R P

    2008-01-01

    To examine the influence of medical training on the knowledge, attitude and practice of self-medication by medical students. This was a cross-sectional, descriptive study. A self-developed, pre-validated questionnaire containing open-ended and close-ended items was used for data collection. Medical students in the 2nd and 4th year of the medical course at the Arabian Gulf University Bahrain filled in the questionnaire anonymously. Data were analyzed using SPSS and results expressed as counts and percentages. 2-tailed Chi2-test was applied and p < 0.05 was considered significant. The respondents (n = 141) had a mean age of 19.94 A+/- 1.21 years. Overall, they had a fair knowledge about appropriate self-medication but knowledge of the benefits and risks of self-medication was adequate. Self-medication was perceived to be time-saving, providing quick relief in common illnesses, a learning experience, economical, and convenient. Among the perceived disadvantages were adverse drug reactions, inappropriate drug use, and the risk of making a wrong diagnosis. Majority of the respondents had a positive attitude favoring self-medication and read the package insert. The practice of self-medication was common and often inappropriate. The commonest indications for self-medication were cough, cold and sore throat (63.2% in Year 2) and headache (78.3% in Year 4). Mild illness, previous experience, and lack of time were the most frequent reasons for resorting to self-medication. Analgesics were the commonest drugs used, and drugs were mostly obtained from private pharmacies. Students of Year 4 had better knowledge about appropriate self-medication (58.7% versus 35.8%, p = 0.02), had greater awareness of the risks of self-medication and would discourage others from practicing self-medication (58.7% versus 40.4%, p = 0.04). They had a more confident attitude (54.3% versus 35.1%, p = 0.03) and a smaller number of them would seek a prescription (34.8% versus 54.3%, p = 0.03). They practiced self-medication more often (73.3% versus 52.6%, p = 0.02) and more appropriately (58.7% versus 35.8%, p = 0.02). This cross-sectional study shows that senior medical students tend to have greater knowledge of appropriate self-medication, have a more confident as well as concerned attitude towards self-medication, and tend to practice self-medication more often and appropriately.

  4. Public response to MERS-CoV in the Middle East: iPhone survey in six countries.

    PubMed

    Alqahtani, Amani S; Rashid, Harunor; Basyouni, Mada H; Alhawassi, Tariq M; BinDhim, Nasser F

    Gulf Cooperation Council (GCC) countries bear the heaviest brunt of MERS-CoV. This study aims to compare public awareness and practice around MERS-CoV across GCC countries. A cross-sectional survey was conducted using the Gulf Indicators (GI) smartphone app among people in the six GCC countries, namely Saudi Arabia, Kuwait, the United Arab Emirates, Qatar, Bahrain, and Oman. A total of 1812 participants recruited. All were aware of MERS-CoV, yet the perception and practice around MERS-CoV varied widely between countries. Over two thirds were either "not concerned" or "slightly concerned" about contracting MERS-CoV; believing that they were under Allah's (God's) protection (40%) was the most cited reason. While 79% were aware that the disease can transmit through droplet from infected person, only 12% stated that MERS-CoV transmits via camels; people in Saudi Arabia were better aware of the transmission. Nevertheless, only 22% of respondents believed that camels are the zoonotic reservoir of MERS-CoV. Those who were concerned about contracting MERS-CoV (aOR: 1.6, 95% CI: 1.2-2.1, p<0.01) and those who thought MERS-CoV to be a severe disease only for those with high-risk conditions (aOR: 1.5, 95% CI: 1.1-2.1, p<0.01) were more likely to believe that camels are the zoonotic source. However, residents of KSA (aOR: 0.03, 95% CI: 0.01-0.07, p<0.01), UAE (aOR: 0.01, 95% CI: 0.004-0.02, p<0.01) and Kuwait (aOR: 0.03, 95% CI: 0.01-0.07, p<0.01) were less likely to believe that camels are the main zoonotic source compared to respondents from the other countries. Hygienic measures were more commonly adopted than avoidance of camels or their raw products, yet there was a discrepancy between the countries. This study highlights that despite being aware of the ongoing MERS-CoV epidemic; many people lack accurate understanding about MERS-CoV transmission, prevention, and are not fully compliant with preventive measures. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Hormonal and echocardiographic abnormalities in adult patients with sickle-cell anemia in Bahrain

    PubMed Central

    Garadah, Taysir S; Jaradat, Ahmed A; Alalawi, Mohammed E; Hassan, Adla B

    2016-01-01

    Background Adrenal, thyroid, and parathyroid gland hormonal changes are recognized in children with homozygous (HbSS) sickle-cell anemia (SCA), but are not clear in adult patients with SCA. Aim To assess the metabolic and endocrine abnormalities in adult patients with SCA and evaluate left ventricular (LV) systolic and diastolic functions compared with patients with no SCA and further study the relationship between serum levels of cortisol, free thyroxine (T4), and testosterone with serum ferritin. Materials and methods The study was conducted on 82 patients with adult HbSS SCA compared with a sex- and age-matched control group. The serum levels of cortisol, parathyroid hormone (PTH), testosterone, thyroid-stimulating hormone (TSH), and free T4 were compared. Blood levels of hemoglobin, reticulocyte count, lactate dehydrogenase (LDH), calcium, alkaline phosphatase (ALP), vitamin D3, and ferritin were also compared. Pulsed Doppler echo was performed to evaluate the LV mass, wall thickness, and cavity dimensions with diastolic filling velocities of early (E) and atria (A) waves. Biometric data were analyzed as mean ± standard deviation between the two groups. Multiple regression analysis was performed between serum levels of ferritin as independent variable and testosterone, cortisol, and thyroid hormones. Results A total of 82 adult patients with HbSS SCA were enrolled who had a mean age of 21±5.7 years, with 51 males (62%). Patients with SCA compared with the control group had significantly lower hemoglobin, body mass index, cortisol, vitamin D3, testosterone, and T4. Furthermore, there were significantly high levels of reticulocyte count, PTH, TSH, ferritin, LDH, ALP, and uric acid. The incidence of subclinical hypothyroidism and adrenal insufficiency was 7% and 4.8%, respectively, with hypogonadism 9.8% and vitamin D3 deficiency 61%. There were inverse relationships between ferritin as independent variable and serum levels of testosterone, T4, and cortisol, with regression coefficients of −0.49 (P<0.001), −0.33 (P<0.001), and −0.11 (P<0.92), respectively. Conclusion Patients with adult SCA had a high prevalence of in vivo hypoadrenialism (4.8%), hypogonadism (9.8%), and hypothyroidism (7%). There were significant inverse relationships between serum ferritin as independent variable and cortisol, testosterone, and T4. Pulsed Doppler echocardiography showed increased LV mass, with a restrictive LV diastolic pattern suggestive of diastolic dysfunction. PMID:28008293

  6. Protecting children from violence and maltreatment: a qualitative comparative analysis assessing the implementation of U.N. CRC Article 19.

    PubMed

    Svevo-Cianci, Kimberly A; Hart, Stuart N; Rubinson, Claude

    2010-01-01

    (1) To identify which United Nations Convention on the Rights of the Child (CRC) recommended child protection (CP) measures, such as policy, reporting systems, and services for child abuse and neglect (CAN) victims, individually or in combination, were most important in establishing a basic level of child protection in 42 countries; and (2) to assess whether these measures were necessary or sufficient to achieve basic child protection in developing and industrialized countries. Child protection and/or rights expert respondents from 42 countries completed a questionnaire on CRC Article 19 (CRC19) required CP measures implementation and rated their country's effectiveness in implementation, the current level of effectiveness of child protection, and the relevance of improvements in child protection since the CRC was adopted in 1989. Information from the Committee on the Rights of the Child Concluding Observations, as well as UNICEF and WHO indicators on child health and protection issues were used to check and supplement responses. Qualitative comparative analysis (QCA) was used to identify child protection measure implementation effectiveness. Results indicate that child protection judged as comparatively more successful among study countries is a result of having the following measures in place from two types of social programs: a CP infrastructure (legislation plus services) and at least one information-based intervention support program. Fourteen (33%) countries were determined to have established at least a basic CP system toward protection of children from violence and maltreatment. These countries reported having the three required elements described above. The study reinforces the need for governments to take a systems approach to child protection, including policy/legislation, information-based programs and social services, as well as professional training and public awareness raising. The top-ranked countries included: Australia, Bahrain, Belgium, Brazil, Canada, Estonia, Germany, Italy, Jordan, Lebanon, Malaysia, Republic of Korea, the Russian Federation, and the United Kingdom. Governments need to establish CP systems with multiple, well-integrated, effective CP measures as elaborated above, working with trained professionals and also raising public awareness to ensure successful protection for all children in every country. Partial measures are not effective. Further, in addition to establishing, implementing, and evaluating the effectiveness of professional interventions, the actual outcomes for children, not studied or reported on here, need to be the priority focus for child protection going forward. Copyright (c) 2009 Elsevier Ltd. All rights reserved.

  7. Quality of life of Bahraini women with breast cancer: a cross sectional study

    PubMed Central

    2013-01-01

    Background Breast cancer can impact survivors in many aspects of their life. Scarce information is currently available on the quality of life of cancer survivors in Bahrain. The objective of this study is to describe the quality of life of Bahraini women with breast cancer and its association with their sociodemographic and clinical data. Methods This is a cross sectional study in which the European Organization for Research and Treatment of Cancer Quality of Life Cancer Specific version translated into Arabic was administered to a random sample of 337 Bahraini women with breast cancer. Relevant descriptive statistics were computed for all items. The equality of means across the categories of each categorical independent variable was tested using parametric tests (ANOVA and independent t-test) or non-parametric tests (Kruskal Wallis and Mann Whitney tests) of association where appropriate. Results Of the total sample, 239 consented to participation. The mean and median age of participants were 50.2 (SD ± 11.1) and 48.0 respectively. Participants had a mean score for global health of 63.9 (95% CI 61.21-66.66). Among functional scales, social functioning scored the highest (Mean 77.5 [95% CI 73.65-81.38]) whereas emotional functioning scored the lowest (63.4 [95% CI 59.12-67.71]). The most distressing symptom on the symptom scales was fatigability (Mean 35.2 [95% CI 31.38-39.18]). Using the disease specific tool it was found that sexual functioning scored the lowest (Mean 25.9 [95% CI 70.23-77.90]). On the symptom scale, upset due to hair loss scored the highest (Mean 46.3 [95% CI 37.82-54.84]). Significant mean differences were noted for many functional and symptom scales. Conclusion Bahraini breast cancer survivors reported favorable overall global quality of life. Factors associated with a major reduction in all domains of quality of life included the presence of metastases, having had a mastectomy as opposed to a lumpectomy and a shorter time elapsed since diagnosis. Poorest functioning was noted in the emotional and sexual domains. The most bothersome symptoms were fatigability, upset due to hair loss and arm symptoms. This study identifies the categories of women at risk of poorer quality of life after breast cancer and the issues that most need to be addressed in this Middle East society. PMID:23622020

  8. New Approaches for Responsible Management of Offshore Springs in Semi-arid Regions

    NASA Astrophysics Data System (ADS)

    Shaban, Amin; de Jong, Carmen; Al-Sulaimani, Zaher

    2017-04-01

    In arid and semi-arid regions, such as the Mediterranean and Gulf Region where water is scarce water demand has been exacerbated and become a major environmental challenge. Presently there is massive pressure to develop new water sources to alleviate existing water stress. In the quest for more freshwater even groundwater discharge into the sea in the form of "off-shore freshwater springs" (or submarine groundwater discharge) has been contemplated as a potential source of unconventional water in coastal zones. Offshore-springs are derived from aquifers with complex geological controls mainly in the form of faults and karst conduits. Representing a border-line discipline, they have been poorly studied with only few submarine groundwater monitoring sites existing worldwide. Recently, innovative techniques have been developed enabling springs to be detected via remote sensing such as airborne surveys or satellite images. "Thermal Anomalies" can be clearly identified as evidence for groundwater discharge into the marine environment. A diversity of groundwater routes along which off-shore springs are fed from land sources can be recognized and near-shore and offshore springs differentiated and classified according to their geometry. This is well pronounced along the coast of Lebanon and offshore of Oman. Offshore springs play an important role in the marine ecosystem as natural sources of mercury, metals, nutrients, dissolved carbon species and in cooling or warming ocean water. However, they are extremely sensitive to variations in qualitative and quantitative water inputs triggered by climate change and anthropogenic impacts especially in their recharge zones. Pollutants such as sewage, detergents, heavy metals or herbicides that negatively affect water quality of offshore springs can transit the groundwater rapidly. Recently these springs have also been severely affected by uncontrolled water abstraction from land aquifers. In Bahrain, overpumping combined with burial under land reclamation rubble has caused the disappearance of offshore springs inducing a drastic decline in the pearl oyster population. Climate change related precipitation decrease and temperature increase is likely to further decrease groundwater and surface water recharge, increase irrigation and domestic water demand, increase water extraction from aquifers and in turn decrease water availability for offshore springs.. Thus in future, continuous monitoring of water quantity and quality as well as new remote sensing approach in addition to observations by citizens such as fishermen and tourist guides are becoming essential to ensure responsible management of offshore freshwater springs.

  9. Effectiveness and tolerability of second-line treatment with vildagliptin versus other oral drugs for type 2 diabetes in a real-world setting in the Middle East: results from the EDGE study

    PubMed Central

    Saab, Charles; Al-Saber, Feryal A; Haddad, Jihad; Jallo, Mahir Khalil; Steitieh, Habib; Bader, Giovanni; Ibrahim, Mohamed

    2015-01-01

    Background Type 2 diabetes mellitus (T2DM) is a chronic progressive disease that requires treatment intensification with antihyperglycemic agents due to progressive deterioration of β-cell function. A large observational study of 45,868 patients with T2DM across 27 countries (EDGE) assessed the effectiveness and safety of vildagliptin as add-on to other oral antidiabetic drugs (OADs) versus other comparator OAD combinations. Here, we present results from the Middle East countries (Bahrain, Jordan, Kuwait, Lebanon, Oman, Palestine, and the United Arab Emirates). Methods Patients inadequately controlled with OAD monotherapy were eligible after the add-on treatment was chosen by the physician based on clinical judgment and patient need. Patients were assigned to either vildagliptin or comparator OADs (sulfonylureas, thiazolidinediones, glinides, α-glucosidase inhibitors, or metformin, except incretin-based therapies) based on the add-on therapy. The primary endpoint was the proportion of patients achieving a glycated hemoglobin (HbA1c) reduction of >0.3% without peripheral edema, hypoglycemia, discontinuation due to a gastrointestinal event, or weight gain ≥5%. One of the secondary endpoints was the proportion of patients achieving HbA1c <7% without hypoglycemia or weight gain. Change in HbA1c from baseline to study endpoint and safety were also assessed. Results Of the 4,780 patients enrolled in the Middle East, 2,513 received vildagliptin and 2,267 received other OADs. Overall, the mean (± standard deviation) age at baseline was 52.1±10.2 years, mean HbA1c was 8.5%±1.3%, and mean T2DM duration was 4.2±4.0 years. The proportion of patients achieving the primary (76.1% versus 61.6%, P<0.0001) and secondary (54.8% versus 29.9%, P<0.0001) endpoints was higher with vildagliptin than with the comparator OADs. The unadjusted odds ratios for the primary and secondary endpoints were 1.98 (95% confidence interval 1.75–2.25) and 2.8 (95% confidence interval 2.5–3.2), respectively, in favor of vildagliptin. Vildagliptin achieved a numerically greater reduction in HbA1c (1.7%) from baseline versus comparator OADs (1.4%). The overall incidence of adverse events was comparable between studied cohorts. Conclusion In real life, treatment with vildagliptin was associated with a higher proportion of patients with T2DM achieving better glycemic control without tolerability issues in the Middle East. PMID:25750538

  10. Effectiveness and tolerability of second-line treatment with vildagliptin versus other oral drugs for type 2 diabetes in a real-world setting in the Middle East: results from the EDGE study.

    PubMed

    Saab, Charles; Al-Saber, Feryal A; Haddad, Jihad; Jallo, Mahir Khalil; Steitieh, Habib; Bader, Giovanni; Ibrahim, Mohamed

    2015-01-01

    Type 2 diabetes mellitus (T2DM) is a chronic progressive disease that requires treatment intensification with antihyperglycemic agents due to progressive deterioration of β-cell function. A large observational study of 45,868 patients with T2DM across 27 countries (EDGE) assessed the effectiveness and safety of vildagliptin as add-on to other oral antidiabetic drugs (OADs) versus other comparator OAD combinations. Here, we present results from the Middle East countries (Bahrain, Jordan, Kuwait, Lebanon, Oman, Palestine, and the United Arab Emirates). Patients inadequately controlled with OAD monotherapy were eligible after the add-on treatment was chosen by the physician based on clinical judgment and patient need. Patients were assigned to either vildagliptin or comparator OADs (sulfonylureas, thiazolidinediones, glinides, α-glucosidase inhibitors, or metformin, except incretin-based therapies) based on the add-on therapy. The primary endpoint was the proportion of patients achieving a glycated hemoglobin (HbA1c) reduction of >0.3% without peripheral edema, hypoglycemia, discontinuation due to a gastrointestinal event, or weight gain≥5%. One of the secondary endpoints was the proportion of patients achieving HbA1c<7% without hypoglycemia or weight gain. Change in HbA1c from baseline to study endpoint and safety were also assessed. Of the 4,780 patients enrolled in the Middle East, 2,513 received vildagliptin and 2,267 received other OADs. Overall, the mean (±standard deviation) age at baseline was 52.1±10.2 years, mean HbA1c was 8.5%±1.3%, and mean T2DM duration was 4.2±4.0 years. The proportion of patients achieving the primary (76.1% versus 61.6%, P<0.0001) and secondary (54.8% versus 29.9%, P<0.0001) endpoints was higher with vildagliptin than with the comparator OADs. The unadjusted odds ratios for the primary and secondary endpoints were 1.98 (95% confidence interval 1.75-2.25) and 2.8 (95% confidence interval 2.5-3.2), respectively, in favor of vildagliptin. Vildagliptin achieved a numerically greater reduction in HbA1c (1.7%) from baseline versus comparator OADs (1.4%). The overall incidence of adverse events was comparable between studied cohorts. In real life, treatment with vildagliptin was associated with a higher proportion of patients with T2DM achieving better glycemic control without tolerability issues in the Middle East.

  11. An investigation of the Performance of a Conical Solar Water Heater in the Kingdom of Bahrain

    NASA Astrophysics Data System (ADS)

    Gaaliche, Nessreen; Ayhan, Teoman; Fathallah, Raouf

    2017-11-01

    Domestic water heater corresponds to 25% of the house energy consumption and can play an important role to reduce energy house expenses. Solar energy offers a preferred renewable energy resource because of its economic and environmental advantages. It is considered the best alternative to reduce domestic water heater energy consumption cost. Converting solar energy into heat can be considered among the simplest used systems. Solar thermal conversion is more efficient than solar electrical direct conversion method. Solar water heater systems are particularly easy to use and to repair. The integrated conical solar collector water heater (ICSCWH) is so far the easiest among water heating systems. The ICSCWH converts directly and efficiently the solar flux into heat. In order to expand the utilization of ICSCWH systems, many design modifications have been examined and analyzed. This study provides an experimental investigation and mathematical simulation of an ICSCWH system equipped with a glass cover resulting in the increase of the maximum absorption. Integrating the cone-shaped heat collector with an aluminum spiral pipe flow system may enhance the efficiency of the proposed system. In order to maximize the solar radiation of the system, the solar water heater has been designed in a conical shape, which removes the need to change its orientation toward the sun to receive the maximum sun radiation during the day. In this system, the heating of water has been obtained using the spiral pipe flow without the use of the solar cells and mirrors in order to reduce the total cost. The storage water tank of this system is coupled with a conical solar collector. Based on the above design, the solar water heater has been fabricated and tested. In addition, an analytical modeling approach aiming to predict the flow rate within the conical integrated collector storage solar water heater (ICSSWH) and its efficiency, was developed. Modeling through a numerical simulation approach based on energy equations was performed. Considering the entire water amount and the total area of the cone, the amount of water (facing the sun per unit absorbing area in the two symmetrical parts of the system) is found to increase, which is expected to reach a maximum water temperature at a high performance. Our experimental findings show that the daily performance is around 32% and the highest water temperature of about 45°C is obtained in the system at 4 pm, according to seasons and weather conditions. An efficient and simple mathematical simulation approach for the new conical solar water heater is described then validates using experimental data.

  12. SESAME - A 3rd Generation Synchrotron Light Source for the Middle East

    NASA Astrophysics Data System (ADS)

    U˝Lkü, Dinçer; Rahighi, Javad; Winick, Herman

    2007-01-01

    SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) will be the Middle East's first international research center. It is a cooperative venture by the scientists and governments of the region with founding members Bahrain, Egypt, Israel, Jordan, Pakistan, Palestine Authority, and Turkey. Iran is in the process of finalizing its formal membership. Other countries (Cyprus, Morocco, and the United Arab Emirates) are also expected to join. The permanent Council of member states has full responsibility for the project. Members provide the annual operating budget. Observer countries are Germany, Greece, Italy, Kuwait, Portugal, Russian Federation, Sweden, the UK, and the US. SESAME is being developed under the umbrella of UNESCO. Jordan was selected as the building site. SESAME will offer excellent opportunities for training of Middle East scientists and attract those working abroad to consider returning. SESAME will be a 2.5GeV 3rd Generation light source (emittance 26nm-rad, circumference ~133m), providing excellent performance for structural molecular biology, molecular environmental science, surface and interface science, microelectromechanical devices, x-ray imaging, archaeological microanalysis, and materials characterization. It will cover a broad spectral range from the infrared to hard x-rays and will have 12 straight sections for insertion devices (average length 2.75m). The injector will be the BESSY I 0.8 GeV booster synchrotron which has been given as a gift from Germany. Four committees advise the Council and assist in developing the technical design, beam lines, user community, and scientific Program. The SESAME building, now in construction with funds and a site provided by Jordan, is scheduled for completion in late 2006 after which the BESSY I injector will be installed. First stored beam in the new 2.5 GeV ring is planned for 2009 with six initial beamlines planned. Some beamlines will be built by member countries. Additional funds to purchase components of the new ring and beamlines are being sought from the EU, the US, and other sources. SESAME has benefited greatly from offers by other light source facilities of equipment and training fellowships in both accelerator technology and applications of synchrotron radiation. Details of this, and other aspects of the training program, are given below. It is hoped that in the future fellowship offers will continue to be made by many light source laboratories to further increase the level of experience with accelerator technology and synchrotron light science in preparation for the start of operation of SESAME.

  13. SESAME — A 3rd Generation Synchrotron Light Source for the Middle East

    NASA Astrophysics Data System (ADS)

    Å°lkü, Dinçer; Rahighi, Javad; Winick, Herman

    2007-01-01

    SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) will be the Middle East's first international research center. It is a cooperative venture by the scientists and governments of the region with founding members Bahrain, Egypt, Israel, Jordan, Pakistan, Palestine Authority, and Turkey. Iran is in the process of finalizing its formal membership. Other countries (Cyprus, Morocco, and the United Arab Emirates) are also expected to join. The permanent Council of member states has full responsibility for the project. Members provide the annual operating budget. Observer countries are Germany, Greece, Italy, Kuwait, Portugal, Russian Federation, Sweden, the UK, and the US. SESAME is being developed under the umbrella of UNESCO. Jordan was selected as the building site. SESAME will offer excellent opportunities for training of Middle East scientists and attract those working abroad to consider returning. SESAME will be a 2.5GeV 3rd Generation light source (emittance 26nm-rad, circumference ˜133m), providing excellent performance for structural molecular biology, molecular environmental science, surface and interface science, microelectromechanical devices, x-ray imaging, archaeological microanalysis, and materials characterization. It will cover a broad spectral range from the infrared to hard x-rays and will have 12 straight sections for insertion devices (average length 2.75m). The injector will be the BESSY I 0.8 GeV booster synchrotron which has been given as a gift from Germany. Four committees advise the Council and assist in developing the technical design, beam lines, user community, and scientific Program. The SESAME building, now in construction with funds and a site provided by Jordan, is scheduled for completion in late 2006 after which the BESSY I injector will be installed. First stored beam in the new 2.5 GeV ring is planned for 2009 with six initial beamlines planned. Some beamlines will be built by member countries. Additional funds to purchase components of the new ring and beamlines are being sought from the EU, the US, and other sources. SESAME has benefited greatly from offers by other light source facilities of equipment and training fellowships in both accelerator technology and applications of synchrotron radiation. Details of this, and other aspects of the training program, are given below. It is hoped that in the future fellowship offers will continue to be made by many light source laboratories to further increase the level of experience with accelerator technology and synchrotron light science in preparation for the start of operation of SESAME.

  14. SESAME - A 3rd Generation Synchrotron Light Source for the Middle East

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ulkue, Dincer; Rahighi, Javad; Winick, Herman

    2007-01-19

    SESAME (Synchrotron-light for Experimental Science and Applications in the Middle East) will be the Middle East's first international research center. It is a cooperative venture by the scientists and governments of the region with founding members Bahrain, Egypt, Israel, Jordan, Pakistan, Palestine Authority, and Turkey. Iran is in the process of finalizing its formal membership. Other countries (Cyprus, Morocco, and the United Arab Emirates) are also expected to join. The permanent Council of member states has full responsibility for the project. Members provide the annual operating budget. Observer countries are Germany, Greece, Italy, Kuwait, Portugal, Russian Federation, Sweden, the UK,more » and the US. SESAME is being developed under the umbrella of UNESCO. Jordan was selected as the building site. SESAME will offer excellent opportunities for training of Middle East scientists and attract those working abroad to consider returning. SESAME will be a 2.5GeV 3rd Generation light source (emittance 26nm-rad, circumference {approx}133m), providing excellent performance for structural molecular biology, molecular environmental science, surface and interface science, microelectromechanical devices, x-ray imaging, archaeological microanalysis, and materials characterization. It will cover a broad spectral range from the infrared to hard x-rays and will have 12 straight sections for insertion devices (average length 2.75m). The injector will be the BESSY I 0.8 GeV booster synchrotron which has been given as a gift from Germany. Four committees advise the Council and assist in developing the technical design, beam lines, user community, and scientific Program. The SESAME building, now in construction with funds and a site provided by Jordan, is scheduled for completion in late 2006 after which the BESSY I injector will be installed. First stored beam in the new 2.5 GeV ring is planned for 2009 with six initial beamlines planned. Some beamlines will be built by member countries. Additional funds to purchase components of the new ring and beamlines are being sought from the EU, the US, and other sources. SESAME has benefited greatly from offers by other light source facilities of equipment and training fellowships in both accelerator technology and applications of synchrotron radiation. Details of this, and other aspects of the training program, are given below. It is hoped that in the future fellowship offers will continue to be made by many light source laboratories to further increase the level of experience with accelerator technology and synchrotron light science in preparation for the start of operation of SESAME.« less

  15. Occurrence of the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) across the Gulf Corporation Council countries: Four years update.

    PubMed

    Aly, Mahmoud; Elrobh, Mohamed; Alzayer, Maha; Aljuhani, Sameera; Balkhy, Hanan

    2017-01-01

    The emergence of the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infections has become a global issue of dire concerns. MERS-CoV infections have been identified in many countries all over the world whereas high level occurrences have been documented in the Middle East and Korea. MERS-CoV is mainly spreading across the geographical region of the Middle East, especially in the Arabian Peninsula, while some imported sporadic cases were reported from the Europe, North America, Africa, and lately Asia. The prevalence of MERS-CoV infections across the Gulf Corporation Council (GCC) countries still remains unclear. Therefore, the objective of the current study was to report the prevalence of MERS-CoV in the GCC countries and to also elucidate on its demographics in the Arabian Peninsula. To date, the World Health Organization (WHO) has reported 1,797 laboratory-confirmed cases of MERS-CoV infection since June 2012, involving 687 deaths in 27 different countries worldwide. Within a time span of 4 years from June 2012 to July 2016, we collect samples form MERS-CoV infected individuals from National Guard Hospital, Riyadh, and Ministry of health Saudi Arabia and other GCC countries. Our data comprise a total of 1550 cases (67.1% male and 32.9% female). The age-specific prevalence and distribution of MERS-CoV was as follow: <20 yrs (36 cases: 3.28%), 20-39 yrs (331 cases: 30.15%), 40-59 yrs (314 cases: 28.60%), and the highest-risk elderly group aged ≥60 yrs (417 cases: 37.98%). The case distribution among GCC countries was as follows: Saudi Arabia (1441 cases: 93%), Kuwait (4 cases: 0.3%), Bahrain (1 case: 0.1%), Oman (8 cases: 0.5%), Qatar (16 cases: 1.0%), and United Arab Emirates (80 cases: 5.2%). Thus, MERS-CoV was found to be more prevalent in Saudi Arabia especially in Riyadh, where 756 cases (52.4%) were the worst hit area of the country identified, followed by the western region Makkah where 298 cases (20.6%) were recorded. This prevalence update indicates that the Arabian Peninsula, particularly Saudi Arabia, is the hardest hit region regarding the emerging MERS-CoV infections worldwide. GCC countries including Saudi Arabia now have the infrastructure in place that allows physicians and scientific community to identify and immediately respond to the potential risks posed by new outbreaks of MERS-CoV infections in the region. Given the continuum of emergence and the large magnitude of the disease in our region, more studies will be required to bolster capabilities for timely detection and effective control and prevention of MERS-CoV in our region.

  16. The state of health in the Arab world, 1990-2010: an analysis of the burden of diseases, injuries, and risk factors.

    PubMed

    Mokdad, Ali H; Jaber, Sara; Aziz, Muna I Abdel; AlBuhairan, Fadia; AlGhaithi, Abduljabbar; AlHamad, Nawal M; Al-Hooti, Suad N; Al-Jasari, Adel; AlMazroa, Mohammad A; AlQasmi, Ahmed Mohamed; Alsowaidi, Shirina; Asad, Majed; Atkinson, Charles; Badawi, Alaa; Bakfalouni, Talal; Barkia, AbdelAziz; Biryukov, Stan; El Bcheraoui, Charbel; Daoud, Farah; Forouzanfar, Mohammad Hossein; Gonzalez-Medina, Diego; Hamadeh, Randah R; Hsairi, Mohamed; Hussein, Seifeddin Saleh; Karam, Nadim; Khalifa, Shams Eldin Ali Hassan; Khoja, Tawfik A M; Lami, Faris; Leach-Kemon, Katherine; Memish, Ziad A; Mokdad, Ali A; Naghavi, Mohsen; Nasher, Jamal; Qasem, M Bassam Hijawi; Shuaib, Mohammad; Al Thani, Al Anoud M; Al Thani, Mohamed H; Zamakhshary, Mohammed; Lopez, Alan D; Murray, Christopher J L

    2014-01-25

    The Arab world has a set of historical, geopolitical, social, cultural, and economic characteristics and has been involved in several wars that have affected the burden of disease. Moreover, financial and human resources vary widely across the region. We aimed to examine the burden of diseases and injuries in the Arab world for 1990, 2005, and 2010 using data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010). We divided the 22 countries of the Arab League into three categories according to their gross national income: low-income countries (LICs; Comoros, Djibouti, Mauritania, Yemen, and Somalia), middle-income countries (MICs; Algeria, Egypt, Iraq, Jordan, Lebanon, Libya, Morocco, occupied Palestinian territory, Sudan, Syria, and Tunisia), and high-income countries (HICs; Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates). For the whole Arab world, each income group, and each individual country, we estimated causes of death, disability-adjusted life years (DALYs), DALY-attributable risk factors, years of life lived with disability (YLDs), years of life lost due to premature mortality (YLLs), and life expectancy by age and sex for 1990, 2005, and 2010. Ischaemic heart disease was the top cause of death in the Arab world in 2010 (contributing to 14·3% of deaths), replacing lower respiratory infections, which were the leading cause of death in 1990 (11·0%). Lower respiratory infections contributed to the highest proportion of DALYs overall (6·0%), and in female indivduals (6·1%), but ischaemic heart disease was the leading cause of DALYs in male individuals (6·0%). DALYs from non-communicable diseases--especially ischaemic heart disease, mental disorders such as depression and anxiety, musculoskeletal disorders including low back pain and neck pain, diabetes, and cirrhosis--increased since 1990. Major depressive disorder was ranked first as a cause of YLDs in 1990, 2005, and 2010, and lower respiratory infections remained the leading cause of YLLs in 2010 (9·2%). The burden from HIV/AIDS also increased substantially, specifically in LICs and MICs, and road injuries continued to rank highly as a cause of death and DALYs, especially in HICs. Deaths due to suboptimal breastfeeding declined from sixth place in 1990 to tenth place in 2010, and childhood underweight declined from fifth to 11th place. Since 1990, premature death and disability caused by communicable, newborn, nutritional, and maternal disorders (with the exception of HIV/AIDS) has decreased in the Arab world--although these disorders do still persist in LICs--whereas the burden of non-communicable diseases and injuries has increased. The changes in the burden of disease will challenge already stretched human and financial resources because many Arab countries are now dealing with both non-communicable and infectious diseases. A road map for health in the Arab world is urgently needed. Bill & Melinda Gates Foundation. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. National, regional, and global sex ratios of infant, child, and under-5 mortality and identification of countries with outlying ratios: a systematic assessment.

    PubMed

    Alkema, Leontine; Chao, Fengqing; You, Danzhen; Pedersen, Jon; Sawyer, Cheryl C

    2014-09-01

    Under natural circumstances, the sex ratio of male to female mortality up to the age of 5 years is greater than one but sex discrimination can change sex ratios. The estimation of mortality by sex and identification of countries with outlying levels is challenging because of issues with data availability and quality, and because sex ratios might vary naturally based on differences in mortality levels and associated cause of death distributions. For this systematic analysis, we estimated country-specific mortality sex ratios for infants, children aged 1-4 years, and children under the age of 5 years (under 5s) for all countries from 1990 (or the earliest year of data collection) to 2012 using a Bayesian hierarchical time series model, accounting for various data quality issues and assessing the uncertainty in sex ratios. We simultaneously estimated the global relation between sex ratios and mortality levels and constructed estimates of expected and excess female mortality rates to identify countries with outlying sex ratios. Global sex ratios in 2012 were 1·13 (90% uncertainty interval 1·12-1·15) for infants, 0·95 (0·93-0·97) for children aged 1-5 years, and 1·08 (1·07-1·09) for under 5s, an increase since 1990 of 0·01 (-0·01 to 0·02) for infants, 0·04 (0·02 to 0·06) for children aged 1-4 years, and 0·02 (0·01 to 0·04) for under 5s. Levels and trends varied across regions and countries. Sex ratios were lowest in southern Asia for 1990 and 2012 for all age groups. Highest sex ratios were seen in developed regions and the Caucasus and central Asia region. Decreasing mortality was associated with increasing sex ratios, except at very low infant mortality, where sex ratios decreased with total mortality. For 2012, we identified 15 countries with outlying under-5 sex ratios, of which ten countries had female mortality higher than expected (Afghanistan, Bahrain, Bangladesh, China, Egypt, India, Iran, Jordan, Nepal, and Pakistan). Although excess female mortality has decreased since 1990 for the vast majority of countries with outlying sex ratios, the ratios of estimated to expected female mortality did not change substantially for most countries, and worsened for India. Important differences exist between boys and girls with respect to survival up to the age of 5 years. Survival chances tend to improve more rapidly for girls compared with boys as total mortality decreases, with a reversal of this trend at very low infant mortality. For many countries, sex ratios follow this pattern but important exceptions exist. An explanation needs to be sought for selected countries with outlying sex ratios and action should be undertaken if sex discrimination is present. The National University of Singapore and the United Nations Children's Fund (UNICEF). Copyright © 2014 Alkema et al. Open Access article distributed under the terms of CC BY-NC-SA. Published by .. All rights reserved.

  18. Use of the Seasons and Biomes Project in Climate Change Education

    NASA Astrophysics Data System (ADS)

    Sparrow, E. B.; Morris, K.; . Jaroensutasinee, M.; Jaroensutasinee, K.; Yule, S.; Boger, R.; Gordon, L. S.; Yoshikawa, K.; Kopplin, M. R.; Verbyla, D. L.

    2009-04-01

    The Seasons and Biomes Project is an inquiry- and project- based initiative that monitors seasons, specifically their interannual variability, with the goal of increasing primary and secondary students' understanding of the earth system, and engaging them in research as a way of learning science, understanding climate change, contributing to climate change studies and participating in the fourth International Polar Year. International professional development workshops have been conducted in the United States, S. Africa, Germany and most recently in Thailand. Primary and secondary teachers and teacher trainers as well as scientists from Argentina, Bahrain, Cameroon, Canada, Czech Republic, Estonia, Germany, Greenland, India, Peru, Paraguay, Mongolia, Norway, Saudi Arabia, South Africa, Switzerland, Thailand and the United States have participated in the training workshops and are working with students. Available to the Seasons and Biomes participants are the rich array of scientific protocols for investigations on atmosphere/weather, hydrology, soils, land cover biology, and phenology as well as learning activities which have been developed by the Global Learning and Observations to Benefit the Environment program (GLOBE) program (www.globe.gov). GLOBE is an international (109 countries involved) earth/environmental science and education program that brings together scientists, teachers, students and parents in inquiry-based studies and in monitoring the Earth, increasing awareness of and care of the environment, and increasing student achievement across the curriculum. Students conduct their studies at or close to their schools and submit the data they have collected to the Data Archive on the GLOBE website. Seasons and Biomes has developed additional learning activities and measurement protocols such as freshwater ice phenology protocols (freeze-up and break-up) and a frost tube (depth of freezing in soils) protocol that are being used in schools. A mosquito protocol developed by Thai scientists as part of the program to determine abundance and types of mosquitoes that are vectors of malaria and dengue fever, has been successfully tested in two schools and will now be used by students in at least 15 other schools in Thailand. African schools are also interested in using the mosquito protocol. A mosquito protocol to determine start of season in northern latitudes will be tested in Alaskan schools. There is a lot of interest in the effect of climate change on environmental parameters, populations of disease vectors and relationship to disease incidence. Changes in plant and ice phenology can be both indicators and impacts of climate change. Seasons and Biomes has also conducted Pole to Pole climate change videoconferences for Alaskan and Argentinean students, and arctic and antarctic scientists. These gave the students the opportunity to share their observations, ask each other questions, ask the scientists their questions on climate change and discuss topics for research investigations. The videoconferences were followed by web chats and web forums to allow more students from other countries to participate. Students are encouraged to present their studies at science fairs and symposiums and during GLOBE conferences. Indeed some students including Alaskan Native students, have done so.

  19. [Manpower migrations in the Arab world: the reverse of the New Economic Order].

    PubMed

    Halliday, F

    1985-01-01

    Population and petroleum, 2 essential factors in the development of the Arab world, are unequally distributed in the 18 Arab countries. The abstract possibility of mutually beneficial cooperation between the countries with large populations and no oil and those with oil but small populations is far from being realized; on the contrary, growing inequality and deterioration of human and productive resources can be observed in the Arab world. The apparent economic progress of the oil producing states is illusory, because it has permitted them to defer development of their own internal resources such as agriculture, industry, professional training and education in favor of greater dependence on the temporary palliative of petroleum revenues. In 1980, over 3 million Arabs had emigrated toward other Arab countries, where they were joined by approximately 1.8 million non-Arabs. 4 types of Arab migration have been important: movement from the countryside to cities within countries, movement of Arab migrants to non-Arab countries, movement from 1 Arab state to another because of political factors and especially to earn high wages in the oil producing states, and immigration of non-Arabs and especially Asians to Arab countries. 6 of the principal manpower importing countries, Saudi Arabia, Kuwait, Libya, United Arab Emirates, Bahrain, and Qatar, had total labor forces of about 5.2 million in 1985, of which only 41% were nationals. There have been 4 main consequences for the states importing manpower: 1) petroleum production is very capital intensive and creates few jobs; the jobs filled by migrants are mostly in construction and services funded by oil revenues 2) the expansion is temporary because petroleum is a nonrenewable resource; the manpower transfers will therefore not be permanent 3) the migrants represent a large proportion of the labor force and populations of the Gulf oil-producing states, and 4) the migrants are systematically excluded from the political and social life of the countries in which they work, have no juridical protection or political rights, and are the objects of growing hostility in the countries where they work. The most important consequence may be the least visible: because of the petroleum income and the migratory flows the local populations are less and less motivated to work. The immigrants are almost all single or unaccompanied men who send most of their earnings to their home countries. Thus far there has been little apparent political activity or labor unrest among them in the host countries, but it is unclear how long the apparent calm can be sustained. The most obvious consequence of the migration for the sending countries is the massive flow of remittances. In 1980, such transfers between Arab countries were estimated to total around $3 billion, not counting income in kind. The remittances do not appear to be invested in productive enterprises with any frequency but rather to be used for purchases of mostly imported consumer goods and in speculation. Few migrants learn useful job skills, and some countries have lost large proportions of their skilled workers to migration. Migrant earnings have depressed local production by encouraging imports, especially of foodstuffs, and have fostered inflation by stimulating demand for land and wage increases.

  20. Disability-Adjusted Life-Years (DALYs) for 315 Diseases and Injuries and Healthy Life Expectancy (HALE) in Iran and its Neighboring Countries, 1990-2015: Findings from Global Burden of Disease Study 2015.

    PubMed

    Sepanlou, Sadaf G; Parsaeian, Mahboubeh; Krohn, Kristopher J; Afshin, Ashkan; Farzadfar, Farshad; Roshandel, Gholamreza; Karimkhani, Chante; Bazargan-Hejazi, Sharzad; Kiadaliri, Aliasghar Ahmad; Ahmadieh, Hamid; Djalalinia, Shirin; Ebrahimi, Hedyeh; Eshrati, Babak; Esteghamati, Ali Reza; Farvid, Maryam S; Fereshtehnejad, Seyed-Mohammad; Hafezi-Nejad, Nima; Hassanvand, Mohammad Sadegh; Heydarpour, Pouria; Islami, Farhad; Karimi, Seyed M; Katibeh, Marzieh; Khosravi, Ardeshir; Khubchandani, Jagdish; Mahdavi, Mahdi; Pishgar, Farhad; Qorbani, Mostafa; Rahimi-Movaghar, Vafa; Safi, Sare; Sahraian, Mohammad Ali; Shahraz, Saeid; Sheikhbahaei, Sara; Mohammadi, Alireza; Mokdad, Ali H; Vos, Theo; Murray, Christopher J L; Moradi-Lakeh, Maziar; Naghavi, Mohsen; Malekzadeh, Reza

    2017-07-01

    Summary measures of health are essential in making estimates of health status that are comparable across time and place. They can be used for assessing the performance of health systems, informing effective policy making, and monitoring the progress of nations toward achievement of sustainable development goals. The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) provides disability-adjusted life-years (DALYs) and healthy life expectancy (HALE) as main summary measures of health. We assessed the trends of health status in Iran and 15 neighboring countries using these summary measures. We used the results of GBD 2015 to present the levels and trends of DALYs, life expectancy (LE), and HALE in Iran and its 15 neighboring countries from 1990 to 2015. For each country, we assessed the ratio of observed levels of DALYs and HALE to those expected based on socio-demographic index (SDI), an indicator composed of measures of total fertility rate, income per capita, and average years of schooling. All-age numbers of DALYs reached over 19 million years in Iran in 2015. The all-age number of DALYs has remained stable during the past two decades in Iran, despite the decreasing trends in all-age and age-standardized rates. The all-cause DALY rates decreased from 47,200 in 1990 to 28,400 per 100,000 in 2015. The share of non-communicable diseases in DALYs increased in Iran (from 42% to 74%) and all of its neighbors between 1990 and 2015; the pattern of change is similar in almost all 16 countries. The DALY rates for NCDs and injuries in Iran were higher than global rates and the average rate in High Middle SDI countries, while those for communicable, maternal, neonatal, and nutritional disorders were much lower in Iran. Among men, cardiovascular diseases ranked first in all countries of the region except for Bahrain. Among women, they ranked first in 13 countries. Life expectancy and HALE show a consistent increase in all countries. Still, there are dissimilarities indicating a generally low LE and HALE in Afghanistan and Pakistan and high expectancy in Qatar, Kuwait, and Saudi Arabia. Iran ranked 11th in terms of LE at birth and 12th in terms of HALE at birth in 1990 which improved to 9th for both metrics in 2015. Turkey and Iran had the highest increase in LE and HALE from 1990 to 2015 while the lowest increase was observed in Armenia, Pakistan, Kuwait, Kazakhstan, Russia, and Iraq. The levels and trends in causes of DALYs, life expectancy, and HALE generally show similarities between the 16 countries, although differences exist. The differences observed between countries can be attributed to a myriad of determinants, including social, cultural, ethnic, religious, political, economic, and environmental factors as well as the performance of the health system. Investigating the differences between countries can inform more effective health policy and resource allocation. Concerted efforts at national and regional levels are required to tackle the emerging burden of non-communicable diseases and injuries in Iran and its neighbors.

  1. Kuwait.

    PubMed

    1988-03-01

    The Republic of Kuwait occupies an area of 6,880 square miles at the head of the Persian Gulf, bounded on the north and west by Iraq and on the south by Saudi Arabia. 1.7 million people live in Kuwait, of whom 680,000 are Kuwaitis; the rest are expatriate Arabs, Iranians, and Indians. The annual growth rate of Kuwaitis is 3.8%. The Kuwaitis are 70% Sunni and 30% Shi'a Muslims. Arabic is the official language, but English is widely spoken. Kuwait is a highly developed welfare state with a free market economy. Education is free and compulsory, and literacy is 71%. Infant mortality among Kuwaitis is 26.1/1000, and life expectancy is 70 years. Medical care is free. Kuwait was first settled by Arab tribes from Qatar. In 1899 the ruler, Sheikh Mubarak Al Sabah, whose descendents still rule Kuwait, signed a treaty with Britain; and Kuwait remained a British protectorate until it became independent in 1961. A constitution was promulgated in 1962, and a National Assembly was elected by adult male suffrage in 1963. However, the Assembly has since been suspended due to internal friction. Kuwait and Iraq have been disputing Kuwait's northern border since 1913, and the southern border includes a Divided Zone, where sovereignty is disputed by Kuwait and Saudi Arabia. Despite the fall in oil prices in 1982 and the loss of trade due to the Iran-Iraq war, Kuwait is one of the world's wealthiest countries with a per capita gross domestic product of $10,175. Oil accounts for 85% of Kuwait's exports, which total $7.42 billion; income from foreign investments (about $60 billion) makes up most of the balance. All petroleum-related activities are managed by the Kuwait Petroleum Corporation (KPC), which includes the nationalized Kuwait Oil Company, petrochemical industries, the 22-vessel tanker fleet, and refineries and service stations in Europe, where Kuwaiti oil is marketed under the brand name Q8. Kuwait has more than 66 billion barrels of recoverable oil but limits production to 999,000 barrels per day. Other industrial products include ammonia, chemical fertilizers, fishing and water desalinization (215 million gallons a day). Kuwait imports machinery, manufactured goods, and food. Nevertheless exports exceed imports by $2 billion, and the Kuwaiti dinar is a strong currency (1 KD=US$3.57). About $75 billion is kept in 2 reserve funds: the Fund for Future Generations and the General Reserve Fund. In addition to domestic expenditures and imports, Kuwait has extended $5 billion worth of loans to developing countries, made through the Kuwait Fund for Arab Economic Development. Kuwait has been engaged in continuing border disputes with Iraq since 1961, but the most immediate threat to Kuwait has been the Iran-Iraq war. Kuwait lent Iraq $6 billion, in retaliation for which Iran bombed a Kuwaiti oil depot, and Shi'a Muslim terrorists bombed the French and US embassies and hijacked a Kuwaiti airliner in 1984. Iran also attacked Kuwaiti tankers. In 1987 the US reflagged 11 Kuwaiti tankers to protect them from Iranian attacks. Kuwait has been modernizing its own military forces as well as purchasing sophisticated weapons from the UK, the US, France, and the USSR. In 1981 Kuwait, Saudi Arabia, Bahrain, Qatar, the United Arab Emirates and Oman formed the Gulf Cooperation Council (GCC) for mutual defense, and in 1987 Kuwait was elected chairman of the Organization of the Islamic Conference (OIC). Kuwait has diplomatic relations with the USSR and the People's Republic of China, as well as with the US, which has supplied Kuwait with $1.5 billion of sophisticated weaponry from foreign military sales (FMC). The US is Kuwait's largest supplier (after Japan), and Kuwait is the 5th largest market in the Middle East for US goods, despite the disincentives brought about by the Arab boycott of Israel.

  2. Twists, turns and trade: a new look at the Indian Screw tree (Helicteres isora).

    PubMed

    Cunningham, A B; Ingram, W; Brinckmann, J A; Nesbitt, M

    2018-06-23

    This is the first study of global trade in fruits of the widely used traditional medicine, Helicteres isora L.. It is used in Ayurvedic, Siddha, Unani medical systems and/or local folk traditional medicines in Bangladesh, India and Pakistan. The roots are used in Traditional Chinese Medicines in China and the fruits in jamu products in Indonesia, Malaysia and Thailand. In addition, H. isora fruits are also used in "traditional" medical systems far beyond the natural distribition of this species, for example in Zulu herbal medicine (South Africa) and Kurdish herbal medicines (Iraq) AIMS OF THE STUDY: This study had three aims: (i) to assess the global trade in H. isora fruits; (ii) to study the H. isora trade from West Timor to Java in terms of actors and prices along the value chain and (iii) to get a better understanding of the potential of this species to improve household income in eastern Indonesia MATERIALS AND METHODS: This study uses historical records, a contemporary analysis of global trade data (2014-2016) and field assessments of value chains and the biological factors influencing H. isora fruit production. Globally, the major exporter of H. isora fruits is India, which exports H. isora fruits to 19 countries, far beyond the natural geographical distribution of this species. Over a 36-month period (January 2014 - December 2016), India exported 392 t of H. isora fruits, with a Free-On-Board (FOB) value of Indian rupiah (INR) 18,337,000 (US$ 274,055). This represents an average annual export quantity of about 130,526kg/year. Over this three year period, most of these exports (85.5%) were to Indonesia (346.58 t), followed by Thailand (6.85%). Indian H. isora exports are also used in many other medical systems, including Kurdish and Zulu "traditional" medicines in Iraq and South Africa. Formation of an Indian diaspora in Bahrain, Mauritius, South Africa, Tanzania and Trinidad and Tobago over the past 130 years is one of the drivers of H. isora fruit trade outside the natural geographic distribution of the species. In Indonesia, demand for H. isora fruits is supplemented by an intra-island trade in Java and an inter-island trade from East Nusa Tenggara. West Timor, for example, exports around 31-37 t of air-dried H. isora fruits per year to Java. At the farm gate, local harvesters in West Timor get 4000 IDR (c. 0.3 US$) per kg, with businesses in Java paying 25000 IDR (c.US$2) per kg for H. isora fruits. This is similar to the price paid for H. isora fruits imported from India to Java. India is the major exporter of whole dried H. isora fruits, including to countries where this species has never been in traditional use. In Indonesia, H. isora fruit extracts are used in the cosmetic industry as well as in jamu herbal medicines, including "Tolak Angin", the country's most popular commercial "jamu" preparation. Indonesia also is the major importer of H. isora fruits from India. In eastern Indonesia, improved income to local villagers from the H. isora fruit trade could come from improved H. isora fruit quality due to better drying techniques. This would also reduce health risks along the supply chain from to mycotoxins that have been recorded on poorly dried H. isora fruits. There also is an opportunity for cultivation of H. isora in small-holder teak plantations in Indonesia, with harvest of H. isora fruits as well as the medicinal bark. Copyright © 2018. Published by Elsevier B.V.

  3. Health in times of uncertainty in the eastern Mediterranean region, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.

    PubMed

    Mokdad, Ali H; Forouzanfar, Mohammad Hossein; Daoud, Farah; El Bcheraoui, Charbel; Moradi-Lakeh, Maziar; Khalil, Ibrahim; Afshin, Ashkan; Tuffaha, Marwa; Charara, Raghid; Barber, Ryan M; Wagner, Joseph; Cercy, Kelly; Kravitz, Hannah; Coates, Matthew M; Robinson, Margaret; Estep, Kara; Steiner, Caitlyn; Jaber, Sara; Mokdad, Ali A; O'Rourke, Kevin F; Chew, Adrienne; Kim, Pauline; El Razek, Mohamed Magdy Abd; Abdalla, Safa; Abd-Allah, Foad; Abraham, Jerry P; Abu-Raddad, Laith J; Abu-Rmeileh, Niveen M E; Al-Nehmi, Abdulwahab A; Akanda, Ali S; Al Ahmadi, Hanan; Al Khabouri, Mazin J; Al Lami, Faris H; Al Rayess, Zulfa A; Alasfoor, Deena; AlBuhairan, Fadia S; Aldhahri, Saleh F; Alghnam, Suliman; Alhabib, Samia; Al-Hamad, Nawal; Ali, Raghib; Ali, Syed Danish; Alkhateeb, Mohammad; AlMazroa, Mohammad A; Alomari, Mahmoud A; Al-Raddadi, Rajaa; Alsharif, Ubai; Al-Sheyab, Nihaya; Alsowaidi, Shirina; Al-Thani, Mohamed; Altirkawi, Khalid A; Amare, Azmeraw T; Amini, Heresh; Ammar, Walid; Anwari, Palwasha; Asayesh, Hamid; Asghar, Rana; Assabri, Ali M; Assadi, Reza; Bacha, Umar; Badawi, Alaa; Bakfalouni, Talal; Basulaiman, Mohammed O; Bazargan-Hejazi, Shahrzad; Bedi, Neeraj; Bhakta, Amit R; Bhutta, Zulfiqar A; Bin Abdulhak, Aref A; Boufous, Soufiane; Bourne, Rupert R A; Danawi, Hadi; Das, Jai; Deribew, Amare; Ding, Eric L; Durrani, Adnan M; Elshrek, Yousef; Ibrahim, Mohamed E; Eshrati, Babak; Esteghamati, Alireza; Faghmous, Imad A D; Farzadfar, Farshad; Feigl, Andrea B; Fereshtehnejad, Seyed-Mohammad; Filip, Irina; Fischer, Florian; Gankpé, Fortuné G; Ginawi, Ibrahim; Gishu, Melkamu Dedefo; Gupta, Rahul; Habash, Rami M; Hafezi-Nejad, Nima; Hamadeh, Randah R; Hamdouni, Hayet; Hamidi, Samer; Harb, Hilda L; Hassanvand, Mohammad Sadegh; Hedayati, Mohammad T; Heydarpour, Pouria; Hsairi, Mohamed; Husseini, Abdullatif; Jahanmehr, Nader; Jha, Vivekanand; Jonas, Jost B; Karam, Nadim E; Kasaeian, Amir; Kassa, Nega Assefa; Kaul, Anil; Khader, Yousef; Khalifa, Shams Eldin A; Khan, Ejaz A; Khan, Gulfaraz; Khoja, Tawfik; Khosravi, Ardeshir; Kinfu, Yohannes; Defo, Barthelemy Kuate; Balaji, Arjun Lakshmana; Lunevicius, Raimundas; Obermeyer, Carla Makhlouf; Malekzadeh, Reza; Mansourian, Morteza; Marcenes, Wagner; Farid, Habibolah Masoudi; Mehari, Alem; Mehio-Sibai, Abla; Memish, Ziad A; Mensah, George A; Mohammad, Karzan A; Nahas, Ziad; Nasher, Jamal T; Nawaz, Haseeb; Nejjari, Chakib; Nisar, Muhammad Imran; Omer, Saad B; Parsaeian, Mahboubeh; Peprah, Emmanuel K; Pervaiz, Aslam; Pourmalek, Farshad; Qato, Dima M; Qorbani, Mostafa; Radfar, Amir; Rafay, Anwar; Rahimi, Kazem; Rahimi-Movaghar, Vafa; Rahman, Sajjad Ur; Rai, Rajesh K; Rana, Saleem M; Rao, Sowmya R; Refaat, Amany H; Resnikoff, Serge; Roshandel, Gholamreza; Saade, Georges; Saeedi, Mohammad Y; Sahraian, Mohammad Ali; Saleh, Shadi; Sanchez-Riera, Lidia; Satpathy, Maheswar; Sepanlou, Sadaf G; Setegn, Tesfaye; Shaheen, Amira; Shahraz, Saeid; Sheikhbahaei, Sara; Shishani, Kawkab; Sliwa, Karen; Tavakkoli, Mohammad; Terkawi, Abdullah S; Uthman, Olalekan A; Westerman, Ronny; Younis, Mustafa Z; El Sayed Zaki, Maysaa; Zannad, Faiez; Roth, Gregory A; Wang, Haidong; Naghavi, Mohsen; Vos, Theo; Al Rabeeah, Abdullah A; Lopez, Alan D; Murray, Christopher J L

    2016-10-01

    The eastern Mediterranean region is comprised of 22 countries: Afghanistan, Bahrain, Djibouti, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syria, Tunisia, the United Arab Emirates, and Yemen. Since our Global Burden of Disease Study 2010 (GBD 2010), the region has faced unrest as a result of revolutions, wars, and the so-called Arab uprisings. The objective of this study was to present the burden of diseases, injuries, and risk factors in the eastern Mediterranean region as of 2013. GBD 2013 includes an annual assessment covering 188 countries from 1990 to 2013. The study covers 306 diseases and injuries, 1233 sequelae, and 79 risk factors. Our GBD 2013 analyses included the addition of new data through updated systematic reviews and through the contribution of unpublished data sources from collaborators, an updated version of modelling software, and several improvements in our methods. In this systematic analysis, we use data from GBD 2013 to analyse the burden of disease and injuries in the eastern Mediterranean region specifically. The leading cause of death in the region in 2013 was ischaemic heart disease (90·3 deaths per 100 000 people), which increased by 17·2% since 1990. However, diarrhoeal diseases were the leading cause of death in Somalia (186·7 deaths per 100 000 people) in 2013, which decreased by 26·9% since 1990. The leading cause of disability-adjusted life-years (DALYs) was ischaemic heart disease for males and lower respiratory infection for females. High blood pressure was the leading risk factor for DALYs in 2013, with an increase of 83·3% since 1990. Risk factors for DALYs varied by country. In low-income countries, childhood wasting was the leading cause of DALYs in Afghanistan, Somalia, and Yemen, whereas unsafe sex was the leading cause in Djibouti. Non-communicable risk factors were the leading cause of DALYs in high-income and middle-income countries in the region. DALY risk factors varied by age, with child and maternal malnutrition affecting the younger age groups (aged 28 days to 4 years), whereas high bodyweight and systolic blood pressure affected older people (aged 60-80 years). The proportion of DALYs attributed to high body-mass index increased from 3·7% to 7·5% between 1990 and 2013. Burden of mental health problems and drug use increased. Most increases in DALYs, especially from non-communicable diseases, were due to population growth. The crises in Egypt, Yemen, Libya, and Syria have resulted in a reduction in life expectancy; life expectancy in Syria would have been 5 years higher than that recorded for females and 6 years higher for males had the crisis not occurred. Our study shows that the eastern Mediterranean region is going through a crucial health phase. The Arab uprisings and the wars that followed, coupled with ageing and population growth, will have a major impact on the region's health and resources. The region has historically seen improvements in life expectancy and other health indicators, even under stress. However, the current situation will cause deteriorating health conditions for many countries and for many years and will have an impact on the region and the rest of the world. Based on our findings, we call for increased investment in health in the region in addition to reducing the conflicts. Bill & Melinda Gates Foundation. Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.

  4. Use and trade of bitumen in antiquity and prehistory: molecular archaeology reveals secrets of past civilizations

    PubMed Central

    Connan, J.

    1999-01-01

    Natural asphalt (or bitumen) deposits, oil seepage and liquid oil shows are widespread in the Middle East, especially in the Zagros mountains of Iran. Ancient people from northern Iraq, south-west Iran and the Dead Sea area extensively used this ubiquitous natural resource until the Neolithic period (7000 to 6000 BC). Evidence of earlier use has been recently documented in the Syrian desert near El Kown, where bitumen-coated flint implements, dated to 40,000 BC (Mousterian period), have been unearthed. This discovery at least proves that bitumen was used by Neanderthal populations as hafting material to fix handles to their flint tools. Numerous testimonies, proving the importance of this petroleum-based material in Ancient civilizations, were brought to light by the excavations conducted in the Near East as of the beginning of the century. Bitumen remains show a wide range of uses that can be classified under several headings. First of all, bitumen was largely used in Mesopotamia and Elam as mortar in the construction of palaces (e.g. the Darius Palace in Susa), temples, ziggurats (e.g. the so-called 'Tower of Babel' in Babylon), terraces (e.g. the famous 'Hanging Gardens of Babylon') and exceptionally for roadway coating (e.g. the processional way of Babylon). Since the Neolithic, bitumen served to waterproof containers (baskets, earthenware jars, storage pits), wooden posts, palace grounds (e.g. in Mari and Haradum), reserves of lustral waters, bathrooms, palm roofs, etc. Mats, sarcophagi, coffins and jars, used for funeral practices, were often covered and sealed with bitumen. Reed and wood boats were also caulked with bitumen. Abundant lumps of bituminous mixtures used for that particular purpose have been found in storage rooms of houses at Ra's al-Junayz in Oman. Bitumen was also a widespread adhesive in antiquity and served to repair broken ceramics, fix eyes and horns on statues (e.g. at Tell al-Ubaid around 2500 BC). Beautiful decorations with stones, shells, mother of pearl, on palm trees, cups, ostrich eggs, musical instruments (e.g. the Queen's lyre) and other items, such as rings, jewellery and games, have been excavated from the Royal tombs in Ur. They are on view in the British Museum. With a special enigmatic material, commonly referred to as 'bitumen mastic', the inhabitants of Susa sculpted masterpieces of art which are today exhibited in the Louvre Museum in Paris. This unique collection is presented in a book by Connan and Deschesne (1996). Last, bitumen was also considered as a powerful remedy in medical practice, especially as a disinfectant and insecticide, and was used by the ancient Egyptians to prepare mixtures to embalm the corpses of their dead. Modern analytical techniques, currently applied in the field of petroleum geochemistry, have been adapted to the study of numerous archaeological bituminous mixtures found in excavations. More than 700 bituminous samples have been analysed during the last decade, using gas chromatography alone and gas chromatography coupled with mass spectrometry and isotopic chemistry (carbon and hydrogen mainly). These powerful tools, focused on the detailed analysis of biomarkers in hydrocarbon fractions, were calibrated on various well-known natural sources of bitumen in Iraq, Syria, Iran, Bahrain and Kuwait. These reference studies have made it possible to establish the origins of bitumen from numerous archaeological sites and to document the bitumen trade routes in the Middle East and the Arabo-Persian Gulf. Using a well-documented case history, Tell el 'Oueili (5800 to 3500 BC) in South Mesopotamia, we will illustrate in this paper how these new molecular and isotopic tools can help us to recognize different sources of bitumen and to trace the ancient trade routes through time. These import routes were found to vary with major cultural and political changes in the area under study. A second example, referring to the prehistoric period, describes bitumen traces on flint implements, dated from Mousterian times. This discovery, from the Umm El Tlel excavations near El Kown in Syria, was reported in 1996 in Boëda et al. At that time, the origin of the bitumen had not been elucidated due to contamination problems. Last year, a ball of natural oil-stained sands, unearthed from the same archaeological layer, allowed us to determine the source of the bitumen used. This source is regional and located in the Jebel Bichri, nearly 40 km from the archaeological site. The last case history was selected to illustrate another aspect of the investigations carried out. Recent geochemical studies on more than 20 balms from Egyptian mummies from the Intermediate, Ptolemaic and Roman periods have revealed that these balms are composed of various mixtures of bitumen, conifer resins, grease and beeswax. Bitumen occurs with the other ingredients and the balms studied show a great variety of molecular compositions. Bitumen from the Dead Sea area is the most common source but some other sources (Hit in Iraq?) are also revealed by different molecular patterns. The absolute amount of bitumen in balms varies from almost zero to 30% per weight.

  5. Houston, We Have a Podcast. Episode #23: Test Pilot to Astronaut

    NASA Image and Video Library

    2017-12-15

    Gary Jordan (Host): "Houston We Have a Podcast." Welcome to the official podcast for the NASA Johnson Space Center, episode 23, Test Pilot to Astronaut. I'm Gary Jordan and I will be your host today. So, if you're new the show, this is where we bring in NASA experts, NASA scientists, engineers, astronauts, all to tell you the coolest parts about NASA. So, today we're talking with Scott Tingle. He's a U.S. Astronaut and he's about to launch to the International Space Station in a few days on December 17, 2017 for the very first time. We talked about his education going for mechanical engineering, his time in the navy as a test pilot, his astronaut training, and his expectations for his first flight. So, with no further delay, let's go light speed and jump right ahead to our talk with captain Scott Tingle. Enjoy. [00:00:41] [ Podcast Intro Music ] [00:01:05] Host: All right, well Maker, thank you so much for coming on the show today. I know this is coming so close to your launch date already, do you have, what your plans, I mean from now on, are you going to be traveling a lot? Do you have some training coming up? [00:01:16] Scott Tingle: Well, this is my last trip back to Johnson Space Center. [00:01:19] Host: Oh wow. [00:01:19] Scott Tingle: I'm here for five weeks, which sounds like it's a nice long time, relaxing. No, we'll have none of that. We've got a lot of training. We're going to finish up, we've got integrated simulators with the full crew compliment they're coming in from Russia. [00:01:33] Host: Wow. [00:01:34] Scott Tingle: And Japan to do these simulators. I'm finishing up with some evaluations and the EVA community. And then doing a lot of payloads training and getting, getting all my rust knocked off my fingertips so that I can be good when I get back up on station. And then the last week that I'm here, I'll be really focusing on the family and trying to make sure the roof's not going to leak in the next hurricane. [00:02:01] Host: Yeah. [00:02:01] Scott Tingle: And make sure the bills are paid, make sure things are set up, the cars are running right, they're all registered. And all the little details it takes to run a family. So, everything that's going to happen in the next six months I have to look forward in my crystal ball and either take care of it, or have the, have a plan to attack it when it comes up for that. And then on October 27th I leave a one-way ticket to Moscow. And we begin final exams in Soyuz. [00:02:28] Host: Are you staying there up until your launch? [00:02:30] Scott Tingle: We'll stay are Star City until about 15 to 17 days prior to launch. And we spend about two weeks in Baikonur. [00:02:37] Host: Oh okay. [00:02:38] Scott Tingle: Which in Kazakhstan and so and we'll have training there and we'll start getting on the whatever sleep cycle we have to get on. And we'll use that as a little bit of relaxation. But yeah, the family will join us out there about three days before the launch. [00:02:52] Host: Cool. [00:02:52] Scott Tingle: And we'll, I'll see them from quarantine, you know, from the other side of the glass. [00:02:56] Host: Yeah. [00:02:57] Scott Tingle: And then we'll get ready to go. And then December 17th will be the actual launch. [00:03:02] Host: Yes. [00:03:02] Scott Tingle: And off to space station we go. [00:03:05] Host: Very cool. Hey that will be my first trip to Russia actually is for, is for that launch. [00:03:10] Scott Tingle: Oh that's awesome. [00:03:11] Host: Yeah, I think I'll be media escort for Nemo Kanai. [00:03:15] Scott Tingle: Oh excellent. [00:03:16] Host: Yeah, so some of the public affairs folks that are going over there, I'll be escorting as a media. [00:03:20] Scott Tingle: That's good. I'm sure I'll see you there. Make sure you waving hi. [00:03:24] Host: I will. [00:03:24] Scott Tingle: And maybe we can get some time off the, off the side to enjoy a beer. [00:03:27] Host: Hey, I hope so. That would be fantastic. But I a mean a lot of your stuff in Russia, though, is are you going to be doing some Soyuz training over there? [00:03:35] Scott Tingle: Absolutely. [00:03:36] Host: Oh yeah. [00:03:36] Scott Tingle: Yeah, yeah, we'll go through and we'll do some refresher type training on the Russian segment. We'll do some refresher training and final exam for emergencies and daily ops on the Russian segment. Ad then the big push we'll have several simulators for Kanai, myself, and our commander Shapirov in the Soyuz. And those by far will take the most time for us to prepare for and they'll be the hardest simulators to get through the Soyuz. [00:04:05] Host: Yeah. Well I was, we did a podcast a while ago actually now with Randy Bresnik talking about that stuff. [00:04:12] Scott Tingle: Right. [00:04:12] Host: And then his final training. Especially with Joe Acaba, too, because he had the accelerated program. [00:04:17] Scott Tingle: That's right. [00:04:17] Host: Where he had to jam it all in within six months before his, before his trip up. [00:04:21] Scott Tingle: That's right. [00:04:22] Host: Yeah, they all talk about the difficulties of that. [00:04:24] Scott Tingle: Yeah. [00:04:24] Host: And Russian language too. How is, how's Russian language training for you? [00:04:27] Scott Tingle: Well, Russian language training has been a challenge. They always say it's the first ten years that are the hardest. [00:04:33] Host: Yeah. [00:04:33] Scott Tingle: So, I've only had seven or eight years of it, so I'm not quite over the hump yet. [00:04:37] Host: Still quite a bit. [00:04:38] Scott Tingle: Yeah, it is. And I can survive but, you know, when things get really busy and they start talking really fast, you know, I got to get them to slow down. I can't, I can't, it's very hard to keep up. I can pick up some keywords and I can kind of sense kind of that somethings not right and we've got to be doing something, but the details, the devil's in the details with this, in this business. [00:05:00] Host: Oh yeah. [00:05:00] Scott Tingle: So you've got to. It really exercises my patience and my trust, in which I have 100% trust in my crew and my Russian compadres over there. That includes all the ground crew, all the engineers, all the management, all of the my other cosmonaut, colleagues. I really do trust them. And they trust me. So, it kind of fills in some of the gaps that we see in the language. [00:05:28] Host: Hey, trust is key. [00:05:29] Scott Tingle: Absolutely. [00:05:30] Host: I myself minored in Spanish and that's supposed to be one of the easier ones to go from English to Spanish. And honestly, if I don't practice, which I don't. I lost almost all of it. [00:05:39] Scott Tingle: Right. [00:05:39] Host: So it just takes tons of practices. And especially with Russian. [00:05:41] Scott Tingle: Absolutely. [00:05:42] Host: Russian is one of those harder ones to go from English to Russian especially because it uses a whole new alphabet. [00:05:47] Scott Tingle: Yeah. [00:05:47] Host: So, I'm sure they expose it to you quite a bit too. How often do you get refresher training? [00:05:52] Scott Tingle: Well, when I was here, I was getting four hours a week. [00:05:55] Host: There you go. [00:05:55] Scott Tingle: This was after I was assigned. And there in Star City with a native Russian, Russian teacher, I was getting four hours a week as well. [00:06:05] Host: Wow. [00:06:05] Scott Tingle: But now that we're in the final throws and getting ready for launch, we're really focusing on the simulators. You know it's kind of funny because you know I can be at a party and I kind of have a small conversation with my Russian colleagues. And you know, we'll laugh, and we can tell jokes and sometimes I need some help. It's like, wait a minute I didn't quite get that one. But once we get into the simulator, assuming everything's kind of going as planned, the language just happens. Right, because we train so much to it, we know the keywords. We've been through the checklist 100 times. We kind of know what each other's thinking. [00:06:40] Host: Yeah. [00:06:40] Scott Tingle: And we can operate off of keywords together. And so, it becomes a subset of the vocabulary. But when things start going off nominal, which they do all the time in the simulator. [00:06:50] Host: Sure. [00:06:50] Scott Tingle: We really have to slow down and make sure we're communicating. [00:06:54] Host: Yeah. And I'm sure, because you do so many runs in the Soyuz it's almost like, you know, could you do Soyuz operations in the English language, or have you done it so much in the Russian language that that's just what you're used to now? [00:07:07] Scott Tingle: Well, you know, to me it's about, that's probably say probably would have to be in Russian because everything's in Russian. [00:07:13] Host: Yeah. [00:07:13] Scott Tingle: The buttons are in Russian, the menus are in Russian, the switches are in Russian, everything's in Russian. But I, you know, I have not transitioned to thinking like a Russian yet. I'm working very hard on it, and I'm getting closer and closer, but I still when they say you know, [speaks foreign language]. I think "Turn on the switch." And then I turn on the switch. Yes. Host: Oh, yeah, yeah you have to translate. [00:07:39] Scott Tingle: Where as, yeah, where as ideally, I would just hear it and go boom. You know, and I'm almost there, and maybe on this next trip I'll take a big huge stride forward. Host: Have you dreamed in Russian yet? [00:07:52] Scott Tingle: Yeah, they always say that. You know what, I don't remember any dreams in Russian. [00:07:56] Host: Ah okay. [00:07:56] Scott Tingle: You know, my brain is just not wired for. [00:07:58] Host: I think I had one dream in Spanish when I was taking the class. I had to take an interpretation class for one semester. And that was, you know, someone reads to you in English and you have to translate either simultaneous or consecutive Spanish vice versa too, from Spanish to English. [00:08:12] Scott Tingle: Yeah. [00:08:12] Host: And when I was taking that class I was just exposed to it so much that I started dreaming in Spanish and I really wish I stuck with it because that was, I've honestly lost a lot of it so far just not taking it. [00:08:23] Scott Tingle: Yeah, and I always think, you know, sometimes it's definitely been some of the most challenging and frustrating parts of the training. But, and so on the bad days I'm like God, I don't know how to do this anymore. [00:08:34] Host: Yeah. [00:08:34] Scott Tingle: This language is killing me. But, on the medium to okay days, I come back thinking you know, I've put a lot of time into this and I'm making progress. As slow as it is, I'm making progress. I need to keep going with it. Even if I never fly in space with a cosmonauts again because it's another language, there's tons of things going on all the time between the united states and Russia, and having this skill is one of the benefits of being in this community. And, I've, the people over in Russia are like a second family to me. [00:09:03] Host: Yeah. Especially because you spend so much time there. [00:09:05] Scott Tingle: So, you know, I want to maintain communications. [00:09:07] Host: Right. [00:09:07] Scott Tingle: And I want to continue that process. [00:09:09] Host: Absolutely. Yeah, it is an international space station, right. We've got to work all together [00:09:14] Scott Tingle: Absolutely. [00:09:15] Host: You're right it is a family. We're all going towards the same goal. [00:09:17] Scott Tingle: Absolutely. [00:09:18] Host: So that's pretty cool. Well, Maker, you know, besides all your training, I really just kind of wanted to go through your story and if you don't mind we could start with growing up in Massachusetts. That's kind of your home, right? Did you move a lot or just kind of stick around Massachusetts? [00:09:32] Scott Tingle: I was pretty much Massachusetts. I was born in Edinboro, Massachusetts. [00:09:36] Host: Okay. [00:09:36] Scott Tingle: I spent some time in Bangor, Maine. And then we went down to Randolph, Massachusetts when I was I think in fourth grade. [00:09:43] Host: Okay. [00:09:44] Scott Tingle: And so from fourth grade to the time I left to go to Purdue university, I was in Massachusetts. [00:09:49] Host: Oh, okay, yeah, because you went to next was vo-tech school high school, right. [00:09:54] Scott Tingle: Yep. [00:09:54] Host: It was right before you went to college. [00:09:56] Scott Tingle: I did, yeah. [00:09:56] Host: So, what got you there? [00:09:57] Scott Tingle: Well, you know, I had a choice. I was in a community that was participating in the local vocational regional high school. [00:10:04] Host: Oh, okay. [00:10:04] Scott Tingle: Blue Hills Regional. Or I could go to the town of Randolph High School for that. And the high school was at the time was a good high school and it had a lot of your standard academic things, and you know, people that went to college went to there. [00:10:19] Host: Yeah. [00:10:19] Scott Tingle: All this stuff. But the vocational school drugs were starting to get on the rise, and things like that. But, so the vocational school at that point was kind of had me interested right from the get go. I was really good with my hands. I like, you know, motorcycles and cars, and you know, things that fly. [00:10:39] Host: Yeah. [00:10:39] Scott Tingle: And all this other stuff. And, and they had a really good design program, for machine drafting. And so, I went there, and I got to experience. They had a great program. You go up to the, you start at the high school and you start in a shop. And I was in metal fabrication. And then I went to machine worker class, shop. And then towards the end of the year I went up to my choice, which was machine drafting. [00:11:06] Host: Okay. [00:11:06] Scott Tingle: And so by the time I got done with my sophomore year, I had experienced so many hands-on types of types of things. [00:11:15] Host: Right. [00:11:15] Scott Tingle: That would only help me as an engineer or as an operator of some machine like an airplane. [00:11:21] Host: Yeah. [00:11:21] Scott Tingle: A small, fast airplane. With weapons. [00:11:24] Host: Which, yeah. [00:11:25] Scott Tingle: With weapons. [00:11:26] Host: There you go. Which is eventually what you go into. But, you know, I talked with Joe Acaba before he launched, and he had a similar thing. And he didn't go to a vo-tech school, but he did have a welding class. And he had a teacher that really inspired him to pursue more of a science-technology, a STEM career. [00:11:45] Scott Tingle: Right. [00:11:46] Host: And maybe it was because it was hands-on. Maybe it was because of trust. Were the educators kind of influential to you, the teachers that were -- ? [00:11:53] Scott Tingle: They were influential from the standpoint of, if you want to do it, then do it. Go try it. Don't worry about failing, just do it, and we'll work it from there. They were very inspirational from that standpoint. At that timeframe, we did not have a lot of folks coming from this, this high school going to college. And I didn't think about that when I decided to go there. [00:12:16] Host: Really? [00:12:16] Scott Tingle: I just went there I thought they had a really good program. [00:12:19] Host: Yeah. [00:12:20] Scott Tingle: And, it turns out to be one of the best decisions I've ever made. By the time I was in eleventh grade, I was already working part-time as a machine draftsman. And then on my senior year, because I had excelled on a lot of the, the program requirements, instead of going to school on my shop weeks, I would go to work. [00:12:41] Host: Oh. [00:12:41] Scott Tingle: And so that, I saved up enough money to get me through my first year of college. And so, I never would have gone to college had I not had that opportunity. [00:12:48] Host: How about that? [00:12:49] Scott Tingle: Yeah. [00:12:49] Host: Well, what was it someone or some event that inspired you? That says you know what yeah, I want to take that next step and go to college? [00:12:56] Scott Tingle: Well, you know, I decided very early that I really wanted to be an astronaut. [00:13:02] Host: Hey, all right. [00:13:03] Scott Tingle: And I mean very young. Before junior high school, before you know, before I was in school. And, and I was looking for ways to do that. And I knew that becoming an engineer would be a good thing because the next step is I want to be a pilot. And then after a pilot I want to be a test pilot. And then after a test pilot I want to try to be an astronaut. And so, to me, that was the path. And when I looked at it, I was like, okay do I like doing all of these things? And if I never get any higher than engineer, is that good enough? Absolutely yes, I would enjoy that. That would be great, and so that's how I kind of worked stepping through those goals. And the vocational background just made that. You know having an engineer that actually has been down and bent metal, and drilled holes and put things together and seeing how it doesn't work and how it could work. [00:13:53] Host: Yeah. [00:13:53] Scott Tingle: Huge benefit to any design team. [00:13:55] Host: Did it help you visualize it? [00:13:57] Scott Tingle: Absolutely. [00:13:57] Host: Yeah. [00:13:58] Scott Tingle: Absolutely, and when somebody comes up from the shop and says "Hey, I can't get these things to work." You know, I go okay let's go look at the drawings. It's like oh okay. The tolerances are too tight. It's not realistic. You know, we don't have the control processes on the floor to actually make these tolerances work so we have to widen them up. Just having that knowledge and having that trust that when somebody from the floor comes up and says "Hey, why don't you design it like this, we really need it like this." To listen to them. [00:14:24] Host: Yeah. [00:14:24] Scott Tingle: You know. [00:14:24] Host: Because it gave you perspective. [00:14:26] Scott Tingle: Absolutely. [00:14:26] Host: It gave you perspective on both ends. [00:14:28] Scott Tingle: Absolutely. [00:14:28] Host: The design, you know, looking at paper. But then also [00:14:31] Scott Tingle: Absolutely. [00:14:31] Host: Looking at, you know, thinking about the machines [inaudible]. [00:14:33] Scott Tingle: Absolutely. [00:14:34] Host: So, why mechanical? [00:14:36] Scott Tingle: Well, the college I went to only had mechanical. [00:14:40] Host: Mechanical engineering, yeah. [00:14:41] Scott Tingle: At the time. [00:14:42] Scott Tingle: And so, so I went, decided to do that but I, tried to specialize and take as many courses as I could in the thermal sciences. Because I had a big interest in thermodynamics and airplanes. [00:14:53] Host: Yeah. [00:14:54] Scott Tingle: And gas dynamics, and fluid mechanics, and heat transfer is all what makes airplanes fly. [00:15:00] Host: Oh absolutely. [00:15:01] Scott Tingle: So, I did all of that. And by the way in Blue Hills Regional right now has a great program, engineering program now. It's pre-engineering and they send a lot of people to college now. [00:15:12] Host: Oh wow. [00:15:12] Scott Tingle: So they've transitioned, they've got a great equation going for -- . [00:15:15] Host: How about that? [00:15:15] Scott Tingle: For their students. Yeah, I couldn't be more proud of them. [00:15:17] Host: Well, I mean you, you kind of set the bar here when you were talking about your plan. I'm going to take all these steps to get to astronaut and then. [00:15:22] Scott Tingle: Yeah. [00:15:22] Host: The last two were test pilot, astronaut. [00:15:24] Scott Tingle: Yeah. [00:15:25] Host: Looking at your bio here, you followed it exactly. [00:15:27] Scott Tingle: I did. Yeah [00:15:28] Host: And, was that really part of the plan, that early? Like you knew that test pilot, astronaut was the last two steps from that early? [00:15:35] Scott Tingle: I did. [00:15:36] Host: Wow. [00:15:37] Scott Tingle: Yeah. I didn't expect, we're jumping ahead here a little bit here. [00:15:42] Host: Sure. [00:15:42] Scott Tingle: I at each step I really liked what I was doing. It was not easy to make the decision to stop being an engineer and go fly airplanes. [00:15:51] Host: Yeah. [00:15:51] Scott Tingle: For the Navy. And it was not easy to leave the operational community and go be a test pilot. It was not easy to say, hey thank you you've just offered me command of the Navy's biggest test squadron, but I'm going to go be an astronaut. It was not easy. [00:16:06] Host: Wow. [00:16:06] Scott Tingle: You know. [00:16:06] Host: Yeah. [00:16:07] Scott Tingle: But I had to stay true to my plan, and you know, if it wasn't hard, anybody would be doing it. [00:16:17] Host: Yeah, that's true. Because when you're thinking about it, you know, you think okay I'll just take that next step. But you're right, when you're in the moment, it's difficult. Especially when you enjoy your job which is-- . [00:16:25] Scott Tingle: Absolutely [00:16:25] Host: You know, they tell you, if you enjoy your job, that's, you're basically not working at that point because that's' the best part. [00:16:31] Scott Tingle: Absolutely. Yeah and the people involved in each one of those jobs, incredible. Incredible. [00:16:35] Host: Yeah. [00:16:35] Scott Tingle: People. Talented, motivated, dedicated, full of support. They all, you know, became good friends and colleagues. You know, they're my ex-bosses, ex-people that worked for me just friends in general. And I tell you what, when the cans light underneath me on December 17th, I'm going to be thinking of every one of those folks, and they're going to be coming with me to the space station. [00:16:57] Host: That's true. I mean, you're right, we are kind of jumping around a little bit. But kind of off that point, you know, you have to, you kind of work your way up. You worked, I think you were an engineer for a little bit then you were a pilot. But you're working with people in different scenarios. [00:17:12] Scott Tingle: Absolutely. [00:17:13] Host: They were both your coworkers, but then also you said you were a leader at some points, and somehow you had to manage. You know, what did you learn along the way and how to work with others, and then eventually manage others? [00:17:24] Scott Tingle: Yeah. So, my first real leadership job was, I had just gotten into the Navy I finished flight training and I joined my squadron. And I had been previously enlisted because I had to pay my way through college and I needed a job. And I was an ordnanceman E-3, E-4 type person. And so, I had a lot of experience on the floor, a lot of experience as a mechanic, and you know, working with ordinance and putting things on airplanes and cleaning toilets, and mopping floors and things like that. And when I got into this job, I had a lot of instant credibility because I had gone through that process. I had been them, you know, for six to eight years. And so, I was able to see dynamics in the community that I was in, and I was able to address problems before they became huge problems. I was able to achieve goals. I was able to stop people from doing silly things, you know, and help their families. And it was really inspiring to have that much impact on the people around you, positive impact. [00:18:31] Host: Wow. [00:18:32] Scott Tingle: And once, when I experienced that, you know, my life really started changing towards the teamwork, team-building relationships, leadership type things. It's really the core of everything we do. [00:18:45] Host: Even now, right? [00:18:46] Scott Tingle: Even now. [00:18:46] Host: You're seeing it now in astronaut training. [00:18:48] Scott Tingle: Absolutely [00:18:48] Host: it's not just an astronaut. There's a lot of people behind you, right? [00:18:51] Scott Tingle: Absolutely. Thousands, and thousands of people. [00:18:53] Host: Yeah, and they're all helping you to achieve the goals. [00:18:56] Scott Tingle: Yep. [00:18:56] Host: And running their own things too. [00:18:58] Scott Tingle: Yeah, thousands of people in 16 different countries. [00:19:01] Host: That's right. In terms of collaboration, this is pretty big. You're talking about global collaboration. [00:19:07] Scott Tingle: Yeah, absolutely. [00:19:08] Host: And you know, I'm sorry for jumping around for those who are listening because we're all over the place. But we'll go back to your school. You know, you went to get your mechanical engineering. Is it Southeastern Massachusetts University? [00:19:21] Scott Tingle: That's where I graduated from. [00:19:22] Host: Okay. [00:19:22] Scott Tingle: But they've recently changed names. [00:19:24] Host: Oh. [00:19:24] Scott Tingle: They're now University of Massachusetts in North Dartmouth. [00:19:26] Host: Oh, there you go. OH okay, in North Dartmouth. Okay, cool. But then you eventually pursued a Master's and I'm guessing that was part of your plan too. [00:19:31] Scott Tingle: Yes, and that was the Purdue University. [00:19:33] Host: Purdue University, cool. Did you, it says you, you were focusing mainly on fluid dynamics, or fluid mechanics and propulsion. [00:19:41] Scott Tingle: Yeah. [00:19:41] Host: What made you pursue that over other specialties? [00:19:44] Scott Tingle: Airplanes. [00:19:44] Host: There you go. Part of the plan, right? [00:19:48] Scott Tingle: Absolutely. [00:19:49] Host: Wow. So, what is it that, about propulsions that really kind of, you know, that really enjoyed? [00:19:56] Scott Tingle: Well -- . [00:19:56] Host: Because eventually you, worked for Aerospace Corporation and you were the propulsion department, right? [00:20:01] Scott Tingle: I was. Yeah. I liked rockets. [00:20:03] Host: Yeah. [00:20:04] Scott Tingle: You know, and big turbine engines, big powerful turbine engines. [00:20:07] Host: Yeah. [00:20:08] Scott Tingle: Jet fighters. There's a lot of heat, and there's a lot of science and theory that goes into how they run, how they work. And it's just, it just drew my interest. [00:20:18] Host: Absolutely. So what do you do for Aerospace Corporation? [00:20:20] Scott Tingle: I worked in their, in their propulsion department. I started off working, working shuttle solid motors. [00:20:28] Host: Oh, hey. [00:20:28] Scott Tingle: A little bit there. And for those that don't know. The Aerospace Corporation is federal, it used to be called Federally Contracted Resource Corporation. They've got a different name for it now. It's like RAND, it's like a think tank. [00:20:38] Host: Okay. [00:20:38] Scott Tingle: And there, there's positioned right next to Airforce Space Systems Command in El Segundo, California. [00:20:43] Host: Okay. [00:20:44] Scott Tingle: And they're really in charge of just kind of looking over the whole program. The details of the designs. Looking at the readiness of the vehicles. And offering their just thousands and thousands of years of experience on helping out the community. And then overlooking for the government the program and making sure things are ready. [00:21:05] Host: Yeah. [00:21:06] Scott Tingle: To blast off. [00:21:08] Host: Wow. So, doing the science and the engineering of the propulsion aspect. Was your next step applying for the Navy to be a pilot? [00:21:16] Scott Tingle: Yes. [00:21:16] Host: Okay, so did you have any flight experience before you did that? [00:21:19] Scott Tingle: I did. I had a few hundred hours. [00:21:20] Host: Okay. [00:21:21] Scott Tingle: When I was younger at, in my undergraduate at University of Massachusetts. [00:21:26] Host: Oh okay. [00:21:26] Scott Tingle: I had joined, enlisted in the Navy. [00:21:29] Host: Oh, so this is back in college you were already, okay. [00:21:31] Scott Tingle: Yeah. I did. I was 18. I enlisted. And I spent a couple summers at various boot camps. And, getting educated on how to load bombs on airplanes and things like that. [00:21:41] Host: Yeah. [00:21:41] Scott Tingle: And, but once of the benefits was you get the GI Bill and flight training qualified. So, I used some of my benefits to go get my private pilot's license, which I did. It took me three or four years. I was very slow, but I did it. And -- . [00:21:55] Host: During college? [00:21:56] Scott Tingle: During college. [00:21:57] Host: During college. [00:21:58] Scott Tingle: And I got it. And my first flight was I took my mom flying up to New Hampshire. [00:22:01] Host: Hey, cool. [00:22:02] Scott Tingle: Yeah, that was cool. [00:22:04] Host: Yeah. [00:22:04] Scott Tingle: That was a fun day. [00:22:05] Host: Absolutely [00:22:06] Scott Tingle: When I got to California, which has a huge aviation community in southern California, I met a guy who had a Pitts Special, which is very acrobatic, you know, limited to 12 or 13 gs. It will stall before you overstress it. [00:22:22] Host: Wow. [00:22:23] Scott Tingle: And we used to, I used to take lunch breaks and I used to go flying his Pitts Special right out of Hawthorne. Right where they're building SpaceX now. [00:22:31] Host: Wow. [00:22:32] Scott Tingle: Right out of Hawthorne Airport, and we'd fly out over Palos Verdes over the Spruce Goose, and the Queen Mary. And we'd do Lomcovaks, and spins, and rolls, and there used to be a guy that comes out of Santa Monica in it a Burt Rutan very easy. And he would always try to get on my six to try to shoot us. And so, we would just dogfight for a little bit. [00:22:52] Host: Wow. [00:22:52] Scott Tingle: And I'd always end up shooting him because he's got the canards and I was fairly smart. I knew that he couldn't pull forever. It was kind of, he was going to be limited. And so, I'd just bleed him down and then we'd go in for the kill. [00:23:03] Host: Wow. [00:23:03] Scott Tingle: And then, we'd come back, and we'd land, and I'd go back to work as an engineer. [00:23:07] Host: So, on your lunch breaks you were learning how to dogfight. How about that? [00:23:10] Scott Tingle: That was fun. [00:23:11] Host: I'm guessing you had lunch after you did all those crazy maneuvers, right, not before? [00:23:16] Scott Tingle: It depends. But there was, and you know, for those that think that "wow he can just take all these G-forces and it's no big deal." I had days where I was not feeling so good. [00:23:25] Host: Oh, yeah. [00:23:25] Scott Tingle: But I still went. [00:23:27] Scott Tingle: I never backed off, I just want you to know that. But the, but afterwards there was, there was a hamburger joint. It was just right on the way, it was like, really, kind of in a bad part of L.A. but it was kind of on East L.A. from between Hawthorne and where I worked. And I always used to stop and get a hamburger. And it was just the greasiest thing you've ever seen, but it just made me feel so much better. Yeah. After doing all the whiffer deals. [00:23:50] Host: Wow, how about that. How long were you in the air before you actually landed and then eventually got the burger? [00:23:55] Scott Tingle: That's usually about an hour, hour and a half or so. [00:23:57] Host: All right, that's a decent amount of experience too. So, there's, yeah. [00:24:00] Scott Tingle: It was very fun. I was very comfortable flying upside by the time I got into the Navy. [00:24:04] Host: So that probably helped you get into the Navy, right? [00:24:07] Scott Tingle: You know, I didn't list that as a qualification, because sometimes they look at that, you can learn bad habits. [00:24:13] Host: Oh I see. [00:24:13] Scott Tingle: That the military doesn't want you to have. [00:24:16] Host: Oh yeah. [00:24:16] Scott Tingle: And some of their worst students are folks that already know how to fly something. So, and I was warned about that, and so I just kept it to myself for a little while. [00:24:24] Host: Okay. [00:24:24] Scott Tingle: I had a couple of good instructors that they're like, "Okay, you obviously know how to fly. What's going on?" You know, and I told them. I was open about it. But, I said it's really important that you know, that I'm here to learn what you want me to learn. [00:24:36] Host: Yeah. [00:24:36] Scott Tingle: And there's 100 ways to peel the onion and I want to know how you want me to peel the onion. And so. [00:24:42] Host: Well I think that's the difference, that -- . [00:24:43] Scott Tingle: Yeah. [00:24:44] Host: You know, you actually went in with that mentality. Not the, "Oh, I know everything mentality." [00:24:47] Scott Tingle: Absolutely. [00:24:48] Host: You went in to learn. [00:24:49] Scott Tingle: Yeah. Yeah. [00:24:49] Host: So, you know, you went in as a Naval officer in '91 right, and then how long until you actually, you know, a Navy pilot? [00:24:56] Scott Tingle: '92. [00:24:57] Host: Oh, how about that. Wow. [00:24:59] Scott Tingle: Yeah. [00:24:59] Host: That's pretty quick. [00:25:00] Scott Tingle: It went fast. It went fast. And the program I went into, there were no gaps. A lot of folks, you know, if you go ROTC or Academy they'll give you orders to some other place for a year or two to kill some time. But I went right through. [00:25:13] Host: How about that. [00:25:14] Scott Tingle: It was fast. [00:25:15] Host: So what were some of the first things you were flying. [00:25:18] Scott Tingle: Well, I started off in the T-34C, was the Mentor I believe that's what they call it. And it was a single turbo prop. You know, it was fairly, it was one of the fastest things I'd ever flown at the time, but it was compared to the fighters it was very slow. But it was a nice little trainer. And we landed, we six months and you know, we kind of went through the equivalent of a private pilot's license. [00:25:40] Host: Okay. [00:25:41] Scott Tingle: From VFR type flying only. Then we moved into the T-2 Buckeye which I hated flying. It was so huge, my body did not fit in it. I couldn't reach anything. [00:25:50] Host: Wow. [00:25:50] Scott Tingle: And I couldn't see over the canopy, it was just -- and I had to bring this thing to the boat. You know, I was like oh my God. [00:25:56] Host: Oh. [00:25:56] Scott Tingle: It was really hard. But we used that one to actually go through and do some instrument training and some acrobatic training and formation flying. And then we did our first stent day only carrier landings out on the USS America. [00:26:11] Host: Wow. [00:26:11] Scott Tingle: Yeah, that's decommissioned now, but I got my first straps on the America. And, and then I graduated from that's intermediate, and went into advanced jet, which was the A-4. [00:26:23] Host: Okay. [00:26:24] Scott Tingle: Now the A-4. [00:26:25] Host: Little bit faster, right? [00:26:26] Scott Tingle: Folks talk about the A-4 and they're like, "God, I could never fit in that cockpit it was too small and it was just too tight, I couldn't move my arms." It was beautiful. One of my favorite airplane. [00:26:37] Host: Awesome. [00:26:38] Scott Tingle: It's all mechanical, no electronics or anything. You just start up the engines, the engine, and it either works or it doesn't. And the flight controls are all rod and tube, and cables. And so, you're just pushing stuff around, and you're like yep that's working. And it had mechanical leading edge slats. So, when you got slow, these things would pop down. And when you went fast they would pop up, all automatic. [00:27:01] Host: Oh wow. [00:27:02] Scott Tingle: It's just based off of dynamics, you know, aerodynamics when they you know, just slide up and down on these rails. [00:27:07] Host: Wow. [00:27:08] Scott Tingle: And the cockpit was so tight. It fits you like a glove. You know, and you could feel every little thing that that jet wanted you to do. And, you know, compared to jets today, the A-4's slow and bulky and whatever. But the roll rate, God it was, must have been about 320 degrees a second, maybe 300, it was really fast. In fact, the Angels used to fly them, the A-4 a long time ago because it had such a great roll rate. [00:27:32] Host: Wow. [00:27:33] Scott Tingle: But it's definitely one of the top two airplanes that I've ever flown. I love the, if I could buy an A-4, I would buy an A-4. [00:27:42] Host: Well how many, so you said it fit you like a glove, and you know, you're talking, can how many gs did that get up to? [00:27:47] Scott Tingle: You know, I think it was probably limited to probably 5 or so, 4 or 5. It wasn't a, they were old airplanes. And a lot of the limitations we have are for fatigue life, not what it can really take, so. [00:27:57] Host: Oh, okay. [00:27:57] Scott Tingle: Yeah, we didn't really fight those airplanes to max, max performance like that. [00:28:02] Host: Okay. [00:28:02] Scott Tingle: They were there for training and they worked out good. But we did a lot of form flying. We did a lot of night flying. And we brought that airplane to the ship as well, day only, but. [00:28:12] Host: Ah, yeah. Did it have lights or anything or was it just difficult to just fly at night? [00:28:17] Scott Tingle: Landing at the ship at night is the scariest thing you'll ever do. [00:28:21] Host: Oh. [00:28:22] Scott Tingle: And so, we offload that training to your final airplane with all the bells and whistles, the F-18 is the one I got. [00:28:31] Host: Oh okay. And, so, you know, going at night in an A-4, could it be done? Scott Tingle: Yeah, they used to do it all the time, but it's high risk. [00:28:39] Host: Yeah. Definitely. How about those first couple of times landing on the aircraft carrier? I'm sure that's a stressful time. [00:28:45] Scott Tingle: Yeah, it's very stressful. And you know, you're by yourself. [00:28:47] Host: Yeah, oh okay. [00:28:48] Scott Tingle: You want to talk about somebody giving you the keys and say here don't hurt yourself, you know, that's it. So, the T-2 was kind of okay, you know, I was, I did okay. I was never the, you know, the top gun of landing at the ship. When I got the A-4 my first landing was really hard. [00:29:06] Host: Oh. [00:29:07] Scott Tingle: And to the point where we thought we broke the airplane. And it was a bad grade. And since we only did I think six total landings, to pass I had to really do good on the last five. [00:29:18] Host: Oh wow. [00:29:19] Scott Tingle: Which I did. [00:29:20] Host: Okay. [00:29:20] Scott Tingle: I did really good. And I got through on that and a slightly above average or whatever. [00:29:25] Host: Cool. [00:29:25] Scott Tingle: And so that was fun. And then we got into the F-18 for the final, the final you know, airplane that I was assigned to fly, a bunch of new systems and a whole new way to think about operating off the ship. And it was very exciting. We did our first night landings in the F-18. [00:29:43] Host: Oh right, and I'm sure that was a stressful time too. [00:29:45] Scott Tingle: It was. [00:29:46] Host: Yeah. [00:29:46] Scott Tingle: You know, but you know night, you know, in the day time you can see everything. [00:29:49] Host: Yeah. [00:29:49] Scott Tingle: And the more you can see, the more scared you get. You know, at night time. [00:29:52] Host: Oh. [00:29:52] Scott Tingle: I can, you know, ignorance is bliss. I can't see the boat moving. I can't see anything, I'm just, I'm just doing what I have to do and I'm going to land. [00:30:00] Host: Watching your instruments probably? [00:30:01] Scott Tingle: Pretty much. We have a scan called meatball lineup angel of attack. [00:30:05] Host: Okay. [00:30:05] Scott Tingle: We look at the meatball that's on the ship. We look at the center line. And we have an angle of attack gauge. And then that's all we look at. [00:30:13] Host: So, I mean, how long until you transition from, you know, I'm sure this is all training right, until you were operational? [00:30:22] Scott Tingle: Yeah, so, I did my, I joined my first squadron in the end of 1994 and I deployed in 199-- the end of 1994. [00:30:32] Host: Okay. [00:30:32] Scott Tingle: And I spent the holidays of 1995 over in the Far East and Middle East. [00:30:38] Host: Okay. Cool. How long from there, what made you go to test pilot school, how did you get there? [00:30:45] Scott Tingle: Yeah, so I did, I was in the first squadron for the first set of orders is about three years. And I applied at the two-year mark. Having achieved, you know, the required minimum hours, it was like I can't remember I think it was like 1000 hours or something. But, and as I was going through it, a lot of folks hey you're too early, you've got to go get more experience. You've got to do whatever. And but had such an extensive engineering background I came back selected. And I was the youngest, I wasn't the youngest, but I was the junior person in my test pilot school class. [00:31:23] Host: Wow. [00:31:24] Scott Tingle: Yeah. [00:31:24] Host: How about that. [00:31:25] Scott Tingle: Yeah, yeah. That worked out good. [00:31:27] Host: Yeah, that's fantastic. I mean, thinking about test pilots you said, astronaut was in your mind since you were a kid. And I'm sure that test pilot was definitely the last step before astronaut because of heroes like the Mercury 7 and then those kinds of guys. Is that, that's why you wanted that path? [00:31:48] Scott Tingle: Well, I wanted, that was the thinking. [00:31:51] Host: Yeah. [00:31:51] Scott Tingle: I always had that goal as the icing on the cake. But being a test pilot, if that was as far as I got, I'm a happy man. It's a great way to make a living. You know. [00:32:00] Host: Yeah. [00:32:00] Scott Tingle: You get to work with some great people. You get to do some, some crazy things in airplanes. And you get to make things better for the folks that really need them on the front line. [00:32:09] Host: Yeah. [00:32:09] Scott Tingle: And so, to me it was just win-win. You know, at that point I was kind of like, well yeah I'd like to be an astronaut, but if it doesn't work out, this is not a bad job. [00:32:17] Host: Well, so for those who don't know, you know, just what is like the overall what is a test pilot if you had to describe it? [00:32:24] Scott Tingle: Yeah. So, you're connecting engineering to users. [00:32:27] Host: Okay. [00:32:28] Scott Tingle: Okay, so when Google goes out and creates this new subroutine, or this new platform or something, they don't just sit there in their box and design it and then sell it. They bring people in from the frontline, you, or beta testers or whatever. And they go, "Hey, this is what we're thinking. What do you see wrong with it? Do you, can you try this out and give us your comments on it? Hey, what do you think about these design, you know, characteristics?" And then, so they're connecting the user to engineering. And so, the engineering test pilot does exactly that. You know, we have experience on the front lines, whether flying combat or flying form a ship, or flying whatever vehicle it is. But we also have an extensive engineering background. And so, they train us to be able to connect the dots between the two communities. And actually provide a better product over all to the, to the operators, to the users that have to be effective, but also to the business managers because they don't want to have to redo this product at the end of the, at the end of the life cycle. [00:33:28] Host: Yeah, so you're doing feedback both ways. [00:33:30] Scott Tingle: Absolutely. [00:33:31] Host: You say, you know, you're living, you're living these designed aircraft, but then you're also [00:33:35] Scott Tingle: Absolutely. [00:33:35] Host: Going backwards and saying "Hey, fix this." [00:33:37] Scott Tingle: Absolutely. [00:33:37] Host: "This needs to be tweaked there." [00:33:38] Scott Tingle: Absolutely. [00:33:38] Host: I'm sure that's wise. That must have been the thinking of why they selected test pilots for the Mercury 7 is because they were the ones that had this experience. You're designing brand new space craft. [00:33:48] Scott Tingle: Absolutely. [00:33:48] Host: And you need that sort of feedback. [00:33:49] Scott Tingle: Absolutely. Absolutely. [00:33:50] Host: So, you said you were working with, you know, you were working with some great people. [00:33:55] Scott Tingle: Yeah. [00:33:55] Host: So how was that relationship, you know, with the operational side but then also the engineering side? [00:33:59] Scott Tingle: Well, there's always little things that go back and forth, "Well you're a test guy, we're talking tactics. Get out of here." [00:34:05] Host: I'm sure, yeah. [00:34:05] Scott Tingle: You know, and they'll rib you a little bit, but as I got older and more senior, you know, I went to test pilot school in '96, '97. And so, here we are you know, 20 years later, with, and I've only, I've been at NASA for 8 years, so you know, 12 years after test pilot school I was working either as a test pilot or as an operational combat pilot. You know, in the Navy we go back and forth. The Air Force doesn't quite do it like that, but the Navy goes back and forth. So, you're always just kind of changing groups and communities and things like that. But, during my second year as a test pilot, I was at the courier suit department. I was actually the lead for the department. And so, anything that went to the ship had to come through us. And we, you know, the new airplanes, new systems, you know, whatever it was, and we'd actually go out and certify the ships as safe for flight on their systems. And we tweaked their systems and make sure they were working just right. [00:35:00] Host: Yeah. [00:35:00] Scott Tingle: And we'd get calls from folks in Bahrain, you know, they're in the Persian Gulf and hey, our systems somethings off. You know, we've had a couple near misses here can you come out. And we'd get a team together and go out and we'd look at it and fix it. [00:35:13] Host: Oh, cool. [00:35:14] Scott Tingle: And do what we needed to do. But the, that whole process, you know, you're working with military folks, you're working with civil servants, and you're working with contractors. [00:35:24] Host: Yeah. [00:35:25] Scott Tingle: And they all had different ideas on what's better, you know, what the fleet needs, how things should work. And when you get them all together, and if you're patient, man the team can pick up character and a personality of its own. And the product that comes out is just absolutely amazing. Those folks, they are just great Americans. They are great people. They love their job. And they want to do nothing more than just support the troops 110%. [00:35:53] Host: Wow. [00:35:53] Scott Tingle: And so, seeing all that come to work and being in the middle of it as a test pilot, somebody that's connecting all of those folks together really, really rewarding. [00:36:04] Host: Absolutely. So how has that translated to working with folks here at NASA. I'm guessing there's, it's a similar relationship, right? [00:36:10] Scott Tingle: It's absolutely the same. [00:36:12] Host: Yeah. [00:36:12] Scott Tingle: And, whether you're working commercial vehicles, or you're working Orion, or you're working International Space Station and current operations, you've got people all over the world, 16 to 18 different countries at any given time. And, you've got new systems, new experiments, new things coming up. And having that skill of being able to pull a team together and really kind of figure out what's the right answer here, is just and watching it work is just inspiring. [00:36:43] Host: Yeah. [00:36:43] Scott Tingle: I look at some of these teams and then the support that they're doing, they're in here on the weekends. They're you know, somethings going wrong on the station they ramp up and they put the put down whatever they're working on and they go work this project, you know, 24/7 for six or seven days straight. You know, living on coffee and energy drinks. And I tell you what, I come out of some of these meetings and some of these experiences, and I'm just so inspired by these folks. It's just incredible. [00:37:07] Host: Absolutely. I mean, you being an astronaut I'm sure you've worked with some veteran astronauts before who have been in space and kind of know the, and so how, I'm guessing, you know, how have they communicated in a very test pilot sort of fashion to others? You know, how does that relationship work with you know, you've lived in space, you know how this works. You know, how does that work? [00:37:27] Scott Tingle: Yeah, so it's, that can be a little bit tricky. [00:37:29] Host: Okay. [00:37:30] Scott Tingle: Because you know, even though folks may have formal training, we've got a lot of folks that don't have formal training. And that's consistent with civilian commercial operations. Not everybody goes through an engineering curriculum or a test pilot curriculum. [00:37:44] Host: Yeah. [00:37:45] Scott Tingle: Or, a flight engineer curriculum. [00:37:47] Host: Right. [00:37:47] Scott Tingle: But it's really important to include all those people because there's different perspectives. [00:37:52] Host: Yes. [00:37:52] Scott Tingle: And, the users are a very diverse group. And that's really good. The bad part is, is that everybody's got a different idea sometimes. And getting those ideas together and figuring out the right path forward can be challenging to do that. And, the astronaut office tries very hard to make this happen so that the program doesn't get a bunch of different perspectives and different directions. They kind of know, and the folks in the community whether you're in the program or on the operator side or on the flight director side, or on the flight controller side, they all understand the dynamic. And so, they're all very good. If they need a no kid in, this is the answer. They will come back and go we want a formal memo stating the answer. And so, and then the meetings start, and we figure out what we want to do. [00:38:44] Host: Absolutely. [00:38:45] Scott Tingle: For that. But it's a complicated process, but you know, again, if it was easy, you know, we'd be flying to space hundreds of years ago. [00:38:54] Host: Yeah, it's true. Yeah. Now space flight doesn't really have a reputation of being the easy thing, you know, the easy job to go into. Especially with that much going and that many people involved. [00:39:04] Scott Tingle: Right. [00:39:04] Host: You know, obviously there's challenges, but, you know, your background as a test pilot like you said before, when you were a test pilot working with operators and engineers, contractors, everyone, everyone getting together and becoming that team. [00:39:15] Scott Tingle: Right. [00:39:16] Host: You know, that's you know, that translates pretty. [00:39:18] Scott Tingle: It's amazing. [00:39:18] Host: Pretty directly. You know, so, what were the steps for you to go from test pilot to astronaut? You know, where was that, what came up where you were like now's the time to apply? [00:39:30] Scott Tingle: Well, it's funny you should ask. I think I applied somewhere between four and five times. [00:39:37] Host: Oh, how about that. [00:39:39] Scott Tingle: Yeah. And my first job out of being, out of test pilot school. And I loved test pilot school. It was an applied engineering course that you got to fly airplanes. And I flew 22 airplanes while I was just in test pilot school. [00:39:55] Host: Wow. [00:39:55] Scott Tingle: Which was the highest that they had seen in a long time. I was trying to, I was jumping into different airplanes any chance I could. [00:40:01] Host: Just say yes to everything. [00:40:02] Scott Tingle: Let's go. Absolutely. [00:40:03] Host: Yeah. [00:40:03] Scott Tingle: And, so, you know, I put in my first application as when I was working as an operational test pilot at China Lake. And so, we were the first guys, we were the guys to IOC, which means initial operational configuration of the Super Hornet. The F-18 E and F. [00:40:26] Host: Okay. [00:40:27] Scott Tingle: And so, I spent two years out there putting that airplane through its operational paces so that the fleet could take it and go operate in the desert where they didn't go off in boats and things like that. But that wasn't considered developmental tests. It wasn't considered a huge test pilot job. Although, that experience I had at VX-9 at China Lake was the most valuable experience I have had that relates to what I'm doing on a day to day basis here at Johnson Space Center. [00:40:56] Host: Oh wow. [00:40:56] Scott Tingle: Yeah. It's just a community cliché kind of thing. You know, if they're going to hire somebody, they're going to hire somebody with developmental test experience. And I'm going to, hopefully we can a look at that and maybe open that up a little bit as we move forward into the future here. [00:41:13] Host: Right. [00:41:14] Scott Tingle: But, so I had to go back. And I did a leadership tour in the Navy, you know, that lasted five years, six years. [00:41:21] Host: Oh. [00:41:22] Scott Tingle: You know, or so, and then I went to my second test tour. The whole time I was putting in applications every couple of years every time they had it. And it went, went, went, went, went. And then on the last time I was carrier sue department head at Pax River, really liking what I was doing. When I was moving into the program to be an assistant program manager, and I just screened for command, I was going to command VX-23 which is the Navy's biggest test squadron. [00:41:43] Host: Wow. [00:41:44] Scott Tingle: And, it was just absolutely a dream come true. And I was like, looking at my application for the 2009 class. I was like, well, I got to go to my grave knowing I tried as hard as I could. I updated a couple little things, and then threw it in the application. And lo and behold I got a call. It said, why don't you come down and talk to us. It was like, okay. And I'm kind of old. No, come on down. So, we came down. We had a good interview, came out for the second. Had a good interview and then I got the call to be an astronaut. But I had kind of given up a little bit. I didn't give up totally, but I was kind of seeing some writing on the wall that my path was going to be leadership in the United States Navy and having a great career there. [00:42:26] Host: Okay. [00:42:27] Scott Tingle: But then, I got this call to come be an astronaut and I couldn't resist. [00:42:31] Host: Of course. [00:42:31] Scott Tingle: Like I said earlier, it was a hard decision. [00:42:33] Host: Yeah. [00:42:34] Scott Tingle: It wasn't easy, but I had to do it. [00:42:36] Host: Right. Wow. So was it, I mean you said you were going back and forth putting applications in. Is that where you, you know, you realize okay I need that developmental experience. Yeah? [00:42:47] Scott Tingle: So, and I had a couple folks here that I had talked to on and off. And, you know, I was always the geek that would surf the new guys that got selected. And then I'd email or call them out of the blue, and go hey how did you do it? And a lot of them were really good folks that helped me out with some good. In fact, I was trying to decide whether I wanted to go in the Navy or go in the Air Force to be a pilot when I was working as an engineer. And then one class got selected and it was Taco out at, he had just gotten selected from the Navy side. And I called him, and he was one of the guys that actually answered his phone. And I was like, hey, I'm trying to decide if I want to be an Air Force pilot or a Navy pilot. And it was quiet. And then I hear this. Boy, there ain't nothing like flying off the ship. The next day I signed up at the Navy. [00:43:42] Host: No way, next day? All right there it is. I've made up my mind. How about that. I should have asked you before, why Navy over Air Force because -- . [00:43:50] Scott Tingle: You know, I was actually probably leaning towards the Navy a little bit more because I was enlisted in the Navy, you know, during that time frame. [00:43:58] Host: Makes sense. [00:43:58] Scott Tingle: Yeah. So, it was an easier transition. But the Air Force has some really nice machines and some good communities. [00:44:05] Host: Yeah. [00:44:05] Scott Tingle: That are very, very interesting. [00:44:07] Host: Absolutely. But you know, even back then, you know, you were calling up astronauts asking them, you know, what did you do to get to where you are. And that astronaut made it very clear. [00:44:17] Scott Tingle: [laughter] Exactly. [00:44:19] Host: There you go. [00:44:20] Scott Tingle: I may not make it to the astronaut corner, but I'm sure as hell going to fly off the ship. [00:44:23] Host: Yeah. Wow. All right. So, taking that Navy experience and you know, your first couple years of astronaut training. You know, we only have a couple minutes here. But, you know, how has that helped you, your experience in the Navy with especially, I'm guessing, the T-38 was kind of not a nice transition flying more aircraft. [00:44:42] Scott Tingle: Yeah, it absolutely was. The T-38's a really fun airplane to fly. And the ones we have here, if you've ever been out to Ellington and met those, the maintainers out there, phenomenal. Phenomenal mechanics and structural guys. They absolutely, those airplanes are 50 years old. [00:44:59] Host: Wow. [00:44:59] Scott Tingle: Plus, and the amount of rework and care and TLC they put into those things, it's absolutely amazing. They're a dream to fly. It's like getting into a new car every time. And they're just such good care about that. It's really impressive. It makes me not want to fly them because I don't want to break them, you know. But they're really fun to fly. The Navy experience was really valuable from a grit perspective, you know, flying in a cockpit that's hot well maybe the systems aren't working right, or you lose an engine. Or you're in a poopy soup because your flying out over the cold water and you're having a hard time moving and breathing. [00:45:40] Host: Oh, yeah. [00:45:41] Scott Tingle: And you learn to overcome these things by just focusing on the things you need to focus on. [00:45:46] Host: Yeah. [00:45:47] Scott Tingle: I call it being on government time. You know, it's okay I'm working for the man right now. I can't quit, I got to keep going. And then, and so that you know, the Marines call it you know, we'll say Semper Fi, never leave a man behind, or whatever. And they just drive through it the Seals, they just drive through the pain. They drive through the challenge. They drive through the frustration. And you get a lot of that in the, with flying in the Navy to make things work out right. But the big thing I take away from all of that experience is the oodles, and oodles of people working behind the scenes to make an operation happen. You can be the guy that goes out and jumps in the cockpit, but the cockpit you're jumping into that airplane was just worked on by probably 30 people. You know, and it was probably you have a whole support of thousands of people making sure the systems are designed right and are working right and are the logistics chain to get them the parts to you, to keep them running. [00:46:44] Host: Yeah. [00:46:44] Scott Tingle: And then you have all the operational people who are feeding you the intelligence you need, the information you need to have a safe flight plan. You know, and all the trainers that have taught you how to fly safe formation, keep safe tactics, and certified you in combat operations. And then you have people on the ship making sure you're not going to fly into the back of the boat, and making sure you can come home and get that slider at the end of the night. [00:47:09] Host: Yeah. [00:47:09] Scott Tingle: For that. And so, to me, putting that all together, you know, it's just all of my friends working together to make the mission happen. [00:47:18] Host: How about that. [00:47:19] Scott Tingle: It's the most inspiring thing I've ever seen. [00:47:21] Host: Fantastic. Well, you're going to be launching here soon. And I think, I'm not sure when we're going to release the podcast, maybe before or after your flight. But, you know, you're going to be going up soon here, in December. What are some of the things we can look forward to seeing you do on orbit. Do you have, you know, EVAs planned some special experiments or some social media that you're going to be doing? [00:47:41] Scott Tingle: Yeah. So, we'll be doing some social media a little bit. I'm going to hand it off to Craig Bernard up at CB office there. [00:47:47] Host: Sure. [00:47:48] Scott Tingle: He'll help keep me out of trouble. We're going to do some things there that can get ourselves into trouble pretty good. So, I'll send down some ideas to him, and he'll follow through. And he'll filter out the things that will get us into trouble. Right, Craig? And then. [00:48:00] Host: He's listening. [00:48:01] Scott Tingle: Yeah, we'll definitely be doing some science up there. You'll be seeing the little experiments up there. We do have some EVAs coming up. I don't know if I'm going to be going outside or working as the IV inside helping the other folks go outside. Okay. [00:48:13] Host: We are going to be capturing some vehicles. Some dragons, some sickness I think. We'll be doing some robotics there as well for that. And then we'll be doing a lot of educational outreach events as we call down to different schools, different locations to you know, say hey and say come work in the space community because it's cool. [00:48:33] Scott Tingle: Yeah. [00:48:34] Host: Go, you know, study science technology engineering math, you know, become a test pilot, do whatever you've got to do to do your dream. [00:48:41] Scott Tingle: Absolutely. [00:48:41] Host: And you know, maybe follow Scott Tingle's path and plan it out from an early age. [00:48:45] Scott Tingle: Yeah, you know talking about the test pilot thing, obviously that's very interesting to me. That's my career path. It's you know, flying the heat is just absolutely wonderful great experience. But, you know, the space community has all types. We have mathematicians. We have scientists. We have advertising specialists. We have, you know, marketing. We have PAOs. We have all types of folks involved in this community. So, no matter what your love is. If you want to apply that towards space, there is room for here in this community. [00:49:22] Host: I love it. That is the perfect place to end it. We'll do it right there. Well, Maker, thank you so much for coming on the show. For the listeners, just stay tuned to after the music here to learn how you can follow Maker on his journey and some of the, some of the other accounts on where you can follow along on the International Space Station journey. So, again, Maker thanks again for taking this time. And you know, best of luck on your launch and finishing up your training in the next couple months. And your six-month increment aboard the International Space Station. [00:49:51] Scott Tingle: That's right. Thank you so much. And it's definitely time to get busy. Chop chop, Hubba bubba. [00:49:56] [ Music ] [00:50:21] Host: Hey thanks for sticking around. So, today we talked with Scott Tingle. He goes by the call sign Maker. So, if you go on Twitter he is @astro_maker. And if you follow along on his journey. He said Craig Bernard is going to be doing the bulk of the work. But trust me, once he gets up there and he sees that, the view of the Earth from 250 miles above the Earth it's going to be hard to not take pictures of all the beautiful sights. And he'll be sharing that during his journey aboard the International Space Station for the next couple months. So, that's @Astro_Maker. If you follow the International Space Station go to nasa.gov/iss or if you go on social media, Facebook, Twitter, Instagram you know we've talked about this a bunch of times before. But again, just go to the International Space Station, all the verified accounts. Twitter @Space_Station Instagram @iss, and you can follow along on the journey there. If you the use the hashtag #AskNASA on your favorite platform, you can submit an idea. Trust me I do look at them, and I've already made changes to the show because of some of the suggestions. You guys have been sending in. So, again, thank you very much. [00:51:21] Just make sure to mention "Houston We Have a Podcast" that way it's easy for me to search. And I can find your query. Because #AskNASA, you know, that's everybody asks NASA everything. There's a lot of questions that come about. So, we try to answer as much as we can. But for "Houston We Have a Podcast", just, that'll help me out a lot. So, this podcast was recorded on September 25, 2017. Thanks to Alex Perryman, John Stoll, Pat Ryan, and John Streeter. Thanks again to Captain Scott Tingle for coming on the show. We'll be back next week.

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