Sample records for common middle eastern

  1. Cultural Clues to the Middle Eastern Student. Occasional Paper No. 2.

    ERIC Educational Resources Information Center

    Parker, Orin D.; And Others

    This paper discusses characteristics common to all Middle Eastern students with the exception of Israelis, and addresses itself to those working with Middle Eastern students on American college and university campuses. Middle Eastern students will show themselves to be highly adaptable, but they may demonstrate a formality of manner, particularly…

  2. Rhinoplasty in Middle Eastern Patients.

    PubMed

    Sajjadian, Ali

    2016-01-01

    Rhinoplasty in patients of Middle Eastern origin requires complete understanding of nasal morphology and an individualized approach to create a racially congruent and aesthetically pleasing outcome. In this article, common anatomic features and characteristics and detailed steps, surgical techniques, and operative maneuvers that can lead to predictable outcome in rhinoplasty of Middle Eastern patients are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

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

    PubMed

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

    2018-01-23

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

  4. Issues in Health Care of Middle Eastern Patients

    PubMed Central

    Lipson, Juliene G.; Meleis, Afaf I.

    1983-01-01

    Relationships between Middle Eastern patients and Western health care professionals are often troubled by mutual misunderstanding of culturally influenced values and communication styles. Although Middle Easterners vary ethnically, they do share a core of common values and behavior that include the importance of affiliation and family, time and space orientations, interactional style and attitudes toward health and illness. Problems in providing health care involve obtaining adequate information, “demanding behavior” by a patient's family, conflicting beliefs about planning ahead and differing patterns of communicating grave diagnoses or “bad news.” There are guidelines that will provide an understanding of the cultural characteristics of Middle Easterners and, therefore, will improve rather than impede their health care. A personal approach and continuity of care by the same health care professional help to bridge the gap between Middle Eastern cultures and Western medical culture. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues. PMID:6364575

  5. Construction and validation of a list of common Middle Eastern surnames for epidemiological research

    PubMed Central

    Nasseri, Kiumarss

    2007-01-01

    Purpose Middle Eastern (ME) population is rapidly growing in the US but cannot be easily identified in cancer registry or other databases for epidemiological research. The purpose of this study was to develop a list of common Middle Eastern surnames and validate it by linking with a cancer registry incidence files. Methods Surnames and place of birth in the Middle East were obtained from various sources. After exclusion of the non-specific entries, the final combined list included 49,610 surnames and was matched with the California Cancer Registry incidence file for 1988-2003. Results Overall, 1.4% of all registered cases were positively identified as ME that is similar to the proportion of ME population in California. Two third of the identified cases had known place of birth in the Middle East and of those, 70% were non-Arabs. The sensitivity of the list in detecting ME birth in men and women are 91% and 86%, respectively. The positive predictive values for men and women are 72% and 65%. The specificity and negative predictive values are universally over 99 percent. Conclusion The high accuracy reported for this Middle Eastern surname list (MESL) makes it a valuable tool for epidemiological studies of this ethnic population. PMID:18023539

  6. Vitamin D deficiency is endemic in Middle Eastern sportsmen.

    PubMed

    Hamilton, Bruce; Grantham, Justin; Racinais, Sebastien; Chalabi, Hakim

    2010-10-01

    While vitamin D deficiency is well recognized in Middle Eastern women as a result of cultural norms of remaining covered, Middle Eastern men are an under-reported group. Vitamin D is now known to have multiple effects, including an impact on muscle function, thereby increasing the relevance for sportsmen. The aim of the present study was to evaluate serum 25-hydroxyvitamin D (25(OH)D) levels in young male Middle Eastern athletes. Cross-sectional study. Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar. Ninety-three Middle Eastern men presenting to hospital for an annual screening undertook a blood test to evaluate their vitamin D status. Ninety-one per cent of athletes were found to be deficient in 25(OH)D (serum concentration <20 ng/ml). Athletes with severe deficiencies were significantly younger than those with less marked deficiency. A subset of athletes underwent bone mineral density assessment and 59 % were shown to have at least one Z-score less than -1; despite this, however, no athletes reported a stress fracture. There was no correlation between 25(OH)D concentration and sunlight exposure, skin coverage and skin colouring. The study revealed that 25(OH)D deficiency is very common among otherwise healthy Middle Eastern male athletes. Given the potentially significant long- and short-term effects of 25(OH)D deficiency, serum 25(OH)D evaluation should be part of the routine assessment in this region.

  7. Genomic microsatellites identify shared Jewish ancestry intermediate between Middle Eastern and European populations.

    PubMed

    Kopelman, Naama M; Stone, Lewi; Wang, Chaolong; Gefel, Dov; Feldman, Marcus W; Hillel, Jossi; Rosenberg, Noah A

    2009-12-08

    Genetic studies have often produced conflicting results on the question of whether distant Jewish populations in different geographic locations share greater genetic similarity to each other or instead, to nearby non-Jewish populations. We perform a genome-wide population-genetic study of Jewish populations, analyzing 678 autosomal microsatellite loci in 78 individuals from four Jewish groups together with similar data on 321 individuals from 12 non-Jewish Middle Eastern and European populations. We find that the Jewish populations show a high level of genetic similarity to each other, clustering together in several types of analysis of population structure. Further, Bayesian clustering, neighbor-joining trees, and multidimensional scaling place the Jewish populations as intermediate between the non-Jewish Middle Eastern and European populations. These results support the view that the Jewish populations largely share a common Middle Eastern ancestry and that over their history they have undergone varying degrees of admixture with non-Jewish populations of European descent.

  8. Genomic microsatellites identify shared Jewish ancestry intermediate between Middle Eastern and European populations

    PubMed Central

    2009-01-01

    Background Genetic studies have often produced conflicting results on the question of whether distant Jewish populations in different geographic locations share greater genetic similarity to each other or instead, to nearby non-Jewish populations. We perform a genome-wide population-genetic study of Jewish populations, analyzing 678 autosomal microsatellite loci in 78 individuals from four Jewish groups together with similar data on 321 individuals from 12 non-Jewish Middle Eastern and European populations. Results We find that the Jewish populations show a high level of genetic similarity to each other, clustering together in several types of analysis of population structure. Further, Bayesian clustering, neighbor-joining trees, and multidimensional scaling place the Jewish populations as intermediate between the non-Jewish Middle Eastern and European populations. Conclusion These results support the view that the Jewish populations largely share a common Middle Eastern ancestry and that over their history they have undergone varying degrees of admixture with non-Jewish populations of European descent. PMID:19995433

  9. Cetacean distribution and abundance in relation to oceanographic domains on the eastern Bering Sea shelf: 1999-2004

    NASA Astrophysics Data System (ADS)

    Friday, Nancy A.; Waite, Janice M.; Zerbini, Alexandre N.; Moore, Sue E.

    2012-06-01

    Visual line transect surveys for cetaceans were conducted on the eastern Bering Sea shelf in association with pollock stock assessment surveys aboard the NOAA ship Miller Freeman in June and July of 1999, 2000, 2002, and 2004. Transect survey effort ranged from 1188 km in 1999 to 3761 km in 2002. Fin whales (Balaenoptera physalus) were the most common large whale in all years except 2004 when humpback whales (Megaptera novaeangliae) were more abundant. Dall's porpoise (Phocoenoides dalli) were the most common small cetacean in all years. Abundance estimates were calculated by year for each oceanographic domain: coastal, middle, and outer/slope. The middle and outer/slope domains were divided into two strata ("north" and "south") because of variable survey effort. The distribution and abundance of baleen whales changed between the earlier (colder) and later (warmer) survey years. Fin whales consistently occupied the outer shelf and secondarily the middle shelf, and their abundance was an order of magnitude greater in cold compared to warm years. Humpback whales "lived on the margin" of the northern Alaska Peninsula, eastern Aleutian Islands and Bristol Bay; their preferred habitat is possibly associated with areas of high prey availability due to nutrient upwelling and aggregation mechanisms. Minke whales (Balaenoptera acutorostrata) occur shoreward of fin whales in the outer and middle shelf and in coastal habitats along the Alaska Peninsula. The highest abundance for this species was observed in a cold (1999) year. No clear relationship emerged for odontocetes with regard to warm and cold years. Dall's porpoise occupied both outer and middle domains and harbor porpoise (Phocoena phocoena) were more common in middle and coastal domains. This study provided a unique, broad-scale assessment of cetacean distribution and abundance on the eastern Bering Sea shelf and a baseline for future comparisons.

  10. Decreasing Intestinal Parasites in Recent Northern California Refugees

    PubMed Central

    Chang, Alicia H.; Perry, Sharon; Du, Jenny N. T.; Agunbiade, Abdulkareem; Polesky, Andrea; Parsonnet, Julie

    2013-01-01

    Beginning in 2005, the Centers for Disease Control and Prevention (CDC) expanded the overseas presumptive treatment of intestinal parasites with albendazole to include refugees from the Middle East. We surveyed the prevalence of helminths and protozoa in recent Middle Eastern refugees (2008–2010) in comparison with refugees from other geographical regions and from a previous survey (2001–2004) in Santa Clara County, California. Based on stool microscopy, helminth infections decreased, particularly in Middle Eastern refugees (0.1% versus 2.3% 2001–2004, P = 0.01). Among all refugees, Giardia intestinalis was the most common protozoan found. Protozoa infections also decreased somewhat in Middle Eastern refugees (7.2%, 2008–2010 versus 12.9%, 2001–2004, P = 0.08). Serology for Strongyloides stercoralis and Schistosoma spp. identified more infected individuals than stool exams. Helminth infections are increasingly rare in refugees to Northern California. Routine screening stool microscopy may be unnecessary in all refugees. PMID:23149583

  11. Traditions, Changes, and Challenges: Military Operations and the Middle Eastern City

    DTIC Science & Technology

    2004-01-01

    festoon the palaces , many of which are larger in size than Britain’s Buckingham Palace . The grounds outside contain heavily irrigated gardens...distinct. Other characteristics of the old city (the city wall, the citadel, and the palaces ) are not as common as they once were and are of...changed are the palaces and city defensive works. Palaces and royal residences at one time were a fixture of the traditional Middle Eastern city core

  12. The brachiopod Antiquatonia coloradoensis (Girty) from the upper Morrowan and Atokan (lower Middle Pennsylvanian) of the United States

    USGS Publications Warehouse

    Henry, Thomas W.

    1998-01-01

    The productid brachiopod Antiquatonia coloradoensis occurs commonly in lower Middle Pennsylvanian rocks representing open-bay, shelf-lagoon, and shelf-margin marine facies and extending from the Eastern Great Basin, through the Southern Rocky Mountains, southern and central Midcontinent, to the southern and eastern Appalachian Basin. This study demonstrates that Antiquatonia coloradoenesis is biostratigraphically diagnostic with a temporal range of late Morrowan through Atokan. Its ancestor was A. morrowensis (Mather) and its descendant was A. hermosana (Girty).

  13. Middle Eastern rhinoplasty.

    PubMed

    Azizzadeh, Babak; Mashkevich, Grigoriy

    2010-02-01

    The ethnic appearance of the Middle Eastern nose is defined by several unique visual features, particularly a high radix, wide overprojecting dorsum, and an amorphous hanging nasal tip. These external characteristics reflect distinct structural properties of the osseo-cartilaginous nasal framework and skin-soft tissue envelope in patients of Middle Eastern extraction. The goal, and the ultimate challenge, of rhinoplasty on Middle Eastern patients is to achieve balanced aesthetic refinement, while avoiding surgical westernization. Detailed understanding of the ethnic visual harmony in a Middle Eastern nose greatly assists in preserving native nasal-facial relationships during rhinoplasty on Middle Eastern patients. Esthetic alteration of a Middle Eastern nose follows a different set of goals and principles compared with rhinoplasties on white or other ethnic patients. This article highlights the inherent nasal features of the Middle Eastern nose and reviews pertinent concepts of rhinoplasty on Middle Eastern patients. Essential considerations in the process spanning the consultation and surgery are reviewed. Reliable operative techniques that achieve a successful aesthetic outcome are discussed in detail. Copyright 2010 Elsevier Inc. All rights reserved.

  14. Inflammatory bowel disease in children of middle eastern descent.

    PubMed

    Naidoo, Christina Mai Ying; Leach, Steven T; Day, Andrew S; Lemberg, Daniel A

    2014-01-01

    Increasing rates of inflammatory bowel disease (IBD) are now seen in populations where it was once uncommon. The pattern of IBD in children of Middle Eastern descent in Australia has never been reported. This study aimed to investigate the burden of IBD in children of Middle Eastern descent at the Sydney Children's Hospital, Randwick (SCHR). The SCHR IBD database was used to identify patients of self-reported Middle Eastern ethnicity diagnosed between 1987 and 2011. Demographic, diagnosis, and management data was collected for all Middle Eastern children and an age and gender matched non-Middle Eastern IBD control group. Twenty-four patients of Middle Eastern descent were identified. Middle Eastern Crohn's disease patients had higher disease activity at diagnosis, higher use of thiopurines, and less restricted colonic disease than controls. Although there were limitations with this dataset, we estimated a higher prevalence of IBD in Middle Eastern children and they had a different disease phenotype and behavior compared to the control group, with less disease restricted to the colon and likely a more active disease course.

  15. Inflammatory Bowel Disease in Children of Middle Eastern Descent

    PubMed Central

    Naidoo, Christina Mai Ying; Leach, Steven T.; Day, Andrew S.; Lemberg, Daniel A.

    2014-01-01

    Increasing rates of inflammatory bowel disease (IBD) are now seen in populations where it was once uncommon. The pattern of IBD in children of Middle Eastern descent in Australia has never been reported. This study aimed to investigate the burden of IBD in children of Middle Eastern descent at the Sydney Children's Hospital, Randwick (SCHR). The SCHR IBD database was used to identify patients of self-reported Middle Eastern ethnicity diagnosed between 1987 and 2011. Demographic, diagnosis, and management data was collected for all Middle Eastern children and an age and gender matched non-Middle Eastern IBD control group. Twenty-four patients of Middle Eastern descent were identified. Middle Eastern Crohn's disease patients had higher disease activity at diagnosis, higher use of thiopurines, and less restricted colonic disease than controls. Although there were limitations with this dataset, we estimated a higher prevalence of IBD in Middle Eastern children and they had a different disease phenotype and behavior compared to the control group, with less disease restricted to the colon and likely a more active disease course. PMID:24987422

  16. Racial sexual mixing and factors associated with condom use among Middle Eastern-Canadians.

    PubMed

    Schoueri, Nour; Bullock, Sandra L; Dubin, Joel A

    2010-02-01

    Interracial relationships in Canada have increased over the years. However, little research has focused on comparing STI/HIV risk and condom use between those in intra- and interracial relationships, specifically among Middle Eastern-Canadians. A web-based survey was administered to Middle Eastern-Canadians. Logistic regression analysis was used to assess factors associated with consistent condom use. Analyses were stratified by partner's race (Middle Eastern or non-Middle Eastern). The analysis sub-sample consisted of 92 participants. Factors associated with consistent condom use varied between the stratified groups. Among those with Middle Eastern partners, attitude towards marriage and the family and control in the relationship were associated with condom use. Among participants with non-Middle Eastern partners, acculturation and HIV knowledge were found to be associated with condom use. Factors associated with condom use varied between Middle Eastern-Canadians in intra- and interracial relationships. These differences illustrate the need for tailored interventions aimed at increasing condom use among this racial group.

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

    PubMed

    Rahman, Md Jawaid; Faridi, M S; Mibang, Naloh; Singh, Rajendra Sinam

    2016-01-01

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

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

    PubMed

    Alsulami, Zayed; Conroy, Sharon; Choonara, Imti

    2013-04-01

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

  19. Through Middle Eastern Eyes.

    ERIC Educational Resources Information Center

    Pearson, Robert P.; Clark, Leon E., Ed.

    This book, intended for use with secondary and college students, presents a Middle Eastern view of the Middle East and the world. Most of the material in the book has been written by Middle Easterners, and it comes from a variety of sources including autobiographies, fiction, poetry, newspaper and magazine articles, letters, diaries,…

  20. Secular trends, treatments, and outcomes of Middle Eastern Arab and South Asian patients hospitalized with atrial fibrillation: insights from a 20-year registry in Qatar (1991-2010).

    PubMed

    Salam, Amar M; AlBinali, Hajar A; Al-Mulla, Abdul Wahid; Singh, Rajvir; Al Suwaidi, Jassim

    2013-10-01

    A prospective registry was made of all patients hospitalized with atrial fibrillation (AF) in the State of Qatar from 1991 to 2010. Clinical characteristics, management, and outcomes were compared according to ethnicity (Middle Eastern Arab vs South Asian). During this 20-year period, 2857 Arabs and 548 Asians were hospitalized for AF. Arabs were 9 years older and more likely to have hypertension, diabetes mellitus (DM), chronic renal impairment, and dyslipidemia than the Asians. Valvular heart disease and acute coronary syndromes were more common among Asians, while congestive heart failure was more common in Arabs. The overall inhospital mortality was lower in Asians than that of Arabs, while stroke rates were comparable. There was an increase in the prevalence of DM and hypertension in both the groups in the latter years of the study period, but there was no change in mortality trends. Our findings underscore the need to study AF according to ethnicity.

  1. The prevalence of extreme Middle Eastern ideologies around the world.

    PubMed

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

    2011-02-01

    The Belief Diversity Scale (BDS) was administered to Australian, Canadian, Egyptian, and South African participants of different religious backgrounds. The BDS is a 33-item, six subscale instrument that is designed to quantitatively measure Middle Eastern extremist ideologies on risk areas that are reported in the literature. Results demonstrated the reliability and validity of the BDS, thus suggesting that the BDS could be used as an objective tool to measure Middle Eastern extremist ideologies. Results also supported the hypothesis of prevalence of Middle Eastern extremist ideologies around different parts of the world.

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

    PubMed Central

    Alzaheb, Riyadh A

    2017-01-01

    Background: Breastfeeding supplies all the nutrients that infants need for their healthy development. Breastfeeding practice is multifactorial, and numerous variables influence mothers’ decisions and ability to breastfeed. This review identifies the factors potentially affecting the timely initiation of breastfeeding within an hour after birth and exclusive breastfeeding in the first 6 months in Middle Eastern countries. Methods: The Medline, ScienceDirect, and Web of Science databases were keyword-searched for primary studies meeting the following inclusion criteria: (1) publication in the English language between January 2001 and May 2017, (2) original research articles reporting primary data on the factors influencing the timely initiation of breastfeeding and/or exclusive breastfeeding, (3) the use of World Health Organization definitions, and (4) Middle Eastern research contexts. A random effect model was used to establish the average prevalence of the timely initiation of breastfeeding and exclusive breastfeeding in the Middle East. Results: The review identified 19 studies conducted in Saudi Arabia (7), Iran (3), Egypt (2), Turkey (2), Kuwait (1), the United Arab Emirates (1), Qatar (1), Lebanon (1), and Syria (1). The meta-analysis established that 34.3% (confidence interval [CI]: 20.2%-51.9%) of Middle Eastern newborns received breastfeeding initiated within an hour of birth, and only 20.5% (CI: 14.5%-28.2%) were fed only breast milk for the first 6 months. The 8 studies exploring breastfeeding initiation most commonly associated it with the following: delivery mode, maternal employment, rooming-in, and prelacteal feeding. The 17 studies investigating exclusive breastfeeding most frequently linked it to the following: maternal age, maternal education, maternal employment, and delivery mode. Conclusions: Middle Eastern health care organizations should fully understand all the determinants of breastfeeding identified by this review to provide suitable practical guidance and advice to help new mothers to overcome barriers where possible and to contribute to improving infant and maternal health in the region. PMID:29317851

  3. Britain and Energy Policy: Problems of Interdependence

    ERIC Educational Resources Information Center

    Walsh, John

    1973-01-01

    Discusses Britain's energy policies and changing energy sources since World War II. North Sea natural gas and oil should prevent shortages in the near future. Planning is complicated by Britain's entry into the European Common Market, questionable progress in nuclear production, and the uncertain availability of Middle Eastern oil. (JR)

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

    ERIC Educational Resources Information Center

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

    2005-01-01

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

  5. Current obstacles to organ transplant in Middle Eastern countries.

    PubMed

    Shaheen, Faissal A M; Souqiyyeh, Muhammad Ziad

    2015-04-01

    The Middle Eastern map includes all the Arab countries, Iran, Turkey, Pakistan, and countries of Central Asia. There are common features of organ transplant in these countries such as inadequate preventive medicine, uneven health infrastructure, poor awareness of the medical community and public about the importance of organ donation and transplant, high level of ethnicity, poor government support of organ transplant, and political unrest. In addition, there is inadequate team spirit among transplant physicians, lack of planning for organ procurement and transplant centers, and lack of effective health insurance. Living-donor organ transplant is the most widely practiced type of transplant in the Middle East. Deceased-donor organ donation is not used properly because of continued debate in the medical community about the concept of death according to neurologic criteria (brain death) and inadequate awareness of the public about the importance of organ donation and transplant in many countries in this region. Continuous work is needed to provide solutions to overcome the current obstacles.

  6. Lipid levels among African and Middle-Eastern Bedouin populations.

    PubMed

    Dreiher, Jacob; Cohen, Arnon D; Weitzman, Shimon; Sharf, Amir; Shvartzman, Pesach

    2008-06-01

    Previous studies observed higher high-density lipoprotein (HDL) levels and lower triglycerides levels among people of African ancestry. The goal of this study was to characterize lipid levels in Bedouins of African vs. Middle-Eastern ethnicity. A cross-sectional study was conducted in a Bedouin primary care clinic in southern Israel, with 4470 listed individuals over the age of 21, of whom 402 (9%) were of African origin. A stratified random sample was included in the analysis. Associations between ethnicity, age, gender and lipid levels were assessed. Multiple linear regression and logistic regression models were used for multivariate analysis. The study included 261 African Bedouins and 406 Middle-Eastern Bedouins. (median age: 37 years, 58.6% females). The average total cholesterol and low-density lipoprotein (LDL) levels were 10 mg/dl lower among African Bedouins as compared to Middle-Eastern Bedouins (total cholesterol: 168.6 vs. 179.6 mg/dl, p<0.001; LDL: 99.5 vs. 109.0 mg/dl, respectively, p<0.001). Average triglycerides levels were 36 mg/dl lower among African Bedouins as compared to Middle-Eastern Bedouins (102.8 vs. 138.9 mg/dl, respectively, p<0.001). Average HDL levels were 3 mg/dl higher among African Bedouins as compared to Middle-Eastern Bedouins (48.3 vs. 44.6 mg/dl, respectively, p<0.001). A lower prevalence of dyslipidemia was found in African Bedouins, as compared with Middle-Eastern Bedouins.

  7. Watermarks within the Middle Eastern Manuscript Collection of the Baillieu Library

    ERIC Educational Resources Information Center

    Lewincamp, Sophie

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Kahan, David

    2009-01-01

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

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

    PubMed

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

    2018-05-01

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

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

    PubMed Central

    BAWADI, Hiba A.; AL-SHWAIYAT, Naseem M.; TAYYEM, Reema F.; MEKARY, Rania; TUURI, Georgianna

    2011-01-01

    Aim This study was conducted to develop a meal-planning exchange list for Middle Eastern foods commonly included in the Jordanian cuisine. Forty types of appetizers and another 40 types of desserts were selected; with five different recipes for each item. Recipes were collected from different housewives and Arabic cookbooks. Ingredients’ weight and dish net weight were recorded based on an average recipe, and dishes were prepared accordingly. Dishes were proximately analyzed following the AOAC procedures. Proximate analysis was compared to the WHO-food composition tables (FCT) for the use in the Middle East, and with food analysis software (ESHA). Results Significant correlations (P < 0.001) were found between macronutrient content obtained from proximate analysis and those obtained from ESHA. The correlation coefficients (r) were 0.92 for carbohydrate, 0.86 for protein, and 0.86 for fat. Strong correlations were also detected between proximate analysis FCT for carbohydrate (r=0.91, P<0.001) and protein (r=0.81; P<0.001) contents. However, this significant correlation was not found as strong, yet significant for fat (r=0. 62, P<0.001). Conclusion A valid exchange system for traditional desserts and appetizers is now available and ready to be used by dietitians and health care providers in Jordan and Arab World. PMID:21841913

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

    PubMed

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

    2009-03-01

    AIM: This study was conducted to develop a meal-planning exchange list for Middle Eastern foods commonly included in the Jordanian cuisine. Forty types of appetizers and another 40 types of desserts were selected; with five different recipes for each item. Recipes were collected from different housewives and Arabic cookbooks. Ingredients' weight and dish net weight were recorded based on an average recipe, and dishes were prepared accordingly. Dishes were proximately analyzed following the AOAC procedures. Proximate analysis was compared to the WHO-food composition tables (FCT) for the use in the Middle East, and with food analysis software (ESHA). RESULTS: Significant correlations (P < 0.001) were found between macronutrient content obtained from proximate analysis and those obtained from ESHA. The correlation coefficients (r) were 0.92 for carbohydrate, 0.86 for protein, and 0.86 for fat. Strong correlations were also detected between proximate analysis FCT for carbohydrate (r=0.91, P<0.001) and protein (r=0.81; P<0.001) contents. However, this significant correlation was not found as strong, yet significant for fat (r=0. 62, P<0.001). CONCLUSION: A valid exchange system for traditional desserts and appetizers is now available and ready to be used by dietitians and health care providers in Jordan and Arab World.

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

    PubMed

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

    2015-10-01

    The aim of this study was to examine the barriers to following complementary feeding guidelines among Middle Eastern mothers and the cultural considerations of practitioners from an emic perspective. This is a two-phase focused ethnographic assessment of infant feeding among 22 Middle Eastern mothers in Western Canada who had healthy infants aged <1 year. Data were collected through four focus groups conducted in Arabic/Farsi, and were further complemented by comprehensive survey data collected in the second phase of study. Mothers' main criterion for choosing infant foods was whether or not foods were Halal, while food allergens were not causes for concern. Vitamin D supplements were not fed to 18/22 of infants, and mashed dates (Halawi), rice pudding (Muhallabia/Ferni) and sugared water/tea were the first complementary foods commonly consumed. Through constant comparison of qualitative data, three layers of influence emerged, which described mothers' process of infant feeding: socio-cultural, health care system and personal factors. Culture was an umbrella theme influencing all aspects of infant feeding decisions. Mothers cited health care professionals' lack of cultural considerations and lack of relevance and practicality of infant feeding guidelines as the main reasons for ignoring infant feeding recommendations. Early introduction of pre-lacteal feeds and inappropriate types of foods fed to infants among immigrant/refugee Middle Eastern mothers in Canada is cause of concern. Involving trained language interpreters in health teams and educating health care staff on cultural competency may potentially increase maternal trust in the health care system and eventually lead to increased awareness of and adherence to best practices with infant feeding recommendations. © 2013 John Wiley & Sons Ltd.

  13. The prevalence of the Middle-Eastern extreme ideologies among some Canadians.

    PubMed

    Loza, Wagdy

    2011-05-01

    A total of 183 Canadian participants of different religious backgrounds completed the Belief Diversity Scale (BDS). The BDS is an 80-item, 6-subscale instrument designed to quantitatively measure the religious attitudes, beliefs, and ideologies of Middle-Eastern extremists' on risk areas that are reported in the literature. The results demonstrated the reliability and validity of the BDS as well as indicated the prevalence of Middle-Eastern extremists' ideologies among Muslim Canadians. Results were similar to those obtained from similar study completed on South African participants. These findings suggested that the BDS has the potential to be used as an objective tool to measure Middle-Eastern religious extremism.

  14. Teaching about the Middle East in Elementary Schools.

    ERIC Educational Resources Information Center

    Marek, Rosanne J.

    1983-01-01

    Most elementary teachers are inadequately prepared to teach about the Middle East. The situation is exacerbated by the fact that elementary texts dehumanize Middle Eastern peoples by reducing them to mere caricatures. Needed are the involvement of Middle Eastern studies experts in writing textbooks and the improvement of teacher's manuals. (RM)

  15. Leaf composition of American bur-reed (Sparganium americanum Nutt.) to determine pesticide mitigation capability

    USDA-ARS?s Scientific Manuscript database

    American bur-reed (Sparganium americanum Nutt.), a common aquatic plant in the middle and eastern United States and Canada, is often located in water-retaining drainage areas. The purpose of this study was to determine the leaf composition of S. americanum, paying attention to the cuticular waxes a...

  16. The IGF1 small dog haplotype is derived from Middle Eastern grey wolves: a closer look at statistics, sampling, and the alleged Middle Eastern origin of small dogs.

    PubMed

    Klütsch, Cornelya F C; de Caprona, M Dominique Crapon

    2010-09-08

    This paper is a response to Gray MM, Sutter NB, Ostrander EA, Wayne RK: The IGF1 small dog haplotype is derived from Middle Eastern grey wolves. BMC Biology 2010, 8:16. See research article at http://www.biomedcentral.com/1741-7007/8/16.

  17. Palynological correlation of Atokan and lower desmoinesian (Pennsylvanian) strata between the Illinois basin and the Forest City basin in Eastern Kansas

    USGS Publications Warehouse

    Peppers, R.A.; Brady, L.L.

    2007-01-01

    Palynological correlation is made between Atokan and lower Desmoinesian strata in the Illinois basin an the Forest City basin in eastern Kansas. Spore data from previous studies of coals in the Illinois basin and other coal basins are compared with data from spore assemblages in coal and carbonaceous shale bands in a core drilled in Leavenworth County, Kansas. Correlations are based on first and/or last occurrences of 31 species common to the Illinois basin and eastern Kansas and on significant increases or decreases in abundance of several of those taxa. The oldest coal, which is 26 ft (8 m) above the top of the Mississippian, is early Atokan (early Westphalian B) in age and is approximately equivalent to the Bell coal bed in the Illinois basin. The Riverton coal bed at the top of the studied interval in Kansas is early Desmoinesian (early Westphalian D) and correlates with about the Lewisport coal bed in the Illinois basin. Three coal beds near the base of the Pennsylvanian in three cores drilled in Cherokee County, Kansas, which were also studied, range in age from late Atokan to early Desmoinesian. As in other coal basins, Lycospora, borne by lycopod trees, greatly dominates the lower and middle Atokan spore assemblages in coals and shale, but spores from ferns, especially tree ferns, significantly increase in abundance in the upper Atokan and lower Desmoinesian. The pattern of change of dominance among Lycosporapellucida, L. granulata, and L, micropapillata in middle Atokan (Westphalian B-C transition) that has been demonstrated earlier in the Illinois basin and eastern Kentucky and Tennessee, also occurs in eastern Kansas. At least 10 species of spores, which appeared in the middle Atokan in other parts of the equatorial coal belt, also appeared at this time in eastern Kansas. Most of these species have their affinities with the ferns, which were adapted to drier habitats than lycopods. Thus, the climate may have become a little drier in the equatorial coal belt during middle Atokan.

  18. Ethnic differences in folic acid supplement use in a population-based cohort of pregnant women in Norway.

    PubMed

    Kinnunen, Tarja I; Sletner, Line; Sommer, Christine; Post, Martine C; Jenum, Anne Karen

    2017-05-15

    Peri-conceptional use of folic acid supplements is recommended to prevent neural tube defects. Correct supplement use seems to be less common among ethnic minorities. We examined ethnic differences in folic acid supplement use before and during pregnancy and possible effect modification by education or planning of pregnancy. The participants were 811 healthy pregnant women from a population-based cohort study in Oslo, Norway in 2008-2010. Ethnicity was categorized to five groups (European, Middle Eastern, South Asian, East Asian, African). Data on folic acid supplement use were obtained from hospital records and remaining data by a questionnaire. Logistic regression analyses were adjusted for age, parity, planning of pregnancy, education and Norwegian language skills. Before pregnancy, 30.1% of European women and 7.1 to 13.6% of women in the other ethnic groups used folic acid supplements (p < 0.001). The adjusted odds ratio (OR) for supplement use was 0.55 (95% confidence interval 0.31; 0.96) for South Asian and 0.42 (95% confidence interval 0.19; 0.94) for Middle Eastern women compared with European women. During pregnancy, supplement use was most common in European women (65.7%) and least common in Middle Eastern (29.4%) and African women (29.0%) (p < 0.001). Compared with European women, all other ethnic groups had lower adjusted odds (OR 0.30 to 0.50, p < 0.05 for all) for supplement use among women with high school or less education, but not among more educated women. Planning of pregnancy did not modify the association between ethnicity and supplement use. Few women used folic acid supplements before pregnancy. Educational level modified the association between ethnicity and supplement use during pregnancy. Public health campaigns should focus on increasing awareness especially in ethnic minority groups with low educational level.

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

    ERIC Educational Resources Information Center

    Neider, Xyanthe N.

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Neider, Xyanthe Nicole

    2010-01-01

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

  1. Characteristics of relevance for health in Turkish and Middle Eastern adolescent immigrants compared to Finnish immigrants and ethnic Swedish teenagers.

    PubMed

    Holmberg, Lars I; Hellberg, Dan

    2008-01-01

    Our objective was to compare sociodemographic conditions and risky/health behaviors affecting Turkish or Middle Eastern versus ethnic Swedes and Finnish immigrant adolescents, respectively. All eligible adolescents 13-18 years old (3,216 pupils) in a medium-sized town in Sweden completed a validated in-depth questionnaire (Q90), with 165 questions. One hundred and one adolescents were Turkish or Middle Eastern immigrants, while 73 were immigrants from Finland, a neighboring country to Sweden. Turkish/Middle Eastern immigrants were more likely to attend a theoretical program in school, were rarely bullied, as compared to ethnic Swedes and Finns. Turkish/Middle Eastern girls used alcohol at a lower frequency, and reported less depression and sexual experiences than ethnic Swedish girls and Finns. A higher frequency of Finnish adolescents had been bullied and had vandalized, and Finnish adolescents were also determined to have used tobacco and cannabis and to be heavy drinkers more frequently than boys from Turkey/the Middle East. We concluded that adolescent immigrants from Turkey and the Middle East seem to be well adapted to Sweden and also have ambitions for a higher education. Differences in risky behaviors were particularly pronounced in comparisons with immigrants from Finland for both boys and girls.

  2. When Consciousness Dawns: Confronting Homophobia with Turkish High School Students

    ERIC Educational Resources Information Center

    Michell, Michael J.

    2009-01-01

    Turkey, like many Mediterranean and Middle Eastern cultures, is homosocial. Profoundly intimate, though nonsexual, relationships between members of the same gender predominate. In such cultures it is expected that male friends kiss one another on the cheek when greeting or saying goodbye, and it is common to see men walk arm-in-arm together, hold…

  3. Cultural Clues to the Middle Eastern Student

    ERIC Educational Resources Information Center

    Parker, Orin D.; And Others

    1976-01-01

    Cultural patterns and characteristics of Middle Eastern students indicate their adaptability ease or difficulty in American society. Manners, paternalistic patterns, religion, and social relationships are discussed. (LBH)

  4. Eastern Kentucky Teacher and Administrative Stress

    ERIC Educational Resources Information Center

    Wright, Sam; Ballestero, Victor

    2011-01-01

    The purpose of this research was to survey selected Eastern Kentucky Principals (Elementary, Middle, and High School) to collect data about stress in public schools. A stress survey (Appendix C) was sent to randomly selected elementary, middle, and high school principals located in the Eastern Kentucky region serviced by Morehead State University…

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

    PubMed

    Bae, Christopher J

    2010-01-01

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

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

    PubMed

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

    2009-09-01

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

  7. Trans-Tethyan correlation of the Lower-Middle Cenomanian boundary interval; southern England (Southerham, near Lewes, Sussex) and Douar el Khiana, northeastern Algeria

    NASA Astrophysics Data System (ADS)

    Kennedy, William J.; Gale, Andrew S.

    2017-03-01

    A 480 m section of marls with widely separated levels of nodular limestone in the Fahdene Formation north of Bou Khadra in Tebessa Province, northeastern Algeria, spans the Lower/Middle Cenomanian boundary. A total of 30 ammonite species are present, of which two: Forbesiceras reversum and Calycoceras (Newboldiceras) algeriense are new. The fauna allows recognition of the Northwest European upper Lower Cenomanian Mantelliceras dixoni Zone, the succeeding lower Middle Cenomanian Cunningtoniceras inerme Zone, the Acanthoceras rhotomagense Zone and its subzones of Turrilites costatus and Turrilites acutus. The sequence of index species occurs in the same order in both north-eastern Tunisia and the Southerham Grey Pit in Sussex (and indeed elsewhere in Northwest Europe), indicating these to be robust assemblage zones and subzones that can be recognised on both the north and south sides of the Tethys. Other occurrences of taxa that are common in both sections and regions are markedly different, and include the co-occurrence of Cunningtoniceras inerme (Pervinquière, 1907) with Acanthoceras rhotomagense (Brongniart, 1822) in the costatus Subzone in north-eastern Algeria and central Tunisia, the extension of Acompsoceras renevieri (Sharpe, 1857) into the lower Middle Cenomanian in north-eastern Tunisia, whilst the acme of Turrilites scheuchzerianus Bosc, 1801, is in the dixoni Zone in Northwest Europe, and in the inerme Zone in northeasten Algeria and adjacent parts of Central Tunisia. These differences are not a result of collection failure or non-preservation, but must rather reflect environmental controls on occurrence and abundance.

  8. A review of dietary selenium intake and selenium status in Europe and the Middle East.

    PubMed

    Stoffaneller, Rita; Morse, Nancy L

    2015-02-27

    This is a systematic review of existing data on dietary selenium (Se) intake and status for various population groups in Europe (including the United Kingdom (UK)) and the Middle East. It includes English language systematic reviews, meta-analyses, randomised controlled trials, cohort studies, cross-sectional and case-control studies obtained through PUBMED searches from January, 2002, to November, 2014, for European data and from 1990 to November 2014, for Middle Eastern data. Reports were selected if they included data on Se intake and status. The search identified 19 European/UK studies and 15 investigations in the Middle East that reported Se intake and Se concentration in water and/or food and 48 European/UK studies and 44 investigations in the Middle East reporting Se status. Suboptimal Se status was reported to be widespread throughout Europe, the UK and the Middle East, and these results agreed with previous reports highlighting the problem. Eastern European countries had lower Se intake than Western European countries. Middle Eastern studies provided varying results, possibly due to varying food habits and imports in different regions and within differing socioeconomic groups. In conclusion, Se intake and status is suboptimal in European and Middle Eastern countries, with less consistency in the Middle East.

  9. A Review of Dietary Selenium Intake and Selenium Status in Europe and the Middle East

    PubMed Central

    Stoffaneller, Rita; Morse, Nancy L.

    2015-01-01

    This is a systematic review of existing data on dietary selenium (Se) intake and status for various population groups in Europe (including the United Kingdom (UK)) and the Middle East. It includes English language systematic reviews, meta-analyses, randomised controlled trials, cohort studies, cross-sectional and case-control studies obtained through PUBMED searches from January, 2002, to November, 2014, for European data and from 1990 to November 2014, for Middle Eastern data. Reports were selected if they included data on Se intake and status. The search identified 19 European/UK studies and 15 investigations in the Middle East that reported Se intake and Se concentration in water and/or food and 48 European/UK studies and 44 investigations in the Middle East reporting Se status. Suboptimal Se status was reported to be widespread throughout Europe, the UK and the Middle East, and these results agreed with previous reports highlighting the problem. Eastern European countries had lower Se intake than Western European countries. Middle Eastern studies provided varying results, possibly due to varying food habits and imports in different regions and within differing socioeconomic groups. In conclusion, Se intake and status is suboptimal in European and Middle Eastern countries, with less consistency in the Middle East. PMID:25734564

  10. Arab nations lagging behind other Middle Eastern countries in biomedical research: a comparative study

    PubMed Central

    2009-01-01

    Background Analysis of biomedical research and publications in a country or group of countries is used to monitor research progress and trends. This study aims to assess the performance of biomedical research in the Arab world during 2001–2005 and to compare it with other Middle Eastern non-Arab countries. Methods PubMed and Science Citation Index Expanded (SCI-expanded) were searched systematically for the original biomedical research publications and their citation frequencies of 16 Arab nations and three non-Arab Middle Eastern countries (Iran, Israel and Turkey), all of which are classified as middle or high income countries. Results The 16 Arab countries together have 5775 and 14,374 original research articles listed by PubMed and SCI-expanded, respectively, significantly less (p < 0.001) than the other three Middle Eastern countries (25,643 and 49,110). The Arab countries also scored less when the data were normalized to population, gross domestic product (GDP), and GDP/capita. The publications from the Arab countries also have a significantly lower (p < 0.001) citation frequency. Conclusion The Arab world is producing fewer biomedical publications of lower quality than other Middle Eastern countries. Studies are needed to clarify the causes and to propose strategies to improve the biomedical research status in Arab countries. PMID:19374747

  11. Human Resource Education in the Middle East Region

    ERIC Educational Resources Information Center

    Dirani, Khalil M.; Hamie, Christine Silva

    2017-01-01

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

  12. The Middle East Content Priority Teaching Guide.

    ERIC Educational Resources Information Center

    Fix, Jerrold E.

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

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

    PubMed

    Eldawlatly, Abdelazeem; El-Tahan, Mohamed R

    2013-04-01

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

  14. Formant frequencies in Middle Eastern singers.

    PubMed

    Hamdan, Abdul-latif; Tabri, Dollen; Deeb, Reem; Rifai, Hani; Rameh, Charbel; Fuleihan, Nabil

    2008-01-01

    This work was conducted to describe the formant frequencies in a group of Middle Eastern singers and to look for the presence of the singer's formant described in operatic singers. A total of 13 Middle Eastern singers were enrolled in this study. There were 5 men and 8 women. Descriptive analysis was performed to report the various formants (F1, F2, F3, and F4) in both speaking and singing. The Wilcoxon test was used to compare the means of the formants under both conditions. For both sexes combined, for the /a/ vowel, F1 singing was significantly lower than F1 speaking (P = .05) and F3 singing was significantly higher than F3 speaking (P = .046). For the /u/ vowel, only F2 singing was significantly higher than F2 speaking (P = .012). For the /i/ vowel, both F2 and F3 singing were significantly lower than F2 and F3 speaking, respectively (P = .006 and .012, respectively). There was no clustering of the formants in any of the Middle Eastern sung vowels. Formant frequencies for the vowels /a/, /i/, and /u/ differ between Middle Eastern singing vs speaking. There is absence of the singer's formant.

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

    PubMed

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

    2010-06-11

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

  16. Abraham's Children in the Genome Era: Major Jewish Diaspora Populations Comprise Distinct Genetic Clusters with Shared Middle Eastern Ancestry

    PubMed Central

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

    2010-01-01

    For more than a century, Jews and non-Jews alike have tried to define the relatedness of contemporary Jewish people. Previous genetic studies of blood group and serum markers suggested that Jewish groups had Middle Eastern origin with greater genetic similarity between paired Jewish populations. However, these and successor studies of monoallelic Y chromosomal and mitochondrial genetic markers did not resolve the issues of within and between-group Jewish genetic identity. Here, genome-wide analysis of seven Jewish groups (Iranian, Iraqi, Syrian, Italian, Turkish, Greek, and Ashkenazi) and comparison with non-Jewish groups demonstrated distinctive Jewish population clusters, each with shared Middle Eastern ancestry, proximity to contemporary Middle Eastern populations, and variable degrees of European and North African admixture. Two major groups were identified by principal component, phylogenetic, and identity by descent (IBD) analysis: Middle Eastern Jews and European/Syrian Jews. The IBD segment sharing and the proximity of European Jews to each other and to southern European populations suggested similar origins for European Jewry and refuted large-scale genetic contributions of Central and Eastern European and Slavic populations to the formation of Ashkenazi Jewry. Rapid decay of IBD in Ashkenazi Jewish genomes was consistent with a severe bottleneck followed by large expansion, such as occurred with the so-called demographic miracle of population expansion from 50,000 people at the beginning of the 15th century to 5,000,000 people at the beginning of the 19th century. Thus, this study demonstrates that European/Syrian and Middle Eastern Jews represent a series of geographical isolates or clusters woven together by shared IBD genetic threads. PMID:20560205

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

    PubMed

    Loza, Wagdy

    2010-05-01

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

  18. Teaching about the Middle East: Challenges and Resource

    ERIC Educational Resources Information Center

    Jaffee, Cyrisse

    2004-01-01

    Barbara Petzen began working as a part-time outreach coordinator at Harvard University's Center for Middle Eastern Studies (CMES) a week before September 11, 2001. She was finishing her dissertation in Middle Eastern studies, specializing in the Ottoman Empire and Arab history, and thought it would be a good job to have while she completed her…

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

    PubMed

    Awad, Germine H

    2010-01-01

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

  20. Comparison of personal characteristics, tobacco use, and health states in Chaldean, Arab American, and non-Middle Eastern White adults.

    PubMed

    Jamil, H; Templin, T; Fakhouri, M; Rice, V H; Khouri, R; Fakhouri, H; Al-Omran, Hasan; Al-Fauori, Ibrahim; Baker, Omar

    2009-08-01

    This study compared and contrasted personal characteristics, tobacco use (cigarette and water pipe smoking), and health states in Chaldean, Arab American and non-Middle Eastern White adults attending an urban community service center. The average age was 39.4 (SD = 14.2). The three groups differed significantly (P < .006) on ethnicity, age, gender distribution, marital status, language spoken, education, employment, and annual income. Current cigarette smoking was highest for non-Middle Eastern White adults (35.4%) and current water pipe smoking was highest for Arab Americans (3.6%). Arab Americans were more likely to smoke both cigarettes and the narghile (4.3%). Health problems were highest among former smokers in all three ethnic groups. Being male, older, unmarried, and non-Middle Eastern White predicted current cigarette smoking; being Arab or Chaldean and having less formal education predicted current water pipe use.

  1. Assessing health literacy in the eastern and middle-eastern cultures.

    PubMed

    Nair, Satish Chandrasekhar; Satish, Karthyayani Priya; Sreedharan, Jayadevan; Ibrahim, Halah

    2016-08-19

    Health literacy is a term employed to assess the ability of people to meet the increasing demands related to health in a rapidly evolving society. Low health literacy can affect the social determinants of health, health outcomes and the use of healthcare services. The purpose of the study was to develop a survey construct to assess health literacy within the context of regional culture. Different socioeconomic status among the Eastern and Middle Eastern countries may restrict, health information access and utilization for those with low literacy. By employing expert panel, Delphi technique, focus group methodologies, and pre-testing using participants (N = 900) from the UAE and India, a survey construct to the Eastern-Middle Eastern cultures was developed. Reliability was assessed using Cronbach's α and validity using Factor analysis. Kiaser-Meyer-Olkin (KMO) sampling adequacy and Bartlett's tests were used to assess the strength of the relationship among the variables. Inclusion of non-health related items were found to be critical in the authentic assessment of health literacy in the Eastern and Middle Eastern population given the influence of social desirability. Thirty-two percentage of the original 19-item construct was eliminated by the focus group for reasons of relevance and impact for the local culture. Field pretesting participants from two countries, indicated overall construct reliability (Cronbach's α =0.85), validity and consistency (KMO value of 0.92 and Bartlett's test of sphericity was significant). The Eastern-Middle Eastern Adult Health Literacy (EMAHL13), screening instrument is brief, simple, a useful indicator of whether or not a patient can read. It assessespatients' ability to comprehend by distinguishing between health and non-health related items. The EMAHL13 will be a useful too for the reliable assessment of health literacy in countries, where culture plays a significant impact. This will be the first steptowards providing equitable access to healthcare for countries that have large populations with low socioeconomic status.

  2. Anesthesia for thoracic surgery: A survey of middle eastern practice

    PubMed Central

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

    2012-01-01

    Purpose: The main objective of this survey is to describe the current practice of thoracic anesthesia in the Middle Eastern (ME) region. Methods: A prospective online survey. An invitation to participate was e-mailed to all members of the ME thoracic-anaesthesia group. A total of 58 members participated in the survey from 19 institutions in the Middle East. Questions concerned ventilation strategies during one-lung ventilation (OLV), anesthesia regimen, mode of postoperative analgesia, use of lung isolation techniques, and use of i.v. fluids. Results: Volume-controlled ventilation was favored over pressure-controlled ventilation (62% vs 38% of respondents, P<0.05); 43% report the routine use of positive end-expiratory pressure. One hundred percent of respondents report using double-lumen tube (DLT) as a first choice airway to establish OLV. Nearly a third of respondents, 31.1%, report never using bronchial blocker (BB) in their thoracic anesthesia practice. Failure to pass a DLT and difficult airway are the most commonly cited indications for BB use. Regarding postoperative analgesia, the majority 61.8% favor thoracic epidural analgesia over other techniques (P<0.05). Conclusions: Our survey provides a contemporary snapshot of the ME thoracic anesthetic practice. PMID:23162388

  3. A Review of Palliative and Hospice Care in the Context of Islam: Dying with Faith and Family.

    PubMed

    Mendieta, Maximiliano; Buckingham, Robert W

    2017-11-01

    By starting to understand Muslim culture, we can seek common ground with Islamic culture within the American experience and bridge opportunities for better palliative and hospice care here and in Middle Eastern countries. The United States, Canada, and Europe are education hubs for Middle Eastern students, creating an opportunity for the palliative and hospice care philosophy to gain access by proxy to populations of terminally ill patients who can benefit from end-of-life care. The aim was to assess the state of research and knowledge about palliative and hospice care within the context of Muslim culture and religion. Within the guide of the key search terms, we learned that at a glance, over 100 articles meet the search criteria, but after a closer inspection, only a portion actually contributed knowledge to the literature. This confirmed the need for research in this vein. More importantly, we posit that once the layers of culture, religion, norms, and nationality are removed, human beings share a kinship based on family, spirituality, death and dying, and fear of pain. This is evident when we compare the Middle Eastern end-of-life experience with the western end-of-life care. A true opportunity to make a lasting impact at the patient level exists for palliative and hospice care researchers if we seek to understand, gain knowledge, and respect Muslim culture and Islamic issues at the end of life.

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

    PubMed

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

    2017-06-07

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

  5. Educational Film Guide for Middle Eastern Studies.

    ERIC Educational Resources Information Center

    Greenman, Joseph; Joachim, Ann

    This annotated guide lists 16mm. films on the Middle East for use in grades K-12 and with adults. The Middle East refers to a vast area extending from eastern Afghanistan and the northern Caucasus to the western coast of Morocco and the southern periphery of the Sahara. The guide does not list films according to their merits. Rather, it includes…

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

    ERIC Educational Resources Information Center

    Stone, Frank A., Comp.

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

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

    PubMed

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

    2018-03-01

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

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

    PubMed

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

    2005-11-01

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

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

    PubMed

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

    2012-09-01

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

  10. The history and epidemiology of Middle East respiratory syndrome corona virus.

    PubMed

    Al-Osail, Aisha M; Al-Wazzah, Marwan J

    2017-01-01

    Corona viruses cause common cold, and infections caused by corona viruses are generally self-resolving. During the last 4 years, corona viruses have become the most important viruses worldwide because of the occurrence of several recent deaths caused by corona viruses in Saudi Arabia. Spread of the infection occurred worldwide; however, most cases of mortality have occurred in the Middle East. Owing to the predominance of outbreaks in the Middle Eastern countries, the virus was renamed a Middle East respiratory syndrome corona virus (MERS-CoV) by the Corona virus Study Group. The Center for Diseases Control and Prevention and World Health Organization maintain a website that is updated frequently with new cases of MERS-CoV infection. In this review, we describe the history and epidemiology of this novel virus. Studies of the genetics and molecular mechanisms of this virus are expected to facilitate the development of vaccines in the future.

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

    PubMed

    Hatfield, Elaine; Rapson, Richard L

    2015-01-01

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

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

    PubMed

    Kahan, David

    2009-09-01

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

  13. Stressors influencing Middle Eastern women's perceptions of the risk of cardiovascular disease: a focus group study.

    PubMed

    Gholizadeh, Leila; Digiacomo, Michelle; Salamonson, Yenna; Davidson, Patricia M

    2011-08-01

    To better understand Australia-dwelling Middle Eastern women's lack of service utilization in cardiovascular health, we undertook a study to investigate their understandings and meanings of cardiovascular disease (CVD) and its risk factors. Eight focus groups were conducted in community settings with Turkish, Persian, and Arab women. We found that the women understated their risk of CVD, faced many barriers in reducing their risks, and perceived stress as the most significant contributor to CVD. Women described their stress as primarily emanating from issues surrounding migration and acculturation. Implications for development and delivery of tailored health interventions for Middle Eastern women are discussed.

  14. The Middle Eastern Regional Irrigation Management Information Systems project-update

    USDA-ARS?s Scientific Manuscript database

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

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

    ERIC Educational Resources Information Center

    Academe, 2002

    2002-01-01

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

  16. Middle Eastern rhinoplasty in the United States: Part II. Secondary rhinoplasty.

    PubMed

    Daniel, Rollin K

    2009-11-01

    There have been relatively few articles in the English language on secondary Middle Eastern rhinoplasty. This article analyzes the cause and treatment of secondary Middle Eastern rhinoplasty. A prospective study of 40 consecutive female secondary Middle Eastern rhinoplasty patients was completed. The majority of secondary rhinoplasty patients were older than 25 years. Half of the patients had undergone a single prior rhinoplasty and the other half had undergone multiple operations, ranging in number from two to five. A wide variety of surgical techniques was necessary because of the broad range of presenting deformities, patients' requests, and the author's preferred procedures. The principal reasons for secondary rhinoplasty in Middle Eastern patients were a failure to correct the original deformity and the presence of visible surgical stigmata. The persistent complaints were a poorly defined tip and a long, droopy nose. Surprisingly, most secondary rhinoplasty patients had thin skin (55 percent), which necessitated fascia or dermis grafts to conceal surgical stigmata. At the time of secondary surgery, there was an absence of structure in these noses as evidenced by the prior 0 percent insertion of spreader grafts and the 10 percent use of columellar struts in prior open cases. Also, there was little evidence of other structural grafts, including alar rim, alar battens, or lateral crural strut grafts. Insertion of structural support appears essential to control primary deformities and to repair secondary deformities.

  17. Climate-mediated changes in zooplankton community structure for the eastern Bering Sea

    NASA Astrophysics Data System (ADS)

    Eisner, Lisa B.; Napp, Jeffrey M.; Mier, Kathryn L.; Pinchuk, Alexei I.; Andrews, Alexander G.

    2014-11-01

    Zooplankton are critical to energy transfer between higher and lower trophic levels in the eastern Bering Sea ecosystem. Previous studies from the southeastern Bering Sea shelf documented substantial differences in zooplankton taxa in the Middle and Inner Shelf Domains between warm and cold years. Our investigation expands this analysis into the northern Bering Sea and the south Outer Domain, looking at zooplankton community structure during a period of climate-mediated, large-scale change. Elevated air temperatures in the early 2000s resulted in regional warming and low sea-ice extent in the southern shelf whereas the late 2000s were characterized by cold winters, extensive spring sea ice, and a well-developed pool of cold water over the entire Middle Domain. The abundance of large zooplankton taxa such as Calanus spp. (C. marshallae and C. glacialis), and Parasagitta elegans, increased from warm to cold periods, while the abundance of gelatinous zooplankton (Cnidaria) and small taxa decreased. Biomass followed the same trends as abundance, except that the biomass of small taxa in the southeastern Bering Sea remained constant due to changes in abundance of small copepod taxa (increases in Acartia spp. and Pseudocalanus spp. and decreases in Oithona spp.). Statistically significant changes in zooplankton community structure and individual species were greatest in the Middle Domain, but were evident in all shelf domains, and in both the northern and southern portions of the eastern shelf. Changes in community structure did not occur abruptly during the transition from warm to cold, but seemed to begin gradually and build as the influence of the sea ice and cold water temperatures persisted. The change occurred one year earlier in the northern than the southern Middle Shelf. These and previous observations demonstrate that lower trophic levels within the eastern Bering Sea respond to climate-mediated changes on a variety of time scales, including those shorter than the commonly accepted quasi-decadal time periods. This lack of resilience or inertia at the lowest trophic levels affects production at higher trophic levels and must be considered in management strategy evaluations of living marine resources.

  18. Competent Counseling for Middle Eastern American Clients: Implications for Trainees

    ERIC Educational Resources Information Center

    Soheilian, Sepideh S.; Inman, Arpana G.

    2015-01-01

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

  19. The Prevalence of Extreme Middle Eastern Ideologies around the World

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  20. Rhinoplasty in the Middle Eastern nose.

    PubMed

    Apaydin, Fazil

    2014-08-01

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

  1. Evaluating palliative care needs in Middle Eastern countries.

    PubMed

    Silbermann, Michael; Fink, Regina M; Min, Sung-Joon; Mancuso, Mary P; Brant, Jeannine; Hajjar, Ramzi; Al-Alfi, Nesreen; Baider, Lea; Turker, Ibrahim; ElShamy, Karima; Ghrayeb, Ibtisam; Al-Jadiry, Mazin; Khader, Khaled; Kav, Sultan; Charalambous, Haris; Uslu, Ruchan; Kebudi, Rejin; Barsela, Gil; Kuruku, Nilgün; Mutafoglu, Kamer; Ozalp-Senel, Gulsin; Oberman, Amitai; Kislev, Livia; Khleif, Mohammad; Keoppi, Neophyta; Nestoros, Sophia; Abdalla, Rasha Fahmi; Rassouli, Maryam; Morag, Amira; Sabar, Ron; Nimri, Omar; Al-Qadire, Mohammad; Al-Khalaileh, Murad; Tayyem, Mona; Doumit, Myrna; Punjwani, Rehana; Rasheed, Osaid; Fallatah, Fatimah; Can, Gulbeyaz; Ahmed, Jamila; Strode, Debbie

    2015-01-01

    Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease. To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities. Descriptive survey. Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings. Palliative care needs assessment. Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly. The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.

  2. European Science Notes Information Bulletin Reports on Current European/ Middle Eastern Science

    DTIC Science & Technology

    1988-08-01

    problems, and infrastructure and in- terfacing requirements. Development of Finite Element Software for Transputer-Based Parallel Processors ...Introduction will it be possible to harness these processors together to work on a common problem. The feasibility study at the UK’s Kent University for One of...the many problems in harnessing the power development of a distributed supercomputer is being of a large number of processors on a single problem is

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

    PubMed

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

    2018-05-01

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

  4. Uncovering Problems and Identifying Coping Strategies of Middle Eastern University Students

    ERIC Educational Resources Information Center

    Alazzi, Khaled; Chiodo, John J.

    2006-01-01

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

  5. Impact of the eocene on the evolution of Pinus L.

    Treesearch

    Constance I. Millar

    1993-01-01

    Pinus evolved in middle latitudes of the Northern Hemisphere in the middle Mesozoic. By the late Cretaceous pines had spread east and west throughout Laurasia, attaining high diversity in eastern Asia, the eastern United States, and western Europe, but having little representation at high northern latitudes. Changing climates in the early Tertiary...

  6. The Prevalence of Middle Eastern Extremist Ideologies among Some Canadian Offenders

    ERIC Educational Resources Information Center

    Loza, Wagdy

    2010-01-01

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

  7. Culture and Language Learning: Middle Eastern Students.

    ERIC Educational Resources Information Center

    Magrath, Douglas

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

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

    ERIC Educational Resources Information Center

    Loza, Wagdy

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Tlaiss, Hayfaa; Kauser, Saleema

    2011-01-01

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

  10. Clinal variation of some mammals during the Holocene in Missouri

    NASA Astrophysics Data System (ADS)

    Purdue, James R.

    1980-03-01

    Eastern cottontail ( Sylvilagus floridanus), fox squirrel ( Sciurus niger), and gray squirrel ( Sciurus carolinensis) were examined for clinal variation during the Holocene. Modern samples of all three species displayed strong east-west patterns along the western edge of the eastern deciduous forest: S. floridanus and S. niger decrease and S. carolinensis increases in size. Archeological samples of S. carolinensis from Rodgers Shelter (23BE125), Benton County, Missouri, and Graham Cave (23MT2), Montgomery County, Missouri, indicated an increase in size from early to middle Holocene. Sylvilagus floridanus from Rodgers Shelter decreased in size from early to middle Holocene and then increased during the late Holocene to modern proportions. A literature survey reveals that clinal variation is a common phenomenon among modern homeotherms. In introduced species, clinal variation has developed after relatively few generations, indicating rapid adaptations to environmental conditions; often winter climatic variables are implicated. Morphological variation in the study species during the Holocene is interpreted as a response to changing climates. Studies of morphological clines may lead to another valuable data source for reconstructing past ecologies.

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

    PubMed

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

    2011-02-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2014-11-01

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

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

    PubMed

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

    2014-11-27

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

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

    PubMed

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

    McGee, Alyson

    2008-01-01

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

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

    ERIC Educational Resources Information Center

    Page, Randy M.

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Alkhalifa, Eshaa

    2008-01-01

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

  18. Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review

    PubMed Central

    2013-01-01

    Background In spite of the negative health effects of waterpipe tobacco smoking, its use is becoming more common. The objective of this study is to systematically review the medical literature for motives, beliefs and attitudes towards waterpipe tobacco smoking. Methods We electronically searched MEDLINE, EMBASE, and the ISI the Web of Science in January 2012. We included both quantitative and qualitative studies. We selected studies and abstracted data using standard systematic review methodology. We synthesized data qualitatively. Results We included 58 papers reporting on 56 studies. The main motives for waterpipe tobacco smoking were socializing, relaxation, pleasure and entertainment. Peer pressure, fashion, and curiosity were additional motives for university and school students while expression of cultural identity was an additional motive for people in the Middle East and for people of Middle Eastern descent in Western countries. Awareness of the potential health hazards of waterpipe smoking was common across settings. Most but not all studies found that the majority of people perceived waterpipe smoking as less harmful than cigarette smoking. Waterpipe smoking was generally socially acceptable and more acceptable than cigarette smoking in general. In Middle Eastern societies, it was particularly more acceptable for women’s use compared to cigarette use. A majority perceived waterpipe smoking as less addictive than cigarette smoking. While users were confident in their ability to quit waterpipe smoking at any time, willingness to quit varied across settings. Conclusions Socializing, relaxation, pleasure and entertainment were the main motives for waterpipe use. While waterpipe users were aware of the health hazards of waterpipe smoking, they perceived it as less harmful, less addictive and more socially acceptable than cigarette smoking and were confident about their ability to quit. PMID:23816366

  19. Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review.

    PubMed

    Akl, Elie A; Jawad, Mohammed; Lam, Wai Yim; Co, Christopher N; Obeid, Rawad; Irani, Jihad

    2013-07-02

    In spite of the negative health effects of waterpipe tobacco smoking, its use is becoming more common. The objective of this study is to systematically review the medical literature for motives, beliefs and attitudes towards waterpipe tobacco smoking. We electronically searched MEDLINE, EMBASE, and the ISI the Web of Science in January 2012. We included both quantitative and qualitative studies. We selected studies and abstracted data using standard systematic review methodology. We synthesized data qualitatively. We included 58 papers reporting on 56 studies. The main motives for waterpipe tobacco smoking were socializing, relaxation, pleasure and entertainment. Peer pressure, fashion, and curiosity were additional motives for university and school students while expression of cultural identity was an additional motive for people in the Middle East and for people of Middle Eastern descent in Western countries. Awareness of the potential health hazards of waterpipe smoking was common across settings. Most but not all studies found that the majority of people perceived waterpipe smoking as less harmful than cigarette smoking. Waterpipe smoking was generally socially acceptable and more acceptable than cigarette smoking in general. In Middle Eastern societies, it was particularly more acceptable for women's use compared to cigarette use. A majority perceived waterpipe smoking as less addictive than cigarette smoking. While users were confident in their ability to quit waterpipe smoking at any time, willingness to quit varied across settings. Socializing, relaxation, pleasure and entertainment were the main motives for waterpipe use. While waterpipe users were aware of the health hazards of waterpipe smoking, they perceived it as less harmful, less addictive and more socially acceptable than cigarette smoking and were confident about their ability to quit.

  20. Acute coronary syndrome and ethnicity: observations from the Middle East.

    PubMed

    Ahmed, Emad; Gehani, Aa; El-Menyar, Ayman; AlBinAli, Hajar A; Singh, Rajvir; Al Suwaidi, Jassim

    2014-05-01

    To evaluate the presentation and outcome of South Asian (SAP) to Middle Eastern Arabs (MEAP) patients presenting with acute coronary syndrome. Data were collected retrospectively in Qatar between 1991 and 2010, and were analyzed according to patient ethnicity. Of 14,593 acute coronary syndrome patients, 49% were MEAP and 51% were SAP. When compared with MEAP, SAP were younger, males and smokers (p < 0.01). Other cardiovascular risk factors were less common in SAP when compared with MEAP. ST-elevation myocardial infarction and the use of evidence-based medications were more prevalent among SAP (all p < 0.001). Compared to MEAP, SAP had better in-hospital outcomes; however, ethnicity was not an independent predictor of in-hospital mortality. In contrary to data from Western countries, SAP living in the Middle East are younger with lower cardiovascular risk profile and better outcomes when compared with Arab patients. However, further studies are warranted.

  1. Phylogenetic distinctiveness of Middle Eastern and Southeast Asian village dog Y chromosomes illuminates dog origins.

    PubMed

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

    2011-01-01

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

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

    PubMed Central

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

    2011-01-01

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

  3. Extreme aridity and mild temperatures in the Middle East during the late Little Ice Age indicated by paired coral Sr/Ca and δ18O from the northern Red Sea

    NASA Astrophysics Data System (ADS)

    Felis, T.; Ionita, M.; Rimbu, N.; Lohmann, G.; Kölling, M.

    2016-12-01

    Throughout the global deserts, annually resolved reconstructions of temperature that extend the short instrumental record are virtually absent, and proxy records of aridity are difficult to obtain. The Little Ice Age ( 1450-1850) is thought to have been characterized by generally cold conditions in many regions of the globe with little commonality regarding the hydroclimate. However, due to a lack of annually resolved natural archives in the Sahara and Arabian Desert, the precise characteristics of Middle Eastern climate during the Little Ice Age are unknown. Here we show, based on subseasonally resolved proxy records using corals from the northern Red Sea that the Middle East did not experience pronounced cooling during the late Little Ice Age (1751-1850). Instead, it was characterised by an even more arid climate than today. From our coral records and early instrumental data we conclude that Middle Eastern aridity resulted from a blocking-like atmospheric circulation over central Europe that weakened the moist Mediterranean westerlies and favoured the advection of dry continental air from Eurasia. We find that this extreme aridity terminated abruptly between 1850 and 1855 due to an atmospheric circulation change over the European-Middle East area at the end of the Little Ice Age with profound impacts on regional hydroclimate. Our results provide a hydroclimatic perspective on the resettlement of abandoned areas of the historical Fertile Crescent following the Little Ice Age. Furthermore, we speculate such an atmospheric blocking could have prevailed during other North Atlantic-European cold events of the Holocene epoch, and may explain the northern Mesopotamian aridification at 4,200 years ago that is thought to have led to the collapse of ancient civilizations.

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

    PubMed

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

    2016-05-01

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

  5. Internationalization of capital in the Middle East

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

    Clawson, P.L.

    1979-01-01

    Some characteristics of the evolution of Middle Eastern economies do not correspond to what would be predicted by either standard economic theory or traditional Marxist approaches. Capitalism spread into the Middle East from the already-developed capitalist countries. The dynamics of development in the Middle East are therefore different from the pattern of Western European and North American development, requiring a theoretical model separate from traditional Marxism or standard economic theory. This dissertation presents a model in which the evolution of modern Middle Eastern economies is seen as caused primarily by changes in the world economy. The model presents different stagesmore » in the outward expansion of capitalism - the internationalization of capital - each of which has its own dynamic.« less

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

    ERIC Educational Resources Information Center

    Cohen, David

    2007-01-01

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

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

    PubMed

    Simpson, Elaine; Courtney, Mary

    2008-12-01

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

  8. Oil, turmoil, and Islam in the Middle East

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

    Sheikh, A.R.

    1986-01-01

    The turmoil and strife of the Middle East raises serious questions about the security of the world's oil supply. The author argues that OPEC and OAPEC can no longer afford to impose indiscriminate price increases on the marketplace because they hurt not only themselves but oil poor Third World nations as well. The author analyzes the importance of Middle Eastern oil in world politics. He emphasizes that any consideration of the forces influencing development in the Middle East should take Islamic tradition into account. Each chapter is organized around a current Middle Eastern problem: oil politics in relation to internationalmore » energy needs; the ramifications of the new oil wealth and power of the Middle East; The Iran-Iraq War; Muslim insurgency in Afghanistan; The Arab-Israel conflict; turmoil in Lebanon; Palestinian nationalism; and the Middle East as a superpower.« less

  9. The Maliac Ocean: the origin of the Tethyan Hellenic ophiolites

    NASA Astrophysics Data System (ADS)

    Ferriere, Jacky; Baumgartner, Peter O.; Chanier, Frank

    2016-10-01

    The Hellenides, part of the Alpine orogeny in Greece, are rich in ophiolitic units. These ophiolites and associated units emplaced during Jurassic obduction, testify for the existence of one, or several, Tethyan oceanic realms. The paleogeography of these oceanic areas has not been precisely described. However, all the authors now agree on the presence of a main Triassic-Jurassic ocean on the eastern side of the Pelagonian zone (Vardar Domain). We consider that this Maliac Ocean is the most important ocean in Greece and Albania. Here, we limit the detailed description of the Maliac Ocean to the pre-convergence period of approximately 70 Ma between the Middle Triassic rifting to the Middle Jurassic convergence period. A quick overview on the destiny of the different parts of the Maliac Ocean during the convergence period is also proposed. The studied exposures allow to reconstruct: (1) the Middle to Late Triassic Maliac oceanic lithosphere, corresponding to the early spreading activity at a Mid-Oceanic Ridge; (2) the Western Maliac Margin, widely exposed in the Othris and Argolis areas; (3) the Eastern-Maliac Margin in the eastern Vardar domain (Peonias and Paikon zones). We established the following main characteristics of the Maliac Ocean: (1) the Middle Triassic rifting marked by a rapid subsidence and volcanism seems to be short-lived (few My); (2) the Maliac Lithosphere is only represented by Middle to Late Triassic units, especially the Fourka unit, composed of WPB-OIB and MORB pillow-lavas, locally covered by a pelagic Middle Triassic to Middle Jurassic sedimentary cover; (3) the Western Margin is the most complete and our data allow to distinguish a proximal and a deeper distal margin; (4) the evolution of the Eastern Margin (Peonias and Paikon series) is similar to that of the W-Margin, except for its Jurassic terrigenous sediments, while the proximal W-Margin was dominated by calcarenites; (5) we show that the W- and E-margins are not Volcanic Passive Margins; and (6) during the Middle Jurassic convergence period, the Eastern Margin became an active margin and both margins were affected by obduction processes.

  10. Acute Coronary Syndrome in Indian Subcontinent Patients Residing in the Middle East: Results From Gulf Registry of Acute Coronary Events II.

    PubMed

    Panduranga, Prashanth; Sulaiman, Kadhim J; Al-Zakwani, Ibrahim; Alhabib, Khalid F; Hersi, Ahmad; Suwaidi, Jassim Al; Alsheikh-Ali, Alawi A; Almahmeed, Wael; Saif, Shukri Al; Al-Faleh, Hussam; Al-Lawati, Jawad; Asaad, Nidal; Al-Motarreb, Ahmed; Amin, Haitham

    2015-10-01

    We compared baseline characteristics, clinical presentation, and in-hospital outcomes between Middle Eastern Arabs and Indian subcontinent patients presenting with acute coronary syndrome (ACS). Of the 7930 patients enrolled in Gulf Registry of Acute Coronary Events II (RACE II), 23% (n = 1669) were from the Indian subcontinent. The Indian subcontinent patients, in comparison with the Middle Eastern Arabs, were younger (49 vs 60 years; P < .001), more were males (96% vs 80%; P < .001), had lower proportion of higher Global Registry of Acute Coronary Events risk score (8% vs 27%; P < .001), and less likely to be associated with diabetes (34% vs 42%; P < .001), hypertension (36% vs 51%; P < .001), and hyperlipidemia (29% vs 39%; P < .001) but more likely to be smokers (55% vs 29%; P < .001). After multivariable adjustment, the Middle Eastern Arabs were less likely to be associated with in-hospital congestive heart failure (odds ratio [OR], 0.65; 95% confidence interval [CI]: 0.50-0.86; P = .003) but more likely to be associated with recurrent ischemia (OR 1.33; 95% CI: 1.03-1.71; P = .026) when compared to the Indian subcontinent patients. Despite the baseline differences, there were largely no significant differences in in-hospital outcomes between the Indians and the Middle Eastern Arabs. © The Author(s) 2014.

  11. The Amazon-Laurentian connection as viewed from the Middle Proterozoic rocks in the central Andes, western Bolivia and northern Chile

    USGS Publications Warehouse

    Tosdal, R.M.

    1996-01-01

    Middle Proterozoic rocks underlying the Andes in western Bolivia, western Argentina, and northern Chile and Early Proterozoic rocks of the Arequipa massif in southern Peru?? from the Arequipa-Antofalla craton. These rocks are discontinuously exposed beneath Mesozoic and Cenozoic rocks, but abundant crystalline clasts in Tertiary sedimentary rocks in the western altiplano allow indirect samples of the craton. Near Berenguela, western Bolivia, the Oligocene and Miocene Mauri Formation contains boulders of granodiorite augen gneiss (1171??20 Ma and 1158??12 Ma; U-Pb zircon), quartzose gneiss and granofels that are inferred to have arkosic protoliths (1100 Ma source region; U-Pb zircon), quartzofeldspathic and mafic orthogneisses that have amphibolite- and granulite-facies metamorphic mineral assemblages (???1080 Ma metamorphism; U-Pb zircon), and undeformed granitic rocks of Phanerozoic(?) age. The Middle Proterozoic crystalline rocks from Berenguela and elsewhere in western Bolivia and from the Middle Proterozoic Bele??n Schist in northern Chile generally have present-day low 206Pb/204Pb ( 15.57), and elevated 208Pb/204Pb (37.2 to 50.7) indicative of high time-averaged Th/U values. The Middle Proterozoic rocks in general have higher presentday 206Pb/204Pb values than those of the Early Proterozoic rocks of the Arequipa massif (206Pb/204Pb between 16.1 and 17.1) but lower than rocks of the southern Arequipa-Antofalla craton (206Pb/204Pb> 18.5), a difference inferred to reflect Grenvillian granulite metamorphism. The Pb isotopic compositions for the various Proterozoic rocks lie on common Pb isotopic growth curves, implying that Pb incorporated in rocks composing the Arequipa-Antofalla craton was extracted from a similar evolving Pb isotopic reservoir. Evidently, the craton has been a coherent terrane since the Middle Proterozoic. Moreover, the Pb isotopic compositions for the Arequipa-Antofalla craton overlap those of the Amazon craton, thereby supporting a link between these cratons and seemingly precluding part of the Arequipa-Antofalla craton from being a detached fragment of another craton such as eastern Laurentia, which has been characterized by a different U/Pb history. Pb isotopic compositions for the Arequipa-Antofalla craton are, furthermore, distinct from those of the Proterozoic basement in the Precordillera terrane, western Argentina, indicating a Pb isotopic and presumably a tectonic boundary between them. The Pb isotopic compositions for the Precordillera basement are similar to those of eastern Laurentia, and support other data indicating that these rocks are a detached fragment of North America. Finally, the distinct Pb isotopic evolution history of the Arequipa-Antofalla craton and eastern Laurentia require minor modification to tectonic models linking eastern North America-Scotland to the oroclinal bend in western South America.

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

    PubMed Central

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

    2014-01-01

    The presence of gigantic apex predators in the eastern Panthalassic and western Tethyan oceans suggests that complex ecosystems in the sea had become re-established in these regions at least by the early Middle Triassic, after the Permian-Triassic mass extinction (PTME). However, it is not clear whether oceanic ecosystem recovery from the PTME was globally synchronous because of the apparent lack of such predators in the eastern Tethyan/western Panthalassic region prior to the Late Triassic. Here we report a gigantic nothosaur from the lower Middle Triassic of Luoping in southwest China (eastern Tethyan ocean), which possesses the largest known lower jaw among Triassic sauropterygians. Phylogenetic analysis suggests parallel evolution of gigantism in Triassic sauropterygians. Discovery of this gigantic apex predator, together with associated diverse marine reptiles and the complex food web, indicates global recovery of shallow marine ecosystems from PTME by the early Middle Triassic. PMID:25429609

  13. The Social Climate of Schools in the Aftermath of 9-11: Ethnic Differences in Children's Peer Relations

    ERIC Educational Resources Information Center

    DeRosier, Melissa E.

    2004-01-01

    Since September 11, 2001, ethnic tensions involving persons of Middle Eastern descent have increased in the United States. This study examined the peer relationships of 748 fifth-grade students of different ethnic groups both at one month and eight months post-9-11. Results indicated that only Middle Eastern children showed a large drop in…

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

    ERIC Educational Resources Information Center

    Williams, Robert Howard; Williams, Alexander Jonathan

    2010-01-01

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

  15. Uterine Transplantation: Ethical Considerations within Middle Eastern Perspectives.

    PubMed

    Altawil, Zaid; Arawi, Thalia

    2016-08-01

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

  16. Access to orphan drugs in the Middle East: Challenge and perspective

    PubMed Central

    Almalki, Ziyad S.; Alahmari, Abdullah K.; Guo, Jeff J.; Kelton, Christina M.L.

    2012-01-01

    Summary An orphan drug is a drug developed specifically to treat a rare medical condition. With a combined population of less than 400 million, about 2.8 million patients are estimated to be suffering from a rare disease in the Middle East. Some disorders such as hemoglobinopathy, glucose-6-phosphate dehydrogenase deficiency, autosomal recessive syndromes, and several metabolic disorders have a presence throughout the Middle East. In order to promote the treatment of these diseases, Middle Eastern governments need to facilitate education and training of healthcare personnel; develop and execute a method for obtaining and paying for orphan drugs; and, finally, provide tax, marketing, and other incentives to domestic and international firms to develop drugs specifically for the diseases of most importance to Middle Eastern patients. PMID:25343087

  17. Gastrointestinal Infections in Deployed Forces in the Middle East Theater: An Historical 60 Year Perspective

    PubMed Central

    Riddle, Mark S.; Savarino, Stephen J.; Sanders, John W.

    2015-01-01

    Infectious diarrhea has been among the most common maladies of military deployments throughout time. The U.S. military experienced a significant burden from this disease in the middle eastern and north African campaigns of World War II (WWII). This article compares patterns of disease experienced in WWII with the recent military deployments to the same region for Operation Iraqi Freedom and Operation Enduring Freedom (OIF/OEF). Remarkable similarities in the prevalence and risk factors were noted, which belie the assumed improvements in prevention against these infections. In both campaigns, peaks of diarrhea occurred shortly after arrival of new personnel, which were seasonally associated and were linked to initial lapses in field sanitation and hygiene. It is important to reassess current strategies, especially, in light of emerging evidence of the chronic sequelae of these common infections to include a reemphasis on or reexamination of vaccine development, rapid field diagnostics, treatment algorithms, and antimicrobial prophylaxis. PMID:26350450

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

    NASA Astrophysics Data System (ADS)

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

    2018-03-01

    The Bogda Mountains, as an important intracontinental orogenic belt, are situated in the southern part of the Central Asian Orogenic Belt (CAOB), and are a key area for understanding the Mesozoic evolution of the CAOB. However, the tectonic evolution of the Bogda Mountains remains controversial during the Mesozoic Era, especially the Early to Middle Jurassic Periods. The successive Lower to Middle Jurassic strata are well preserved and exposed along the northern flank of the Western Bogda Mountains and record the uplift processes of the Bogda Mountains. In this study, we analysed sedimentary facies combined with detrital zircon U-Pb geochronology at five sections of Lower to Middle Jurassic strata to detect the tectonic evolution and changes of provenance in the Bogda area. During Early to Middle Jurassic times, the fluvial, deltaic and lacustrine environments dominated in the western section of the Bogda area. The existence of Early Triassic peak age indicates that the Bogda Mountains did not experience uplift during the period of early Badaowan Formation deposition. The Early Triassic to Late Permian granitoid plutons and Carboniferous volcanic rocks from the Barkol and Santanghu areas were the main provenances. The significant change in the U-Pb age spectrum implies that the Eastern Bogda Mountains initiated uplift in the period of late Badaowan Formation deposition, and the Eastern Junggar Basin and the Turpan-Hami Basin were partially partitioned. The Eastern Bogda Mountains gradually became the major provenance. From the period of early Sangonghe to early Toutunhe Formations deposition, the provenance of the sediments and basin-range frame were similar to that of late Badaowan. However, the Eastern Bogda Mountains suffered intermittent uplift three times, and successive denudation. The uplifts respectively happened in early Sangonghe, late Sangonghe to early Xishanyao, and late Xishanyao to early Toutunhe. During the deposition stage of Toutunhe Formation, a relatively strong tectonic reactivation took place along the Late Palaeozoic Bogda rift belt accompanied by relatively large-scale magmatism. The distinct basement structure between the eastern and western Bogda rift could be the structure basis of difference uplift in the Bogda area during the Mesozoic Era. The Early to Middle Jurassic episodic uplift of Eastern Bogda Mountains perhaps was related to the post-collisional convergence of the Qiangtang Block from late Badaowan to early Sangonghe, the closure of the western Mongol-Okhotsk Ocean at the Early-Middle Jurassic boundary and the tectonic accretion at the south Asian margin of Pamir Block during late Middle Jurassic times.

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

    PubMed

    Ottsen, Christina Lundsgaard; Berntsen, Dorthe

    2015-12-01

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

  20. A national assessment of the epidemiology of severe fever with thrombocytopenia syndrome, China.

    PubMed

    Liu, Kun; Zhou, Hang; Sun, Ruo-Xi; Yao, Hong-Wu; Li, Yu; Wang, Li-Ping; Mu, Di; Li, Xin-Lou; Yang, Yang; Gray, Gregory C; Cui, Ning; Yin, Wen-Wu; Fang, Li-Qun; Yu, Hong-Jie; Cao, Wu-Chun

    2015-04-23

    First discovered in rural areas of middle-eastern China in 2009, severe fever with thrombocytopenia syndrome (SFTS) is an emerging tick-borne zoonosis affecting hundreds of cases reported in China each year. Using the national surveillance data from 2010 to 2013, we conducted this retrospective epidemiological study and risk assessment of SFTS in China. We found that the incidence of SFTS and its epidemic areas are continuing to grow, but the case fatality rate (CFR) has steadily decreased. SFTS most commonly affected elderly farmers who acquired infection between May and July in middle-eastern China. However, other epidemiological characteristics such as incidence, sex ratio, CFR, and seasonality differ substantially across the affected provinces, which seem to be consistent with local agricultural activities and the seasonal abundance of ticks. Spatial scan statistics detected three hot spots of SFTS that accounted for 69.1% of SFTS cases in China. There was a strong association of SFTS incidence with temporal changes in the climate within the clusters. Multivariate modeling identified climate conditions, elevation, forest coverage, cattle density, and the presence of Haemaphysalis longicornis ticks as independent risk factors in the distribution of SFTS, based on which a predicted risk map of the disease was derived.

  1. A Genome-Wide Study of Modern-Day Tuscans: Revisiting Herodotus's Theory on the Origin of the Etruscans

    PubMed Central

    Gómez-Carballa, Alberto; Amigo, Jorge; Martinón-Torres, Federico

    2014-01-01

    Background The origin of the Etruscan civilization (Etruria, Central Italy) is a long-standing subject of debate among scholars from different disciplines. The bulk of the information has been reconstructed from ancient texts and archaeological findings and, in the last few years, through the analysis of uniparental genetic markers. Methods By meta-analyzing genome-wide data from The 1000 Genomes Project and the literature, we were able to compare the genomic patterns (>540,000 SNPs) of present day Tuscans (N = 98) with other population groups from the main hypothetical source populations, namely, Europe and the Middle East. Results Admixture analysis indicates the presence of 25–34% of Middle Eastern component in modern Tuscans. Different analyses have been carried out using identity-by-state (IBS) values and genetic distances point to Eastern Anatolia/Southern Caucasus as the most likely geographic origin of the main Middle Eastern genetic component observed in the genome of modern Tuscans. Conclusions The data indicate that the admixture event between local Tuscans and Middle Easterners could have occurred in Central Italy about 2,600–3,100 years ago (y.a.). On the whole, the results validate the theory of the ancient historian Herodotus on the origin of Etruscans. PMID:25230205

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

    PubMed

    Inhorn, Marcia C

    2011-04-01

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

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

    PubMed

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

    2016-03-01

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

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

    PubMed

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

    2016-09-01

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

  5. Operations for Suspected Neoplasms in a Resource-Limited Setting: Experience and Challenges in the Eastern Democratic of Congo.

    PubMed

    Kalisya, Luc Malemo; Bake, Jacques Fadhili; Bigabwa, Richard; Rothstein, David H; Cairo, Sarah B

    2018-07-01

    Surgery is an essential component of a functional health system, with surgical conditions accounting for nearly 11-15% of world disability. While communicable diseases continue to burden low- and low-middle-income countries, non-communicable diseases, such as cancer, are an important cause of morbidity and mortality worldwide. Preliminary data on malignancies in low- and middle-income countries, specifically in Africa, suggest a higher mortality compared to other regions of the world, a difference partially explained by limited availability of screening and early detection systems as well as poorer access to treatment. To evaluate the diagnosed tumor burden in the Eastern Democratic Republic of Congo (DRC) and review literature on existing and suspected barriers to accessing appropriate oncologic care. This is a retrospective study carried out at Healthcare, Education, community Action, and Leadership development Africa, a 197-bed tertiary referral hospital, in the Province of North Kivu, along the eastern border of the DRC from 2012 to 2015. Patient charts were reviewed for diagnoses of presumed malignancy with biopsy results. A total of 252 cases of suspected cancer were reviewed during the study period; 39.7% were men. The average age of patients was 43 years. Amongst adult patients, the most common presenting condition involved breast lesions with 5.8% diagnosis of fibrocystic breast changes and 2.9% invasive ductal carcinoma of the breast. 37.3% of female patients had lesions involving the cervix or uterus. The most common diagnosis amongst male adults was prostate disease (16.7% of men). For pediatric patients, the most common diagnoses involved bone and/or cartilage (27.3%) followed by skin and soft tissue lesions (20.0%). All patients underwent surgical resection of lesions; some patients were advised to travel out of country for chemotherapy and radiation for which follow-up data are unavailable. Adequate and timely treatment of malignancy in the DRC faces a multitude of challenges. Access to surgical services for diagnosis and management as well as chemotherapeutic agents is prohibitively limited. Increased collaboration with local clinicians and remote specialist consultants is needed to deliver subspecialty care in resource-poor settings.

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

    ERIC Educational Resources Information Center

    Kedem, Peri; Bar-Lev, Mordechai

    1983-01-01

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

  7. The Kurdish Nationalist Movement and External Influences.

    DTIC Science & Technology

    1980-12-01

    ine 40u e awee 04011 of 0..00&W NOW edm0e0 IV uesa Kurds, Kurdish Nationalism, Kurdish Revolts, Kurdish Political Parties, Mullah Mustafa Barzani...revolts, leaders, Kurdish political evolution, and the roles which local and non-Middle-Eastern countries have played in Kurdish national S1473 tveal@N o...revolts, leaders, Kurdish political evolution, and the roles which local and non-Middle-Eastern countries have played in Kurdish national development. The

  8. Middle Eastern masculinities in the age of new reproductive technologies: male infertility and stigma in Egypt and Lebanon.

    PubMed

    Inhorn, Marcia C

    2004-06-01

    Worldwide, male infertility contributes to more than half of all cases of childlessness; yet, it is a reproductive health problem that is poorly studied and understood. This article examines the problem of male infertility in two Middle Eastern locales, Cairo, Egypt, and Beirut, Lebanon, where men may be at increased risk of male infertility because of environmental and behavioral factors. It is argued that male infertility may be particularly problematic for Middle Eastern men in their pronatalist societies; there, both virility and fertility are typically tied to manhood. Thus, male infertility is a potentially emasculating condition, surrounded by secrecy and stigma. Furthermore, the new reproductive technology called intracytoplasmic sperm injection (ICSI), designed specifically to overcome male infertility, may paradoxically create additional layers of stigma and secrecy, due to the complex moral and marital dilemmas associated with Islamic restrictions on third-party donation of gametes.

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

    NASA Astrophysics Data System (ADS)

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

    2016-11-01

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

  10. Gender differences in immigrant health: the case of Mexican and Middle Eastern immigrants.

    PubMed

    Read, Jen'nan Ghazal; Reynolds, Megan M

    2012-03-01

    This article draws on theories of gender inequality and immigrant health to hypothesize differences among the largest immigrant population, Mexicans, and a lesser known population of Middle Easterners. Using data from the 2000-2007 National Health Interview Surveys, we compare health outcomes among immigrants to those among U.S.-born whites and assess gender differences within each group. We find an immigrant story and a gender story. Mexican and Middle Eastern immigrants are healthier than U.S.-born whites, and men report better health than women regardless of nativity or ethnicity. We identify utilization of health care as a primary mechanism that contributes to both patterns. Immigrants are less likely than U.S.-born whites to interact with the health care system, and women are more likely to do so than men. Thus, immigrant and gender health disparities may partly reflect knowledge of health status rather than actual health.

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

    PubMed

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

    2017-07-15

    To investigate changes in adiposity and cardio-metabolic risk profile following Roux-en-Y gastric bypass in patients of Middle Eastern ethnicity with severe obesity. This prospective cohort study involved 92 patients who met the indications of bariatric surgery. Post-procedure markers of obesity and cardiometabolic profile were monitored regularly for a year. Mean body mass index decreased by 29.5% from 41.9 to 29.5 kg/m 2 between baseline and 12-mo follow-up, while mean fat mass decreased by 45.9% from 64.2 kg to 34.7 kg. An improvement was also observed in the gluco-metabolic profile with both fasting glucose and HbA1c substantially decreasing ( P < 0.001). The present study shows the short to medium term (1 year) health benefits of bariatric surgery for patients of Middle Eastern ethnicity.

  12. Pollybeak Deformity in Middle Eastern Rhinoplasty: Prevention and Treatment.

    PubMed

    Hussein, Wael K A; Foda, Hossam M T

    2016-08-01

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

  13. Student Achievement and Fidelity of Implementation of the Middle School Concept in Middle Schools

    ERIC Educational Resources Information Center

    Jackson, Delilah A.

    2013-01-01

    This study, using qualitative, multiple case methodology, examined four middle schools within a Local Education Agency (LEA) in eastern North Carolina to determine whether the implementation of key middle school features; (a) interdisciplinary teaming, (b) flexible scheduling, (c) advisor/advisee relationships, and (d) an integrative, exploratory…

  14. On the role of tropopause folds in summertime tropospheric ozone over the eastern Mediterranean and the Middle East

    NASA Astrophysics Data System (ADS)

    Akritidis, Dimitris; Pozzer, Andrea; Zanis, Prodromos; Tyrlis, Evangelos; Škerlak, Bojan; Sprenger, Michael; Lelieveld, Jos

    2016-11-01

    We study the contribution of tropopause folds in the summertime pool of tropospheric ozone over the eastern Mediterranean and the Middle East (EMME) with the aid of the ECHAM5/MESSy Atmospheric Chemistry (EMAC) model. Tropopause fold events in EMAC simulations were identified with a 3-D labeling algorithm that detects folds at grid points where multiple crossings of the dynamical tropopause are computed. Subsequently the events featuring the largest horizontal and vertical extent were selected for further study. For the selection of these events we identified a significant contribution of the stratospheric ozone reservoir to the high concentrations of ozone in the middle and lower free troposphere over the EMME. A distinct increase of ozone is found over the EMME in the middle troposphere during summer as a result of the fold activity, shifting towards the southeast and decreasing altitude. We find that the interannual variability of near-surface ozone over the eastern Mediterranean (EM) during summer is related to that of both tropopause folds and ozone in the free troposphere.

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

    PubMed

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

    2017-07-01

    Background and aims: Cardiovascular disease (CVD) is the leading cause of death in the Middle East. We sought to study the prevalence and coexistence of 6 cardiovascular risk factors (RFs) among patients who underwent percutaneous coronary intervention (PCI), and to evaluate the impact of age and gender on the presence of multiple RFs. In this prospective, multicenter study, 2426 consecutive patients were enrolled. Mean age was 59.0 ± 10.1 years and 500 (20.6%) were women. Acute coronary syndrome and stable coronary disease were the indications for PCI in 77.1% and 22.9%, respectively. Hypertension was present in 62.3%, diabetes in 53.8%, hypercholesterolemia in 48.8%, smoking in 43.5%, family history of premature CVD 39.4% and obesity in 28.8%. Only 3.8% did not have any of these RFs. Presence of ⩾3 and ⩾4 RFS was observed in 57.4% and 29.5% of patients, respectively. Presence of ⩾3 RFs was more common in women than men (69.0% vs. 54.5%, p  < 0.0001), and among patients 41-65 years of age than older or younger patients (60.1% vs. 52.0% vs. 48.3%, respectively, p  = 0.017). Conclusions: Cardiovascular RFs are highly prevalent in this PCI Middle Eastern population undergoing PCI. More than half and more than one-fourth of the patients had at least 3 or 4 RFs; respectively. More women than men and more middle aged patients than older or younger patients had significantly higher rates of presence of multiple RFs.

  16. Osteologic analysis of ethnic differences in supernumerary ethmoidal foramina: implications for endoscopic sinus and orbit surgery.

    PubMed

    Mueller, Sarina K; Bleier, Benjamin S

    2018-05-01

    Knowledge of the position of the ethmoidal arteries is critical to enable safe endoscopic sinus and orbital surgery. The presence of a third or "middle" ethmoid variant has recently become more relevant as endoscopic intraconal surgery continues to advance. The purpose of this study was to quantify the presence of supernumerary (ie, over 2) ethmoid foramina in different ethnicities and genders. Morphometric osteologic measurements were performed in 273 orbits. Prevalence of supernumerary ethmoid foramina and orbital length data were obtained from human skulls of Asian (n = 54), Caucasian (n = 70), African (n = 39), Hispanic (n = 49), and Middle Eastern (n = 61) derivation. Correlations between gender, ethnicity, symmetry, orbital floor, and lamina papyracea length were assessed by analysis of variance, paired t test, and χ 2 test. Supernumerary foramina were identified in 95 of 273 orbits (34.79%). A significantly higher prevalence was seen in Asian (42.59%), African (41.02%), and Hispanic (41.00%) skulls as compared with Caucasian (25.71%) and Middle Eastern (22.95%) skulls (p < 0.05 for all). The length of the orbital floor was significantly shorter in the Asian (3.35 ± 1.52 cm) specimens (p < 0.01). Asians were found to have the highest risk of ethmoid artery injury compared with the other ethnic groups (ratio of number of supernumerary foramina to orbital floor length = 0.72). Supernumerary ethmoidal foramina were common among all orbits studied. Orbits of Asian and African derivation had significantly greater numbers of ethmoidal foramina, both unilaterally and symmetrically and within a shorter orbital length, suggesting a greater proximity between the ethmoidal vessels. Surgeons should be alert to the possible presence of middle ethmoidal vessels during endoscopic sinus and orbital approaches. © 2017 ARS-AAOA, LLC.

  17. 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.

  18. Sediment composition and texture of Pleistocene deep-sea turbidites in the eastern Nankai Trough gas hydrate field

    NASA Astrophysics Data System (ADS)

    Egawa, K.; Nishimura, O.; Izumi, S.; Ito, T.; Konno, Y.; Yoneda, J.; Jin, Y.; Kida, M.; Suzuki, K.; Nakatsuka, Y.; Nagao, J.

    2013-12-01

    In the 2012 JOGMEC/JAPEX pressure coring operation, we collected a totally 60-m-long core sample from the interval of gas hydrate concentration zone at the planned site of the world's first offshore production test of natural gas hydrates in the eastern Nankai Trough area. In this contribution, the cored sediments were sedimentologically, mineralogically, and paleontologically analyzed to know sediment composition and texture of reservoir formation, which are known to provide useful geological information to discuss sedimentation, diagenesis, and permeability. The targeted interval belongs to a Middle Pleistocene deep-sea turbidite sequence distributed around the Daini Atsumi Knoll, east of the Kumano forearc basin, and consists of the lower (thick sand-dominant), middle (thin-bedded sand-and-mud alteration), and upper (mud-dominant) formations in ascending order. X-ray powder diffraction analysis and scanning electron microscopic observation revealed that pore space in turbidite sands is commonly filled with clay fractions (mostly phyllosilicates) in the lower formation. Such a pore filling of clay fractions is reflected in particle size distribution showing high standard deviation and clay content, and thus is expected to have an impact on permeability. There is the older Pliocene to Early Pleistocene fossil coccolith record in the middle formation, indicating sediment reworking probably induced by submarine landslide. The coexistence of authigenic siderite and framboidal pyrite in the middle formation strongly suggests anoxic microbial activity under methane oxidation and sulfide reduction conditions at least before the hydrate cementation. This contribution was financially supported by the Research Consortium for Methane Hydrate Resources in Japan (MH21 Research Consortium) planned by the Ministry of Economy, Trade and Industry (METI).

  19. Gunshot residue particles formed by using ammunitions that have mercury fulminate based primers.

    PubMed

    Zeichner, A; Levin, N; Dvorachek, M

    1992-11-01

    Ammunition having mercury fulminate-based primers are commonly manufactured by Eastern Bloc countries and used extensively in the Middle East. Gunshot residue (GSR) particles formed by firing these types of ammunition were examined. It was observed that much lower percentage of mercury-containing GSR particles were found in samples taken from a shooter as compared to the percentage of such particles in samples from cartridge cases. This fact must therefore be taken into account when interpreting case results. A plausible explanation for the results described is proposed.

  20. 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.

  1. Paleomagnetic results from Northeast Anatolia: remagnetization in Late Cretaceous sandstones and tectonic rotation at the Eastern extension of the Izmir-Ankara-Erzincan suture zone

    NASA Astrophysics Data System (ADS)

    Cengiz Çinku, Mualla

    2017-12-01

    Paleomagnetic results obtained from Upper Cretaceous sandstones in Northeastern Anatolia demonstrate that the entire area from Erzincan to Kars has been remagnetised. The remagnetisation was acquired before the Middle Eocene collision between the Eastern Pontides and the Arabian Platform because Middle Eocene sandstones carry primary natural remanent magnetisations. The post-folding in situ mean direction of the Upper Cretaceous sandstones is compared with mean directions of younger, Middle Eocene to present rock formations. As a result, a two-stage antagonistic rotation mechanism is proposed. First, the collision between the Pontides and the Taurides between Late Cretaceous and Middle Eocene was associated by clockwise rotation of 26°. In the second stage between Middle Eocene and Middle Miocene and beyond, counterclockwise rotations up to 52° of the Pontide and Anatolide blocks and clockwise rotations of the Van Block were characterised by regional shortening and westward escape.

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

    PubMed

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

    2015-08-01

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

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

    ERIC Educational Resources Information Center

    Manneberg, Eliezer

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

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

    PubMed

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

    2016-06-01

    In 1981-1982, some hominin fossils, including a relatively complete skull and seven isolated teeth, were recovered from the Middle Pleistocene site of Yiyuan in Eastern China. In the present study we provide a detailed metric and morphological comparison of the Yiyuan dental sample in order to characterize better the variability of the human populations that inhabited China during the Middle Pleistocene. Aside from taxonomic and phylogenetic questions, the lack of understanding and/or knowledge about the morphological variability of these populations have caused concern about the human versus non-human nature of some of the hominin dental remains found in East Asia during the Early and the Middle Pleistocene. Thus, our study aims to present a detailed description and comparison of the Yiyuan isolated teeth to 1) discuss and support their human nature and 2) to explore their taxonomic affinities with regard to other penecontemporaneous populations from Asia. Our results clearly differentiate the Yiyuan sample from Pongo specimens and support a human attribution for the Yiyuan material. Our analyses also suggest that the Yiyuan teeth form a morphologically coherent group together with samples from Zhoukoudian, Chaoxian and Hexian. They are different from the more derived specimens from Panxian Dadong, suggesting a pattern of biogeographic isolation and different evolutionary trends between northern and southern China during the Middle Pleistocene. In addition, and despite sharing a common morphological bauplan with Homo erectus sensu stricto (s.s.), the Yiyuan, Zhoukoudian and Hexian teeth are also different from the Indonesian Early Pleistocene samples. In particular, the expression of a highly crenulated or dendritic enamel-dentine surface could be unique to these groups. Our study supports the notion that the taxonomy of the Pleistocene hominins from Asia may have been oversimplified. Future studies should explore the variability of the Asian specimens and reconsider whether all the samples can be attributed to H. erectus s.s. Copyright © 2016 Elsevier Ltd. All rights reserved.

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

    PubMed Central

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

    2016-01-01

    Context The hepatitis C virus (HCV) is classified into seven genotypes and more than 100 subtypes. The treatment regimen, duration and efficacy of HCV therapy may vary according to the HCV genotype. Therefore, the HCV genotype should be determined prior to antiviral therapy. The objective of the current study was to review systematically all studies reporting the distribution of HCV genotypes in the countries that make up the Middle East. Evidence Acquisition Articles were identified by searching electronic databases, including Scopus, PubMed and Google scholar, with timeline limits (articles published between 1995 and 2016). We carried out a systematic search regarding the distribution of HCV genotypes in Middle Eastern countries. Results A total of 579 studies were identified by the electronic search. Of these, a total of 187 were identified as eligible papers including 60,319 patients who were meta-analyzed for pooled distribution of HCV genotypes. In Turkey, Israel, Cyprus, and Iran, genotype 1 was the most prevalent HCV genotype with rates of 82% (95% CI, 82%-83%), 68% (95% CI, 67%-69%), 68% (95% CI, 59%-77%), and 55% (95% CI, 54%-55%), respectively. In Egypt, Iraq, Saudi Arabia, and Syria, HCV genotype 4 was the most common genotype with rates of 86% (95% CI, 85%-88%), 60% (95% CI, 56%-64%), 56% (95% CI, 54%-55%), and 57% (95% CI, 54%-61%), respectively. On the basis of adjusted data, HCV genotype 4 was the most prevalent genotype in the Middle East region, with a rate of 74.7% (95% CI, 73.4%-76%), followed by genotype 1 at 15.1% (95% CI, 14.1%-16%). Conclusions Our results showed that HCV genotype 4 is the most prevalent genotype in the Middle East region. However, HCV genotype 1 is the most prevalent among non-Arab countries in the region including Turkey, Iran, Cyprus, and Israel. PMID:27826320

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

    PubMed

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

    2016-09-01

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

  7. Eastern Kentucky Teacher and Administrative Stress: Part II

    ERIC Educational Resources Information Center

    Wright, Sam; Ballestero, Victor

    2012-01-01

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

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

    PubMed

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

    2017-09-11

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

  9. Kidney stone composition in the Kingdom of Saudi Arabia
.

    PubMed

    Amir, Abdulrazack; Matlaga, Brian R; Ziemba, Justin B; Sheikh, Salwa

    2018-05-01

    Urolithiasis is a globally-distributed disease; however, its prevalence varies across countries and regions. Countries in the Middle East have been reported to have particularly high nephrolithiasis prevalence rates. To date, however, we have an incomplete understanding of the composition of stones seen in this region. Therefore, we performed a study to characterize stone composition over a 14-year period in the Eastern Province of the Kingdom of Saudi Arabia (KSA). A retrospective review of all adult patients who had the composition of their upper urinary tract calculi analyzed at Johns Hopkins Aramco Healthcare (JHAH) between 1999 and 2013 was performed. Patient demographics and pathology results were obtained from the electronic medical record. A total of 1,747 stones were analyzed in the study period. The results are presented in the Table. Male patients predominated (79%). For both men and women, the majority of stones were calcium oxalate: 85.2% male, 85.9% female. Uric acid stones were the next most common: 10.1% male; 9.0% female. Overall, there were no significant differences between gender with regards to the distribution of stone types. This study represents one of the largest characterizations of stone composition in the Middle East. There remains a significant gender disparity in stone prevalence in the Eastern Province of KSA, with males affected to a significantly greater extent. Calcium oxalate is the most common type of stone, and this is true for both men and women. Future investigations of dietary and environmental factors can build on these initial epidemiologic findings.
.

  10. Y-Chromosome and mtDNA Genetics Reveal Significant Contrasts in Affinities of Modern Middle Eastern Populations with European and African Populations

    PubMed Central

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

    2013-01-01

    The Middle East was a funnel of human expansion out of Africa, a staging area for the Neolithic Agricultural Revolution, and the home to some of the earliest world empires. Post LGM expansions into the region and subsequent population movements created a striking genetic mosaic with distinct sex-based genetic differentiation. While prior studies have examined the mtDNA and Y-chromosome contrast in focal populations in the Middle East, none have undertaken a broad-spectrum survey including North and sub-Saharan Africa, Europe, and Middle Eastern populations. In this study 5,174 mtDNA and 4,658 Y-chromosome samples were investigated using PCA, MDS, mean-linkage clustering, AMOVA, and Fisher exact tests of FST's, RST's, and haplogroup frequencies. Geographic differentiation in affinities of Middle Eastern populations with Africa and Europe showed distinct contrasts between mtDNA and Y-chromosome data. Specifically, Lebanon's mtDNA shows a very strong association to Europe, while Yemen shows very strong affinity with Egypt and North and East Africa. Previous Y-chromosome results showed a Levantine coastal-inland contrast marked by J1 and J2, and a very strong North African component was evident throughout the Middle East. Neither of these patterns were observed in the mtDNA. While J2 has penetrated into Europe, the pattern of Y-chromosome diversity in Lebanon does not show the widespread affinities with Europe indicated by the mtDNA data. Lastly, while each population shows evidence of connections with expansions that now define the Middle East, Africa, and Europe, many of the populations in the Middle East show distinctive mtDNA and Y-haplogroup characteristics that indicate long standing settlement with relatively little impact from and movement into other populations. PMID:23382925

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

    PubMed

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

    2013-01-01

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

  12. High diagnostic yield of clinical exome sequencing in Middle Eastern patients with Mendelian disorders.

    PubMed

    Yavarna, Tarunashree; Al-Dewik, Nader; Al-Mureikhi, Mariam; Ali, Rehab; Al-Mesaifri, Fatma; Mahmoud, Laila; Shahbeck, Noora; Lakhani, Shenela; AlMulla, Mariam; Nawaz, Zafar; Vitazka, Patrik; Alkuraya, Fowzan S; Ben-Omran, Tawfeg

    2015-09-01

    Clinical exome sequencing (CES) has become an increasingly popular diagnostic tool in patients with heterogeneous genetic disorders, especially in those with neurocognitive phenotypes. Utility of CES in consanguineous populations has not yet been determined on a large scale. A clinical cohort of 149 probands from Qatar with suspected Mendelian, mainly neurocognitive phenotypes, underwent CES from July 2012 to June 2014. Intellectual disability and global developmental delay were the most common clinical presentations but our cohort displayed other phenotypes, such as epilepsy, dysmorphism, microcephaly and other structural brain anomalies and autism. A pathogenic or likely pathogenic mutation, including pathogenic CNVs, was identified in 89 probands for a diagnostic yield of 60%. Consanguinity and positive family history predicted a higher diagnostic yield. In 5% (7/149) of cases, CES implicated novel candidate disease genes (MANF, GJA9, GLG1, COL15A1, SLC35F5, MAGE4, NEUROG1). CES uncovered two coexisting genetic disorders in 4% (6/149) and actionable incidental findings in 2% (3/149) of cases. Average time to diagnosis was reduced from 27 to 5 months. CES, which already has the highest diagnostic yield among all available diagnostic tools in the setting of Mendelian disorders, appears to be particularly helpful diagnostically in the highly consanguineous Middle Eastern population.

  13. Character complexity and redundancy in writing systems over human history.

    PubMed

    Changizi, Mark A; Shimojo, Shinsuke

    2005-02-07

    A writing system is a visual notation system wherein a repertoire of marks, or strokes, is used to build a repertoire of characters. Are there any commonalities across writing systems concerning the rules governing how strokes combine into characters; commonalities that might help us identify selection pressures on the development of written language? In an effort to answer this question we examined how strokes combine to make characters in more than 100 writing systems over human history, ranging from about 10 to 200 characters,and including numerals, abjads, abugidas, alphabets and syllabaries from five major taxa: Ancient Near-Eastern, European, Middle Eastern, South Asian, Southeast Asian. We discovered underlying similarities in two fundamental respects. (i) The number of strokes per characters is approximately three, independent of the number of characters in the writing system; numeral systems are the exception, having on average only two strokes per character. (ii) Characters are ca. 50% redundant, independent of writing system size; intuitively, this means that acharacter's identity can be determined even when half of its strokes are removed. Because writing systems are under selective pressure to have characters that are easy for the visual system to recognize and for the motor system to write, these fundamental commonalities may be a fingerprint of mechanisms underlying the visuo-motor system.

  14. Character complexity and redundancy in writing systems over human history

    PubMed Central

    Changizi, Mark A.; Shimojo, Shinsuke

    2005-01-01

    A writing system is a visual notation system wherein a repertoire of marks, or strokes, is used to build a repertoire of characters. Are there any commonalities across writing systems concerning the rules governing how strokes combine into characters; commonalities that might help us identify selection pressures on the development of written language? In an effort to answer this question we examined how strokes combine to make characters in more than 100 writing systems over human history, ranging from about 10 to 200 characters, and including numerals, abjads, abugidas, alphabets and syllabaries from five major taxa: Ancient Near-Eastern, European, Middle Eastern, South Asian, Southeast Asian. We discovered underlying similarities in two fundamental respects.The number of strokes per characters is approximately three, independent of the number of characters in the writing system; numeral systems are the exception, having on average only two strokes per character.Characters are ca. 50% redundant, independent of writing system size; intuitively, this means that a character’s identity can be determined even when half of its strokes are removed.Because writing systems are under selective pressure to have characters that are easy for the visual system to recognize and for the motor system to write, these fundamental commonalities may be a fingerprint of mechanisms underlying the visuo–motor system. PMID:15705551

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

    NASA Astrophysics Data System (ADS)

    Baytiyeh, Hoda; Naja, Mohamad K.

    2014-09-01

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

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

    PubMed

    Alajlani, Mohannad; Clarke, Malcolm

    2013-04-01

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

  17. Biogeography of late Silurian and devonian rugose corals

    USGS Publications Warehouse

    Oliver, W.A.

    1977-01-01

    Three marine benthic faunal realms can be recognized in the Early and Middle Devonian. The Eastern Americas Realm consisted of most of the eastern half of North America and South America north of the Amazon. This realm extended in a southwest direction from the Devonian equator to approximately 35??S and was an isolated epicontinental sea during much of its history. The Eastern Americas Realm was bounded on the west by the Transcontinental Arch, on the north by the Canadian Shield and on the east and southeast by a peninsular extension of the Old Red Continent. These barriers were emergent during much, but not all, of Devonian time. Seaways beyond these barriers belonged to the Old World Realm. The Malvinokaffric Realm that was farther south was apparently temperate to arctic in climate and latitudinal position and contained few corals. Rugose corals in the Eastern Americas Realm show increasing generic-level endemism from the Late Silurian through the Early Devonian; during the late Early Devonian, 92% of the rugosan genera are not known anywhere else in the world. Endemism decreased through the Middle Devonian to zero in the early Late Devonian. The Early Devonian increase in endemism paralleled, and was probably related to, the development of the Old Red Continent as a barrier between America and Africa-Europe. The waning of endemism in the Middle Devonian reflects the breaching of the land barriers. This permitted some migration in and out of the realm in early Middle Devonian time but greatest movements were in late Middle Devonian time. Principal migration directions were from western or Arctic North America into the Michigan-Hudson Bay area and from the southern Appalachian area into Africa. ?? 1977.

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

    PubMed

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

    2016-02-15

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

  19. Genomic signature of successful colonization of Eurasia by the allopolyploid shepherd's purse (Capsella bursa-pastoris).

    PubMed

    Cornille, A; Salcedo, A; Kryvokhyzha, D; Glémin, S; Holm, K; Wright, S I; Lascoux, M

    2016-01-01

    Polyploidization is a dominant feature of flowering plant evolution. However, detailed genomic analyses of the interpopulation diversification of polyploids following genome duplication are still in their infancy, mainly because of methodological limits, both in terms of sequencing and computational analyses. The shepherd's purse (Capsella bursa-pastoris) is one of the most common weed species in the world. It is highly self-fertilizing, and recent genomic data indicate that it is an allopolyploid, resulting from hybridization between the ancestors of the diploid species Capsella grandiflora and Capsella orientalis. Here, we investigated the genomic diversity of C. bursa-pastoris, its population structure and demographic history, following allopolyploidization in Eurasia. To that end, we genotyped 261 C. bursa-pastoris accessions spread across Europe, the Middle East and Asia, using genotyping-by-sequencing, leading to a total of 4274 SNPs after quality control. Bayesian clustering analyses revealed three distinct genetic clusters in Eurasia: one cluster grouping samples from Western Europe and Southeastern Siberia, the second one centred on Eastern Asia and the third one in the Middle East. Approximate Bayesian computation (ABC) supported the hypothesis that C. bursa-pastoris underwent a typical colonization history involving low gene flow among colonizing populations, likely starting from the Middle East towards Europe and followed by successive human-mediated expansions into Eastern Asia. Altogether, these findings bring new insights into the recent multistage colonization history of the allotetraploid C. bursa-pastoris and highlight ABC and genotyping-by-sequencing data as promising but still challenging tools to infer demographic histories of selfing allopolyploids. © 2015 John Wiley & Sons Ltd.

  20. Middle East Studies: A Catalogue of Middle East Studies Resources In or Near Connecticut. Area Studies Resource Guides, Number Two.

    ERIC Educational Resources Information Center

    Stone, Frank A., Comp.

    This directory of Middle Eastern resource materials in or near Connecticut is designed for use by educators, librarians, media specialists, and the general public. The Middle East is defined as the part of the world known as Southwest Asia/North Africa (SWANA). The information is organized under ten major categories: associations and…

  1. Disillusionment with Higher Education in the Middle East and the United States

    ERIC Educational Resources Information Center

    Cochran, Judith A.

    2011-01-01

    University graduates in the Middle East and the United States of America are disillusioned with their higher education degrees. Youth expect to be well employed upon graduation and to improve their social status. Employment has been guaranteed from the earliest university certificates granted in Middle Eastern yeshivas, Houses of Learning, and…

  2. Eastern Tent Caterpillar (Pest Alert)

    Treesearch

    Robert Rabaglia; Daniel Twardus

    1990-01-01

    The eastern tent caterpillar is often mistaken for the gypsy moth. Though they are similar in appearance, they differ in habits. The fully grown eastern tent caterpillar is about 2 inches long, black with a white stripe along the middle of the back and a row of pale blue oval spots on each side. It is sparsely covered with fine light brown hairs. The gypsy moth...

  3. Heart Failure in Africa, Asia, the Middle East and South America: The INTER-CHF study.

    PubMed

    Dokainish, Hisham; Teo, Koon; Zhu, Jun; Roy, Ambuj; AlHabib, Khalid F; ElSayed, Ahmed; Palileo-Villaneuva, Lia; Lopez-Jaramillo, Patricio; Karaye, Kamilu; Yusoff, Khalid; Orlandini, Andres; Sliwa, Karen; Mondo, Charles; Lanas, Fernando; Prabhakaran, Dorairaj; Badr, Amr; Elmaghawry, Mohamed; Damasceno, Albertino; Tibazarwa, Kemi; Belley-Cote, Emilie; Balasubramanian, Kumar; Yacoub, Magdi H; Huffman, Mark D; Harkness, Karen; Grinvalds, Alex; McKelvie, Robert; Yusuf, Salim

    2016-02-01

    There are few data on heart failure (HF) patients from Africa, Asia, the Middle East and South America. INTER-CHF is a prospective study that enrolled HF patients in 108 centers in 16 countries from 2012 to 2014. Consecutive ambulatory or hospitalized adult patients with HF were enrolled. Baseline data were recorded on sociodemographics, clinical characteristics, HF etiology and treatments. Age- and sex-adjusted results are reported. We recruited 5813 HF patients: mean(SE) age=59(0.2)years, 39% female, 65% outpatients, 31% from rural areas, 26% with HF with preserved ejection fraction, with 1294 from Africa, 2661 from Asia, 1000 from the Middle-East, and 858 from South America. Participants from Africa-closely followed by Asians-were younger, had lower literacy levels, and were less likely to have health or medication insurance or be on beta-blockers compared with participants from other regions, but were most likely to be in NYHA class IV. Participants from South America were older, had higher insurance and literacy levels, and, along with Middle Eastern participants, were more likely to be on beta-blockers, but had the lowest proportion in NYHA IV. Ischemic heart disease was the most common HF etiology in all regions except Africa where hypertensive heart disease was most common. INTER-CHF describes significant regional variability in socioeconomic and clinical factors, etiologies and treatments in HF patients from Africa, Asia, the Middle East and South America. Opportunities exist for improvement in health/medication insurance rates and proportions of patients on beta blockers, particularly in Africa and Asia. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. Optimising the medical management of hyperglycaemia in type 2 diabetes in the Middle East: pivotal role of metformin

    PubMed Central

    Al-Maatouq, M; Al-Arouj, M; Assaad, S H; Assaad, S N; Azar, S T; Hassoun, A A K; Jarrah, N; Zatari, S; Alberti, K G M M

    2009-01-01

    Aims: Increases in the prevalence of type 2 diabetes will likely be greater in the Middle East and other developing countries than in most other regions during the coming two decades, placing a heavy burden on regional healthcare resources. Methodology: Medline search, examination of data from major epidemiological studies in the Middle Eastern countries. Results: The aetiology and pathophysiology of diabetes appears comparable in Middle Eastern and other populations. Lifestyle intervention is key to the management of diabetes in all type 2 diabetes patients, who should be encouraged strongly to diet and exercise. The options for pharmacologic therapy in the management of diabetes have increased recently, particularly the number of potential antidiabetic combinations. Metformin appears to be used less frequently to initiate antidiabetic therapy in the Middle East than in other countries. Available clinical evidence, supported by current guidelines, strongly favours the initiation of antidiabetic therapy with metformin in Middle Eastern type 2 diabetes patients, where no contraindications exist. This is due to its equivalent or greater efficacy relative to other oral antidiabetic treatments, its proven tolerability and safety profiles, its weight neutrality, the lack of clinically significant hypoglycaemia, the demonstration of cardiovascular protection for metformin relative to diet in the UK Prospective Diabetes Study and in observational studies, and its low cost. Additional treatments should be added to metformin and lifestyle intervention as diabetes progresses, until patients are receiving an intensive insulin regimen with or without additional oral agents. Conclusions: The current evidence base strongly favours the initiation of antidiabetic therapy with metformin, where no contraindications exist. However, metformin may be under-prescribed in the Middle East. PMID:20089006

  5. Strategic planning by the palliative care steering committee of the Middle East Cancer Consortium.

    PubMed

    Moore, Shannon Y; Pirrello, Rosene D; Christianson, Sonya K; Ferris, Frank D

    2011-04-01

    High quality comprehensive palliative care is a critical need for millions of patients and families, but remains only a dream in many parts of the world. The failure to do a strategic planning process is one obstacle to advancing education and pain prevention and relief. The Middle Eastern Cancer Consortium Steering Committee attendees completed an initial strategic planning process and identified "developmental steps" to advance palliative care. Underscoring the multi-disciplinary nature of comprehensive palliative care, discipline-specific planning was done (adult and pediatric cancer and medicine, pharmacy, nursing) in a separate process from country-specific planning. Delineating the layers of intersection and differences between disciplines and countries was very powerful. Finding the common strengths and weaknesses in the status quo creates the potential for a more powerful regional response to the palliative care needs. Implementing and refining these preliminary strategic plans will augment and align the efforts to advance palliative care education and pain management in the Middle East. The dream to prevent and relieve suffering for millions of patients with advanced disease will become reality with a powerful strategic planning process well implemented.

  6. Impacts of interannual variation of the East Asian winter monsoon on aerosol concentrations over eastern China

    NASA Astrophysics Data System (ADS)

    Zhu, J.; Liao, H.; Li, J.; Feng, J.

    2012-04-01

    China has been experiencing increased concentrations of aerosols, commonly attributed to the large increases in emissions associated with the rapid economic development. We apply a global three-dimensional Goddard Earth Observing System chemical transport model (GEOS-Chem) driven by the NASA/GEOS-4 assimilated meteorological data to quantify the impacts of East Asian winter monsoon (EAWM) on the aerosol concentrations over eastern China. We found that the simulated aerosol concentrations over eastern China have strong interannual variation and negative correlations with the strength of EAWM. Model results show that, accounting for sulfate, nitrate, ammonium, black carbon, and organic carbon aerosols, the winter surface layer PM2.5 concentration averaged over eastern China (110°-125°E, 20°-45°N) can be 17.97% (4.78 µg m-3) higher in the weak monsoon years than that in the strong monsoon years. Regionally, the weakening of EAWM is shown to be able to increase PM2.5 concentration in the middle and lower reach of the Yellow River by 12 µg m-3. This point indicates that climate change associated with variation of EAWM has an essential influence on worsening air quality over eastern China. The possible causes of higher aerosol concentrations in the weak monsoon years may be attributed to the changing in wind fields and planetary boundary layer height between the weak and strong monsoon years. Sensitivity studies are performed to identify the role of chemical reaction associated with temperature and humidity on the higher aerosol concentrations in the weak monsoon years over eastern China.

  7. Influence of Imidacloprid and Horticultural Oil on Spider Abundance on Eastern Hemlock in the Southern Appalachians.

    PubMed

    Hakeem, A; Grant, J F; Lambdin, P L; Hale, F A; Rhea, J R; Wiggins, G J; Coots, C

    2018-05-08

    Hemlock woolly adelgid, Adelges tsugae Annand (Hemiptera: Adelgidae), is an exotic pest of eastern hemlock, Tsuga canadensis (L.) Carrière (Pinales: Pinaceae), in the eastern United States. Two commonly used insecticides to manage adelgid are imidacloprid, a systemic neonicotinoid insecticide, and horticultural oil, a refined petroleum oil foliar spray. We have investigated the influence of imidacloprid and horticultural oil on spider abundance at different canopy strata in eastern hemlock. In total, 2,084 spiders representing 11 families were collected from the canopies of eastern hemlock. In beat-sheet and direct observation samples, the families Theridiidae, Araneidae, Salticidae, and Anyphaenidae were the most abundant. Significantly higher numbers of spiders were recorded on untreated control trees compared with trees treated with imidacloprid using soil drench and soil injection applications. Spider abundance in trees injected with imidacloprid and horticultural oil applications did not significantly differ from control trees. Spider abundance was significantly greater in the top and middle strata of the canopy than in the bottom stratum, where imidacloprid concentrations were the highest. Regression analysis showed that spider abundance was inversely associated with imidacloprid concentration. This research demonstrates that imidacloprid, when applied with selected methods, has the potential to result in reductions of spider densities at different strata. However, slight reductions in spider abundance may be an acceptable short-term ecological impact compared with the loss of an untreated hemlock and all the associated ecological benefits that it provides. Future studies should include investigations of long-term impact of imidacloprid on spiders associated with eastern hemlock.

  8. Permian arc evolution associated with Panthalassa subduction along the eastern margin of the South China block, based on sandstone provenance and U-Pb detrital zircon ages of the Kurosegawa belt, Southwest Japan

    NASA Astrophysics Data System (ADS)

    Hara, Hidetoshi; Hirano, Miho; Kurihara, Toshiyuki; Takahashi, Toshiro; Ueda, Hayato

    2018-01-01

    We have studied the petrography, geochemistry, and detrital zircon U-Pb ages of sandstones from shallow-marine forearc sediments, accretionary complexes (ACs), and metamorphosed accretionary complexes (Meta-ACs) within the Kurosegawa belt of Southwest Japan. Those rocks formed in a forearc region of a Permian island arc associated with subduction of the Panthalassa oceanic crust along the eastern margin of the South China block (Yangtze block). The provenance of the shallow-marine sediments was dominated by basaltic to andesitic volcanic rocks and minor granitic rocks during the late Middle to Late Permian. The ACs were derived from felsic to andesitic volcanic rocks during the Late Permian. The provenance of Meta-ACs was dominated by andesitic volcanic rocks in the Middle Permian. The provenance, source rock compositions, and zircon age distribution for the forearc sediments, ACs and Meta-ACs have allowed us to reconstruct the geological history of the Permian arc system of the Kurosegawa belt. During the Middle Permian, the ACs were accreted along the eastern margin of the South China block. The Middle Permian arc was an immature oceanic island arc consisting of andesitic volcanic rocks. During the Late Permian, the ACs formed in a mature arc, producing voluminous felsic to andesitic volcanic rocks. A forearc basin developed during the late Middle to Late Permian. Subsequently, the Middle Permian ACs and part of the Late Permian AC underwent low-grade metamorphism in the Late to Early Jurassic, presenting the Meta-ACs.

  9. Implications of Genital Mutilation at Autopsy.

    PubMed

    Byard, Roger W

    2017-07-01

    Given the potential significance of mutilation of the external genitalia in medicolegal fatalities, a review of the literature was undertaken to identify subcategories. Such mutilations may have been sustained sometime before death, around the time of death, or after death. The most common type of ante mortem genital mutilations involves cultural practices such as male circumcision. Less common male mutilations such as subincisions are tribally based. Female genital mutilation is found particularly in African, Middle Eastern, or Asian populations. Self-inflicted genital injuries are most common in males and may be related to attempts at suicide, or to self-harming practices. The latter have a strong association with psychiatric illnesses. Postmortem injuries may arise from animal predation or deliberate mutilation of a corpse. The latter may be associated with ante mortem genital injuries in sadistic homicides. The range of possible causes of genital mutilations in forensic cases necessitates extremely careful evaluation. © 2017 American Academy of Forensic Sciences.

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

    PubMed

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

    2011-01-01

      Environmental factors associated with schooling systems in various countries have been implicated in the rising prevalence of myopia, making the comparison of prevalence of refractive errors in migrant populations of interest. This study aims to determine the prevalence of refractive errors in children of Middle Eastern descent, raised and living in urban Australia but actively maintaining strong ties to their ethnic culture, and to compare them with those in the Middle East where myopia prevalence is generally low.   A total of 354 out of a possible 384 late primary/early secondary schoolchildren attending a private school attracting children of Middle Eastern background in Melbourne were assessed for refractive error and visual acuity. A Shin Nippon open-field NVision-K5001 autorefractor was used to carry out non-cycloplegic autorefraction while viewing a distant target. For statistical analyses students were divided into three age groups: 10-11 years (n = 93); 12-13 years (n = 158); and 14-15 years (n = 102).   All children were bilingual and classified as of Middle Eastern (96.3 per cent) or Egyptian (3.7 per cent) origin. Ages ranged from 10 to 15 years, with a mean of 13.17 ± 0.8 (SEM) years. Mean spherical equivalent refraction (SER) for the right eye was +0.09 ± 0.07 D (SEM) with a range from -7.77 D to +5.85 D. The prevalence of myopia, defined as a spherical equivalent refraction 0.50 D or more of myopia, was 14.7 per cent. The prevalence of hyperopia, defined as a spherical equivalent refraction of +0.75 D or greater, was 16.4 per cent, while hyperopia of +1.50 D or greater was 5.4 per cent. A significant difference in SER was seen as a function of age; however, no significant gender difference was seen.   This is the first study to report the prevalence of refractive errors for second-generation Australian schoolchildren coming from a predominantly Lebanese Middle Eastern Arabic background, who endeavour to maintain their ethnic ties. The relatively low prevalence of myopia is similar to that found for other metropolitan Australian school children but higher than that reported in the Middle East. These results suggest that lifestyle and educational practices may be a significant influence in the progression of myopic refractive errors. © 2010 The Authors. Clinical and Experimental Optometry © 2010 Optometrists Association Australia.

  11. The Middle East: An Annotated Bibliography of Literature for Children.

    ERIC Educational Resources Information Center

    Maehr, Jane

    This is an annotated bibliography of folklore, fiction and nonfiction about the Middle East, written in English for children aged 5 and older. There are eleven chapters - one which focuses on the entire Middle Eastern region, and ten which deal with individual countries: Iran, Iraq, Israel, Jordan, Kuwait, Lebanon, Saudi Arabia, Syria, Turkey, and…

  12. Ethnic Differences in Gestational Weight Gain: A Population-Based Cohort Study in Norway.

    PubMed

    Kinnunen, Tarja I; Waage, Christin W; Sommer, Christine; Sletner, Line; Raitanen, Jani; Jenum, Anne Karen

    2016-07-01

    Objectives To explore ethnic differences in gestational weight gain (GWG). Methods This was a population-based cohort study conducted in primary care child health clinics in Groruddalen, Oslo, Norway. Participants were healthy pregnant women (n = 632) categorised to six ethnic groups (43 % were Western European women, the reference group). Body weight was measured at 15 and 28 weeks' gestation on average. Data on pre-pregnancy weight and total GWG until delivery were self-reported. The main method of analysis was linear regression adjusting for age, weeks' gestation, pre-pregnancy body mass index, education and severe nausea. Results No ethnic differences were observed in GWG by 15 weeks' gestation. By 28 weeks' gestation, Eastern European women had gained 2.71 kg (95 % confidence interval, CI 1.10-4.33) and Middle Eastern women 1.32 kg (95 % CI 0.14-2.50) more weight on average than the Western European women in the fully adjusted model. Among Eastern European women, the total adjusted GWG was 3.47 kg (95 % CI 1.33-5.61) above the reference group. Other ethnic groups (South Asian, East Asian and African) did not differ from the reference group. When including non-smokers (n = 522) only, observed between-group differences increased and Middle Eastern women gained more weight than the reference group by all time points. Conclusions Eastern European and Middle Eastern women had higher GWG on average than Western European women, especially among the non-smokers. Although prevention of excessive GWG is important for all pregnant women, these ethnic groups might need special attention during pregnancy.

  13. Molecular phylogeny and biogeographic diversification of linnaeoideae (caprifoliaceae s. L.) disjunctly distributed in Eurasia, North America and Mexico.

    PubMed

    Wang, Hua-Feng; Landrein, Sven; Dong, Wen-Pan; Nie, Ze-Long; Kondo, Katsuhiko; Funamoto, Tsuneo; Wen, Jun; Zhou, Shi-Liang

    2015-01-01

    Linnaeoideae is a small subfamily of erect or creeping shrubs to small trees in Caprifoliaceae that exhibits a wide disjunct distribution in Eurasia, North America and Mexico. Most taxa of the subfamily occur in eastern Asia and Mexico but the monospecific genus Linnaea has a circumboreal to north temperate distribution. In this study, we conducted phylogenetic and biogeographic analyses for Linnaeoideae and its close relatives based on sequences of the nuclear ribosomal ITS and nine plastid (rbcL, trnS-G, matK, trnL-F, ndhA, trnD-psbM, petB-D, trnL-rpl32 and trnH-psbA) markers. Our results support that Linnaeoideae is monophyletic, consisting of four eastern Asian lineages (Abelia, Diabelia, Dipelta and Kolkwitzia), the Mexican Vesalea, and Linnaea. The Mexican Vesalea was formerly placed in Abelia, but it did not form a clade with the eastern Asian Abelia; instead Vesalea and Linnaea are sisters. The divergence time between the eastern Asian lineages and the Mexican Vesalea plus the Linnaea clade was dated to be 50.86 Ma, with a 95% highest posterior density of 42.8 Ma (middle Eocene) to 60.19 Ma (early Paleocene) using the Bayesian relaxed clock estimation. Reconstructed ancestral areas indicated that the common ancestor of Linnaea plus Vesalea may have been widespread in eastern Asia and Mexico or originated in eastern Asia during the Eocene and likely migrated across continents in the Northern Hemisphere via the North Atlantic Land Bridges or the Bering Land Bridge. The Qinling Mountains of eastern Asia are the modern-day center of diversity of Kolkwitzia-Dipelta-Diabelia clade. The Diabeliaclade became highly diversified in Japan and eastern China. Populations of Diabelia serrata in Japan and eastern China were found to be genetically identical in this study, suggesting a recent disjunction across the East China Sea, following the last glacial event.

  14. Molecular Phylogeny and Biogeographic Diversification of Linnaeoideae (Caprifoliaceae s. l.) Disjunctly Distributed in Eurasia, North America and Mexico

    PubMed Central

    Wang, Hua-Feng; Landrein, Sven; Dong, Wen-Pan; Nie, Ze-Long; Kondo, Katsuhiko; Funamoto, Tsuneo; Wen, Jun; Zhou, Shi-Liang

    2015-01-01

    Linnaeoideae is a small subfamily of erect or creeping shrubs to small trees in Caprifoliaceae that exhibits a wide disjunct distribution in Eurasia, North America and Mexico. Most taxa of the subfamily occur in eastern Asia and Mexico but the monospecific genus Linnaea has a circumboreal to north temperate distribution. In this study, we conducted phylogenetic and biogeographic analyses for Linnaeoideae and its close relatives based on sequences of the nuclear ribosomal ITS and nine plastid (rbcL, trnS-G, matK, trnL-F, ndhA, trnD-psbM, petB-D, trnL-rpl32 and trnH-psbA) markers. Our results support that Linnaeoideae is monophyletic, consisting of four eastern Asian lineages (Abelia, Diabelia, Dipelta and Kolkwitzia), the Mexican Vesalea, and Linnaea. The Mexican Vesalea was formerly placed in Abelia, but it did not form a clade with the eastern Asian Abelia; instead Vesalea and Linnaea are sisters. The divergence time between the eastern Asian lineages and the Mexican Vesalea plus the Linnaea clade was dated to be 50.86 Ma, with a 95% highest posterior density of 42.8 Ma (middle Eocene) to 60.19 Ma (early Paleocene) using the Bayesian relaxed clock estimation. Reconstructed ancestral areas indicated that the common ancestor of Linnaea plus Vesalea may have been widespread in eastern Asia and Mexico or originated in eastern Asia during the Eocene and likely migrated across continents in the Northern Hemisphere via the North Atlantic Land Bridges or the Bering Land Bridge. The Qinling Mountains of eastern Asia are the modern-day center of diversity of Kolkwitzia-Dipelta-Diabelia clade. The Diabeliaclade became highly diversified in Japan and eastern China. Populations of Diabelia serrata in Japan and eastern China were found to be genetically identical in this study, suggesting a recent disjunction across the East China Sea, following the last glacial event. PMID:25756215

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

    PubMed

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

    2017-09-01

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

  16. [Analysis on the exposure level and geographic distribution trend of toxicological indicators in rural drinking water, Shandong Province, in 2015].

    PubMed

    Shi, F; Lyu, S P; Kong, F L; Yang, X T; Zhou, J Y

    2017-09-06

    Objective: To analyze the exposure level and the geographical distribution trend of toxicological indicators of rural drinking water in Shandong Province. Methods: The drawing method was used to randomly select no less than 60% villages and towns from 137 counties (cities, districts) of 17 cities in Shandong Province in 2015, and then 1-3 rural centralized water supply units were selected according to the circumstance of rural centralized water supply units in each village and town. In total, 735 villages and towns, 1 473 rural centralized water supply units were selected, and 1 473 water samples were collected. The water treatment process, water supply population and other circumstances of the rural centralized water supply units were investigated, the water quality was monitored, the content of toxicological indicators of drinking water in different areas was compared, and the trend surface isogram of excessive toxicological indicators was drawn. Results: The qualified rate of toxicological indicators in 1 473 water samples was 83.64% ( n =1 232). The main toxicological indicators that affected the qualified rate of toxicological indicators of drinking water in rural areas in Shandong Province were nitrate and fluoride. The excessive rate of fluoride was 5.70% ( n =84) and the exposed population was 1 736 709 (4.22%). The excessive rate of nitrate (as nitrogen) was 12.29% ( n =181) and the exposed population was 1 393 612 (3.39%). The P (5)0 content of fluoride in the eastern, middle and western regions was 0.24, 0.29 and 0.59 mg/L, respective;which was higher in the western region than in the east and the middle regions ( P< 0.05). There was no significant difference between the eastern and the middle regions ( P> 0.05). The P (50) content of nitrate (as nitrogen) in the eastern, middle and western regions was 8.00, 7.48, and 2.00 mg/L, which was higher in the eastern and middle regions than in the west region ( P< 0.05), there was no significant difference between the eastern and the middle regions ( P> 0.05). The trend surface isogram of nitrate and fluoride content showed that the content of nitrate (as nitrogen) in rural drinking water in the eastern region was significantly higher than that in the western region, especially there was a high peak area in the northeastern region, and this high content distribution extended diagonally to the central region, while the other regions were in a relatively low range. The content of fluoride in rural drinking water in the western region was significantly higher than that in the eastern region, and there were high peaks in the southwest and northwest regions, and the other regions were in a relatively low range. Conclusion: The high exposed toxicological indicators in rural drinking water in Shandong Province were nitrate (as nitrogen) and fluoride, and their distribution showed obvious geographical distribution trend.

  17. Marine radiocarbon reservoir corrections (∆R) for Chesapeake Bay and the Middle Atlantic Coast of North America

    NASA Astrophysics Data System (ADS)

    Rick, Torben C.; Henkes, Gregory A.; Lowery, Darrin L.; Colman, Steven M.; Culleton, Brendan J.

    2012-01-01

    Radiocarbon dates from known age, pre-bomb eastern oyster (Crassostrea virginica) shells provide local marine reservoir corrections (∆R) for Chesapeake Bay and the Middle Atlantic coastal area of eastern North America. These data suggest subregional variability in ∆R, ranging from 148 ± 46 14C yr on the Potomac River to - 109 ± 38 14C yr at Swan Point, Maryland. The ∆R weighted mean for the Chesapeake's Western Shore (129 ± 22 14C yr) is substantially higher than the Eastern Shore (- 88 ± 23 14C yr), with outer Atlantic Coast samples falling between these values (106 ± 46 and 2 ± 46 14C yr). These differences may result from a combination of factors, including 14C-depleted freshwater that enters the bay from some if its drainages, 14C-depleted seawater that enters the bay at its mouth, and/or biological carbon recycling. We advocate using different subregional ∆R corrections when calibrating 14C dates on aquatic specimens from the Chesapeake Bay and coastal Middle Atlantic region of North America.

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

    PubMed

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

    2012-04-01

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

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

    PubMed Central

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

    2011-01-01

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

  20. Strategies for recruiting Middle Eastern-American young adults for physical activity research: a case of snowballs and Salaam.

    PubMed

    Kahan, David; Al-Tamimi, Alia

    2009-10-01

    Recruitment of minorities into health studies is a process that has been the subject of recent research effort. The prevalence of hypokinetic disease in the fast growing Middle Eastern-American community is higher than whites and some minority groups and descriptive research is needed to further quantify morbidity status and antecedent behavior. To date, we know of no study that reports recruitment methods of Middle Eastern-American young adults, a demographic group that is transitioning into an at-risk stratum for ethnically associated morbidity. We report and analyze a multi-method approach used in recruiting 240 young adults of this ethnic group into a 1-week study of physical activity utilizing activity logs and pedometers. Participants were primarily recruited through snowball sampling (48.3%), flyers (15.8%), presentations to university campus organizations (15.4%), and graduate research assistants (10.8%). Access was facilitated by assistants who were community insiders; active recruitment was more successful than passive recruitment; and different techniques appealed to different group segments based on gender and religion.

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

    PubMed Central

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

    2016-01-01

    The increased prevalence of diabetes in Middle Eastern countries is a health policy priority. Important risk factors for diabetes have been identified. Lifestyle interventions and adherence to medications are central to disease prevention and management. This review focuses on the management of type 2 diabetes mellitus in Middle Eastern countries. The aim is to identify the ways in which knowledge, health beliefs, and social and cultural factors influence adherence to medication and lifestyle measures. Thirty-four studies were identified following a systematic search of the literature. The studies describe the influence of knowledge, health beliefs, culture, and lifestyle on the management of type 2 diabetes mellitus in the Middle East. Findings indicate a lack of health knowledge about diabetes among populations, which has implications for health behaviors, medication adherence, and treatment outcomes. Many identified health beliefs and cultural lifestyle factors, such as religious beliefs, beliefs about fasting during Ramadan, and sedentary lifestyles played a role in patients’ decisions. For better management of this disease, a collaborative approach between patients, their families, health care professionals, and governments should be adopted. Implementing behavioral strategies and psychological interventions that incorporate all health care professionals in the management process have been shown to be effective methods. Such services help patients change their behavior. However, the utilization of such services and interventions is still limited in Arabian countries. Physicians in the Middle East are the health care professionals most involved in the care process. PMID:27354775

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

    PubMed

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

    2016-01-01

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

  3. Is there a Mediterranean bioethics?

    PubMed

    Mallia, Pierre

    2012-11-01

    Is there a special Mediterranean approach to Bioethics and if so what are the roots of this approach? And why not a Bosphorus, or a 'lake Michigan' bioethics? The answer to such a question depends on the focus one takes on defining 'Mediterranean'? On the one hand one can refer to the Mediterranean region which includes the surrounding coasts, having Europe on its northern coast line, northern Africa on its southern coast line (and these will include the north and South West coasts), and in the Eastern region countries which border with Middle-Eastern countries. This approach is the approach currently being taken by European Parliamentarians when they speak about the Mediterranean, namely including countries like France, Italy and Libya. On the other hand there is the look upon the Mediterranean as 'Southern Europe'; this is a more 'traditional' way on how westerners view the Mediterranean. This common approach is often recognized when, for example, we speak of 'Mediterranean diet', or, 'Mediterranean Temperament'. It would include Eastern countries like Greece and Cyprus. This article focuses on these two approaches to Mediterranean ethics after discussing issues pertaining to the region which are important to define in this context. It then analyses the need for having a Mediterranean approach to bioethical issues.

  4. 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

  5. Mushrooms and Truffles: Historical Biofactories for Complementary Medicine in Africa and in the Middle East

    PubMed Central

    El Enshasy, Hesham; Elsayed, Elsayed A.; Aziz, Ramlan; Wadaan, Mohamad A.

    2013-01-01

    The ethnopharmaceutical approach is important for the discovery and development of natural product research and requires a deep understanding not only of biometabolites discovery and profiling but also of cultural and social science. For millennia, epigeous macrofungi (mushrooms) and hypogeous macrofungi (truffles) were considered as precious food in many cultures based on their high nutritional value and characterized pleasant aroma. In African and Middle Eastern cultures, macrofungi have long history as high nutritional food and were widely applied in folk medicine. The purpose of this review is to summarize the available information related to the nutritional and medicinal value of African and Middle Eastern macrofungi and to highlight their application in complementary folk medicine in this part of the world. PMID:24348710

  6. Spatiotemporal pattern of vegetation remote sensing phenology and its response to climatic factors on the Qinghai-Tibet Plateau

    NASA Astrophysics Data System (ADS)

    An, S.; Chen, X.

    2015-12-01

    Based on the MODIS MCD12Q2 remote sensing phenology product, we analyzed spatiotemporal variations of vegetation green-up, maturity, senescence and brown-off dates, and their relation to spatiotemporal patterns of air temperature and precipitation on the Qinghai-Tibet Plateau (QTP). From 2001 to 2012, phenological time series at about 11.7%~15.1% pixels indicate significant linear trends (P<0.1) with strong spatial consistency. Namely, pixels with significant phenological advancement and growing season lengthening are mainly distributed in the middle and eastern parts of the QTP, while pixels with significant phenological delay and growing season shortening are mainly distributed in the western and southern parts as well as the eastern edge of the QTP. Similar spatial patterns for positive and negative linear trends of the minimum and maximum EVI, and the time-integrated EVI during the growing season were detected in the above two regions, respectively. With regard to climatic factors, mean annual temperature shows an increased trend over the QTP except for the eastern edge, whereas annual precipitation displays an increased trend in the middle and eastern parts but a decreased trend in the western and southern parts as well as the eastern edge of the QTP. These findings suggest that phenological advancement, growing season lengthening, and vegetation activity enhancement in the middle and eastern parts might be attributed to coincident temperature and precipitation increase. By contrast, phenological delay, growing season shortening, and vegetation activity reduction in the western and southern parts as well as the eastern edge might be caused by opposite changes of temperature and precipitation, and strong evaporation induced water shortage. Furthermore, a partial correlation analysis indicates that green-up, maturity, and brown-off dates were influenced by preceding temperature and precipitation, while senescence date was affected by preceding precipitation.

  7. Geographical variations in the prevalence and management of cardiovascular risk factors in outpatients with CAD: Data from the contemporary CLARIFY registry.

    PubMed

    Ferrari, Roberto; Ford, Ian; Greenlaw, Nicola; Tardif, Jean-Claude; Tendera, Michal; Abergel, Hélène; Fox, Kim; Hu, Dayi; Shalnova, Svetlana; Steg, Ph Gabriel

    2015-08-01

    To determine the current prevalence and control of major cardiovascular risk factors in stable CAD outpatients worldwide. We analysed variations in cardiovascular risk factors in stable CAD outpatients from CLARIFY, a 5-year observational longitudinal cohort study, in seven geographical zones (Western/Central Europe; Canada/South Africa/Australia/UK; Eastern Europe; Central/South America; Middle East; East Asia; and India). Patient presentation (N=32,954, mean age 64.2 years, 78% male) varied between zones, as did prevalence of risk factors (all p < 0.0001). Obesity ranged from 20% (East Asia) to 42% (Middle East), raised blood pressure from 28% (Central/South America and East Asia) to 48% (Eastern Europe), raised LDL cholesterol from 24% (Canada/South Africa/Australia/UK) to 65% (Eastern Europe), elevated heart rate (≥70 bpm) from 38% (Western/Central Europe) to 78% (India), diabetes from 17% (Eastern Europe) to 60% (Middle East), and smoking from 6% (Central/South America) to 19% (Eastern Europe). Aspirin and lipid-lowering drugs were widely used everywhere (≥84% and ≥88%, respectively). Rates of risk factor control varied geographically (all p < 0.0001). Rate of controlled blood pressure in hypertension varied from 47% (Eastern Europe) to 66% (Central/South America), glucose control in diabetes from 23% (India) to 51% (Western/Central Europe and East Asia), controlled LDL cholesterol and dyslipidaemia from 32% (Eastern Europe) to 75% (Canada/South Africa/Australia/UK), heart rate <70 bpm from 22% (India) to 62% (Western/Central Europe), and heart rate ≤60 bpm in angina patients from 2% (India) to 29% (Canada/South Africa/Australia/UK and Central/South America). Prevalence and control of major cardiovascular risk factors in stable CAD vary markedly worldwide. Many stable CAD outpatients are being treated suboptimally. © The European Society of Cardiology 2014.

  8. Media and Teaching about the Middle East

    ERIC Educational Resources Information Center

    Kaviani, Khodadad

    2009-01-01

    This qualitative study was conducted in 2006-2007 and found that teachers relied on a variety of readily available media to stay informed about the Middle East and used some of them in their teaching. Teachers tried to explain to their students that every Middle Eastern Muslim is not a terrorist and Iraq was not behind the 9/11 terrorist attacks.…

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

    PubMed

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

    2017-12-21

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

  10. Hepatic lipase deficiency in a Middle-Eastern-Arabic male

    PubMed Central

    Al Riyami, Nafila; Al-Ali, Abdullah M; Al-Sarraf, Ahmad J; Hill, John; Sachs-Barrable, Kristina; Hegele, Robert; Wasan, Kishor M; Frohlich, Jiri

    2010-01-01

    Hepatic lipase (HL) deficiency is a rare genetic disorder that has been associated with premature atherosclerosis despite high plasma high-density lipoprotein (HDL) cholesterol concentrations in the affected individuals. The authors describe the clinical and biochemical features of HL deficiency in a young male of Middle-Eastern-Arabic origin. This is the first report of cholesterol ester transfer protein (CETP) activity and mass in HL deficiency in a patient from this ethnic group. While the CETP mass was high, its activity was low, a discrepancy likely due to the abnormal composition of patient's HDL particles. PMID:22798447

  11. Hepatic lipase deficiency in a Middle-Eastern-Arabic male.

    PubMed

    Al Riyami, Nafila; Al-Ali, Abdullah M; Al-Sarraf, Ahmad J; Hill, John; Sachs-Barrable, Kristina; Hegele, Robert; Wasan, Kishor M; Frohlich, Jiri

    2010-11-12

    Hepatic lipase (HL) deficiency is a rare genetic disorder that has been associated with premature atherosclerosis despite high plasma high-density lipoprotein (HDL) cholesterol concentrations in the affected individuals. The authors describe the clinical and biochemical features of HL deficiency in a young male of Middle-Eastern-Arabic origin. This is the first report of cholesterol ester transfer protein (CETP) activity and mass in HL deficiency in a patient from this ethnic group. While the CETP mass was high, its activity was low, a discrepancy likely due to the abnormal composition of patient's HDL particles.

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

    PubMed

    Young, Judith S

    2014-05-01

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

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

    PubMed

    Young, Judith S

    2013-01-01

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

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

    PubMed

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

    2012-06-22

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

  15. Truth Telling in the Setting of Cultural Differences and Incurable Pediatric Illness: A Review.

    PubMed

    Rosenberg, Abby R; Starks, Helene; Unguru, Yoram; Feudtner, Chris; Diekema, Douglas

    2017-11-01

    Navigating requests from parents or family caregivers not to disclose poor prognosis to seriously ill children can be challenging, especially when the requests seem culturally mediated. Pediatric clinicians must balance obligations to respect individual patient autonomy, professional truth telling, and tolerance of multicultural values. To provide suggestions for respectful and ethically appropriate responses to nondisclosure requests, we used a hypothetical case example of a Middle Eastern adolescent patient with incurable cancer and conducted an ethical analysis incorporating (1) evidence from both Western and Middle Eastern medical literature and (2) theories of cultural relativism and justice. While Western medical literature tends to prioritize patient autonomy and corresponding truth telling, the weight of evidence from the Middle East suggests high variability between and within individual countries, patient-physician relationships, and families regarding truth-telling practices and preferences. A common reason for nondisclosure in both populations is protecting the child from distressing information. Cultural relativism fosters tolerance of diverse beliefs and behaviors by forbidding judgment on foreign societal codes of conduct. It does not justify assumptions that all individuals within a single culture share the same values, nor does it demand that clinicians sacrifice their own codes of conduct out of cultural respect. We suggest some phrases that may help clinicians explore motivations behind nondisclosure requests and gently confront conflict in order to serve the patient's best interest. It is sometimes ethically permissible to defer to family values regarding nondisclosure, but such deferral is not unique to cultural differences. Early setting of expectations and boundaries, as well as ongoing exploration of family and health care professional concerns, may mitigate conflict.

  16. Truth Telling in the Setting of Cultural Differences and Incurable Pediatric Illness

    PubMed Central

    Rosenberg, Abby R.; Starks, Helene; Unguru, Yoram; Feudtner, Chris; Diekema, Douglas

    2017-01-01

    IMPORTANCE Navigating requests from parents or family caregivers not to disclose poor prognosis to seriously ill children can be challenging, especially when the requests seem culturally mediated. Pediatric clinicians must balance obligations to respect individual patient autonomy, professional truth telling, and tolerance of multicultural values. OBSERVATIONS To provide suggestions for respectful and ethically appropriate responses to nondisclosure requests, we used a hypothetical case example of a Middle Eastern adolescent patient with incurable cancer and conducted an ethical analysis incorporating (1) evidence from both Western and Middle Eastern medical literature and (2) theories of cultural relativism and justice. While Western medical literature tends to prioritize patient autonomy and corresponding truth telling, the weight of evidence from the Middle East suggests high variability between and within individual countries, patient-physician relationships, and families regarding truth-telling practices and preferences. A common reason for nondisclosure in both populations is protecting the child from distressing information. Cultural relativism fosters tolerance of diverse beliefs and behaviors by forbidding judgment on foreign societal codes of conduct. It does not justify assumptions that all individuals within a single culture share the same values, nor does it demand that clinicians sacrifice their own codes of conduct out of cultural respect. We suggest some phrases that may help clinicians explore motivations behind nondisclosure requests and gently confront conflict in order to serve the patient’s best interest. CONCLUSIONS AND RELEVANCE It is sometimes ethically permissible to defer to family values regarding nondisclosure, but such deferral is not unique to cultural differences. Early setting of expectations and boundaries, as well as ongoing exploration of family and health care professional concerns, may mitigate conflict. PMID:28873121

  17. Biostratigraphic data from Upper Cretaceous formations-eastern Wyoming, central Colorado, and northeastern New Mexico

    USGS Publications Warehouse

    Merewether, E.A.; Cobban, W.A.; Obradovich, J.D.

    2011-01-01

    Lithological and paleontological studies of outcrops of Upper Cretaceous formations were conducted at 12 localities in eastern Wyoming, central Colorado, and northeastern New Mexico. The sequence extends upward from the top of the Mowry Shale, or age-equivalent rocks, through the Graneros Shale, Greenhorn Limestone, Carlile Shale, Niobrara Formation, Pierre Shale, and Fox Hills Sandstone, or age-equivalent formations, to the top of the Laramie Formation, or laterally equivalent formations. The strata are mainly siliciclastic and calcareous, with thicknesses ranging from about 3,300 ft in northeastern New Mexico to as much as 13,500 ft in eastern Wyoming. Deposition was mainly in marine environments and molluscan fossils of Cenomanian through Maastrichtian ages are common. Radiometric ages were determined from beds of bentonite that are associated with fossil zones. The Upper Cretaceous formations at the 12 study localities are herein divided into three informal time-stratigraphic units based on fossil content and contact relations with adjacent strata. The basal unit in most places extends from the base of the Graneros to the top of the Niobrara, generally to the horizon of the fossil Scaphites hippocrepis, and spans a period of about 14 million years. The middle unit generally extends from the top of the Niobrara to the approximate middle of the Pierre, the horizon of the fossil Baculites gregoryensis, and represents a period of about 5 million years. The upper unit includes strata between the middle of the Pierre and the top of the Upper Cretaceous Series, which is the top of the Laramie Formation or of laterally equivalent formations; it represents a period of deposition of as much as 11 million years. Comparisons of the collections of fossils from each outcrop with the complete sequence of Upper Cretaceous index fossils can indicate disconformable contacts and lacunae. Widespread disconformities have been found within the Carlile Shale and between the Carlile Shale and the Niobrara Formation. Less extensive disconformities are within the Greenhorn Formation, the Niobrara Formation, and the Pierre Shale.

  18. Systematic review of breast cancer biology in developing countries (part 1): Africa, the middle East, eastern europe, Mexico, the Caribbean and South america.

    PubMed

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

    2011-05-13

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

  19. The Eastern Seaboard Community-Junior College President.

    ERIC Educational Resources Information Center

    Sawyer, Thomas Harrison

    A questionnaire was sent to 282 presidents of eastern seaboard public and private two-year institutions to investigate a variety of personal and professional characteristics. Study findings, based on 204 returned questionnaires, indicated that these presidents were predominately white males, married, from middle-class families with the Ed.D.…

  20. Proceedings of the third international symposium on pomegranate and minor Mediterranean fruits

    USDA-ARS?s Scientific Manuscript database

    Pomegranate production has a long tradition in the middle eastern and far eastern countries. Because of the antioxidant and other beneficial properties to human health and subsequent increased consumer demand, production of pomegranate in other continents such as North America also gained more popul...

  1. Various extraction and analytical techniques for isolation and identification of secondary metabolites from Nigella sativa seeds.

    PubMed

    Liu, X; Abd El-Aty, A M; Shim, J-H

    2011-10-01

    Nigella sativa L. (black cumin), commonly known as black seed, is a member of the Ranunculaceae family. This seed is used as a natural remedy in many Middle Eastern and Far Eastern countries. Extracts prepared from N. sativa have, for centuries, been used for medical purposes. Thus far, the organic compounds in N. sativa, including alkaloids, steroids, carbohydrates, flavonoids, fatty acids, etc. have been fairly well characterized. Herein, we summarize some new extraction techniques, including microwave assisted extraction (MAE) and supercritical extraction techniques (SFE), in addition to the classical method of hydrodistillation (HD), which have been employed for isolation and various analytical techniques used for the identification of secondary metabolites in black seed. We believe that some compounds contained in N. sativa remain to be identified, and that high-throughput screening could help to identify new compounds. A study addressing environmentally-friendly techniques that have minimal or no environmental effects is currently underway in our laboratory.

  2. Middle East Studies Teacher Training Program. Final Report.

    ERIC Educational Resources Information Center

    Sefein, Naim A.

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

  3. Dire need for a Middle Eastern science spring

    NASA Astrophysics Data System (ADS)

    Zewail, Ahmed H.

    2014-04-01

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

  4. Diasporic dreaming: return reproductive tourism to the Middle East.

    PubMed

    Inhorn, Marcia C

    2011-11-01

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

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

    PubMed

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

    2013-01-01

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

  6. The evolutionary origin and population history of the grauer gorilla.

    PubMed

    Tocheri, Matthew W; Dommain, René; McFarlin, Shannon C; Burnett, Scott E; Troy Case, D; Orr, Caley M; Roach, Neil T; Villmoare, Brian; Eriksen, Amandine B; Kalthoff, Daniela C; Senck, Sascha; Assefa, Zelalem; Groves, Colin P; Jungers, William L

    2016-01-01

    Gorillas living in western central Africa (Gorilla gorilla) are morphologically and genetically distinguishable from those living in eastern central Africa (Gorilla beringei). Genomic analyses show eastern gorillas experienced a significant reduction in population size during the Pleistocene subsequent to geographical isolation from their western counterparts. However, how these results relate more specifically to the recent biogeographical and evolutionary history of eastern gorillas remains poorly understood. Here we show that two rare morphological traits are present in the hands and feet of both eastern gorilla subspecies at strikingly high frequencies (>60% in G. b. graueri; ∼28% in G. b. beringei) in comparison with western gorillas (<1%). The intrageneric distribution of these rare traits suggests that they became common among eastern gorillas after diverging from their western relatives during the early to middle Pleistocene. The extremely high frequencies observed among grauer gorillas-which currently occupy a geographic range more than ten times the size of that of mountain gorillas-imply that grauers originated relatively recently from a small founding population of eastern gorillas. Current paleoenvironmental, geological, and biogeographical evidence supports the hypothesis that a small group of eastern gorillas likely dispersed westward from the Virungas into present-day grauer range in the highlands just north of Lake Kivu, either immediately before or directly after the Younger Dryas interval. We propose that as the lowland forests of central Africa expanded rapidly during the early Holocene, they became connected with the expanding highland forests along the Albertine Rift and enabled the descendants of this small group to widely disperse. The descendant populations significantly expanded their geographic range and population numbers relative to the gorillas of the Virunga Mountains and the Bwindi-Impenetrable Forest, ultimately resulting in the grauer gorilla subspecies recognized today. This founder-effect hypothesis offers some optimism for modern conservation efforts to save critically endangered eastern gorillas from extinction. © 2016 Wiley Periodicals, Inc.

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

    PubMed

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

    2016-09-01

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

  8. Variations in the occurrence of specific rpoB mutations in rifampicin-resistant Mycobacterium tuberculosis isolates from patients of different ethnic groups in Kuwait.

    PubMed

    Ahmad, Suhail; Al-Mutairi, Noura M; Mokaddas, Eiman

    2012-05-01

    Frequency of resistance-conferring mutations vary among isoniazid- and ethambutol-resistant Mycobacterium tuberculosis isolates obtained from patients of various ethnic groups. This study was aimed to determine the occurrence of specific rpoB mutations in rifampicin-resistant M. tuberculosis isolates from tuberculosis patients of various ethnic groups in Kuwait. Rifampicin-resistant M. tuberculosis isolates (n=119) from South Asian (n=55), Southeast Asian (n=23), Middle Eastern (n=39) and other (n=2) patients and 107 rifampicin-susceptible isolates were tested. Mutations in rpoB were detected by DNA sequencing. Polymorphisms at katG463 and gyrA95 were detected by PCR-RFLP for genetic group assignment. None of rifampicin-susceptible but 116 of 119 rifampicin-resistant isolates showed rpoB mutation(s). Mutations among isolates from South Asian patients were distributed at rpoB516 (20%), rpoB526 (24%) and rpoB531 (27%) while 78 and 51 per cent of isolates from Southeast Asian and Middle Eastern patients, respectively, contained a mutated rpoB531. All isolates with rpoB N-terminal and cluster II mutations were obtained from Middle Eastern and South Asian patients. Most isolates from South Asian (84%) and Southeast Asian (70%) patients belonged to genetic group I while nearly all remaining isolates belonged to genetic group II. Isolates from Middle Eastern patients were distributed among genetic group I (46%), genetic group II (33%) and genetic group III (21%). The occurrence of specific rpoB mutations varied considerably in rifampicin-resistant M. tuberculosis isolates obtained from patients of different ethnic groups within the same country. The present data have important implications for designing region-specific rapid methods for detecting majority of rifampicin-resistant strains.

  9. An analysis of suicide and undetermined deaths in 17 predominantly Islamic countries contrasted with the UK.

    PubMed

    Pritchard, Colin; Amanullah, S

    2007-03-01

    Suicide is expressly condemned in the Qu'ran, and traditionally few Islamic countries have reported suicide. Undetermined deaths are classified by the World Health Organization (WHO) as Other Violent Deaths (OVD) in ICD-9, or Other External Causes (OEC) in ICD-10. It has been suggested that to avoid under-reporting of suicides, both formal suicide verdicts and OVD should be considered together because OVD may contain 'hidden' suicides. The latest WHO mortality data, by age and gender, were analysed and tested by chi2 tests. Levels of suicide and OVD in 17 Islamic countries were examined and contextually compared with UK rates. The regional Islamic cultural differences in Middle Eastern, South Asian, European Islam countries and those of the former Union of Socialist Soviet Republics (FUSSR) were analysed separately to test the hypotheses that there would be no difference between regional suicide and OVD rates per million (pm) and 17 Islamic countries and UK rates. Suicide rates were higher for males than females, and 'older' (65+) higher than 'younger' (15-34) rates in every country reviewed. The rate for Middle Eastern males was 0-36 pm, South Asian 0-12 pm, European 53-177 pm and FUSSR 30-506 pm, with three countries exceeding the UK rate of 116 pm. The Western male average OVD rate was 22 pm; the UK 55 pm rate was highest. Middle Eastern OVD was 1-420 pm, South Asian 0-166 pm, European 1-66 pm and FUSSR 11-361 pm. OVD rates in 10 Islamic countries were considerably higher than the Western average and eight had OVD rates considerably higher than their suicide rates. Islamic suicide rates varied widely and the high OVD rates, especially the Middle Eastern, may be a repository for hiding culturally unacceptable suicides.

  10. Challenges in predicting and simulating summer rainfall in the eastern China

    NASA Astrophysics Data System (ADS)

    Liang, Ping; Hu, Zeng-Zhen; Liu, Yunyun; Yuan, Xing; Li, Xiaofan; Jiang, Xingwen

    2018-05-01

    To demonstrate the challenge of summer rainfall prediction and simulation in the eastern China, in this work, we examine the skill of the state-of-the-art climate models, evaluate the impact of sea surface temperature (SST) on forecast skill and estimate the predictability by using perfect model approach. The challenge is further demonstrated by assessing the ability of various reanalyses in capturing the observed summer rainfall variability in the eastern China and by examining the biases in reanalyses and in a climate model. Summer rainfall forecasts (hindcasts) initiated in May from eight seasonal forecast systems have low forecast skill with linear correlation of - 0.3 to 0.5 with observations. The low forecast skill is consistent with the low perfect model score ( 0.1-0.3) of atmospheric model forced by observed SST, due to the fact that external forcing (SST) may play a secondary role in the summer rainfall variation in the eastern China. This is a common feature for the climate variation over the middle and high latitude lands, where the internal dynamical processes dominate the rainfall variation in the eastern China and lead to low predictability, and external forcing (such as SST) plays a secondary role and is associated with predictable fraction. Even the reanalysis rainfall has some remarkable disagreements with the observation. Statistically, more than 20% of the observed variance is not captured by the mean of six reanalyses. Among the reanalyses, JRA55 stands out as the most reliable one. In addition, the reanalyses and climate model have pronounced biases in simulating the mean rainfall. These defaults mean an additional challenge in predicting the summer rainfall variability in the eastern China that has low predictability in nature.

  11. Prevalence and outcome of Middle-eastern Arab and South Asian patients hospitalized with heart failure: insight from a 20-year registry in a Middle-eastern country (1991-2010).

    PubMed

    Al Suwaidi, Jassim; Asaad, Nidal; Al-Qahtani, Awad; Al-Mulla, Abdul Wahid; Singh, Rajvir; Albinali, Hajar A

    2012-06-01

    The clinical characteristics and outcome of patients hospitalized with heart failure vary according to ethnicities. Limited epidemiologic data are available about the clinical characteristics and outcome of heart failure (HF) patients among non-Caucasian populations. Between 1 January 1991 and 31 December 2010; 41 453 consecutive patients were hospitalized at Hamad General Hospital, Doha, Qatar for cardiac reasons. Patients were into two groups; hospitalized with HF (n = 7069) and hospitalized for non-HF (no-HF). Among HF patients Sub-analysis was made according to ethnicity; Middle-eastern Arabs (MEA) (n = 5227) versus South Asian (SA) (n = 1289) patients. HF patients were older and more likely to be female when compared to non-HF patients. HF patients were also more likely to have diabetes mellitus (DM), hypertension (HTN), atrial fibrillation (AF) and renal impairment when compared to non-HF patients. SA HF patients younger and less likely to have DM, HTN and AF when compared to MEA patients. Over the 20-years period there was decrease in in-hospital mortality and stroke rates regardless of ethnicity (death; 8.3% to 4.8%, stroke; 0.8% to 0.1%; all P = 0.001). HF patients in the Middle East present at relatively younger age regardless of ethnicity. In-hospital mortality and stroke rates decreased significantly over the 20-years.

  12. Turkish Population Structure and Genetic Ancestry Reveal Relatedness among Eurasian Populations

    PubMed Central

    Hodoğlugil, Uğur; Mahley, Robert W.

    2013-01-01

    Summary Turkey connects the Middle East, Europe, and Asia and has experienced major population movements. We examined the population structure and genetic relatedness of samples from three regions of Turkey using over 500,000 SNP genotypes. The data were analyzed together with Human Genome Diversity Panel data. To obtain a more representative sampling from Central Asia, Kyrgyz samples (Bishkek, Kyrgyzstan) were genotyped and analyzed. Principal component (PC) analysis reveals a significant overlap between Turks and Middle Easterners and a relationship with Europeans and South and Central Asians; however, the Turkish genetic structure is unique. FRAPPE, STRUCTURE, and phylogenetic analyses support the PC analysis depending upon the number of parental ancestry components chosen. For example, supervised STRUCTURE (K = 3) illustrates a genetic ancestry for the Turks of 45% Middle Eastern (95% CI, 42–49), 40% European (95% CI, 36–44), and 15% Central Asian (95% CI, 13–16), whereas at K = 4 the genetic ancestry of the Turks was 38% European (95% CI, 35–42), 35% Middle Eastern (95% CI, 33–38), 18% South Asian (95% CI, 16–19), and 9% Central Asian (95% CI, 7–11). PC analysis and FRAPPE/STRUCTURE results from three regions in Turkey (Aydin, Istanbul, and Kayseri) were superimposed, without clear subpopulation structure, suggesting the selected samples were rather homogeneous. Thus, this study demonstrates admixture of Turkish people reflecting the population migration patterns. PMID:22332727

  13. Prevalence of aging population in the Middle East and its implications on cancer incidence and care

    PubMed Central

    Hajjar, R. R.; Atli, T.; Al-Mandhari, Z.; Oudrhiri, M.; Balducci, L.; Silbermann, M.

    2013-01-01

    The Middle Eastern population is aging rapidly, and as aging is the main risk factor for cancer, the incidence and prevalence of that disease are increasing among all the populations in the region. These developments represent huge challenges to national and community-based health services. At the current state of affairs, most Middle Eastern countries require the cooperation of international agencies in order to cope with such new challenges to their health systems. The focus and emphasis in facing these changing circumstances lie in the education and training of professionals, mainly physicians and nurses, at the primary, secondary and tertiary levels of health services. It is imperative that these training initiatives include clinical practice, with priority given to the creation of multidisciplinary teams both at the cancer centers and for home-based services. PMID:24001758

  14. Biostratigraphic sequence analysis of two Lower Miocene to Pliocene sections, Eastern Falcon, Northwestern Venezuela

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

    Diaz De Gamero, M.L.; Giffuni, G.; Castro Mora, M.

    1993-02-01

    The eastern region of the Falcon Basin in northwestern Venezuela comprises a thick sedimentary sequence deposited from a deep marine bathyal to neritic environment, ranging in age from the Middle Eocene to the Pliocene. A detailed biostratigraphic study (foraminifera and calcareous nannoplankton) was carried out in two sedimentary sequences outcropping in Cumarebo and Piritu, adjacent areas of eastern Falcon, representing: platform, slope and basinal settings. The Cumarebo section is continuous in the studied interval, from the Middle Miocene to the Pliocene. The Piritu section is continuous from the Lower to the lower Upper Miocene, terminating unconformably beneath a thin intervalmore » of middle Pliocene platform sediments, indicating tectonism during the latest Miocene. The sequence stratigraphical interpretation was based on the biostratigraphic analysis of the benthic and planktonic fossils, facies distribution and sedimentological data. Systems tracts, sequence boundaries and maximum flooding surfaces from cycles TB2.4 to TB3.5 of the cycle chart were identified. In the Cumarebo section, the upper Middle and Upper Miocene is mostly composed of shales, with some turbiditic sands belonging to a LSW system tract. The upper most Miocene contains a thick carbonate buildup (HST), and it is overlain by a Pliocene section that shallows upward from upper slope to outer shelf depositional environments. In the basinal (Piritu) section, most of the sediments are deep-water shales belonging to a LSW system tract, with some turbiditic sands in the upper Lower Miocene. TST and HST sediments, with scattered carbonate buildups in the upper Middle Miocene were also identified.« less

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

    PubMed

    Matarelli, Steven A

    2013-10-01

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

  16. Bridging Cultural Divides

    ERIC Educational Resources Information Center

    Galuzska, Peter

    2006-01-01

    Colleges and universities across the country are seeing an overwhelming interest among students in learning about the Middle East and Arabic languages. The most popular courses, professors say, are Arabic language, Middle Eastern politics and the dynamics of the Israeli and Arab relationship. Also in demand are courses on comparative religions and…

  17. The "Repoliticization" of Islam in the Middle East.

    ERIC Educational Resources Information Center

    Olson, Robert W.; Abell, Robert

    1984-01-01

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

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

    ERIC Educational Resources Information Center

    Kruckeberg, Dean

    1996-01-01

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

  19. Shades of White: Identity Status, Stereotypes, Prejudice, and Xenophobia

    ERIC Educational Resources Information Center

    Kumar, Revathy; Seay, Nancy; Karabenick, Stuart

    2011-01-01

    Social identity, cultural socialization, intergroup contact hypothesis and group threat theories were used to examine White middle school adolescents' beliefs and attitudes toward Middle Eastern peers (Chaldeans). Ten focus group interviews in each of five Midwestern schools supported the hypothesized relationships between White majority/minority…

  20. The State of Middle Eastern Studies.

    ERIC Educational Resources Information Center

    Lewis, Bernard

    1979-01-01

    After tracing European study of the Middle East from medieval times, the author concludes that, for all the money and effort being expended in English and American universities, results are disappointing. He notes problems of partisanship, influence of outside financial benefactors, poor academic standards, the language difficulty, and…

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

    USGS Publications Warehouse

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

    2017-08-09

    The Miocene Columbia River Basalt Group (CRBG) is the youngest and best preserved continental flood basalt province on Earth, linked in space and time with a compositionally diverse succession of volcanic rocks that partially record the apparent emergence and passage of the Yellowstone plume head through eastern Oregon during the late Cenozoic. This compositionally diverse suite of volcanic rocks are considered part of the La Grande-Owyhee eruptive axis (LOEA), an approximately 300-kilometer-long (185 mile), north-northwest-trending, middle Miocene to Pliocene volcanic belt located along the eastern margin of the Columbia River flood basalt province. Volcanic rocks erupted from and preserved within the LOEA form an important regional stratigraphic link between the (1) flood basalt-dominated Columbia Plateau on the north, (2) bimodal basalt-rhyolite vent complexes of the Owyhee Plateau on the south, (3) bimodal basalt-rhyolite and time-transgressive rhyolitic volcanic fields of the Snake River Plain-Yellowstone Plateau, and (4) the High Lava Plains of central Oregon.This field-trip guide describes a 4-day geologic excursion that will explore the stratigraphic and geochemical relationships among mafic rocks of the Columbia River Basalt Group and coeval and compositionally diverse volcanic rocks associated with the early “Yellowstone track” and High Lava Plains in eastern Oregon. Beginning in Portland, the Day 1 log traverses the Columbia River gorge eastward to Baker City, focusing on prominent outcrops that reveal a distal succession of laterally extensive, large-volume tholeiitic flood lavas of the Grande Ronde, Wanapum, and Saddle Mountains Basalt formations of the CRBG. These “great flows” are typical of the well-studied flood basalt-dominated Columbia Plateau, where interbedded silicic and calc-alkaline lavas are conspicuously absent. The latter part of Day 1 will highlight exposures of middle to late Miocene silicic ash-flow tuffs, rhyolite domes, and calc-alkaline lava flows overlying the CRBG across the northern and central parts of the LOEA. The Day 2 field route migrates to southern parts of the LOEA, where rocks of the CRBG are associated in space and time with lesser known and more complex silicic volcanic stratigraphy associated with middle Miocene, large-volume, bimodal basalt-rhyolite vent complexes. Key stops will provide a broad overview of the structure and stratigraphy of the middle Miocene Mahogany Mountain caldera and middle to late Miocene calc-alkaline lavas of the Owyhee basalt. Stops on Day 3 will progress westward from the eastern margin of the LOEA, examining a transition linking the Columbia River Basalt-Yellowstone province with a northwestward-younging magmatic trend of silicic volcanism that underlies the High Lava Plains of eastern Oregon. Initial field stops on Day 3 will examine key outcrops demonstrating the intercalated nature of middle Miocene tholeiitic CRBG flood basalts, prominent ash-flow tuffs, and “Snake River-type” large-volume rhyolite lava flows exposed along the Malheur River. Subsequent stops on Day 3 will focus upon the volcanic stratigraphy northeast of the town of Burns, which includes regional middle to late Miocene ash-flow tuffs, and lava flows assigned to the Strawberry Volcanics. The return route to Portland on Day 4 traverses across the western axis of the Blue Mountains, highlighting exposures of the widespread, middle Miocene Dinner Creek Tuff and aspects of Picture Gorge Basalt flows and northwest-trending feeder dikes situated in the central part of the CRBG province.

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

    PubMed

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

    2009-11-01

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

  3. Identification and Clinical Characterization of Children with Benign Ethnic Neutropenia

    PubMed Central

    Ortiz, Michael V.; Meier, Emily R.; Hsieh, Matthew M.

    2016-01-01

    Benign ethnic neutropenia (BEN) is an asymptomatic condition reported in adults of African and Middle Eastern descent. The clinical description in children is currently lacking. In our urban outpatient pediatric hematology clinic, the median neutrophil count of children with BEN was lower than previous reports in adults at 893 × 106 cells/L, but increased with older age. There was an equal male to female ratio and 24% of our BEN children reported ethnicities other than African or Middle Eastern. Children with BEN had a clinical course comparable to other healthy children including otherwise normal blood counts, except for mild anemia. PMID:26925714

  4. Radiolarian biostratigraphy of the Quinn River Formation, Black Rock terrane, north-central Nevada: correlations with eastern Klamath terrane geology

    USGS Publications Warehouse

    Blome, C.D.; Reed, K.M.

    1995-01-01

    The Quinn River Formation, Black Rock terrane, Quinn River Crossing, is one of the few Nevadan sections of Permian and Triassic strata that are unaffected by Sonoman deformation. The formation consists of: 1) a basal tuff overlain by limestone and ferruginous dolomite, 2) interbedded radiolarian-bearing chert and argillite, 3) siltstone and carbonaceous shale, and 4) partly volcaniclastic rocks. All but the uppermost (barren) chert samples contain Late Permian radiolarian taxa. These radiolarians suggest that early Wordian conodonts reported from near the top of the chert and argillite unit are reworked. Poorly preserved Early(?) or Middle triassic radiolarians and Middle Triassic ammonites and pectenacid bivalves from the middle part of the volcaniclastic unit indicate the Early Triassic deposition cannot be documented at Quinn River. The ages of the Quinn River brachiopod, conodont, and radiolarian faunas resemble those of the Dekkas and Pit Formations, eastern Klamath terrane, northern California. The analogous Quinn River and eastern Klamath rock types and faunal ages, as well as similar hiatuses in their stratigraphic records, suggest that they may be lateral equivalents that formed in the same island-arc sedimentary basin. -from Authors

  5. Post-middle Miocene origin of modern landforms in the eastern Piedmont of Virginia

    USGS Publications Warehouse

    Weems, R.E.; Edwards, L.E.

    2007-01-01

    Diverse late middle Miocene dinoflagellate floras, obtained from two sites along the western edge of the Atlantic Coastal Plain in central Virginia, indicate that the eastern Virginia Piedmont was covered by marine waters about 12-13 Ma. This transgression extended farther westward across the Virginia Piedmont than any other transgression that has been documented. Extensive fluvial deposits that may be associated with this transgression covered earlier stream patterns in the eastern Piedmont and buried them beneath a thin (probably less than 100 foot-thick) veneer of sand and gravel. During the subsequent regression, a linear down-slope stream-drainage pattern developed. Although it has been somewhat modified by later stream captures, it still is easily recognizable. This interval of marine inundation and deposition explains why modern stream patterns in the eastern Piedmont of Virginia strongly resemble the stream patterns in the Coastal Plain and differ from the structurally adjusted trellis stream patterns typical of the western Piedmont, Blue Ridge, and Valley and Ridge regions. Uplift of the modern Southern Appalachian Mountains began at the time of this transgression and was largely completed by the late Pliocene.

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

    PubMed

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

    2018-05-24

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

  7. Language Teacher Research in the Middle East

    ERIC Educational Resources Information Center

    Coombe, Christine, Ed.; Barlow, Lisa, Ed.

    2007-01-01

    An openness to new ways of teaching and learning is vital for growth among English language teachers, teacher educators, teachers in training, and students. This volume in the Language Teacher Research Series (Thomas S. C. Farrell, series editor) shares the studies and reflections of teacher researchers working in Middle Eastern countries with…

  8. An Inspiration for Democratization in the Middle East: Turkey

    DTIC Science & Technology

    2011-12-01

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

  9. Therapeutic history of Parkinson's disease in Chinese medical treatises.

    PubMed

    Zheng, Guo-Qing

    2009-11-01

    Chronological research on the therapeutic history of Parkinson's disease (PD) has been conducted by Chinese medical treatises from ancient to modern times. It outlines the division by the early, middle, and modern periods. The precise records for the clinical symptoms of PD and its preliminary treatment prescriptions could date back to the Eastern Han Dynasty (206 BC-220 AD). Thereafter (220 AD-1911), due to an increase in the understanding of PD in Chinese medical science, prescriptions for treatment also sprang up. Frequency statistics and cluster analysis have been carried out to elucidate the medication rules and commonly used Chinese medicinal materials (CMM) for prevention and treatment of PD during the middle period. In modern times, the dozens of prescriptions or bioactive ingredients of CMM used for the symptomatic treatment of PD have been shown to be effective in clinical trials. However, an analysis of contemporary Chinese clinical literature on PD has suggested the need for more rigorous research methodology before CMM could be adopted by evidence-based medicine.

  10. Cardiovascular benefits of black cumin (Nigella sativa).

    PubMed

    Shabana, Adel; El-Menyar, Ayman; Asim, Mohammad; Al-Azzeh, Hiba; Al Thani, Hassan

    2013-03-01

    Black Cumin (Nigella sativa), which belongs to the botanical family of Ranunculaceae, commonly grows in Eastern Europe, the Middle East, and Western Asia. Its ripe fruit contains tiny black seeds, known as "Al-Habba Al-Sauda" and "Al-Habba Al-Barakah" in Arabic and black seed or black cumin in English. Seeds of Nigella sativa are frequently used in folk medicine in the Middle East and some Asian countries for the promotion of good health and the treatment of many ailments. However, data for the cardiovascular benefits of black cumin are not well-established. We reviewed the literature from 1960 to March 2012 by using the following key words: "Nigella sativa," "black seeds," and "thymoquinone." Herein, we discussed the most relevant articles to find out the role of Nigella sativa in the cardiovascular diseases spectrum especially when there is a paucity of information and need of further studies in human to establish the utility of Nigella sativa in cardiovascular system protection.

  11. Low temperature thermochronology in the Eastern Alps: Implications for structural and topographic evolution

    PubMed Central

    Wölfler, Andreas; Stüwe, Kurt; Danišík, Martin; Evans, Noreen J.

    2012-01-01

    According to new apatite fission track, zircon- and apatite (U–Th)/He data, we constrain the near-surface history of the southeastern Tauern Window and adjacent Austrolapine units. The multi-system thermochronological data demonstrate that age-elevation correlations may lead to false implications about exhumation and cooling in the upper crust. We suggest that isothermal warping in the Penninic units that are in the position of a footwall, is due to uplift, erosion and the buildup of topography. Additionally we propose that exhumation rates in the Penninic units did not increase during the Middle Miocene, thus during the time of lateral extrusion. In contrast, exhumation rates of the Austroalpine hangingwall did increase from the Paleogene to the Neogene and the isotherms in this unit were not warped. The new zircon (U–Th)/He ages as well as zircon fission track ages from the literature document a Middle Miocene exhumation pulse which correlates with a period of enhanced sediment accumulation during that time. However, enhanced sedimentation- and exhumation rates at the Miocene/Pliocene boundary, as observed in the Western- and Central Alps, cannot be observed in the Eastern Alps. This contradicts a climatic trigger for surface uplift, and makes a tectonic trigger and/or deep-seated mechanism more obvious to explain surface uplift in the Eastern Alps. In combination with already published geochronological ages, our new data demonstrate Oligocene to Late Miocene fault activity along the Möll valley fault that constitutes a major shear zone in the Eastern Alps. In this context we suggest a geometrical and temporal relationship of the Katschberg-, Polinik–Möll valley- and Mur–Mürz faults that define the extruding wedge in the eastern part of the Eastern Alps. Equal deformation- and fission track cooling ages along the Katschberg–Brenner- and Simplon normal faults demonstrate overall Middle Miocene extension in the whole alpine arc. PMID:27065501

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

    NASA Astrophysics Data System (ADS)

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

    2009-03-01

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

  13. Children at risk: the association between perceived weight status and suicidal thoughts and attempts in middle school youth.

    PubMed

    Whetstone, Lauren M; Morrissey, Susan L; Cummings, Doyle M

    2007-02-01

    Suicide is one of the most common causes of death among young people. A report from the US Surgeon General called for strategies to prevent suicide, including increasing public awareness of suicide and risks factors, and enhancing research to understand risk and protective factors. Weight perception has been linked to depression and poor self-esteem in adolescents. The purpose of this study was to examine the relationship between perceived weight status and suicidal thoughts and actions by gender in middle school youth. All public middle school students in 4 eastern North Carolina counties presented, and with parental permission (n = 5174), completed the Youth Risk Behavior Survey: Middle School Questionnaire. The 3 dependent variables were self-reported thinking, planning, and attempting suicide. Bivariate analyses describe suicidal thoughts and actions; multiple logistic regression models examined the relationship between weight description and suicidal thoughts and actions controlling for age, race, household composition, grades on report cards, and parents' education. Significantly more females than males reported thinking (26% vs 19%), planning (12% vs 9%), and attempting (11% vs 8%) suicide. For females, those who perceived themselves as overweight were significantly more likely to report suicidal thoughts and actions; while for males, perceptions of overweight and underweight were significantly associated with suicidal thoughts and actions. Controlling for personal and family characteristics, perceived weight status was significantly associated with suicidal thoughts and actions in middle school boys and girls.

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

    PubMed

    Silbermann, Michael; Hassan, Esmat A

    2011-10-01

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

  15. From anesthetic sponge to nonsinking skull perforator, unitary work neurosurgery in the ancient Arabic and Islamic world.

    PubMed

    Najjar, Jalal

    2010-05-01

    During the Middle Ages, the work of Middle Eastern physicians such as Avicenna, Albucasis, and Rhazes was of paramount importance in guarding the knowledge that had been accumulated throughout history, particularly the contributions of Greek and Roman scholars, and it is well known that the Arabic versions of all of the works by Hippocrates and Galen by Islamic and Arabic scholars are the only copies that have survived until now. In addition to preserving this wealth of knowledge, these Middle Eastern scholars made significant contributions of their own to both medicine and neurosurgery. Many points regarding ancient Arabic and Islamic science need to be discussed and clarified, such as cadaver dissections, anatomic studies, neurosurgical practice and instruments, Arabic translations of Hippocratic and other works, and the influence of the Islamic civilization on Western civilization, especially the Renaissance. Copyright © 2010 Elsevier Inc. All rights reserved.

  16. A new look on Imperial Porphyry: a famous ancient dimension stone from the Eastern Desert of Egypt—petrogenesis and cultural relevance

    NASA Astrophysics Data System (ADS)

    Abu El-Enen, Mahrous M.; Lorenz, Joachim; Ali, Kamal A.; von Seckendorff, Volker; Okrusch, Martin; Schüssler, Ulrich; Brätz, Helene; Schmitt, Ralf-Thomas

    2018-03-01

    Imperial Porphyry, a famous dimension stone of spectacular purple color, was quarried in the Mons Porphyrites area north of Jabal Dokhan in the Eastern Desert of Egypt, from the beginning of the first until the middle of the fifth century AD. During this period, the valuable material was processed as decorative stone and was used for objects of art, reserved exclusively for the Imperial court of the Roman Empire. Later on, only antique spoils of smaller or bigger size have been re-used for these purposes. The Imperial Porphyry is a porphyritic rock of trachyandesitic to dacitic composition that occurs in the uppermost levels of shallow subvolcanic sill-like intrusions, forming a member of the Dokhan Volcanic Suite. Its purple color is mainly due to dispersed flakes of hematite, resulting from hydrothermal alteration of a dark green Common Porphyry of similar composition, underlying the Imperial Porphyry. Both, the Common Porphyry and the purple Imperial Porphyry', are extensively exposed in the Roman quarries. Contacts between Common and Imperial Porphyry are irregular and gradational. In both rock types, intrusive breccias are frequent, indicating a complex intrusion history. U-Th-Pb zircon geochronology on two samples of Imperial Porphyry and one sample of the Common Porphyry yielded an age range of 609-600 Ma, thus confirming earlier results of radiometric dating. Geochemical evidence indicates that both the Imperial and the Common Porphyry are of medium- to high-K calc-alkaline affinity. The magmas have formed by partial melting of a subduction-modified upper mantle. The subsequent intrusion took place within a highly extended terrane (HET).

  17. Hepatocellular carcinoma in Asia: Prevention strategy and planning

    PubMed Central

    Ashtari, Sara; Pourhoseingholi, Mohamad Amin; Sharifian, Afsaneh; Zali, Mohamad Reza

    2015-01-01

    AIM: To review all of epidemiological and etiological aspects of hepatocellular carcinoma (HCC) and examined the prevention of this disease in Asia. METHODS: We conducted a systematic review according to the PRISMA guidelines. We were chosen articles that published previously, from PubMed (MEDLINE), the Cochrane database and Scopus. The key words used in this research were as follows: HCC in Asia and the way of prevention of this disease, with no language limitations. We selected those papers published before 2014 that we considered to be most important and appropriate. All relevant articles were accessed in full text and all relevant materials was evaluated and reviewed. RESULTS: More than 70% of all new cases of liver cancer were diagnosed in Asia, a region that 75% of all those chronically infected with hepatitis B virus (HBV) in the world. Chronic HBV infection is the main cause of HCC in Asia, where the virus is endemic and vertical transmission is common. Japan, Saudi Arabia, Egypt and Pakistan are exception because of high prevalence of HCV infection in these regions. The prevalence of this cancer is high in Eastern and South-Eastern Asia, But Middle Eastern countries are characterized as moderate prevalence rate of HCC region and Central Asia and some part of Middle Eastern countries are known as low prevalence rate of HCC. In addition of HBV and HCV the other factors such as aflatoxin, alcohol, obesity, diabetes and non-alcoholic fatty liver disease (NAFLD) might be responsible for a low prevalence of HCC in Asian countries. Currently available HCC therapies, chemotherapy, surgical are inefficient, mainly due to usually late diagnosis and high recurrence rates after surgical resection, and usually end with treatment failure. Liver transplantation also remains as a difficult strategy in patients with HCC. Thus prevention of HCC by treating and prevention HBV and HCV infection, the major causative agents of HCC, and the other risk factors such as aflatoxin, alcohol, obesity, diabetes and NAFLD is of a great medical importance. CONCLUSION: The main challenge which still present in Asia, is the high prevalence of chronic hepatitis. So, prevention of HBV and HCV is the key strategy to reduce the incidence of HCC in Asia. PMID:26140091

  18. Hepatocellular carcinoma in Asia: Prevention strategy and planning.

    PubMed

    Ashtari, Sara; Pourhoseingholi, Mohamad Amin; Sharifian, Afsaneh; Zali, Mohamad Reza

    2015-06-28

    To review all of epidemiological and etiological aspects of hepatocellular carcinoma (HCC) and examined the prevention of this disease in Asia. We conducted a systematic review according to the PRISMA guidelines. We were chosen articles that published previously, from PubMed (MEDLINE), the Cochrane database and Scopus. The key words used in this research were as follows: HCC in Asia and the way of prevention of this disease, with no language limitations. We selected those papers published before 2014 that we considered to be most important and appropriate. All relevant articles were accessed in full text and all relevant materials was evaluated and reviewed. More than 70% of all new cases of liver cancer were diagnosed in Asia, a region that 75% of all those chronically infected with hepatitis B virus (HBV) in the world. Chronic HBV infection is the main cause of HCC in Asia, where the virus is endemic and vertical transmission is common. Japan, Saudi Arabia, Egypt and Pakistan are exception because of high prevalence of HCV infection in these regions. The prevalence of this cancer is high in Eastern and South-Eastern Asia, But Middle Eastern countries are characterized as moderate prevalence rate of HCC region and Central Asia and some part of Middle Eastern countries are known as low prevalence rate of HCC. In addition of HBV and HCV the other factors such as aflatoxin, alcohol, obesity, diabetes and non-alcoholic fatty liver disease (NAFLD) might be responsible for a low prevalence of HCC in Asian countries. Currently available HCC therapies, chemotherapy, surgical are inefficient, mainly due to usually late diagnosis and high recurrence rates after surgical resection, and usually end with treatment failure. Liver transplantation also remains as a difficult strategy in patients with HCC. Thus prevention of HCC by treating and prevention HBV and HCV infection, the major causative agents of HCC, and the other risk factors such as aflatoxin, alcohol, obesity, diabetes and NAFLD is of a great medical importance. The main challenge which still present in Asia, is the high prevalence of chronic hepatitis. So, prevention of HBV and HCV is the key strategy to reduce the incidence of HCC in Asia.

  19. Morphological and genetic evolution in eastern populations of the Macrhybopsis aestivalis complex (Cypriniformes: Cyprinidae), with the descriptions of four new species.

    PubMed

    Gilbert, Carter R; Mayden, Richard L; Powers, Steven L

    2017-03-30

    For many years the North American cyprinid fish Macrhybopsis aestivalis (common name: Speckled Chub) was regarded as a single widespread and morphologically variable species, occurring in rivers throughout much of the Mississippi Valley and geographically adjacent eastern Gulf slope drainages, west to the Rio Grande basin in Texas, New Mexico, and Mexico. Eisenhour (1997) completed a morphological study of western populations of the Speckled Chub, the results of which appeared thereafter in published form (Eisenhour 1999, 2004). He demonstrated the existence of five valid species west of the Mississippi River (aestivalis, marconis, australis, tetranema, hyostoma), of which the name aestivalis was shown to be restricted to the population occurring in the Rio Grande and the geographically adjacent Rio San Fernando system, in northeastern Mexico. Eisenhour (2004) considered populations throughout the middle Mississippi Valley and its major tributaries to be a single morphologically variable species (hyostoma), and he also indicated that populations of Macrhybopsis from eastern Gulf slope drainages may represent a complex of species. Genetic confirmation of Eisenhour's conclusions regarding western species appeared in the publication by Underwood et al. (2003), who also showed that western populations of M. hyostoma, as presently recognized, are genetically much more complex than previously considered.     Meanwhile, the present authors were involved in a companion study of eastern populations of Macrhybopsis, for which a genetic summary of the eastern Gulf coast species was published by Mayden & Powers (2004). Based on their findings, four species were recognized from southeastern drainages (identified as species A-D), although no formal taxonomic descriptions were included. Their genetic data, in combination with meristic, morphometric and other morphological data presented herein, form the basis for a revised classification of eastern Macrhybopsis populations, including formal descriptions of the four new species from eastern Gulf coast drainages.

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

    PubMed

    Al-Awamer, Ahmed; Downar, James

    2014-12-01

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

  1. Serum Carotenoids Reduce Progression of Early Atherosclerosis in the Carotid Artery Wall among Eastern Finnish Men

    PubMed Central

    Karppi, Jouni; Kurl, Sudhir; Ronkainen, Kimmo; Kauhanen, Jussi; Laukkanen, Jari A.

    2013-01-01

    Background Several previous epidemiologic studies have shown that high blood levels of carotenoids may be protective against early atherosclerosis, but results have been inconsistent. We assessed the association between atherosclerotic progression, measured by intima-media thickness of the common carotid artery wall, and serum levels of carotenoids. Methods We studied the effect of carotenoids on progression of early atherosclerosis in a population-based study. The association between concentrations of serum carotenoids, and intima-media thickness of the common carotid artery wall was explored in 840 middle-aged men (aged 46–65 years) from Eastern Finland. Ultrasonography of the common carotid arteries were performed at baseline and 7-year follow-up. Serum levels of carotenoids were analyzed at baseline. Changes in mean and maximum intima media thickness of carotid artery wall were related to baseline serum carotenoid levels in covariance analyses adjusted for covariates. Results In a covariance analysis with adjustment for age, ultrasound sonographer, maximum intima media thickness, examination year, body mass index, systolic blood pressure, smoking, physical activity, serum LDL cholesterol, family history of coronary heart disease, antihypertensive medication and serum high sensitivity C-reactive protein, 7-year change in maximum intima media thickness was inversely associated with lycopene (p = 0.005), α-carotene (p = 0.002) and β-carotene (p = 0.019), respectively. Conclusions The present study shows that high serum concentrations of carotenoids may be protective against early atherosclerosis. PMID:23700460

  2. Building a Consensus Forecast for Crude Oil Prices

    DTIC Science & Technology

    2006-03-01

    Middle East ( Cremer , 1991). As the world became dependant on cheap oil found in the Middle East, the underlying market was changing. Initially...governments in an effort to break into the market ( Cremer , 1991). During this time, Middle Eastern countries received a royalty on the oil produced within...their borders. This meant that government revenues were tied to volume, regardless of price ( Cremer , 1991). But in the 1950s the oil companies

  3. Patterns and trends of early successional forests in the Eastern United States

    Treesearch

    Margaret K. Trani; Robert T. Brooks; Thomas L. Schmidt; Victor A. Rudis; Christine M. Gabbard

    2001-01-01

    We assessed the status of early successional forest conditions for 33 Eastern States within the New England, Middle Atlantic, Great Lakes, Central Plains, Coastal South, and Interior South subregions. We used Forest Inventory and Analysis surveys to analyze trends from 1946 to 1998. Dramatic regional differences occurred in distribution of early successional forests....

  4. Generational Changes in Conceptions of Mental Illness: A Study of a South African Indian Sample.

    ERIC Educational Resources Information Center

    Bhana, Kastoor; Daniels, Carol Sandra

    1986-01-01

    Investigates generational changes in the conceptualization of mental illness. Hindu and Muslim grandmothers and their middle-aged daughters were studied with the following results: (1) a significant generation effect and (2) the conceptualization largely in eastern terms but an acceptance of both eastern and western conceptions of etiology and…

  5. Middle Proterozoic age for the Montpelier Anorthosite, Goochland terrane, eastern Piedmont, Virginia

    USGS Publications Warehouse

    Aleinikoff, J.N.; Horton, J. Wright; Walter, M.

    1996-01-01

    Uranium-lead dating of zircons from the Montpelier Anorthosite confirms previous interpretations, based on equivocal evidence, that the Goochland terrane in the eastern Piedmont of Virginia contains Grenvillian basement rocks of Middle Proterozoic age. A very few prismatic, elongate, euhedral zircons, which contain 12-29 ppm uranium, are interpreted to be igneous in origin. The vast majority of zircons are more equant, subangular to anhedral, contain 38-52 ppm uranium, and are interpreted to be metamorphic in origin. One fraction of elongate zircon, and four fragments of a very large zircon (occurring in a nelsonite segregation) yield an upper intercept age of 1045 ?? 10 Ma, interpreted as the time of anorthosite crystallization. Irregularly shaped metamorphic zircons are dated at 1011 ?? 2 Ma (weighted average of the 207Pb/206Pb ages). The U-Pb isotopic systematics of metamorphic titanite were reset during the Alleghanian orogeny at 297 ?? 5 Ma. These data provide a minimum age for gneisses of the Goochland terrane that are intruded by the anorthosite. Middle Proterozoic basement rocks of the Goochland terrane may be correlative with those in the Shenandoah massif of the Blue Ridge tectonic province, as suggested by similarities between the Montpelier Anorthosite and the Roseland anorthosite. Although the areal extent of Middle Proterozoic basement and basement-cover relations in the eastern Piedmont remain unresolved, results of this investigation indicate that the Goochland terrane is an internal massif of Laurentian crust rather than an exotic accreted terrane.

  6. 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.

  7. Identification of dust source regions and dust emission trends across North Africa and the Middle East using MISR satellite observations

    NASA Astrophysics Data System (ADS)

    Yu, Y.; Kalashnikova, O. V.; Garay, M. J.; Notaro, M.

    2017-12-01

    Global arid and semi-arid regions supply 1100 to 5000 Tg of Aeolian dust to the atmosphere each year, primarily from North Africa and secondarily from the Middle East. Previous dust source identification methods, based on either remotely-sensed aerosol optical depth (AOD) or dust activity, yield distinct dust source maps, largely due to the limitations in each method and remote-sensing product. Here we apply a novel motion-based method for dust source identification. Dust plume thickness and motion vectors from Multi-angle Imaging SpectroRadiometer (MISR) Cloud Motion Vector Product (CMVP) are examined to identify the regions with high frequency of fast moving-dust plumes, by season. According to MISR CMVP, Bodele depression is the most important dust source across North Africa, consistent with previous studies. Seasonal variability of dust emission across the North Africa is largely driven by climatology of wind and precipitation, featuring the influence of Sharav Cyclone and western African monsoon. In the Middle East, Iraq, Kuwait, and eastern Saudi Arabia are identified as dust source regions, especially during summer months, when the Middle Eastern Shamal wind is active. Furthermore, dust emission trend at each dust source are diagnosed from the motion-based dust source dataset. Increase in dust emission from the Fertile Crescent, Sahel, and eastern African dust sources are identified from MISR CMVP, implying potential contribution from these dust sources to the upward trend in AOD and dust AOD over the Middle East in the 21st century. By comparing with various dust source identification studies, we conclude that the motion-based identification of dust sources is an encouraging alternative and compliment to the AOD-only source identification method.

  8. Incidence of end-stage renal disease in overseas-born, compared with Australian-born, non-indigenous Australians.

    PubMed

    Stewart, John H; McCredie, Margaret R E; McDonald, Stephen P

    2004-08-01

    Barriers to immigration from non-European sources were relaxed in the 1970s. As a result, more Australians are now of Middle Eastern, Asian or Pacific Islander origin, rather than British or European. Currently, overseas-born persons comprise one-third of non-indigenous Australians with end-stage renal disease (ESRD). Using data recorded by the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry, age-standardized incidence rates were calculated for ESRD due to all causes and to certain primary renal diseases for all non-indigenous Australians who were aged over 15 years when first treated for ESRD between 1993 and 2001. Truncated age-standardized incidence rates were calculated for ESRD due to glomerulonephritis by type. Immigrants from the British Isles and 'rest of Europe' had less, and those from the Pacific Island nations, East/South-East Asia, Indian subcontinent, Middle East and Southern Europe more ESRD from all causes than the Australian-born. Two diseases accounted for most of the excess: Type 2 diabetic nephropathy and glomerulonephritis (the latter not significant for the Indian-born). There was a small excess (not always significant) of hypertensive/arteriopathic renal disease in Asian- and Middle Eastern-born persons. The East/South-East Asian-born had the highest rates of ESRD due to mesangial immunoglobulin A (IgA) disease and lupus nephritis, and the Middle Eastern-born the highest rates from focal sclerosing glomerulonephritis. For Australians born in the Pacific Island nations, Asia, the Middle East or Southern Europe, excess prevalence of, and/or susceptibility to, diseases that cause ESRD has more than offset any 'healthy migrant' effect.

  9. The Middle East: An Annotated Bibliography of Literature for Children (with Supplement).

    ERIC Educational Resources Information Center

    Maehr, Jane

    The goal of this collection is to present an annotated bibliographical listing of children's literature, written in English, about the Middle Eastern countries of Iran, Iraq, Israel, Jordan, Kuwait, Lebanon, Saudi Arabia, Syria, Turkey, the United Arab Republic (Egypt), and other countries located near the Persian Gulf. The bibliographic entries…

  10. Digital Muslimas: ICT Skills of Females in Middle Eastern Countries

    ERIC Educational Resources Information Center

    Primo, L. Heidi

    2010-01-01

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

  11. Friend Influence on Achievement during Middle Childhood

    ERIC Educational Resources Information Center

    DeLay, Dawn

    2013-01-01

    This study was designed to investigate friend influence on academic achievement and task avoidance during middle childhood in a sample of 794 participants in 397 stable same-sex friendship dyads (205 girl dyads and 192 boy dyads) from four municipalities in Finland: two in Central Finland, one in Western Finland, and one in Eastern Finland.…

  12. Human Capital Formation in the Gulf and MENA Region.

    ERIC Educational Resources Information Center

    Shaw, Ken E.

    2001-01-01

    Recent developments in human capital formation theories are particularly relevant to the Gulf and Middle Eastern and North African regions. Discusses recent western reconfigurations of the theory, noting how much local work must be done to reshape theory appropriately in the Middle East and explaining how issues relating to employment, education,…

  13. Students from the Arab World and Iran.

    ERIC Educational Resources Information Center

    Althen, Gary L., Ed.

    Information on the background and viewpoints of Middle Eastern students who are studying in the United States is presented in revised papers from a 1978 seminar, "The Middle East: The Arab World and Iran." In the first section of the report, "General Background," James Cowan reviews social and cultural factors, as well as…

  14. Early Childhood Education in Eighteen Countries in the Middle East and North Africa.

    ERIC Educational Resources Information Center

    Khattab, Mohammad S.

    1996-01-01

    Examined the status of early childhood education (ECE) in 18 middle eastern and north African countries, incorporating country profiles, ECE institutions, teachers, and children. Identified the critical issues needing priority attention, and a set of indicators that could be used by educational planners and policymakers for monitoring and…

  15. Exploring Middle School Students' and Parents' Conceptions of Excellent Teaching

    ERIC Educational Resources Information Center

    Chen, Junjun

    2016-01-01

    While there have been many western studies about what excellent teaching means, there are far fewer eastern studies. This study explored how students and parents perceived conceptions of excellent teaching in Chinese middle schools. The 77 students' and 67 parents' responses relating to a personal narrative of a time they had experienced excellent…

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

    PubMed

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

    2018-04-01

    Colorectal cancer (CRC) has a very high incidence in the western world. Data from registries in the Middle East showed that the incidence of CRC is relatively low in these countries. However, these data also showed that CRC incidence has increased substantially over the past three decades and that a high proportion of cases are diagnosed at an early age (<50 years). In view of these findings, more attention should be paid to prevention. Because of the often limited financial resources, focused screening of individuals with hereditary CRC, in particular those with Lynch syndrome, appears to be the most cost-effective strategy. During recent meetings of the Palestinian Society of Gastroenterology and the Mediterranean Task force for Cancer Control (MTCC) in Jericho, and the Patient's Friends Society of Jerusalem in Hebron the issue of hereditary CRC in the Middle East was discussed and the idea was conceived to establish a network on hereditary colorectal cancer (HCCN-ME) with the goal of improving care for high-risk groups in the Middle East and (Eastern) Mediterranean Countries.

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

    PubMed

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

    2018-01-01

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

  18. Diet of Australopithecus afarensis from the Pliocene Hadar Formation, Ethiopia

    NASA Astrophysics Data System (ADS)

    Wynn, Jonathan G.; Sponheimer, Matt; Kimbel, William H.; Alemseged, Zeresenay; Reed, Kaye; Bedaso, Zelalem K.; Wilson, Jessica N.

    2013-06-01

    The enhanced dietary flexibility of early hominins to include consumption of C4/crassulacean acid metabolism (CAM) foods (i.e., foods derived from grasses, sedges, and succulents common in tropical savannas and deserts) likely represents a significant ecological and behavioral distinction from both extant great apes and the last common ancestor that we shared with great apes. Here, we use stable carbon isotopic data from 20 samples of Australopithecus afarensis from Hadar and Dikika, Ethiopia (>3.4-2.9 Ma) to show that this species consumed a diet with significant C4/CAM foods, differing from its putative ancestor Au. anamensis. Furthermore, there is no temporal trend in the amount of C4/CAM food consumption over the age of the samples analyzed, and the amount of C4/CAM food intake was highly variable, even within a single narrow stratigraphic interval. As such, Au. afarensis was a key participant in the C4/CAM dietary expansion by early australopiths of the middle Pliocene. The middle Pliocene expansion of the eastern African australopith diet to include savanna-based foods represents a shift to use of plant food resources that were already abundant in hominin environments for at least 1 million y and sets the stage for dietary differentiation and niche specialization by subsequent hominin taxa.

  19. Integrative oncology research in the Middle East: weaving traditional and complementary medicine in supportive care.

    PubMed

    Ben-Arye, Eran; Ali-Shtayeh, Mohammed Saleem; Nejmi, Mati; Schiff, Elad; Hassan, Esmat; Mutafoglu, Kamer; Afifi, Fatma U; Jamous, Rana Majed; Lev, Efraim; Silbermman, Michael

    2012-03-01

    Complementary and alternative medicine (CAM) has an important role in supportive cancer care in the Middle East and is often used in association with traditional medicine. This article provides a comprehensive review of published data on CAM research in supportive cancer care in the Middle East. A multi-disciplinary Middle-Eastern Research Group in Integrative Oncology (MERGIO) was established in six countries. Authors independently searched Medline database for articles in Arabic, Hebrew, French, and Turkish using oncology and CAM-related keywords. Articles were recorded according to the first author's affiliation with an academic or clinical institution in the Middle East. We identified 143 articles on CAM and cancer care that had been published in 12 Middle-Eastern countries. Eighty-five articles were directly related to cancer supportive care. The latter included studies on the prevalence of CAM use by patients with cancer, aspects related to of doctor-patient communication, ethics and regulation, psychosocial aspects of CAM, CAM safety and quality assurance, studies of CAM education for health care providers, and ethno-botanical studies and reviews. Twenty-eight articles referred to clinical research on supportive care, and the use of specific CAM modalities that included acupuncture, anthroposophic medicine, dietary and nutritional therapies herbal medicine, homeopathy, mind-body medicine, shiatsu, therapeutic touch, and yoga. CAM-related supportive care research is prevalent in the Middle East, a fact that may serve as a basis for future multinational-multidisciplinary research work in supportive care in oncology.

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

    PubMed

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

    2012-10-01

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

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

    PubMed

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

    2014-05-01

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

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

    PubMed

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

    2012-07-01

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

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

    PubMed

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

    2016-01-01

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

  4. Preferred nasolabial angle in Middle Eastern population.

    PubMed

    Alharethy, Sami

    2017-05-01

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

  5. A Survey of Materials for the Study of the Uncommonly Taught Languages: Supplement, 1976-1981.

    ERIC Educational Resources Information Center

    Hatfield, Deborah H.; And Others

    This annotated bibliography is a supplement to the previous survey published in 1976. It covers languages and language groups in the following divisions: (1) Western Europe/Pidgins and Creoles (European-based); (2) Eastern Europe and the Soviet Union; (3) the Middle East and North Africa; (4) South Asia; (5) Eastern Asia; (6) Sub-Saharan Africa;…

  6. Stage boundary recognition in the Eastern Americas realm based on rugose corals

    USGS Publications Warehouse

    Oliver, W.A.

    2000-01-01

    Most Devonian stages contain characteristic coral assemblages but these tend to be geographically and facies limited and may or may not be useful for recognising stage boundaries. Within eastern North America, corals contribute to the recognition of two boundaries: the base of the Lochkovian (Silurian-Devonian boundary) and the base of the Eifelian (Lower-Middle Devonian Series boundary).

  7. 76 FR 37152 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... with the United States District Court for the Eastern District of Wisconsin. In this action, the United... agreement in this matter. On May 12, 2004, the United States District Court for the Eastern District of... remedy for the remainder of the Site, i.e., the Lower River, Middle River, and Inner Harbor portions of...

  8. Associations between interleukin-10 polymorphisms and susceptibility to juvenile idiopathic arthritis: a systematic review and meta-analysis.

    PubMed

    Harsini, Sara; Saghazadeh, Amene; Nedjat, Saharnaz; Rezaei, Nima

    2018-03-01

    Cytokine genes, including interleukin-10 (IL-10), are known to play important roles in the pathogenesis of juvenile idiopathic arthritis (JIA). This study aims to determine whether the IL-10 polymorphisms confer susceptibility to JIA. A meta-analysis was performed on the associations between the IL-10 -1082 G/A, -592 C/A, and -819 C/T polymorphisms and JIA. A total number of 7 studies involving 1,785 patients and 6,142 controls were considered in the meta-analysis. Meta-analysis of the IL-10 -592 C/A and -819 C/T polymorphisms showed no association with JIA in the study participants, or in Caucasian or Middle Eastern participants. Meta-analysis of the IL-10 -1082 A allele in all study participants, Caucasian and Middle Eastern, showed significant associations with RA (overall ORs were 1.17, 1.15, and 1.41, respectively). Meta-analysis of the AA versus GG genotype of the IL-10 -1082 G/A polymorphism revealed significant associations with JIA (OR = 3.66, 95% CI = 1.44-9.29, P = 0.006) in participants from Middle Eastern countries. Additionally, meta-analysis of the GG versus AA+GA genotypes of the IL-10 -1082 G/A polymorphism revealed the GG genotype as the protective factor against JIA in the Middle Eastern subgroup (OR = 0.44, 95% CI = 0.20-0.94, P = 0,04). Moreover, meta-analysis of the IL-10 -1082 A allele in 4 studies on Hardy-Weinberg equilibrium showed a significant association with JIA (OR = 1.17, 95% CI = 1.07-1.28, P = 0.0009). No association was found between the IL-10 (-1082, -819, -592) ACC, ATA, and GCC haplotypes and JIA. These results suggest that the IL-10 -1082 G/A polymorphism confers susceptibility to JIA.

  9. The New Frontier on the Nile: JFK, Nasser, and Arab Nationalism.

    ERIC Educational Resources Information Center

    Little, Douglas

    1988-01-01

    Examines John F. Kennedy's negotiations with Egypt's Gamel Abdel Nasser as he attempted to improve U.S.-Arab relations and prevent the spread of Soviet influence in the Middle East region. States that Kennedy's failure to meet his Middle Eastern objectives resulted from his inability to reconcile the many factions dividing the Arab world. (GEA)

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

    ERIC Educational Resources Information Center

    Lemke-Westcott, Tracey; Johnson, Brad

    2013-01-01

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

  11. Negotiating the Confluence: Middle-Eastern, Immigrant, Sexual-Minority Men and Concerns for Learning and Identity

    ERIC Educational Resources Information Center

    Eichler, Matthew A.; Mizzi, Robert C.

    2013-01-01

    Sexual-minority male immigrants re-locating from the Middle East to the United States and Canada have particular experiences upon entry and integration into their new societies. The needs of learning and identity are highlighted through a multiple case approach involving three men. Interviews were conducted with the three participants, which were…

  12. Middle School Technology Integration Study.

    ERIC Educational Resources Information Center

    Hall, Grey; Mantz, Chris

    This paper is a report on the development and findings of an on-going study being conducted on 126 middle schools in rural eastern North Carolina. An analysis of the technological readiness of each school is being followed with a program to offer school leaders a technology design and teacher training that will work in their schools. This includes…

  13. Influences on the Teaching of Arabic and Islamic Studies in UK Higher Education: Connections and Disconnections

    ERIC Educational Resources Information Center

    Bernasek, Lisa; Canning, John

    2009-01-01

    Middle Eastern Studies, modern foreign languages and Islamic Studies have been recognized by the UK government as strategically important subjects in higher education. Motivated by government concerns about lack of knowledge about the Middle East and the radicalization of British Muslims, this designation has complex implications for the teaching…

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

    ERIC Educational Resources Information Center

    Baytiyeh, Hoda; Naja, Mohamad K.

    2014-01-01

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

  15. 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.

  16. Physical Processes Controlling the Spatial Distributions of Relative Humidity in the Tropical Tropopause Layer Over the Pacific

    NASA Technical Reports Server (NTRS)

    Jensen, Eric J.; Thornberry, Troy D.; Rollins, Andrew W.; Ueyama, Rei; Pfister, Leonhard; Bui, Thaopaul; Diskin, Glenn S.; Digangi, Joshua P.; Hintsa, Eric; Gao, Ru-Shan; hide

    2017-01-01

    The spatial distribution of relative humidity with respect to ice (RHI) in the boreal wintertime tropical tropopause layer (TTL, is asymptotically Equal to 14-18 km) over the Pacific is examined with the measurements provided by the NASA Airborne Tropical TRopopause EXperiment. We also compare the measured RHI distributions with results from a transport and microphysical model driven by meteorological analysis fields. Notable features in the distribution of RHI versus temperature and longitude include (1) the common occurrence of RHI values near ice saturation over the western Pacific in the lower to middle TTL; (2) low RHI values in the lower TTL over the central and eastern Pacific; (3) common occurrence of RHI values following a constant mixing ratio in the middle to upper TTL (temperatures between 190 and 200 K); (4) RHI values typically near ice saturation in the coldest airmasses sampled; and (5) RHI values typically near 100% across the TTL temperature range in air parcels with ozone mixing ratios less than 50 ppbv. We suggest that the typically saturated air in the lower TTL over the western Pacific is likely driven by a combination of the frequent occurrence of deep convection and the predominance of rising motion in this region. The nearly constant water vapor mixing ratios in the middle to upper TTL likely result from the combination of slow ascent (resulting in long residence times) and wave-driven temperature variability. The numerical simulations generally reproduce the observed RHI distribution features, and sensitivity tests further emphasize the strong influence of convective input and vertical motions on TTL relative humidity.

  17. Correlation of the Jurassic through Oligocene Stratigraphic Units of Trinidad and Northeastern Venezuela

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

    Algar, S.; Erikson, J.P.

    1995-04-01

    The Jurassic through Oligocene stratigraphies of Trinidad and the Serrenia del Interior of eastern Venezuela exhibit many similarities because of their proximity on the passive continental margins of northeastern South America. A slightly later subsidence in eastern Venezuela, and the generally deeper-water sedimentation in Trinidad, is interpreted to be the result of a serration of the original rift margin, producing an eastern Venezuela promontory and Trinidadian re-entrant. We interpret these serrations to be the result of oblique (NW-SE) spreading of North and South America during Middle and late Jurassic time. The stratigraphies of northeastern Venezuela and Trinidad contrast in themore » Hauterivan-Albian interval, with dynamic shallow shelf environments prevailing in the Serrenia del Interior and deeper marine submarine-fan deposition in Trinidad. Both areas develop middle to Upper Cretaceous source rocks during a time of eustatic sea level high and widespread oceanic anoxia. 15 refs., 4 fig.« less

  18. Concordant paleolatitudes for Neoproterozoic ophiolitic rocks of the Trinity Complex, Klamath Mountains, California

    USGS Publications Warehouse

    Mankinen, E.A.; Lindsley-Griffin, N.; Griffin, J.R.

    2002-01-01

    New paleomagnetic results from the eastern Klamath Mountains of northern California show that Neoproterozoic rocks of the Trinity ophiolitic complex and overlying Middle Devonian volcanic rocks are latitudinally concordant with cratonal North America. Combining paleomagnetic data with regional geologic and faunal evidence suggests that the Trinity Complex and related terranes of the eastern Klamath plate were linked in some fashion to the North American craton throughout that time, but that distance between them may have varied considerably. A possible model that is consistent with our paleomagnetic results and the geologic evidence is that the Trinity Complex formed and migrated parallel to paleolatitude in the basin between Laurasia and Australia-East Antarctica as the Rodinian supercontinent began to break up. It then continued to move parallel to paleolatitude at least through Middle Devonian time. Although the eastern Klamath plate served as a nucleus against which more western components of the Klamath Mountains province amalgamated, the Klamath superterrane was not accreted to North America until Early Cretaceous time.

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

    PubMed

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

    2013-01-01

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

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

    PubMed

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

    2012-11-01

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

  1. Implications of external price referencing of pharmaceuticals in Middle East countries.

    PubMed

    Kaló, Zoltán; Alabbadi, Ibrahim; Al Ahdab, Ola Ghaleb; Alowayesh, Maryam; Elmahdawy, Mahmoud; Al-Saggabi, Abdulaziz H; Tanzi, Vito Luigi; Al-Badriyeh, Daoud; Alsultan, Hamad S; Ali, Faleh Mohamed Hussain; Elsisi, Gihan H; Akhras, Kasem S; Vokó, Zoltán; Kanavos, Panos

    2015-01-01

    External price referencing (EPR) is applied frequently to control pharmaceutical prices. Our objective was to analyse how EPR is used in Middle Eastern (ME) countries and to compare the price corridor for original pharmaceuticals to non-pharmaceutical services not subjected to EPR. We conducted a survey on EPR regulations and collected prices of 16 patented pharmaceuticals and 14 non-pharmaceutical services in seven Middle Eastern (ME) countries. Maximum and minimum prices of each pharmaceutical and non-pharmaceutical technology were compared to mean prices in the countries studied by using market exchange rates. Influencing factors of pharmaceutical prices were assessed by multivariate linear regression analysis. The average price corridor is narrower for pharmaceuticals (-39.8%; +35.9%) than for outpatient and hospital services (-81.7%; +96.3%). Our analysis revealed the importance of population size and EPR implementation on drug price levels; however, EPR results in higher pharmaceutical prices in lower-income countries compared to non-pharmaceutical services.

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

    PubMed

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

    2018-05-01

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

  3. Snow interception, accumulation, accumulation, and melt in lodgepole pine forests in the Blue Mountains of eastern Oregon.

    Treesearch

    Norman H. Miner; James M. Trappe

    1957-01-01

    Lodgepole pine (Pinus contorta) forests in the Blue Mountains of eastern Oregon occupy important water-producing lands. These forests generally occur at middle to high elevations on north slopes, where a substantial portion of the precipitation is snow. To learn more about the influence of lodgepole pine forests on accumulation of mow and rate of...

  4. [Changes of regional environment quality pattern in China since 1986-2008].

    PubMed

    Guan, Wei-Hua; Sun, Ming-Kun; Lu, Yu-Qi

    2011-03-01

    For further study of regional differences and the pattern of changes in environmental quality in China since 1986-2008, we perform the principal component analysis, standard deviation, Mann-Kendall and cluster analysis on 18 environmental quality indexes in 28 provinces of China in this paper. Those indexes refer to pollutant emission, pollutants treatment capacities and pollutant emission of per unit land area, etc. The paper indicates that regional environmental quality in China has been increased slightly during this period. It can be divided into four stages: 1986-2000, 2000-2001, 2001-2005 and 2005-2008. The overall patterns of regional environmental quality is the West is higher than the East in general, while the environmental quality of the eastern part have been changed somewhat. For more details, the regional environmental quality in China in 1986 is composed of two parts, the eastern part and the western part, while in 2000 and 2001 the eastern part, the middle part and the western part appears as the overall pattern. For the year of 2005, the regional environmental quality in the western is higher than that of the eastern; meanwhile, the eastern can be divided into the northern part, the middle part and the southern part, and the environmental quality in northern part is better than that of the southern part, southern part is better than that of the middle part. This pattern hardly changed in 2008, except that the area with poor environment quality region had expanded. Pollutant emission of per unit land area played as a main factor; yet both the pollutant emission and the reuse of pollutants impacted the pattern specifically. In addition, the national macro policies, the regional policies, the regional economic and the industrial structure can be primary reason for the change of regional environmental quality pattern in China as well.

  5. The gender gap in heart disease: lessons from Eastern Europe.

    PubMed

    Weidner, Gerdi; Cain, Virginia S

    2003-05-01

    Why are men more susceptible to heart disease than women? Traditional risk factors cannot explain the gender gap in coronary heart disease (CHD) or the rapid increase in CHD mortality among middle-aged men in many of the newly independent states of Eastern Europe. However, Eastern European men score higher on stress-related psychosocial factors than men living in the West. Comparisons between the sexes also reveal differences in psychosocial and behavioral coronary risk factors favoring women, indicating that women's coping with stressful events may be more cardioprotective. Men's greater susceptibility to heart disease, particularly observable in many Eastern European countries, poses unique threats to public health and points to solutions in the behavioral and social arena.

  6. Determinants of Women's Education in the Middle East and North Africa: Illustrations from Seven Countries. PHREE Background Paper Series.

    ERIC Educational Resources Information Center

    El-Sanabary, Nagat

    Despite considerable progress by Middle Eastern and North African countries in improving opportunities for women to access and attain education at all levels, much remains to be done. This report focuses on three sets of highly inter-related determinants of access, achievement, and outcome--macro-level societal determinants, school…

  7. Oman shows vision in leading Middle Eastern drilling

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

    Ahmed-al Shanfari, S.B.

    1989-12-01

    Oman produced more than 600,000 bopd for the first time in 1988. The country led the Middle East in total wells drilled for the third consecutive year. This article presents an interview with H.E. Said bin Ahmed al-Shanfari, Oman's Minister of Petroleum and Minerals. Topics discussed include Oman's future production plans, Opec, future exploratory areas, and petroleum export levels.

  8. 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

  9. Academic Misconduct: An Investigation into Male Students' Perceptions, Experiences & Attitudes towards Cheating and Plagiarism in a Middle Eastern University Context

    ERIC Educational Resources Information Center

    Tayan, Bilal M.

    2017-01-01

    Academic misconduct in many educational institutions in the Middle East is an inherent problem. This has been particularly true amongst the university student population. The proliferation of the Internet and the ownership of mobile and electronic devices, have, in part, witnessed rates of cheating, plagiarism and academic misconduct cases…

  10. Do Students Using Electronic Books Display Different Reading Comprehension and Motivation Levels than Students Using Traditional Print Books?

    ERIC Educational Resources Information Center

    Wells, Casey L.

    2012-01-01

    The effect of electronic books on the reading comprehension of middle and high school students was examined using an experimental posttest-only control-group design. A convenience sample of 140 randomly assigned middle and high school English students at an independent school in eastern North Carolina participated. Half of the students used…

  11. Students, Mobile Devices and Classrooms: A Comparison of US and Arab Undergraduate Students in A Middle Eastern University

    ERIC Educational Resources Information Center

    Mohammad Abu Taleb, Bibi Rahima; Coughlin, Chris; Romanowski, Michael H.; Semmar, Yassir; Hosny, Khaled

    2017-01-01

    The use of mobile devices in the university classroom is not limited to Western cultures. Rather universities in the Middle East, particularly in the Gulf Cooperation Countries (GCC) face similar problems regarding smartphone usage in classrooms. This study utilizes Tindell and Bohlander's (2012) survey to compare results regarding cell phones and…

  12. The Impact of a Geographic Technologies Professional Development Institute on Middle Eastern and North African Teachers

    ERIC Educational Resources Information Center

    Benimmas, Aicha; Kerski, Joseph; Solis, Patricia

    2011-01-01

    Basic education in the Middle East and North Africa (MENA) seems to be characterized by lecture methods of instruction, a lack of interdisciplinary approaches and a disconnection with local community problems. During 2008, a "My Community, Our Earth" (MyCOE) workshop was organized in the MENA region and involved teachers of geography,…

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

    ERIC Educational Resources Information Center

    Kherfi, Samer

    2008-01-01

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

  14. Monoclonal Antibody Shows Promise as Potential Therapeutic for MERS | Poster

    Cancer.gov

    A monoclonal antibody has proven effective in preventing Middle Eastern Respiratory Syndrome (MERS) in lab animals, suggesting further development as a potential intervention for the deadly disease in humans, according to new research. MERS is a newly emerged coronavirus first detected in humans in 2012. Most cases have occurred in the Middle East, but the disease has appeared

  15. Glucose-6-phosphate dehydrogenase deficiency: correlation between the genotype, biochemistry and phenotype.

    PubMed

    Chan, Daisy K L

    2008-12-01

    Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a common genetic enzyme defect present in many people from African, Middle Eastern, Mediterranean and Asian countries. Individuals with the enzyme deficiency may remain asymptomatic, develop an acute haemolytic crises to infections or Fava beans, neonatal jaundice or chronic non-spherocytic haemolytic anaemia. Electrophoretic mobility may be fast, slow or normal. Over 160 mutations have been described, mostly due to single amino acid substitution. Although correlation of the genotype and biochemistry with the clinical phenotype of G6PD deficient individuals remains somewhat variable, there is better correlation among individuals presenting with chronic non-spherocytic haemolytic anaemia, which is related to the NADP structure of the enzyme.

  16. Exploring the relationship between cultural values, beliefs, and practices and patient falls: a Middle Eastern study.

    PubMed

    Hilliard, D J; Frederick, L; Tierney-Gumaer, R; Simpson, M J

    1999-01-01

    Patient falls have been a concern in North American healthcare for many years. Studies have examined environmental, clinical, and patient variables for purposes of risk identification and fall reduction, primarily in the context of Western societies. An investigation at King Faisal Specialist Hospital and Research Centre in Riyadh, Saudi Arabia, began in 1993 to determine whether commonly reported risk factors apply to the Saudi patient population and whether cultural values, beliefs, and practices such as the performance of ablution before prayer, fasting during the holy month of Ramadan, and the need for socialization influence the rate of patient falls. The study included all inpatients (N = 379) who fell during a 3-year period.

  17. Dietary variation and stress among prehistoric Jomon foragers from Japan.

    PubMed

    Temple, Daniel H

    2007-08-01

    Current archaeological evidence indicates that greater dietary reliance on marine resources is recorded among the eastern Jomon, while plant dependence prevailed in western/inland Japan. The hypothesis that the dietary choices of the western/inland Jomon will be associated with greater systemic stress is tested by comparing carious tooth and enamel hypoplasia frequencies between the eastern and western/inland Jomon. Demographic collapse coincides with climate change during the Middle to Late Jomon period, suggesting dwindling resource availability. It is hypothesized that this change was associated with greater systemic stress and/or dietary change among the Middle to Late Jomon. This hypothesis is tested by comparing enamel hypoplasia and carious tooth frequencies between Middle to Late and Late to Final Jomon foragers. Enamel hypoplasia was significantly more prevalent among the western/inland Jomon. Such findings are consistent with archaeological studies that argue for greater plant consumption and stresses associated with seasonal resource depletion among the western/inland Jomon. Approximately equivalent enamel hypoplasia frequencies between Middle to Late and Late to Final Jomon foragers argues against a demographic collapse in association with diminished nutritional returns. Significant differences in carious tooth frequencies are, however, observed between Middle to Late and Late to Final Jomon foragers. These results suggest a subsistence shift during the Middle to Late Jomon period, perhaps in response to a changed climate. The overall patterns of stress documented by this study indicate wide-spread environmentally directed biological variation among the prehistoric Jomon. (c) 2007 Wiley-Liss, Inc.

  18. Controls on Middle Pennsylvanian peat-forming floras in the Eastern United States

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

    Eble, C.F.

    1992-01-01

    Middle Pennsylvanian strata in the Central Appalachian Basin contain numerous coal beds that provide an opportunity to study changes in coal-spore floras on an intra- and inter-bed scale. Vertical spore abundance patterns within individual coal beds record the ecological dynamics, both biologic and edaphic, of peat-forming systems in this interval. Coal palynofloras of this interval show a stratigraphic change in composition. Early to Middle Pennsylvanian spore floras are largely dominated by Lycospora. Species of Densosporites, a small lycopsid genus, Granulatisporites, a fern/pteridosperm( )-allied genus, and Laevigatosporites, a calamite-related genus, commonly displace Lycospora vertically within these beds, reflecting patterns of ecologicalmore » succession. Spore floras from stratigraphically younger coal beds in this sequence exhibit similar intra-bed spore variation, but contain increased percentages of tree-fern spores, and tend to be more florally heterogeneous overall. Areas of clastic deposition within the swamps are also marked by changes in spore composition. These changes in coal palynology are paralleled by stratigraphic changes in coal appearance and associated strata composition. The proportion of dull'' coal lithotypes, frequency of clastic partings, and amount of coarse clastics in the enclosing strata all increase toward the top of this sequence. Climate may have been more important in determining the floral composition of Early through mid-Middle Pennsylvanian peat swamps, whereas climate, tectonics, and eustasy interacted to determine sediment volume and type in this interval.« less

  19. Burden of oral disease in the Middle East: Opportunities for dental public health.

    PubMed

    Morgano, S M; Doumit, M; Shammari, K F Al-; Al-Suwayed, A; Al-Suwaidi, A; Debaybo, D; Al-Mubarak, S

    2010-06-01

    A significant increase in the burden of oral-health related diseases in the Middle East has been observed recently. This increase has been largely the result of poor awareness concerning the importance of oral health and best practices towards achieving good oral hygiene. Contributing factors to this burden include but are not limited to: increased sugar consumption, inadequate oral hygiene practices and a high prevalence of smoking. All these factors are known to have considerable influence on the development of the most common oral diseases, such as dental caries, periodontal diseases, oral precancerous lesions and cancer. Although oral diseases represent a significant burden on the quality of life and healthcare economics of Middle Eastern countries, restorative and preventive dental care have not been given nearly enough attention. The prevention of dental diseases is critical to preserving not only oral health but also to maintaining general well being. This Supplement will address the need for oral disease preventative approaches with the use of epidemiological data, and will focus on the management and prevention of dental caries and periodontal disease, providing practical advice on for the management of plaque biofilm. There is a significant need for increased public awareness and regular surveillance of oral hygiene practices in the Middle East, as well as the complications associated with poor oral hygiene. In addition, development of guidelines, public health awareness programmess and dental community educational programmes are urgently needed. 2010 FDI/World Dental Press.

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

    PubMed

    Nasseri, Kiumarss; Moulton, Lawrence H

    2011-04-01

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

  1. Early Middle Ordovician evidence for land plants in Argentina (eastern Gondwana).

    PubMed

    Rubinstein, C V; Gerrienne, P; de la Puente, G S; Astini, R A; Steemans, P

    2010-10-01

    • The advent of embryophytes (land plants) is among the most important evolutionary breakthroughs in Earth history. It irreversibly changed climates and biogeochemical processes on a global scale; it allowed all eukaryotic terrestrial life to evolve and to invade nearly all continental environments. Before this work, the earliest unequivocal embryophyte traces were late Darriwilian (late Middle Ordovician; c. 463-461 million yr ago (Ma)) cryptospores from Saudi Arabia and from the Czech Republic (western Gondwana). • Here, we processed Dapingian (early Middle Ordovician, c. 473-471 Ma) palynological samples from Argentina (eastern Gondwana). • We discovered a diverse cryptospore assemblage, including naked and envelope-enclosed monads and tetrads, representing five genera. • Our discovery reinforces the earlier suggestion that embryophytes first evolved in Gondwana. It indicates that the terrestrialization of plants might have begun in the eastern part of Gondwana. The diversity of the Dapingian assemblage implies an earlier, Early Ordovician or even Cambrian, origin of embryophytes. Dapingian to Aeronian (Early Silurian) cryptospore assemblages are similar, suggesting that the rate of embryophyte evolution was extremely slow during the first c. 35-45 million yr of their diversification. The Argentinean cryptospores predate other cryptospore occurrences by c. 8-12 million yr, and are currently the earliest evidence of plants on land. © The Authors (2010). Journal compilation © New Phytologist Trust (2010).

  2. Middle Permian paleomagnetism of the Sydney Basin, Eastern Gondwana: Testing Pangea models and the timing of the end of the Kiaman Reverse Superchron

    NASA Astrophysics Data System (ADS)

    Belica, M. E.; Tohver, E.; Pisarevsky, S. A.; Jourdan, F.; Denyszyn, S.; George, A. D.

    2017-03-01

    Paleomagnetic and geochronologic data from the eastern margin of Gondwana have been obtained from the Gerringong Volcanics in the southern Sydney Basin, Australia. The corresponding paleomagnetic pole at 56.9°S, 154.8°E (N = 131; A95 = 9.1°) has a 40Ar/39Ar plagioclase plateau age of 265.05 ± 0.35 [0.46] Ma from the Bumbo Latite, and overlaps with recent radio-isotopic and paleomagnetic results published from Western Gondwana. The long-documented inconsistency between Middle Permian Eastern and Western Gondwanan paleomagnetic datasets is most likely an artefact of a lack of reliable paleomagnetic data from Eastern Gondwana for this period. A number of well-dated and recently published ca. 265 Ma paleomagnetic results from Gondwana and Laurussia are shown to be consistent with the Wegenerian Pangea A configuration, with a loose N-S fit of the continents for the Middle Permian. The lack of crustal overlap negates the need for a Pangea B configuration, which if valid must have been assembled to Pangea A by ca. 265 Ma. The reverse polarity Bumbo Latite was sampled from the Kiaman type-section located in the southern Sydney Basin. Three cases of normal polarity were detected in the overlying Saddleback, Dapto, and Berkeley Latites, previously assigned to the Kiaman Reverse Superchron (KRS). We review KRS-aged magnetostratigraphic data and propose that an age assignment of 265 Ma most likely represents the termination of the non-reversing field, with longer stable intervals of normal polarity recorded and able to be correlated globally.

  3. Refugees in Conflict: Creating a Bridge Between Traditional and Conventional Health Belief Models.

    PubMed

    Ben-Arye, Eran; Bonucci, Massimo; Daher, Michel; Kebudi, Rejin; Saad, Bashar; Breitkreuz, Thomas; Rassouli, Maryam; Rossi, Elio; Gafer, Nahla; Nimri, Omar; Hablas, Mohamed; Kienle, Gunver Sophia; Samuels, Noah; Silbermann, Michael

    2018-06-01

    The recent wave of migration from Middle Eastern countries to Europe presents significant challenges to the European health profession. These include the inevitable communication gap created by differences in health care beliefs between European oncologists, health care practitioners, and refugee patients. This article presents the conclusions of a workshop attended by a group of clinicians and researchers affiliated with the Middle East Cancer Consortium, as well as four European-based health-related organizations. Workshop participants included leading clinicians and medical educators from the field of integrative medicine and supportive cancer care from Italy, Germany, Turkey, Israel, Palestine, Iran, Lebanon, Jordan, Egypt, and Sudan. The workshop illustrated the need for creating a dialogue between European health care professionals and the refugee population in order to overcome the communication barriers to create healing process. The affinity for complementary and traditional medicine (CTM) among many refugee populations was also addressed, directing participants to the mediating role that integrative medicine serves between CTM and conventional medicine health belief models. This is especially relevant to the use of herbal medicine among oncology patients, for whom an open and nonjudgmental (yet evidence-based) dialogue is of utmost importance. The workshop concluded with a recommendation for the creation of a comprehensive health care model, to include bio-psycho-social and cultural-spiritual elements, addressing both acute and chronic medical conditions. These models need to be codesigned by European and Middle Eastern clinicians and researchers, internalizing a culturally sensitive approach and ethical commitment to the refugee population, as well as indigenous groups originating from Middle Eastern and north African countries. European oncologists face a communication gap with refugee patients who have recently immigrated from Middle Eastern and northern African countries, with their different health belief models and affinity for traditional and herbal medicine. A culturally sensitive approach to care will foster doctor-refugee communication, through the integration of evidence-based medicine within a nonjudgmental, bio-psycho-social-cultural-spiritual agenda, addressing patients' expectation within a supportive and palliative care context. Integrative physicians, who are conventional doctors trained in traditional/complementary medicine, can mediate between conventional and traditional/herbal paradigms of care, facilitating doctor-patient communication through education and by providing clinical consultations within conventional oncology centers. © AlphaMed Press 2017.

  4. Age, tectonic setting, and metallogenic implication of Phanerozoic granitic magmatism at the eastern margin of the Xing'an-Mongolian Orogenic Belt, NE China

    NASA Astrophysics Data System (ADS)

    Chen, Cong; Ren, Yunsheng; Zhao, Hualei; Yang, Qun; Shang, Qingqing

    2017-08-01

    The eastern margin of the Xing'an-Mongolian Orogenic Belt is characterised by widespread Phanerozoic granitic magmatism, some of which is closely related to significant ore mineralisation. This paper presents new geochronological, petrogenetic, and tectonic data for selected intrusions. Zircon U-Pb geochronology for five granitoid plutons indicates they were emplaced during the middle-late Permian (264-255 Ma) and Cretaceous (106-94 Ma), and thus granitic magmatism occurred throughout the Phanerozoic, Permian (268-252 Ma), Early-Middle Triassic (248-240 Ma), Early Jurassic (183 Ma), and Cretaceous (112-94 Ma). The Permian granitoids consist of monzogranite, granodiorite, tonalite, and quartz diorite, characterised by enrichment in Na2O (3.60-4.72 wt.%), depletion in K2O (0.97-2.66 wt.%), and a negative correlation between P2O5 and SiO2. Together with the presence of hornblende, these geochemical features are indicative of an I-type affinity. The Permian granitic magmatism is associated with quartz-vein-type tungsten deposits (252 Ma; unpublished Sm-Nd isochron age), which formed in an active continental margin setting related to subduction of the Palaeo-Asian Ocean. The Cretaceous quartz diorites have an adakitic affinity, having relatively high Sr (374-502 ppm), low Yb (0.51-0.67 ppm) and Y (8.7-10.7 ppm), and high Sr/Y (39.4-46.8) and (La/Yb)N values (16.2-34.7), suggesting that they were related to the partial melting of subducted oceanic crust. In addition, they are associated with porphyry Au-Cu deposits. We conclude that the Cretaceous granitic rocks and associated porphyry Au-Cu mineralisation occurred in an extensional tectonic setting related to the subduction of the Palaeo-Pacific Plate beneath the Eurasian Plate. In addition, the large-scale Early-Middle Triassic syn-collisional granite belt at the eastern margin of the Xing'an-Mongolian Orogenic Belt extends from the middle of Jilin Province to the Wangqing-Hunchun region, constraining the timing of the final collision between the North China Craton and the Jiamusi-Khanka Massif, and suggesting that the Xra Moron River-Changchun Suture likely extends eastward into the eastern Hunchun region. This collision caused the Middle Triassic mesothermal lode gold mineralisation.

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

    PubMed

    Gray, Melissa M; Sutter, Nathan B; Ostrander, Elaine A; Wayne, Robert K

    2010-02-24

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

  6. Corrigendum to "Three climatic cycles recorded in a loess-palaeosol sequence at Semlac (Romania)-Implications for dust accumulation in south-eastern Europe" [Quat. Sci. Rev. 154C (2016) 130-142

    NASA Astrophysics Data System (ADS)

    Zeeden, C.; Kels, H.; Hambach, U.; Schulte, P.; Protze, J.; Eckmeier, E.; Marković, S. B.; Klasen, N.; Lehmkuhl, F.

    2018-05-01

    In the article 'Three climatic cycles recorded in a loess-palaeosol sequence at Semlac (Romania)-Implications for dust accumulation in south-eastern Europe' (Zeeden et al., 2016) we employed rock magnetic and grain size proxy data in combination with OSL- and correlative age models. The data and dating is combined to discuss glacial-interglacial paleoclimate variability in an Eurasian context. This dataset was also interpreted regarding the dust source in the eastern Carpathian (Middle Danube) Basin.

  7. Earth observations taken during the STS-103 mission

    NASA Image and Video Library

    1999-12-23

    STS103-730-032 (19-27 December 1999) --- One of the astronauts aboard the Earth-orbiting Space Shuttle Discovery used a handheld 70mm camera to capture the southern to middle Rocky Mountains in low sunlight. The middle Rockies include the Big Horn range of Wyoming (snow capped range almost center of horizon) and the Unita Mountains of northeastern Utah (snow capped range left side of horizon). The southern Rockies includes the Front Range, Sangre de Cristo Mountains, Sawatch Ranges, and the San Juan Mountains. The eastern (Front Range, Sangre de Cristo) and western ranges (Sawatch, San Juan's) are separated by intermontane basins. The southernmost basin (near center of the image) is the San Luis Valley of Colorado. On the eastern edge of the San Luis Valley are the Sangre de Cristo Mountains.

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

    NASA Astrophysics Data System (ADS)

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

    2018-04-01

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

  9. Outlook for coastal plain forests: a subregional report from the Southern Forest Futures Project

    Treesearch

    Kier Klepzig; Richard Shelfer; Zanethia Choice

    2014-01-01

    The U.S. Coastal Plain consists of seven sections: the Northern Atlantic, Eastern Atlantic, Peninsular Florida, Southern Gulf, Middle Gulf-East, Middle Gulf-West, and Western Gulf. It covers a large area, consists of a diverse array of habitats, and supports a diverse array of uses. This report presents forecasts from the Southern Forest Futures Project that are...

  10. Lexical Variation and the Negotiation of Linguistic Style in a Long Island Middle School

    ERIC Educational Resources Information Center

    Bakht, Maryam M.

    2010-01-01

    For many American youths, school is not only an academic endeavor, but a social one. This study identifies the ways in which speakers use lexical choices in the creation of their linguistic identity and style. This dissertation centers on a group of students at Henry Fleming Middle School, located on the eastern end of Long Island. The students,…

  11. Some estimates of growth and mortality from the Malheur National Forest in eastern Oregon.

    Treesearch

    Donald R. Gedney; Floyd A. Johnson; Vernon E. Hicks

    1959-01-01

    During 1955-56 an inventory was made of forested land in the Middle Fork Working Circle of the Malheur National Forest to provide information necessary for calculation of the allowable cut and for other management purposes. The growth and mortality estimates in the following report were obtained from this inventory. Although the estimates apply directly to the Middle...

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

    ERIC Educational Resources Information Center

    KELLY, JAMES

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

  13. Geochronological and lead-isotope evidences for rapid crust formation in middle-proterozoic time: The Labrador example

    NASA Technical Reports Server (NTRS)

    Schaerer, Urs

    1988-01-01

    Extensive U-Pb geochronological studies in the Grenville and Makkovik provinces have shown that eastern Labrador is underlain by two distinct crustal blocks. In order to substantiate the juvenile character of the middle-Proterozoic crustal block, the isotopic compositon of lead in leached k-feldspars from the same rocks were analyzed. The results of the analysis are briefly discussed.

  14. The Importance of Developing Cultural Competence in Working with Families of Students with Disabilities from the Middle East, North Africa, and Southwest Asia

    ERIC Educational Resources Information Center

    Fallah, Soraya; Murawski, Wendy; Moradian, Zaniar

    2018-01-01

    This article describes the importance of developing cultural competencies when working with families who come from culturally and linguistically diverse (CLD) backgrounds. Using a mixed methods study, the experiences of 125 families from Middle Eastern, North African, and Southwest Asian (MENASWA) descent who have children in the U.S. Special…

  15. Close Relationship between West Nile Virus from Turkey and Lineage 1 Strain from Central African Republic

    PubMed Central

    Ergunay, Koray; Bakonyi, Tamas; Nowotny, Norbert

    2015-01-01

    We sequenced West Nile viruses (WNVs) from Turkey and found close relationships to WNV lineage 1 strain ArB310/67 from the Central African Republic, distinct from other WNVs circulating in the Mediterranean Basin, eastern Europe, and the Middle East. These findings suggest independent introductions of WNV strains from Africa to the Middle East. PMID:25625703

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

    PubMed

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

    2017-01-01

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

  17. Mental health of recently resettled refugees from the Middle East in Sweden: the impact of pre-resettlement trauma, resettlement stress and capacity to handle stress.

    PubMed

    Lindencrona, Fredrik; Ekblad, Solvig; Hauff, Edvard

    2008-02-01

    The pathways to symptoms of common mental disorder and post-traumatic stress symptoms among refugees during resettlement need to be better specified. We aim to identify models of these different mental health outcomes among refugees during resettlement, taking pre-migration, migration and post-migration stress conditions, a person's capacity to handle such stress and socio-demographic variables into consideration. A new questionnaire developed to better cover resettlement stress, as well as pre-resettlement trauma exposures and different measures of a person's capacity to handle stress, was administered to 124 Middle Eastern refugees that had been granted permanent residency in Sweden only a few months before responding. We found four dimensions of resettlement stress: social and economic strain, alienation, discrimination and status loss and violence and threats in Sweden, that account for 62% of the total variance in resettlement stress. Social and economic strain and alienation are important for explaining symptoms of common mental disorder. In the model of core post-traumatic stress symptoms, pre-resettlement trauma exposure seems to have the strongest impact. A person's capacity to handle stress plays significant, direct and mediating roles in both models. The impact of resettlement stressors in the context of the whole migration process for different mental health outcomes is discussed.

  18. Decisions to shoot in a weapon identification task: The influence of cultural stereotypes and perceived threat on false positive errors.

    PubMed

    Fleming, Kevin K; Bandy, Carole L; Kimble, Matthew O

    2010-01-01

    The decision to shoot a gun engages executive control processes that can be biased by cultural stereotypes and perceived threat. The neural locus of the decision to shoot is likely to be found in the anterior cingulate cortex (ACC), where cognition and affect converge. Male military cadets at Norwich University (N=37) performed a weapon identification task in which they made rapid decisions to shoot when images of guns appeared briefly on a computer screen. Reaction times, error rates, and electroencephalogram (EEG) activity were recorded. Cadets reacted more quickly and accurately when guns were primed by images of Middle-Eastern males wearing traditional clothing. However, cadets also made more false positive errors when tools were primed by these images. Error-related negativity (ERN) was measured for each response. Deeper ERNs were found in the medial-frontal cortex following false positive responses. Cadets who made fewer errors also produced deeper ERNs, indicating stronger executive control. Pupil size was used to measure autonomic arousal related to perceived threat. Images of Middle-Eastern males in traditional clothing produced larger pupil sizes. An image of Osama bin Laden induced the largest pupil size, as would be predicted for the exemplar of Middle East terrorism. Cadets who showed greater increases in pupil size also made more false positive errors. Regression analyses were performed to evaluate predictions based on current models of perceived threat, stereotype activation, and cognitive control. Measures of pupil size (perceived threat) and ERN (cognitive control) explained significant proportions of the variance in false positive errors to Middle-Eastern males in traditional clothing, while measures of reaction time, signal detection response bias, and stimulus discriminability explained most of the remaining variance.

  19. Decisions to Shoot in a Weapon Identification Task: The Influence of Cultural Stereotypes and Perceived Threat on False Positive Errors

    PubMed Central

    Fleming, Kevin K.; Bandy, Carole L.; Kimble, Matthew O.

    2014-01-01

    The decision to shoot engages executive control processes that can be biased by cultural stereotypes and perceived threat. The neural locus of the decision to shoot is likely to be found in the anterior cingulate cortex (ACC) where cognition and affect converge. Male military cadets at Norwich University (N=37) performed a weapon identification task in which they made rapid decisions to shoot when images of guns appeared briefly on a computer screen. Reaction times, error rates, and EEG activity were recorded. Cadets reacted more quickly and accurately when guns were primed by images of middle-eastern males wearing traditional clothing. However, cadets also made more false positive errors when tools were primed by these images. Error-related negativity (ERN) was measured for each response. Deeper ERN’s were found in the medial-frontal cortex following false positive responses. Cadets who made fewer errors also produced deeper ERN’s, indicating stronger executive control. Pupil size was used to measure autonomic arousal related to perceived threat. Images of middle-eastern males in traditional clothing produced larger pupil sizes. An image of Osama bin Laden induced the largest pupil size, as would be predicted for the exemplar of Middle East terrorism. Cadets who showed greater increases in pupil size also made more false positive errors. Regression analyses were performed to evaluate predictions based on current models of perceived threat, stereotype activation, and cognitive control. Measures of pupil size (perceived threat) and ERN (cognitive control) explained significant proportions of the variance in false positive errors to middle-eastern males in traditional clothing, while measures of reaction time, signal detection response bias, and stimulus discriminability explained most of the remaining variance. PMID:19813139

  20. 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.

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

    PubMed

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

    2018-05-03

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

  2. Cervical cancer screening in Middle Eastern and Asian migrants to Australia: a record linkage study.

    PubMed

    Aminisani, Nayyereh; Armstrong, Bruce K; Canfell, Karen

    2012-12-01

    Australia's organized cervical screening program recommends two-yearly screening for women aged 18-69 years and reminder letters are sent at 27 months. Cervical screening registers hold comprehensive information on screening, but not country of birth. A linkage study was performed in order to assess cervical screening behavior in migrants. To assess screening participation, we linked year 2000 records for 12,541 Middle Eastern/Asian-born women 20-54 years of age, and an age and area matched random sample of 12,143 Australian-born women in the New South Wales (NSW) Midwives Data Collection (MDC), which records country of birth, to screening register records. Screening behavior after 2000 was assessed in women without a recorded prior cervical abnormality. The odds ratios for being screened at least once within a 3 year period, with reference to Australian-born women and adjusted for age, parity, socioeconomic status and smoking, were 0.88 (95% CI: 0.81-0.97) and 0.74 (95% CI: 0.70-0.79) in women born in the Middle East and Asia, respectively. Screening increased with increasing socioeconomic status (SES), absence of smoking and greater parity in Australian-born women but little, if at all, in migrant women. In a sensitivity analysis in which hospital admitted patients were the source of population samples, some patterns were sufficiently different to suggest that selection for illness can affect the strength and direction of associations in linked data. Migrant women from Asian and Middle-eastern countries are less likely than Australian-born women to participate in cervical screening at the recommended interval. Their likelihood of screening is also less related to socioeconomic status, smoking and parity than that in Australian-born women. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. HIV care in Central and Eastern Europe: How close are we to the target?

    PubMed

    Gokengin, Deniz; Oprea, Cristiana; Begovac, Josip; Horban, Andrzej; Zeka, Arzu Nazlı; Sedlacek, Dalibor; Allabergan, Bayjanov; Almamedova, Esmira A; Balayan, Tatevik; Banhegyi, Denes; Bukovinova, Pavlina; Chkhartishvili, Nikoloz; Damira, Alymbaeva; Deva, Edona; Elenkov, Ivaylo; Gashi, Luljeta; Gexha-Bunjaku, Dafina; Hadciosmanovic, Vesna; Harxhi, Arjan; Holban, Tiberiu; Jevtovic, Djorje; Jilich, David; Kowalska, Justyna; Kuvatova, Djhamal; Ladnaia, Natalya; Mamatkulov, Adkhamjon; Marjanovic, Aleksandra; Nikolova, Maria; Poljak, Mario; Rüütel, Kristi; Shunnar, Azzaden; Stevanovic, Milena; Trumova, Zhanna; Yurin, Oleg

    2018-05-01

    The aim of this survey was to describe the current status of HIV care in the countries of Central and Eastern Europe and to investigate how close the region is to achieving the UNAIDS 2020 target of 90-90-90. In 2014, data were collected from 24 Central and Eastern European countries using a 38-item questionnaire. All countries reported mandatory screening of blood and organ donors for HIV. Other groups subjected to targeted screening included people who inject drugs (PWID) (15/24, 62.5%), men who have sex with men (MSM) (14/24, 58.3%), and sex workers (12/24, 50.0%). Only 14 of the 24 countries (58.3%) screened pregnant women. The percentages of late presentation and advanced disease were 40.3% (range 14-80%) and 25.4% (range 9-50%), respectively. There was no difference between countries categorized by income or by region in terms of the percentages of persons presenting late or with advanced disease. The availability of newer antiretroviral drugs (rilpivirine, etravirine, darunavir, maraviroc, raltegravir, dolutegravir) tended to be significantly better with a higher country income status. Ten countries reported initiating antiretroviral therapy (ART) regardless of CD4+ T cell count (41.7%), five countries (20.8%) used the threshold of <500 cells/μl, and nine countries (37.5%) used the threshold of <350cells/μl. Initiation of ART regardless of the CD4+ T cell count was significantly more common among high-income countries than among upper-middle-income and lower-middle-income countries (100% vs. 27.3% and 0%, respectively; p=0.001). Drugs were provided free of charge in all countries and mostly provided by governments. There were significant discrepancies between countries regarding the follow-up of people living with HIV. There are major disparities in the provision of HIV care among sub-regions in Europe, which should be addressed. More attention in terms of funding, knowledge and experience sharing, and capacity building is required for the resource-limited settings of Central and Eastern Europe. The exact needs should be defined and services scaled up in order to achieve a standard level of care and provide an adequate and sustainable response to the HIV epidemic in this region. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  4. Sequencing an Ashkenazi reference panel supports population-targeted personal genomics and illuminates Jewish and European origins

    PubMed Central

    Carmi, Shai; Hui, Ken Y.; Kochav, Ethan; Liu, Xinmin; Xue, James; Grady, Fillan; Guha, Saurav; Upadhyay, Kinnari; Ben-Avraham, Dan; Mukherjee, Semanti; Bowen, B. Monica; Thomas, Tinu; Vijai, Joseph; Cruts, Marc; Froyen, Guy; Lambrechts, Diether; Plaisance, Stéphane; Van Broeckhoven, Christine; Van Damme, Philip; Van Marck, Herwig; Barzilai, Nir; Darvasi, Ariel; Offit, Kenneth; Bressman, Susan; Ozelius, Laurie J.; Peter, Inga; Cho, Judy H.; Ostrer, Harry; Atzmon, Gil; Clark, Lorraine N.; Lencz, Todd; Pe’er, Itsik

    2014-01-01

    The Ashkenazi Jewish (AJ) population is a genetic isolate close to European and Middle Eastern groups, with genetic diversity patterns conducive to disease mapping. Here we report high-depth sequencing of 128 complete genomes of AJ controls. Compared with European samples, our AJ panel has 47% more novel variants per genome and is eightfold more effective at filtering benign variants out of AJ clinical genomes. Our panel improves imputation accuracy for AJ SNP arrays by 28%, and covers at least one haplotype in ≈67% of any AJ genome with long, identical-by-descent segments. Reconstruction of recent AJ history from such segments confirms a recent bottleneck of merely ≈350 individuals. Modelling of ancient histories for AJ and European populations using their joint allele frequency spectrum determines AJ to be an even admixture of European and likely Middle Eastern origins. We date the split between the two ancestral populations to ≈12–25 Kyr, suggesting a predominantly Near Eastern source for the repopulation of Europe after the Last Glacial Maximum. PMID:25203624

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

    PubMed Central

    2017-01-01

    In the context of Middle and Late Pleistocene eastern Eurasian human crania, the external auditory exostoses (EAE) of the late archaic Xuchang 1 and 2 and the Xujiayao 15 early Late Pleistocene human temporal bones are described. Xujiayao 15 has small EAE (Grade 1), Xuchang 1 presents bilateral medium EAE (Grade 2), and Xuchang 2 exhibits bilaterally large EAE (Grade 3), especially on the right side. These cranial remains join the other eastern Eurasian later Pleistocene humans in providing frequencies of 61% (N = 18) and 58% (N = 12) respectively for archaic and early modern human samples. These values are near the upper limits of recent human frequencies, and they imply frequent aquatic exposure among these Pleistocene humans. In addition, the medial extents of the Xuchang 1 and 2 EAE would have impinged on their tympanic membranes, and the large EAE of Xuchang 2 would have resulted in cerumen impaction. Both effects would have produced conductive hearing loss, a serious impairment in a Pleistocene foraging context. PMID:29232394

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

    PubMed

    Trinkaus, Erik; Wu, Xiu-Jie

    2017-01-01

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

  7. Chronology of volcanic events in the eastern Philippine Sea

    NASA Astrophysics Data System (ADS)

    Meijer, Arend; Reagan, Mark; Ellis, Howard; Shafiqullah, Muhammad; Sutter, John; Damon, Paul; Kling, Stanley

    Radiometric and paleontologic ages of samples from chiefly volcanic sections exposed on Guam, Saipan, and in the Palau Islands were determined to provide an improved temporal framework for tectonic and petrologic models for the evolution of the eastern Philippine Sea. The oldest arc related volcanic rocks found in this area are from the Facpi formation on Guam dated at 43.8±1.6 m.y. B.P. (late middle Eocene). Evidence for late Eocene, early Oligocene, and middle Miocene arc volcanism was also found in the Mariana fore arc. The Palau Islands contain volcanic units of late Eocene(?), early Oligocene and early Miocene age. A minimum age of 1.3±0.2 m.y. has been established for the Mariana active arc. Overall, the new data are consistent with Karig's (1971) model for the tectonic evolution of the eastern Philippine Sea. Whether or not arc volcanism and interarc basin spreading can take place at the same time has not been resolved, although no evidence of synchroneity has been found for at least the Parece Vela Basin—South Honshu Ridge arc system.

  8. TERT promoter mutations in thyroid cancer: a report from a Middle Eastern population.

    PubMed

    Qasem, Ebtesam; Murugan, Avaniyapuram Kannan; Al-Hindi, Hindi; Xing, Mingzhao; Almohanna, Mai; Alswailem, Meshael; Alzahrani, Ali S

    2015-12-01

    Telomerase reverse transcriptase (TERT) promoter mutations C228T and C250T have recently been described in follicular cell-derived thyroid cancer (TC) in patients from North America and Europe. In this study, we explored whether these findings could be replicated in patients from a different ethnic group. We screened 17 benign thyroid adenomas and 265 TC samples from patients in the Middle East for these mutations by PCR and direct sequencing using DNA isolated from paraffin-embedded tumor tissues. None of the 17 benign adenomas harbored TERT promoter mutations. Of 265 TC, 34 (12.8%) harbored TERT promoter mutations, including 10/153 (6.5%) conventional papillary TC (CPTC), 8/57 (14.0%) follicular variant PTC, 9/30 (30%) tall cell variant PTC, 1/3 (30%) Hurthle cell thyroid cancer (HTC), 1/5 (20%) follicular TC, and 5/13 (38.5%) poorly differentiated TC. C250T mutation was present in only 6/265 (2.3%) cases, while C228T mutation was present in a total of 28/265 (10.6%) cases. These two mutations were mutually exclusive. TERT promoter mutations were significantly more common in older (≥45 years) than younger patients and were associated with larger tumour size, vascular invasion, higher TNM stage (stage III and IV), BRAF(V600E) mutation and persistent/recurrent disease at 6-12 months after initial treatment and at the last follow up. These associations were stronger in non-CPTC. Thus, this study on a large cohort of TC patients from Middle East demonstrates that TERT promoter mutations are relatively common, especially in the non-CPTC, and are associated with more aggressive histopathological features, BRAF(V600E) mutation, and disease persistence/recurrence than the WT TERT. © 2015 Society for Endocrinology.

  9. Demographics and co-occurring conditions in a clinic-based cohort with Down syndrome in the United Arab Emirates.

    PubMed

    Corder, Jennifer Price; Al Ahbabi, Fatima Jaber Sehmi; Al Dhaheri, Hind Saif; Chedid, Fares

    2017-09-01

    The majority of studies describing demographics and co-occurring conditions in cohorts with Down syndrome come from regions outside of the Middle East, mainly from Europe and North America. This paper describes demographics and co-occurring conditions in a hospital-based cohort of individuals with Down syndrome living in the Middle Eastern country of the United Arab Emirates (UAE). The first dedicated Down syndrome clinic in the UAE was established in 2012 at Tawam Hospital in Al Ain. This paper describes a clinic-based cohort of 221 participants over 4 years from the Gulf Down Syndrome Registry, a new Down syndrome database and contact registry created at Tawam Hospital. Key demographic findings include mean maternal age of 37 years, among the highest described in the literature. Sixty-two percent of mothers are >35 years. Over 90% of mothers received post-natal diagnosis of Down syndrome. High sex ratio, parental consanguinity, and large family size also characterize the group. The spectrum of many co-occurring conditions mirrors that of previously described populations, with some notable differences. Cardiovascular malformations are well represented, however, atrioventricular canal is not the most common. Genitourinary conditions are common, as evidenced by 12% of males with hypospadias and 15% with undescended testes. Glucose-6-phosphate dehydrogenase deficiency, alpha thalassemia trait, hypovitaminosis D, and dental caries are common in our cohort. This study describes a large hospital-based group with Down syndrome presenting to a new dedicated Down syndrome clinic in the UAE, highlighting unique demographic and co-occurring conditions found in that population. © 2017 Wiley Periodicals, Inc.

  10. The Range and Impact of Postmigration Stressors During Treatment of Trauma-Affected Refugees.

    PubMed

    Bruhn, Maja; Rees, Susan; Mohsin, Mohammed; Silove, Derrick; Carlsson, Jessica

    2018-01-01

    Trauma-affected refugees commonly experience postmigration stressors, which can compound conflict-related emotional distress. Our study aimed to assess clinician-rated frequency and types of postmigration stressors deemed to be interfering with the treatment of refugees attending a service for trauma-related mental distress. A total of 116 patients completed 6 months of multidisciplinary treatment. Clinician-rated postmigration stressors were registered at each session. Outcome measures were Harvard Trauma Questionnaire and Global Assessment of Functioning, function (GAF-F) and symptom. Postmigration stressors were deemed to impact on 39.1% of treatment sessions with medical personnel. Issues related to work, finances, and family were the most frequently identified stressors. Postmigration stressors interfering with treatment were more common among male refugees, those living alone, those from Middle Eastern origin, and persons with low baseline GAF-F. Explicitly identifying and, where possible, dealing with postmigration stressors may assist in averting their interference with the treatment of distress in refugees.

  11. Influence of penecontemporaneous tectonism on development of Breathitt Formation coals, eastern Kentucky

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

    Hower, J.C.; Trinkle, E.J.; Pollock, J.D.

    The Middle Pennsylvanian Breathitt Formation coals beds in the central portion of the Eastern Kentucky coal field exhibit changes in lithology, petrology, and chemistry that can be attributed to temporal continuity in the depositional systems. The study interval within northern Perry and Knott Counties includes coals from the Taylor coal bed at the base of the Magoffin marine member upward through the Hazard No. 8 (Francis) coal bed.

  12. Israel & Jordan: Paving a Path for the Future through Understanding the Peoples and Cultures of the Middle East. Fulbright-Hays Summer Seminars Abroad, 1998 (Israel and Jordan).

    ERIC Educational Resources Information Center

    Moore, Ilene

    This curriculum project on the cultures of the Middle Eastern countries of Israel and Jordan stresses the language arts and focuses on objectives for elementary-age students to attain. The project states that children will: locate, list, identify, label, demonstrate, research, organize, compose, conference, rewrite, proofread, rewrite again,…

  13. Russo-Japanese Territorial Dispute

    DTIC Science & Technology

    2010-04-08

    militarized and used as the means of projecting influence in Asia -Pacific region. Secondly, the Sea of Okhotsk along with the Barents Sea, served as two...and to the middle of Asia . Unidentified national borders between Russia and Japan in Sakhalin Island caused new official talks between countries...in Manchuria, which the Russian Govemn’lent ~sed as a line of communication between eastern provinces of Russian Empire and Middle Asia . Moreover

  14. Maps showing distribution of the Middle Cretaceous unconformity in the eastern Gulf of Mexico

    USGS Publications Warehouse

    Massingill, L.M.; Wells, R.H.

    1987-01-01

    This report emphasizes the salt diapirs, pillows, and ridges in the northeastern Gulf of Mexico because of the profound effect these geologic structures have on the MCU. Salt locations are shown on the isopach of post-MCU sediments (fig. 1). A second map shows pre-middle Cretaceous outcrops terminated by the MCU along the Florida Escarpment, the southeastern Gulf, and the Campeche Escarpment (fig. 2).

  15. Breast cancer in the Middle Eastern population of California, 1988-2004.

    PubMed

    Nasseri, Kiumarss

    2009-01-01

    This report presents the patterns of incidence, survival, and mortality of breast cancer in the Middle Eastern (ME) population of California. Cases were identified through surname recognition and population estimates were obtained from census public use files. Rates, trends, and survival in this ethnic group were compared with the non-Hispanic White (NHW) of California, as well as natives in the Middle East. Age-adjusted incidence rates for the insitu (22.8), invasive (126.2), and mortality (23.2) in ME women were significantly lower than similar rates of 26.0, 146.9, and 30.6 in the NHW women. Incidence rate in ME women in California was higher than rates in women in the Middle East. Lower rates for early stage and higher rates for late stage diagnoses in this ethnic population suggest lack of optimal access to preventive healthcare. Relative survival in the two groups is negatively associated with stage at diagnosis and is slightly higher in ME women, probably due to large numbers of lost to follow-up in ME women suggesting the presence of salmon bias. Positive association with socioeconomic standing was detected only in the NHW women. Incidence of breast cancer in ME men was significantly higher than that of NHW men.

  16. Introduction: U.S. Homophile Internationalism.

    PubMed

    Stein, Marc

    2017-01-01

    This article introduces "U.S. Homophile Internationalism," a special issue of the Journal of Homosexuality. The introduction provides a broad overview of the "U.S. Homophile Internationalism" archive and exhibit, which was published on the Outhistory Web site in 2015. The archive and exhibit consists of more than 800 U.S. homophile magazine articles, letters, and other items that referenced non-U.S. regions of the world from 1953 to 1964. The essays in the special issue focus on (1) Africa; (2) Asia and the Pacific; (3) Canada; (4) Latin America and the Caribbean; (5) the Middle East; and (6) Russia, the Soviet Union, and Eastern Europe. There is also an article that addresses the public history and digital humanities dimensions of the project. The introduction concludes by discussing the essays' common goals, themes, and concerns.

  17. Upper Albian to Lower Turonian deposits and associated breccias along the Dahar cuestas (southeastern Tunisia): Origin and depositional environments

    NASA Astrophysics Data System (ADS)

    Krimi, Mabrouk; Ouaja, Mohamed; Zargouni, Fouad

    2017-11-01

    The carbonate Zebbag Formation of Upper Albian to Lower Turonian age which outcrops along the Dahar cuestas (south eastern Tunisia) includes several breccia intervals. The stratigraphic hierarchy of these breccia levels led to achieving a detailed sequential analysis within a spectrum of depositional environments extending from subtidal to inner to middle ramp settings. Six major transgressive/regressive sequences make up the stacking of the elementary sequences beginning with transgressive and/or storm wave breccias capped by desiccation and/or collapse breccias. The stratigraphic evolutionary history of the breccia facies are interpreted as the result of the interplay between eustatic and tectonic factors. This model is in accord with the tectonic activities common during Upper Albian-Lower Turonian responsible for the sequences onlapping.

  18. Carrier Screening

    MedlinePlus

    ... most common in people of Eastern or Central European Jewish, French Canadian, and Cajun descent. But anyone ... most commonly affects people of Eastern and Central European Jewish, Cajun, and French Canadian descent, but it ...

  19. Late Mississippian (Chesterian) carbonate to carbonate-clastic cycles in the eastern Illinois Basin

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

    Smith, L.B.; Read, J.F.

    1994-03-01

    Late Mississippian (Chesterian) rocks of the eastern Illinois Basin in Kentucky and Indiana show depositional cycles (3--20 meters thick) composed of a range of facies deposited during the transition from carbonate-dominated deposition of the Middle Mississippian to the predominantly siliciclastic regime of the Pennsylvanian. Within the basal Ste. Genevieve Formation (30--70 meters thick) there are five predominantly carbonate cycles. Cycle bases vary from thin calcareous sandstone near the northern clastic source to ooid-quartz dolomitic pelletal grainstone and mudstone further south. Massive cross-bedded and channeled ooid-skeletal grainstones represent the cycle tops and are commonly capped by caliche and subaerial breccia, particularlymore » where there was no subsequent siliciclastic deposition. The cycles are interpreted to be driven by fourth-order (400 k.y.) glacio-eustatic sea-level fluctuations based on coincidence of the calculated cycle period with the long-term eccentricity signal, the Late Mississippian onset of Gondwana glaciation and cycle correlation over more than 100 kilometers. The breccia and caliche formed during lowstands, the siliciclastics, eolianites and dolomitic pelletal grainstones are transgressive facies and the ooid-skeletal grainstones represent sea-level highstands.« less

  20. The cultural gap delivering health care services to Arab American populations in the United States.

    PubMed

    Aboul-Enein, Basil H; Aboul-Enein, Faisal H

    2010-01-01

    The relationship between Middle Eastern patients and populations of Arab origin with western health care professionals are by no means free of cultural misunderstandings. The relationship is often strained by mutual cultural misunderstanding as well as communicative and linguistic hardship. Even though people from the Middle East do vary racially, they do have shared values and behavior. This can include the importance of family cohesion, and interactive attitudes toward ailments and health. Some issues and concerns in providing health care could vary from attaining adequate information to communicated suggested behavioral change by a patient. Culturally and linguistically appropriate guidelines are warranted to provide an understanding of the cultural distinctiveness of Arab Eastern patients by shortening the gap between the Arab cultures with the western medical culture thus improving their healthcare needs.

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

    PubMed

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

    2017-01-01

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

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

    PubMed

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

    2017-02-01

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

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

    PubMed

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

    2016-07-01

    To validate a prediction model for vaginal birth after cesarean (VBAC) that incorporates variables available at admission for delivery among Middle Eastern women. The present prospective cohort study enrolled women at 37weeks of pregnancy or more with cephalic presentation who were willing to attempt a trial of labor (TOL) after a single prior low transverse cesarean delivery at Al-Jahra Hospital, Kuwait, between June 2013 and June 2014. The predicted success rate of VBAC determined via the close-to-delivery prediction model of Grobman et al. was compared between participants whose TOL was and was not successful. Among 203 enrolled women, 140 (69.0%) had successful VBAC. The predicted VBAC success rate was higher among women with successful TOL (82.4%±13.1%) than among those with failed TOL (67.7%±18.3%; P<0.001). There was a high positive correlation between actual and predicted success rates. For deciles of predicted success rate increasing from >30%-40% to >90%-100%, the actual success rate was 20%, 30.7%, 38.5%, 59.1%, 71.4%, 76%, and 84.5%, respectively (r=0.98, P=0.013). The close-to-delivery prediction model was found to be applicable to Middle Eastern women and might predict VBAC success rates, thereby decreasing morbidities associated with failed TOL. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  4. HTA IN CENTRAL-EASTERN-SOUTHERN EUROPE: FINDING ITS WAY TO HEALTH POLICY.

    PubMed

    Zawada, Anna; Mäkelä, Marjukka

    2017-01-01

    The number of publications on health technology assessment (HTA) from Central, Eastern, and Southern Europe (CESE countries) is still low compared with the north and west of Europe. It is not surprising, as the idea of HTA originated from high-income Western economies and was afterward adopted by the south-eastern part of Europe, which mostly consists of middle-income countries. These CESE countries, with less capacity and experience with HTA processes, must deal with even tougher decisions on financing health technologies than north-western Europe. There may even be a lack of confidence to open discussions on their specific needs for HTA.

  5. Satellite view of the extreme haze clouds over China

    NASA Astrophysics Data System (ADS)

    Minghui, T.; Chen, L.; Wang, Z.

    2013-12-01

    Minghui Tao*, Liangfu Chen, Zifeng Wang State Key Laboratory of Remote Sensing Science, Jointly Sponsored by Institute of Remote Sensing and Digital Earth of Chinese Academy of Sciences and Beijing Normal University, Beijing 100101, China *Email: tmh1985@163.com ABSTRACT: In the past decades, great increases in anthropogenic emissions have caused dramatic changes in air quality and regional climate in China, which are further complicated by the natural processes such as dust events and atmospheric dynamics such as variations in intensity of the Asian monsoon. The common urban photochemistry smog, haze, and fog-haze pollution lead to poor air quality in major cities in eastern and middle parts of China. On the other hand, the heavy aerosol loading exerts marked influences on radiation, clouds, and precipitation over China. Satellites usually observed widespread haze clouds over eastern China. In most of previous studies, the dense haze clouds were directly connected with accumulation of anthropogenic emissions. However, satellite observations show that formation processes of haze clouds and local pollution near surface were different. Understanding the connections and interactions between haze clouds and local anthropogenic emissions is essential in chemistry and climate modeling of the aerosols over China. In January 2013, durative haze clouds covered most parts of eastern China, leading to extreme pollution events in many cities. With integrated A-train satellite observations and ground measurements, we investigated variations, optical properties, vertical structures as well as formation process of the extreme haze clouds over eastern China. Satellite-surface results were compared to analyze relations between the haze clouds and surface pollution. Different from traditional views, our results reveal that variation and formation of the haze clouds were driven by large-scale natural processes rather than local anthropogenic emissions. Figure 1. Aqua MODIS true color images of the haze clouds over eastern China on Jan 10, 2013.

  6. An Analysis of the Requirements and Potential Opportunities for the Future Education of Law Enforcement Intelligence Analysts

    DTIC Science & Technology

    2008-03-01

    thinking as a specialized course. None of these schools requires a foreign language. Only Cal State Fullerton and Sacrament State requires students to...research methods. None of the schools require a foreign language. AMU offers critical thinking as an elective from its General Program for students ...analysts should learn more about the religion. Question Six: Instruction in which of these types of philosophies (Western, Eastern, Middle Eastern, or

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

    PubMed

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

    2017-12-01

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

  8. Strategic positioning of the ERATOSTHENES Research Centre for atmospheric remote sensing research in the Eastern Mediterranean and Middle East region

    NASA Astrophysics Data System (ADS)

    Mamouri, Rodanthi-Elisavet; Ansmann, Albert; Hadjimitsis, Diofantos G.; Nisantzi, Argyro; Bühl, Johannes; Michaelides, Silas; Seifert, Patric; Engelmann, Ronny; Wandinger, Ulla; Kontoes, Charalampos; Schreier, Gunter; Komodromos, Georgios; Themistocleous, Kyriacos

    2017-10-01

    The aim of this article is to present the importance of a permanent state-of-the-art atmospheric remote sensing ground based station in the region of the Eastern Mediterranean and Middle East (EMME). The ERATOSTHENES Research Centre (ERC) with the vision to become a Centre of Excellence for Earth Surveillance and Space-Based Monitoring of the Environment (EXCELSIOR H2020: Teaming project) already operates (within Phase 1) a fully established EARLINETt-Cloudnet supersite at Limassol, Cyprus, for a period of 2 years, in close collaboration with the German Leibniz Institute for Tropospheric Research (TROPOS), The scientific aspects of this prototype-like field campaign CyCARE (Cyprus Cloud Aerosol and Rain Experiment) - a common initiative between the Cyprus University of Technology (CUT), Limassol and TROPOS- are presented in this paper. Cy-CARE has been designed by TROPOS and CUT to fill a gap in the understanding of aerosol-cloud interaction in one of the key regions of climate change and how precipitation formation is influenced by varying aerosol/pollution and meteorological conditions The guiding questions are: How may rain patterns change in future and what may be the consequences of climate change in arid regions such as EMME. EXCELSIOR is a team effort between CUT (acting as the coordinator), the German Aerospace Centre (DLR), the Institute for Astronomy and Astrophysics Space Applications and Remote Sensing of the National Observatory of Athens (NOA), TROPOS and the Cyprus Department of Electronic Communications of the Ministry of Transport, Communications and Works (DEC-MTCW) who will work together to improve the network structures significantly, resulting in Cyprus being regarded as a cornerstone of a European Network of active remote sensing of the atmosphere.

  9. Attitudes, beliefs and perceptions regarding truth disclosure of cancer-related information in the Middle East: a review.

    PubMed

    Bou Khalil, Rami

    2013-02-01

    The aim of this review is to evaluate the current status concerning attitudes, beliefs and/or practices of patients, family members, health professionals and/or caregivers regarding truth disclosure about a cancer diagnosis in the Greater Middle East countries. A search was done via MedLine for all publications related to this review objective. 55 publications were included emanating from Egypt, Iran, Israel, Jordan, Kuwait, Lebanon, Palestine Pakistan, Saudi Arabia, Turkey, and United Arab Emirates. In the Greater Middle East region, a diagnosis of cancer is still mixed with social stigma and misperceptions related to incurability. Physicians conserve a truth disclosure policy in which from one side they respect some of the historical and cultural misperceptions about cancer and accordingly, tell the truth about cancer to one of the family members and from another side acknowledge the patients' right to know the truth and tend to disclose it for him(or her) when possible. Family members and caregivers' attitudes, perceptions and beliefs about telling the truth to the patient seem to be in favor of concealment. Discrepant results concerning physicians' and patients' evaluation of the quality of truth disclosure exist in the literature. Education programs in breaking bad news are lacking in many countries. Finally, the most important and common problem affecting truth disclosure to a patient suffering from cancer is the lack of codes and legislations concerning the patients' rights in an informed consent. Studies, legislations and training programs are needed in this domain in Middle Eastern societies.

  10. Zaphrentis and the Zaphrentidae (Devonian; anthozoa, rugosa)

    USGS Publications Warehouse

    Oliver, W.A.

    2007-01-01

    Zaphrentis is one of the most widely used names in Paleozoic coral paleontology. Species of "Zaphrentis" have been named from every Paleozoic System except the Cambrian. Variants of the word, such as zaphrentoid, are widely used with varied meanings. Nomenclatural spinoffs are numerous: Neozaphrentis and Heterophrentis are obvious examples, but dozens of additional genera have type species that were originally described in Zaphrentis. Many paleontologists are familiar with the word but few really know what it means. Zaphrentis (as a subgenus) and five new species were named in 1820, based on corals from the Falls of the Ohio River between Louisville, Kentucky, and Clarksville, Indiana. Descriptions were minimal, none was illustrated, and no specimens were preserved as types. Nominal species of "Zaphrentis" proliferated for over 100 years before a redescription based on Falls specimens was published (1938), the probable source beds recognized (1942), a neotype selected (1965) and adequately described and illustrated (1981). At this time, I recognize only four zaphrentid genera: Zaphrentis (middle Eifelian), Heliophyllum (middle Emsian through Givetian), Aemulophyllum (middle Emsian), and Cyathocylindrium (lower Emsian?; middle Emsian through Eifelian). All four genera seem to have originated in the Eastern Americas Biogeographic Realm. Heliophyllum is the most common, has the longest stratigraphic range, and is the only one known to occur outside of its area of origin. Heliophyllum modicum n. sp., once discussed as a possible Zaphrentis, is described and compared with both the type species of Zaphrentis and other Heliophyllum species. A single coral specimen from the Indian Cove Formation (upper Pragian or lower Emsian), Gaspe??, Quebec, is considered the earliest known zaphrentid and is described as Cyathocylindrium? n. sp.

  11. Etiology of Severe Febrile Illness in Low- and Middle-Income Countries: A Systematic Review

    PubMed Central

    Prasad, Namrata; Murdoch, David R.; Reyburn, Hugh; Crump, John A.

    2015-01-01

    Background With apparent declines in malaria worldwide during the last decade and more widespread use of malaria rapid diagnostic tests, healthcare workers in low-resource areas face a growing proportion of febrile patients without malaria. We sought to describe current knowledge and identify information gaps of the etiology severe febrile illness in low-and middle-income countries. Methods and Findings We conducted a systematic review of studies conducted in low-and-middle income countries 1980–2013 that prospectively assessed consecutive febrile patients admitted to hospital using rigorous laboratory-based case definitions. We found 45 eligible studies describing 54,578 patients; 9,771 (17.9%) had a positive result for ≥1 pathogen meeting diagnostic criteria. There were no eligible studies identified from Southern and Middle Africa, Eastern Asia, Oceania, Latin American and Caribbean regions, and the European region. The median (range) number of diagnostic tests meeting our confirmed laboratory case definitions was 2 (1 to 11) per study. Of diagnostic tests, 5,052 (10.3%) of 49,143 had confirmed bacterial or fungal bloodstream infection; 709 (3.8%) of 18,142 had bacterial zoonosis; 3,488 (28.5%) of 12,245 had malaria; and 1,804 (17.4%) of 10,389 had a viral infection. Conclusions We demonstrate a wide range of pathogens associated with severe febrile illness and highlight the substantial information gaps regarding the geographic distribution and role of common pathogens. High quality severe febrile illness etiology research that is comprehensive with respect to pathogens and geographically representative is needed. PMID:26126200

  12. Pre-Quaternary divergence and subsequent radiation explain longitudinal patterns of genetic and morphological variation in the striped skink, Heremites vittatus.

    PubMed

    Baier, Felix; Schmitz, Andreas; Sauer-Gürth, Hedwig; Wink, Michael

    2017-06-09

    Many animal and plant species in the Middle East and northern Africa have a predominantly longitudinal distribution, extending from Iran and Turkey along the eastern Mediterranean coast into northern Africa. These species are potentially characterized by longitudinal patterns of biological diversity, but little is known about the underlying biogeographic mechanisms and evolutionary timescales. We examined these questions in the striped skink, Heremites vittatus, one such species with a roughly longitudinal distribution across the Middle East and northern Africa, by analyzing range-wide patterns of mitochondrial DNA (mtDNA) sequence and multi-trait morphological variation. The striped skink exhibits a basic longitudinal organization of mtDNA diversity, with three major mitochondrial lineages inhabiting northern Africa, the eastern Mediterranean coast, and Turkey/Iran. Remarkably, these lineages are of pre-Quaternary origin, and are characterized by p-distances of 9-10%. In addition, within each of these lineages a more recent Quaternary genetic diversification was observed, as evidenced by deep subclades and high haplotype diversity especially in the Turkish/Iranian and eastern Mediterranean lineages. Consistent with the genetic variation, our morphological analysis revealed that the majority of morphological traits show significant mean differences between specimens from northern Africa, the eastern Mediterranean coast, and Turkey/Iran, suggesting lineage-specific trait evolution. In addition, a subset of traits exhibits clinal variation along the eastern Mediterranean coast, potentially indicating selection gradients at the geographic transition from northern Africa to Anatolia. The existence of allopatric, morphologically and genetically divergent lineages suggests that Heremites vittatus might represent a complex with several taxa. Our work demonstrates that early divergence events in the Pliocene, likely driven by both climatic and geological factors, established the longitudinal patterns and distribution of Heremites vittatus. Subsequent radiation during the Pleistocene generated the genetic and morphological diversity observed today. Our study provides further evidence that longitudinal diversity patterns and species distributions in the Middle East and northern Africa were shaped by complex evolutionary processes, involving the region's intricate geological history, climatic oscillations, and the presence of the Sahara.

  13. 32 CFR Appendix B to Part 290 - DCAA's FOIA Points of Contact

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., Puerto Rico and nearby Islands, and Mexico. Massachusetts DCAA Northeastern Regional Office, Attn: RCI-2.... Pacific Ocean and Asian Islands. Asia except the Middle East. Australia. Georgia DCAA Eastern Regional...

  14. 32 CFR Appendix B to Part 290 - DCAA's FOIA Points of Contact

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., Puerto Rico and nearby Islands, and Mexico. Massachusetts DCAA Northeastern Regional Office, Attn: RCI-2.... Pacific Ocean and Asian Islands. Asia except the Middle East. Australia. Georgia DCAA Eastern Regional...

  15. 32 CFR Appendix B to Part 290 - DCAA's FOIA Points of Contact

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., Puerto Rico and nearby Islands, and Mexico. Massachusetts DCAA Northeastern Regional Office, Attn: RCI-2.... Pacific Ocean and Asian Islands. Asia except the Middle East. Australia. Georgia DCAA Eastern Regional...

  16. Ethnic Variations in Duodenal Villous Atrophy Consistent With Celiac Disease in the United States.

    PubMed

    Krigel, Anna; Turner, Kevin O; Makharia, Govind K; Green, Peter H R; Genta, Robert M; Lebwohl, Benjamin

    2016-08-01

    Celiac disease is a common disorder with a worldwide distribution, although the prevalence among different ethnicities varies. We aimed to measure the prevalence of duodenal villous atrophy among patients of different ethnicities throughout the United States. We performed a cross-sectional study of all patients who had duodenal biopsies submitted to a national pathology laboratory between January 2, 2008 and April 30, 2015. The prevalence of villous atrophy was calculated for the following ethnicities by using a previously published algorithm based on patient names: North Indian, South Indian, East Asian, Hispanic, Middle Eastern, Jewish, and other Americans. Among all patients (n = 454,885), the median age was 53 years, and 66% were female. The overall prevalence of celiac disease was 1.74%. Compared with other Americans (n = 380,163; celiac disease prevalence, 1.83%), celiac disease prevalence was lower in patients of South Indian (n = 177, 0%; P = .08), East Asian (n = 4700, 0.15%; P ≤ .0001), and Hispanic (n = 31,491, 1.06%; P ≤ .0001) ethnicities. Celiac disease was more common in patients from the Punjab region (n = 617, 3.08%) than in patients from North India (n = 1195, 1.51%; P = .02). The prevalence of celiac disease among patients of Jewish (n = 17,806, 1.80%; P = .78) and Middle Eastern (n = 1903, 1.52%; P = .33) ethnicities was similar to that of other Americans. Among Jewish individuals (n = 17,806), the prevalence of celiac disease was 1.83% in Ashkenazi persons (n = 16,440) and 1.39% in Sephardic persons (n = 1366; P = .24). Among patients undergoing duodenal biopsy, individuals from the Punjab region of India constitute the ethnic group in the United States with the highest prevalence of villous atrophy consistent with celiac disease. Compared with other Americans, villous atrophy prevalence on duodenal biopsy is significantly lower among U.S. residents of South Indian, East Asian, and Hispanic ancestry. Copyright © 2016 AGA Institute. Published by Elsevier Inc. All rights reserved.

  17. Contrasting cooling and exhumation histories of tectonic blocks in the eastern part of the Eastern Alps and its possible relationships with lithospheric dynamics

    NASA Astrophysics Data System (ADS)

    Wölfler, Andreas; Glotzbach, Christoph

    2017-04-01

    In the European Alps two fundamental changes in the lithospheric structure controlled the geodynamic evolution of the orogen: (1) Late Eocene to Early Oligocene rupturing of the European slab and (2) Early Miocene change in subduction polarity between the Western and Eastern Alps. In particular, the eastern part of the Eastern Alps is a key area which will provide both, information about the surface response to the Eocene/Oligocene slab breakoff and the response to a proposed isostatic rebound due to slab detachment of the European lithosphere in the Miocene (Handy et al., 2015). The eastern part of the Eastern Alps is characterized by fault-bounded blocks with different thermochronological ages, mean elevations and hillslope angles, indicating a variable spatial and temporal evolution throughout the Cenozoic era. The topographic pattern of the study area can be described in terms of (1) high relief with a rugged surface and steep slopes in the Niedere Tauern and (2) lower relief and distinctly smoother topography in the Seckauer Tauern, the Gurktal, Saualpe and Koralpe blocks. Generally, tectonic blocks with higher relief and rugged topography display the youngest apatite fission track (AFT) and apatite (U-Th)/He data (AHe); the Niedere Tauern concurs with middle Miocene AFT and late Miocene/Pliocene AHe ages (Wölfler et al., 2016). The other tectonic blocks generally show Eocene to Oligocene AFT ages (Wölfler et al., 2016 and references therein) and Oligocene to early Miocene AHe ages (Legrain et al., 2014, own preliminary work). New AFT and AHe data from the Gurktal block and Seckauer Tauern indicate that substantial parts of the study area where at near-surface conditions since the Eocene and Oligocene. Thermal history models suggest fast cooling through the AFT and AHe closure temperatures in the Oligocene as a possible response to slab breakoff that was followed by thermal stagnation until the present. In contrast, the neighboring Niedere Tauern experienced enhanced cooling and exhumation in the middle Miocene and again at the late Miocene and Pliocene (Wölfler et al., 2016). Middle Miocene exhumation is interpreted as a result of tectonic escape and convergence that operated simultaneously during lateral extrusion of the Eastern Alps. As the higher late Miocene/Pliocene exhumation rates are restricted to a single tectonic block, namely the Niedere Tauern, we infer a tectonic trigger that is probably related to a change in the external stress field that affected the Alps during this time. References Legrain, N., Stüwe, K., Wölfler, A., 2014. Incised relict landscape in the eastern Alps. Geomorphology 221, 124-138. Handy, M.R., Ustaszewski, K., Kissling, E., 2015. Reconstructing the Alps-Carpathians-Dinarides as a key to understanding switches in subduction polarity, slab gaps and surface motion. International Journal of Earth Sciences 104, 1-26. Wölfler, A., Kurz, W., Fritz, H., Glotzbach, C., Danišik, M., 2016. Late Miocene increasing exhumation rates in the eastern part of the Alps - implications from low temperature thermochronology. Terra Nova 28, 297-305.

  18. Far-travelled permian chert of the North Fork terrane, Klamath mountains, California

    USGS Publications Warehouse

    Mankinen, E.A.; Irwin, W.P.; Blome, C.D.

    1996-01-01

    Permian chert in the North Fork terrane and correlative rocks of the Klamath Mountains province has a remanent magnetization that is prefolding and presumably primary. Paleomagnetic results indicate that the chert formed at a paleolatitude of 8.6?? ?? 2.5?? but in which hemisphere remains uncertain. This finding requires that these rocks have undergone at least 8.6?? ?? 4.4?? of northward transport relative to Permian North America since their deposition. Paleontological evidence suggests that the Permian limestone of the Eastern Klamath terrane originated thousands of kilometers distant from North America. The limestone of the North Fork terrane may have formed at a similar or even greater distance as suggested by its faunal affinity to the Eastern Klamath terrane and more westerly position. Available evidence indicates that convergence of the North Fork and composite Central Metamorphic-Eastern Klamath terranes occurred during Triassic or Early Jurassic time and that their joining together was a Middle Jurassic event. Primary and secondary magnetizations indicate that the new composite terrane containing these and other rocks of the Western Paleozoic and Triassic belt behaved as a single rigid block that has been latitudinally concordant with the North American craton since Middle Jurassic time.

  19. Navy mobility fuels forecasting system report: World petroleum trade forecasts for the year 2000

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

    Das, S.

    1991-12-01

    The Middle East will continue to play the dominant role of a petroleum supplier in the world oil market in the year 2000, according to business-as-usual forecasts published by the US Department of Energy. However, interesting trade patterns will emerge as a result of the democratization in the Soviet Union and Eastern Europe. US petroleum imports will increase from 46% in 1989 to 49% in 2000. A significantly higher level of US petroleum imports (principally products) will be coming from Japan, the Soviet Union, and Eastern Europe. Several regions, the Far East, Japan, Latin American, and Africa will import moremore » petroleum. Much uncertainty remains about of the level future Soviet crude oil production. USSR net petroleum exports will decrease; however, the United States and Canada will receive some of their imports from the Soviet Union due to changes in the world trade patterns. The Soviet Union can avoid becoming a net petroleum importer as long as it (1) maintains enough crude oil production to meet its own consumption and (2) maintains its existing refining capacities. Eastern Europe will import approximately 50% of its crude oil from the Middle East.« less

  20. Compositional characteristics of the Fire Clay coal bed in a portion of eastern Kentucky

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

    Hower, J.C.; Andrews, W.M. Jr.; Rimmer, S.M.

    The Fire Clay (Hazard No. 4) coal bed (Middle Pennsylvanian Breathitt Formation) is one of the most extensively mined coal in eastern Kentucky. The coal is used for metallurgical and steam end uses and, with its low sulfur content, should continue to be a prime steam coal. This study focuses on the petrology, mineralogy, ash geochemistry, and palynology of the coal in an eight 7.5-min quadrangle area of Leslie, Perry, Knott, and Letcher counties.

  1. 78 FR 13873 - Environmental Impacts Statements; Notice of Availability

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ..., CA, Middle Fork American River Project, Review Period Ends: 04/01/2013, Contact: Matt Buhyoff 202-502.... 20130048, Draft EIS, BOEM, 00, Gulf of Mexico OCS Oil and Gas Lease Sales: 2014 and 2016 Eastern Planning...

  2. 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

  3. Middle East Dust

    Atmospheric Science Data Center

    2013-04-16

    ... only some of the dust over eastern Syria and southeastern Turkey can be discerned. The dust is much more obvious in the center panel, ... 18, 2002 - A large dust plume extends across Syria and Turkey. project:  MISR category:  gallery ...

  4. Addressing diabetes at the crossroads of global pandemic and regional culture: Comment on "The curse of wealth - Middle Eastern countries need to address the rapidly rising burden of diabetes".

    PubMed

    Hsu, William C; Gabbay, Robert A

    2014-07-01

    As diabetes and obesity rates continue to climb at astronomical rates in the Middle East, future generations are at an even greater risk for diabetes and the associated complications. Many factors are at play and it is clear that creative solutions are needed to retool provider resources in the Middle East towards prevention of diabetes and its complications while leveraging technology to maximize outreach within the accepted cultural norms. Only by building the capacity to address the current diabetes burden as well focusing on prevention for the future, can Middle East countries create a strong infrastructure for a successful future.

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

    PubMed

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

    2018-04-06

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

  6. Tracing Arab-Islamic Inheritance in Madagascar: Study of the Y-chromosome and Mitochondrial DNA in the Antemoro

    PubMed Central

    Capredon, Mélanie; Brucato, Nicolas; Tonasso, Laure; Choesmel-Cadamuro, Valérie; Ricaut, François-Xavier; Razafindrazaka, Harilanto; Rakotondrabe, Andriamihaja Bakomalala; Ratolojanahary, Mamisoa Adelta; Randriamarolaza, Louis-Paul; Champion, Bernard; Dugoujon, Jean-Michel

    2013-01-01

    Madagascar is located at the crossroads of the Asian and African worlds and is therefore of particular interest for studies on human population migration. Within the large human diversity of the Great Island, we focused our study on a particular ethnic group, the Antemoro. Their culture presents an important Arab-Islamic influence, but the question of an Arab biological inheritance remains unresolved. We analyzed paternal (n=129) and maternal (n=135) lineages of this ethnic group. Although the majority of Antemoro genetic ancestry comes from sub-Saharan African and Southeast Asian gene pools, we observed in their paternal lineages two specific haplogroups (J1 and T1) linked to Middle Eastern origins. This inheritance was restricted to some Antemoro sub-groups. Statistical analyses tended to confirm significant Middle Eastern genetic contribution. This study gives a new perspective to the large human genetic diversity in Madagascar. PMID:24278350

  7. Comparision between crustal density and velocity variations in Southern California

    USGS Publications Warehouse

    Langenheim, V.E.; Hauksson, E.

    2001-01-01

    We predict gravity from a three-dimensional Vp model of the upper crust and compare it to the observed isostatic residual gravity field. In general this comparison shows that the isostatic residual gravity field reflects the density variations in the upper to middle crust. Both data sets show similar density variations for the upper crust in areas such as the Peninsular Ranges and the Los Angeles basin. Both show similar variations across major faults, such as the San Andreas and Garlock faults in the Mojave Desert. The difference between the two data sets in regions such as the Salton Trough, the Eastern California Shear Zone, and the eastern Ventura basin (where depth to Moho is <30 km), however, suggests high-density middle to lower crust beneath these regions. Hence the joint interpretation of these data sets improves the depth constraints of crustal density variations.

  8. The prevalence and outcome of excess body weight among Middle Eastern patients presenting with acute coronary syndrome.

    PubMed

    Hadi, Hadi A R; Zubaid, Mohammad; Al Mahmeed, Wael; El-Menyar, Ayman A; Alsheikh-Ali, Alawi A; Singh, Rajivir; Al-Nabti, Abdulrahman; Assad, Nidal; Sulaiman, Kadhim; Al-Mallah, Mouaz H; Amin, Haitham; Al-Motarreb, Ahmed; Mahmoud, Hisham; Al Suwaidi, Jassim

    2010-07-01

    We evaluated the effect of body weight on the outcome of Middle Eastern patients presenting with acute coronary syndrome (ACS). Analysis of the Gulf Registry of Acute Coronary Events (Gulf RACE) survey that included 7843 consecutive patients hospitalized with ACS was made. Patients were categorized as normal weight, overweight, or obese based on their body mass index (BMI). Overall, 67% of patients were overweight or obese; obese and overweight patients were more likely to be female and have diabetes mellitus, hypertension, dyslipidemia, and less likely to be smokers. In-hospital mortality, congestive heart failure, cardiogenic shock, and strokes were comparable between the groups, although patients with obesity were more likely to have recurrent ischemia and major bleeding complication in the ST-elevation myocardial infarction group. Excess body weight with ACS is associated with higher risk profile characteristics without an increase in hospital mortality or cardiovascular events.

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

    PubMed

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

    2014-01-01

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

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

    PubMed

    Ikizler, Ayse S; Szymanski, Dawn M

    2018-01-11

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

  11. The North Sakhalin Neogene total petroleum system of eastern Russia

    USGS Publications Warehouse

    Lindquist, S.J.

    2000-01-01

    The North Sakhalin Basin Province of eastern Russia contains one Total Petroleum System (TPS) ? North Sakhalin Neogene ? with more than 6 BBOE known, ultimately recoverable petroleum (61% gas, 36% oil, 3% condensate). Tertiary rocks in the basin were deposited by the prograding paleo-Amur River system. Marine to continental, Middle to Upper Miocene shale to coaly shale source rocks charged marine to continental Middle Miocene to Pliocene sandstone reservoir rocks in Late Miocene to Pliocene time. Fractured, self-sourced, Upper Oligocene to Lower Miocene siliceous shales also produce hydrocarbons. Geologic history is that of a Mesozoic Asian passive continental margin that was transformed into an active accretionary Tertiary margin and Cenozoic fold belt by the collision of India with Eurasia and by the subduction of Pacific Ocean crustal plates under the Asian continent. The area is characterized by extensional, compressional and wrench structural features that comprise most known traps.

  12. A Square Peg in a Round Hole: Radical Islam in Insular Southeast Asia

    DTIC Science & Technology

    2008-09-01

    than in the rest of the Muslim world. Women enjoy a higher status in the Malay Southeast Asian societies while Middle Eastern societies are more...to mention that matriarchic pre-Islamic cultures within these nations adopted Islam with minimal impacts to their customs. The Minangkabau people of...at the hands of Arabian armies (first wave of Islam) Islamized the societies of the Iberian Peninsula, the Middle East and North Africa while

  13. Conflict, Cooperation, and Viability: Interstate Water Resources and Domestic Water Use in the Middle East

    DTIC Science & Technology

    2011-03-01

    substantial portion of the water used by several Middle Eastern nations, however, comes from nonrenewable groundwater, such as fossil aquifers .37...crosses boundaries. West of the Jordan River, three aquifers are the primary sources of water; and these basins for the most part recharge in the West...Bank and discharge into various areas of Israel.79 The coastal aquifer and Gaza aquifer also provide significant sources of groundwater to Israel

  14. Risk factors of acute myocardial infarction in middle-aged and adolescent people (< 45 years) in Yantai.

    PubMed

    Du, Hong; Dong, Chang-Yan; Lin, Qiao-Yan

    2015-09-29

    Yantai is a developed medium-sized coastal city in Eastern China, having a population of 1.6845 million. With the development of economy, some middle-aged and adolescent people (< 45 years) devote themselves to work and suffer from greater stress, which makes them ignore their own health. Moreover, they have unhealthy lifestyles and lack the knowledge of cardiovascular risk factors. To identify the risk factors for first acute myocardial infarction in middle-aged and adolescent people in Yantai, a developed medium-sized coastal city in Eastern China. A total of 154 consecutive patients with first acute myocardial infarction (< 45 years), were enrolled in case group, and 462 patients without myocardial infarction were enrolled in control group. Three controls with the same sex and age were matched to each case. The risk factors were identified with univariate and multivariate analysis. Unhealthy food habit (eating seafood and meanwhile drinking beer), hypertension, current smokers, self-perceived stress, diabetes mellitus, obesity, sleep insufficience, hypercholesterolaemia and fatigue were independent risk factors for first acute myocardial infarction (P < 0.05). Besides those recognized risk factors for cardiovascular disease (hypertension, hypercholesterolemia, diabetes mellitus and smoking), eating seafood and meanwhile drinking beer, self-perceived stress, sleep insufficience, obesity and fatigue were also the risk factors for first acute myocardial infarction in middle-aged and adolescent people in Yantai.

  15. Petrography and geochemistry of the Middle Miocene Gebel El Rusas sandstones, Eastern Desert, Egypt: Implications for provenance and tectonic setting

    NASA Astrophysics Data System (ADS)

    Zaid, Samir M.

    2017-10-01

    Petrography and bulk rock geochemistry of the Middle Miocene sandstones of the lower and upper members of Gebel El Rusas Formation along the Egyptian Red Sea Coastal plain, have been investigated to determine the provenance, tectonic setting, and weathering condition of this formation. The Lower Member is formed mainly of sandstones and conglomerates with clay interbeds. The Upper Member is more calcareous and formed mainly of sandstones and limestones with marls and clays intercalations. Petrographically, the Lower Member sandstones are mostly immature and classified as arkoses with an average framework composition of Q_{66}F_{29}R5, and the Upper Member sandstones are partly submature (more quartzose, less feldspathic) and classified as subarkoses with an average framework composition of Q_{80}F_{17}R3. The Gebel El Rusas sandstones are enriched in Sr, Ba, Zr and Rb and depleted in Co and U, as compared to UCC. The chemical index of alteration (CIA) values suggest moderate weathering conditions. The geochemistry results revealed that the Gebel El Rusas sandstones were derived from felsic-granitic source rocks and deposited in a passive margin of a synrift basin. The inferred tectonic setting for Middle Miocene Gebel El Rusas sandstones in the study area is consistent with the regional geology of the Eastern Desert of Egypt during Middle Miocene.

  16. Simulating gas and particulate pollution over the Middle East and the state of Qatar using a 3-D regional air quality modeling system

    NASA Astrophysics Data System (ADS)

    Fountoukis, Christos; Gladich, Ivan; Ayoub, Mohammed; Kais, Sabre; Ackermann, Luis; Skillern, Adam

    2016-04-01

    The rapid urbanization, industrialization and economic expansion in the Middle East have led to increased levels of atmospheric pollution with important implications for human health and climate. We applied the online-coupled meteorological and chemical transport Weather Research and Forecasting/Chemistry (WRF-Chem) model over the Middle Eastern domain, to simulate the concentration of gas and aerosols with a special focus over the state of Qatar. WRF-Chem was set to simulate pollutant concentrations along with the meteorology-chemistry interactions through the related direct, indirect and semi-direct feedback mechanisms. A triple-nested domain configuration was used with a high grid resolution (1x1 km2) over the region of Qatar. Model predictions are evaluated against intensive measurements of meteorological parameters (temperature, relative humidity and wind speed) as well as ozone and particulate matter taken from various measurement stations throughout Doha, Qatar during summer 2015. The ability of the model to capture the temporal and spatial variability of the observations is assessed and possible reasons for the model bias are explored through sensitivity tests. Emissions of both fine and coarse mode particles from construction activities in large urban Middle Eastern environments comprise a major pollution source that is unaccounted for in emission inventories used so far in large scale models for this part of the world.

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

    NASA Astrophysics Data System (ADS)

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

    2017-12-01

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

  18. Correction of the Middle Eastern M712T mutation causing GNE myopathy by trans-splicing.

    PubMed

    Tal-Goldberg, Tzukit; Lorain, Stéphanie; Mitrani-Rosenbaum, Stella

    2014-06-01

    GNE myopathy is a rare neuromuscular autosomal recessive disease, resulting from mutations in the gene UDP N-acetylglucosamine 2-epimerase/N-acetylmannosamine kinase (GNE). The most frequent mutation is the single homozygous missense mutation, M712T-the Middle Eastern mutation-located ten amino acids before the end of the protein. We have used an adeno-associated virus (AAV)-based trans-splicing (TS) vector as a gene therapy tool to overcome this mutation by replacing the mutated last exon of GNE by the wild-type exon while preserving the natural endogenous regulatory machinery. We have designed relevant plasmids directed either to mouse or to human GNE. Following transfection of C2C12 murine muscle cells with the mouse TS vectors, we have been able to detect by nested RT-PCR trans-spliced molecules carrying the wild-type exon 12 of GNE. Similarly, transfection of HEK293 human cells with the human-directed TS vectors resulted in the generation of trans-spliced human GNE RNA molecules. Furthermore, infection of primary muscle cells from a GNE myopathy patient carrying the homozygous M712T mutation, with an AAV8-based viral vector carrying a human-directed TS construct, resulted in the generation of wild-type GNE transcripts in addition to the mutated ones. These studies provide a proof of concept that the TS approach could be used to partially correct the Middle Eastern mutation in GNE myopathy patients. These results provide the basis for in vivo research in animal models using the AAV platform with TS plasmids as a potential genetic therapy for GNE myopathy.

  19. Epidemiology of primary brain tumors in the Middle Eastern population in California, USA 2001-2005.

    PubMed

    Nasseri, Kiumarss; Mills, John R

    2009-01-01

    The fast growing Middle Eastern (ME) population has rarely been studied in the U.S.. The purpose of this study was to compare the epidemiology of primary brain tumors in this ethnic population with the non-Hispanic, non-Middle Eastern White (NHNMW) in California. ME cases were identified by surname in the California cancer registry and ME population estimates were based on ancestry. Data for 683 cases of primary brain tumors (429 benign, 238 malignant, 16 uncertain) in the ME and 15,589 cases (8352 benign, 6812 malignant, 425 uncertain) in the NHNMW were available for this study. ME patients were significantly (p < 0.05) younger and their age-adjusted incidence rates per 100,000 for benign tumors of 10.0 in men and 17.6 in women were higher than similar rates of 7.3 and 10.6 in the NHNMW group (p < 0.05). Rates for malignant tumors were similar. Meningioma was the main histology responsible for the observed increase in patients over 40 years of age. Also increased were benign tumors of the pituitary and pineal glands. The overall mortality in patients with benign tumors was significantly lower than malignant tumors. This study presents a significantly high incidence of benign meningioma in the ME population in California. This may be due to higher susceptibility or exposure of this ethnic group to the risk factor(s) for this neoplasm. Considering the reported causal association of benign meningioma with childhood radiation exposure from Israel, exposure to this risk factor in this ethnic group needs to be evaluated in future studies.

  20. 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.

  1. Cyclothem [“digital”] correlation and biostratigraphy across the global Moscovian-Kasimovian-Gzhelian stage boundary interval (Middle-Upper Pennsylvanian) in North America and eastern Europe

    NASA Astrophysics Data System (ADS)

    Heckel, Philip H.; Alekseev, Aleksandr S.; Barrick, James E.; Boardman, Darwin R.; Goreva, Natalya V.; Nemyrovska, Tamara I.; Ueno, Katsumi; Villa, Elisa; Work, David M.

    2007-07-01

    The long-standing difficulty of correlating Pennsylvanian strata among provincial faunal regions is resolved by effecting “digital” correlation of major glacial-eustatic cyclothems that represent high-stands when certain species achieved more global distribution than usual. In the late Moscovian-early Gzhelian (late Desmoinesian-early Virgilian) succession in the midcontinent United States, several major cyclothems are correlated, by both conodont species in common and cyclothem scale, with cyclothems in Russia (Moscow Basin) and Ukraine (Donets Basin), and the remaining cyclothems fit into the framework by position and scale. In this way the suggested event marker for the global Kasimovian-Gzhelian stage boundary (first appearance of Idiognathodus simulator) is supported, while possible event markers for the Moscovian-Kasimovian boundary await further evaluation.

  2. Genetic Evidence for Recent Population Mixture in India

    PubMed Central

    Moorjani, Priya; Thangaraj, Kumarasamy; Patterson, Nick; Lipson, Mark; Loh, Po-Ru; Govindaraj, Periyasamy; Berger, Bonnie; Reich, David; Singh, Lalji

    2013-01-01

    Most Indian groups descend from a mixture of two genetically divergent populations: Ancestral North Indians (ANI) related to Central Asians, Middle Easterners, Caucasians, and Europeans; and Ancestral South Indians (ASI) not closely related to groups outside the subcontinent. The date of mixture is unknown but has implications for understanding Indian history. We report genome-wide data from 73 groups from the Indian subcontinent and analyze linkage disequilibrium to estimate ANI-ASI mixture dates ranging from about 1,900 to 4,200 years ago. In a subset of groups, 100% of the mixture is consistent with having occurred during this period. These results show that India experienced a demographic transformation several thousand years ago, from a region in which major population mixture was common to one in which mixture even between closely related groups became rare because of a shift to endogamy. PMID:23932107

  3. Remote sensing and modelling analysis of the extreme dust storm hitting the Middle East and eastern Mediterranean in September 2015

    NASA Astrophysics Data System (ADS)

    Solomos, Stavros; Ansmann, Albert; Mamouri, Rodanthi-Elisavet; Binietoglou, Ioannis; Patlakas, Platon; Marinou, Eleni; Amiridis, Vassilis

    2017-03-01

    The extreme dust storm that affected the Middle East and the eastern Mediterranean in September 2015 resulted in record-breaking dust loads over Cyprus with aerosol optical depth exceeding 5.0 at 550 nm. We analyse this event using profiles from the European Aerosol Research Lidar Network (EARLINET) and the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO), geostationary observations from the Meteosat Second Generation (MSG) Spinning Enhanced Visible and Infrared Imager (SEVIRI), and high-resolution simulations from the Regional Atmospheric Modeling System (RAMS). The analysis of modelling and remote sensing data reveals the main mechanisms that resulted in the generation and persistence of the dust cloud over the Middle East and Cyprus. A combination of meteorological and surface processes is found, including (a) the development of a thermal low in the area of Syria that results in unstable atmospheric conditions and dust mobilization in this area, (b) the convective activity over northern Iraq that triggers the formation of westward-moving haboobs that merge with the previously elevated dust layer, and (c) the changes in land use due to war in the areas of northern Iraq and Syria that enhance dust erodibility.

  4. Mitogenomic Meta-Analysis Identifies Two Phases of Migration in the History of Eastern Eurasian Sheep.

    PubMed

    Lv, Feng-Hua; Peng, Wei-Feng; Yang, Ji; Zhao, Yong-Xin; Li, Wen-Rong; Liu, Ming-Jun; Ma, Yue-Hui; Zhao, Qian-Jun; Yang, Guang-Li; Wang, Feng; Li, Jin-Quan; Liu, Yong-Gang; Shen, Zhi-Qiang; Zhao, Sheng-Guo; Hehua, Eer; Gorkhali, Neena A; Farhad Vahidi, S M; Muladno, Muhammad; Naqvi, Arifa N; Tabell, Jonna; Iso-Touru, Terhi; Bruford, Michael W; Kantanen, Juha; Han, Jian-Lin; Li, Meng-Hua

    2015-10-01

    Despite much attention, history of sheep (Ovis aries) evolution, including its dating, demographic trajectory and geographic spread, remains controversial. To address these questions, we generated 45 complete and 875 partial mitogenomic sequences, and performed a meta-analysis of these and published ovine mitochondrial DNA sequences (n = 3,229) across Eurasia. We inferred that O. orientalis and O. musimon share the most recent female ancestor with O. aries at approximately 0.790 Ma (95% CI: 0.637-0.934 Ma) during the Middle Pleistocene, substantially predating the domestication event (∼8-11 ka). By reconstructing historical variations in effective population size, we found evidence of a rapid population increase approximately 20-60 ka, immediately before the Last Glacial Maximum. Analyses of lineage expansions showed two sheep migratory waves at approximately 4.5-6.8 ka (lineages A and B: ∼6.4-6.8 ka; C: ∼4.5 ka) across eastern Eurasia, which could have been influenced by prehistoric West-East commercial trade and deliberate mating of domestic and wild sheep, respectively. A continent-scale examination of lineage diversity and approximate Bayesian computation analyses indicated that the Mongolian Plateau region was a secondary center of dispersal, acting as a "transportation hub" in eastern Eurasia: Sheep from the Middle Eastern domestication center were inferred to have migrated through the Caucasus and Central Asia, and arrived in North and Southwest China (lineages A, B, and C) and the Indian subcontinent (lineages B and C) through this region. Our results provide new insights into sheep domestication, particularly with respect to origins and migrations to and from eastern Eurasia. © The Author 2015. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.

  5. Mitogenomic Meta-Analysis Identifies Two Phases of Migration in the History of Eastern Eurasian Sheep

    PubMed Central

    Lv, Feng-Hua; Peng, Wei-Feng; Yang, Ji; Zhao, Yong-Xin; Li, Wen-Rong; Liu, Ming-Jun; Ma, Yue-Hui; Zhao, Qian-Jun; Yang, Guang-Li; Wang, Feng; Li, Jin-Quan; Liu, Yong-Gang; Shen, Zhi-Qiang; Zhao, Sheng-Guo; Hehua, EEr; Gorkhali, Neena A.; Farhad Vahidi, S. M.; Muladno, Muhammad; Naqvi, Arifa N.; Tabell, Jonna; Iso-Touru, Terhi; Bruford, Michael W.; Kantanen, Juha; Han, Jian-Lin; Li, Meng-Hua

    2015-01-01

    Despite much attention, history of sheep (Ovis aries) evolution, including its dating, demographic trajectory and geographic spread, remains controversial. To address these questions, we generated 45 complete and 875 partial mitogenomic sequences, and performed a meta-analysis of these and published ovine mitochondrial DNA sequences (n = 3,229) across Eurasia. We inferred that O. orientalis and O. musimon share the most recent female ancestor with O. aries at approximately 0.790 Ma (95% CI: 0.637–0.934 Ma) during the Middle Pleistocene, substantially predating the domestication event (∼8–11 ka). By reconstructing historical variations in effective population size, we found evidence of a rapid population increase approximately 20–60 ka, immediately before the Last Glacial Maximum. Analyses of lineage expansions showed two sheep migratory waves at approximately 4.5–6.8 ka (lineages A and B: ∼6.4–6.8 ka; C: ∼4.5 ka) across eastern Eurasia, which could have been influenced by prehistoric West–East commercial trade and deliberate mating of domestic and wild sheep, respectively. A continent-scale examination of lineage diversity and approximate Bayesian computation analyses indicated that the Mongolian Plateau region was a secondary center of dispersal, acting as a “transportation hub” in eastern Eurasia: Sheep from the Middle Eastern domestication center were inferred to have migrated through the Caucasus and Central Asia, and arrived in North and Southwest China (lineages A, B, and C) and the Indian subcontinent (lineages B and C) through this region. Our results provide new insights into sheep domestication, particularly with respect to origins and migrations to and from eastern Eurasia. PMID:26085518

  6. Neogene history of the Carapita Formation, Eastern Venezuela basin

    NASA Astrophysics Data System (ADS)

    Sanchez Zambrano, Dennis Alberto

    The planktonic and benthic foraminifera from the lower to middle Miocene shales of the Carapita Formation of Eastern Venezuela in three exploration wells and one outcrop section are analyzed with the objectives of establishing a precise biostratigraphy of the formation and its bathymetric history. Comparison with the well-preserved microfaunas of the correlative Cipero Formation of Trinidad made possible the achievement of these objectives. The formation, up to 4500 to 6000 m thick in outcrops, extends from northeastern Anzoategui and North of Monagas States to the Gulf of Paria and is both an important oil reservoir towards the east and the main seal rock for the Oligocene reservoir in the north of Monagas State. In the area studied the Carapita Formation spans lower to lower middle Miocene Zones N6/M3 to N9/M6; its upper part is unconstrained as only rare long ranging early Miocene to early Pliocene planktonic foraminifera occur above the Orbulina datum. Unexpectedly, we found that the four lower to middle Miocene sections are highly discontinuous, with hiastuses as long as 4 Myr. Based on the abundance patterns of sixty-nine species of benthic foraminifera and analysis of morphotype abundance following the methodology of Corliss and Chen (1988) and Corliss and Fois (1993), we show that the Carapita Formation was deposited at outer neritic to middle bathyal depths (≥200--1000 m), whereas the Cipero Formation was deposited at middle to lower bathyal depths (≥600--2000 m). Importantly, the bathymetric changes are associated with unconformities in all sections, strongly suggesting that both (shallowing and associated unconformities) were tectonically induced.

  7. Sensitive high resolution ion microprobe (SHRIMP) detrital zircon geochronology provides new evidence for a hidden neoproterozoic foreland basin to the Grenville Orogen in the eastern Midwest, U.S.A

    USGS Publications Warehouse

    Santos, J.O.S.; Hartmann, L.A.; McNaughton, N.J.; Easton, R. M.; Rea, R.G.; Potter, P.E.

    2002-01-01

    A sensitive high resolution ion microprobe (SHRIMP) was used in combination with backscattered electron (BSE) and cathodoluminescence (CL) images to determine the age of detrital zircons from sandstones in the Neoproterozoic Middle Run Formation of the eastern Midwest, United States. Eleven samples from seven drill cores of the upper part of the Middle Run Formation contain detrital zircons ranging in age from 1030 to 1982 Ma (84 analyses), with six distinctive modes at 1.96, 1.63, 1.47, 1.34, 1.15, and 1.08 Ga. This indicates that most, but not all, of the zircon at the top of the Middle Run Formation was derived from the Grenville Orogen. The youngest concordant detrital zircon yields a maximum age of 1048 ?? 22 Ma for the Middle Run Formation, indicating that the formation is younger than ca. 1026 Ma minus the added extra time needed for later uplift, denudation, thrusting, erosion, and transport to southwestern Ohio. Thus, as judged by proximity, composition, thickness, and geochronology, it is a North American equivalent to other Neoproterozoic Grenvillian-derived basins, such as the Torridon Group of Scotland and the Palmeiral Formation of South America. An alternate possibility, although much less likely in our opinion, is that it could be much younger, any time between 1048 ?? 22 Ma and the deposition of the Middle Cambrian Mount Simon Sandstone at about 510 Ma, and still virtually almost all derived from rocks of the Grenville Orogen.

  8. Widespread effects of middle Mississippian deformation in the Great Basin of western North America

    USGS Publications Warehouse

    Trexler, J.H.; Cashman, P.H.; Cole, J.C.; Snyder, W.S.; Tosdal, R.M.; Davydov, V.I.

    2003-01-01

    Stratigraphic analyses in central and eastern Nevada reveal the importance of a deformation event in middle Mississippian time that caused widespread deformation, uplift, and erosion. It occurred between middle Osagean and late Meramecian time and resulted in deposition of both synorogenic and postorogenic sediments. The deformation resulted in east-west shortening, expressed as east-vergent folding and east-directed thrusting; it involved sedimentary rocks of the Antler foredeep as well as strata associated with the Roberts Mountains allochthon. A latest Meramecian to early Chesterian unconformity, with correlative conformable lithofacies changes, postdates this deformation and occurs throughout Nevada. A tectonic highland-created in the middle Mississippian and lasting into the Pennsylvanian and centered in the area west and southwest of Carlin, Nevada- shed sediments eastward across the Antler foreland, burying the unconformity. Postorogenic strata are late Meramecian to early Chesterian at the base and are widespread throughout the Great Basin. The tectonism therefore occurred 20 to 30 m.y. after inception of the Late Devonian Antler orogeny, significantly extending the time span of this orogeny or representing a generally unrecognized orogenic event in the Paleozoic evolution of western North America. We propose a revised stratigraphic nomenclature for Mississippian strata in Nevada, based on detailed age control and the recognition of unconformities. This approach resolves the ambiguity of some stratigraphic names and emphasizes genetic relationships within the upper Paleozoic section. We take advantage of better stratigraphic understanding to propose two new stratigraphic units for southern and eastern Nevada: the middle Mississippian Gap Wash and Late Mississippian Captain Jack Formations.

  9. Bernard Lewis: An Appreciation.

    ERIC Educational Resources Information Center

    Humphreys, R. Stephen

    1990-01-01

    Discusses the career and publications of Bernard Lewis, a noted scholar in the field of Middle-Eastern studies and Islamic history. Traces the history of Western-based Islamic historiography. Examines Lewis' interpretation of Islamic history, outlining his political and social views. (RW)

  10. 3D Crustal Velocity Structure Model of the Middle-eastern North China Craton

    NASA Astrophysics Data System (ADS)

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

    2017-12-01

    Lithosphere thinning and destruction in the middle-eastern North China Craton (NCC), a region susceptible to strong earthquakes, is one of the research hotspots in solid earth science. Up to 42 wide-angle reflection/refraction deep seismic sounding (DSS) profiles have been completed in the middle-eastern NCC, we collect all the 2D profiling results and perform gridding of the velocity and interface depth data, and build a 3D crustal velocity structure model for the middle-eastern NCC, named HBCrust1.0, using the Kriging interpolation method. In this model, four layers are divided by three interfaces: G is the interface between the sedimentary cover and crystalline crust, with velocities of 5.0-5.5 km/s above and 5.8-6.0 km/s below. C is the interface of the upper and lower crust, with velocity jump from 6.2-6.4 km/s to 6.5-6.6 km/s. M is the interface between the crust and upper mantle, with velocity 6.7-7.0 km/s at the crust bottom and 7.9-8.0 km/s on mantle top. Our results show that the first arrival time calculated from HBCust1.0 fit well with the observation. It also demonstrates that the upper crust is the main seismogenic layer, and the brittle-ductile transition occurs at depths near interface C. The depth of interface Moho varies beneath the source area of the Tangshan earth-quake, and a low-velocity structure is found to extend from the source area to the lower crust. Based on these observations, it can be inferred that stress accumulation responsible for the Tangshan earthquake may have been closely related to the migration and deformation of the mantle materials. Comparisons of the average velocities of the whole crust, the upper and the lower crust show that the average velocity of the lower crust under the central part of the North China Basin (NCB) in the east of the craton is obviously higher than the regional average, this high-velocity probably results from longterm underplating of the mantle magma. This research is founded by the Natural Science Foundation of China (91414301 and 41174052).

  11. Middle Holocene Changes in Midwestern Precipitation Intensity Captured by Indiana Stalagmites

    NASA Astrophysics Data System (ADS)

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

    2017-12-01

    Three stalagmites collected from Upper Porter Cave in southern Indiana provide a record of Midwestern hydroclimate changes for the period 2.3-8.4 ka BP. Our record spans the Middle Holocene, known as a time of mid-continental drying for North America and used as an analog for warmer future climates. The spatial extent of this drying is not well constrained, and some eastern North American records show wetter conditions coinciding with the drying of the continental interior. Southern Indiana is located on the eastern periphery of mid-continental North America, and our stalagmite records can help constrain the eastern extent of drying. Upper Porter Cave floods easily during heavy rain events, and modern observations suggest frequent cave flooding prevents stalagmite growth. Thus, we view periods of stalagmite growth as a proxy for a less intense and possibly drier precipitation regime that limits cave flooding. All three stalagmites began growing 8.4 ka BP and stopped growing 7.5 ka BP. This hiatus at 7.5 ka BP is associated with laminae dissolution and greater sediment incorporation (see image), supporting increased precipitation intensity and cave flooding at this time. This contrasts with concurrent drying in the mid-continent and suggests a Middle Holocene with a steeper east-west precipitation gradient than present. This period of greater precipitation intensity extended until 4.9 ka BP when one stalagmite re-initiated growth, possibly due to mid-continental dryness expanding eastward into southern Indiana. This renewed growth was intermittent at 4.7-4.9, 3.6-4.2, and 2.3-3.1 ka BP, and multi-century flood-driven hiatuses separate these drier periods. A more intense precipitation regime that lasts until present provoked final growth cessation at 2.3 ka BP. Combined with other regional hydroclimate records, our stalagmite suggests that the transition from the Middle to Late Holocene was a period of unstable precipitation regimes for the eastern mid-continent, perhaps due to atmospheric reorganization involving the Bermuda High and Pacific forcings. As a whole, our stalagmites support predictions of a wetter Indiana in a warmer future, but also warn that the transition into this warmer future may bring the risk of multi-century droughts more severe than experienced in the past 2000 years.

  12. Women in healthcare: barriers and enablers from a developing country perspective.

    PubMed

    Tlaiss, Hayfaa A

    2013-06-01

    As the under-representation of women in management positions continues to persist globally, little is known about the experiences of women in the healthcare sector in the context of the developing Middle Eastern nations. In an attempt to address this knowledge gap, the current study explores some of the barriers that hinder and the enablers that foster women's career advancement in the healthcare sector. To meet its objectives, the current study uses a relational approach that integrates the macro socio-cultural, meso-organisational, and micro-individual levels of analysis. Guided by institutional theory as a theoretical framework and social constructionism as a philosophical stance, the current study adopts a qualitative research methodology. It capitalizes on in-depth, semi-structured, face-to-face interviews with women managers in different occupational fields, across the managerial hierarchy in the healthcare sector in Lebanon. Snowballing and purposeful sampling procedures were used, and the interviews were analysed using thematic analysis, focusing on identifying new, emerging themes. The results of the study confirm the salience of discriminatory cultural values, gendered social roles and expectations in Middle Eastern societies, and illustrate their role as barriers hindering women's career advancement. The results also portray the spillover effect of societal expectations and cultural gender stereotypes into the organisational realm, resulting in widely experienced attitudinal and structural organisational barriers. This study also illustrates how the enablers that facilitate and promote women's career progression unfold amidst the interplay between the macro and meso factors, lending credence to the role of women's agency at the individual micro level. Amongst the toll of barriers, Middle Eastern women navigate the patriarchy of their cultures and the discrimination inherent in their organisations by using their agency and persistence as they construct and negotiate their careers in management. This study provides new knowledge on the status of Middle Eastern women in the healthcare sector, a sub-category of female employees that to date, is under-researched. It primarily highlights the role of agency in building women's careers. It also stresses the notion that the complexity of women's careers in the healthcare sector can be best understood using a relational approach that highlights the intersectionality between gender, agency, socio-cultural realities and organisational boundaries.

  13. Women in Healthcare: Barriers and Enablers from a Developing Country Perspective

    PubMed Central

    Tlaiss, Hayfaa A.

    2013-01-01

    Background: As the under-representation of women in management positions continues to persist globally, little is known about the experiences of women in the healthcare sector in the context of the developing Middle Eastern nations. In an attempt to address this knowledge gap, the current study explores some of the barriers that hinder and the enablers that foster women’s career advancement in the healthcare sector. To meet its objectives, the current study uses a relational approach that integrates the macro socio-cultural, meso-organisational, and micro-individual levels of analysis. Methods: Guided by institutional theory as a theoretical framework and social constructionism as a philosophical stance, the current study adopts a qualitative research methodology. It capitalizes on in-depth, semi-structured, face-to-face interviews with women managers in different occupational fields, across the managerial hierarchy in the healthcare sector in Lebanon. Snowballing and purposeful sampling procedures were used, and the interviews were analysed using thematic analysis, focusing on identifying new, emerging themes. Results: The results of the study confirm the salience of discriminatory cultural values, gendered social roles and expectations in Middle Eastern societies, and illustrate their role as barriers hindering women’s career advancement. The results also portray the spillover effect of societal expectations and cultural gender stereotypes into the organisational realm, resulting in widely experienced attitudinal and structural organisational barriers. This study also illustrates how the enablers that facilitate and promote women’s career progression unfold amidst the interplay between the macro and meso factors, lending credence to the role of women’s agency at the individual micro level. Amongst the toll of barriers, Middle Eastern women navigate the patriarchy of their cultures and the discrimination inherent in their organisations by using their agency and persistence as they construct and negotiate their careers in management. Conclusion: This study provides new knowledge on the status of Middle Eastern women in the healthcare sector, a sub-category of female employees that to date, is under-researched. It primarily highlights the role of agency in building women’s careers. It also stresses the notion that the complexity of women’s careers in the healthcare sector can be best understood using a relational approach that highlights the intersectionality between gender, agency, socio-cultural realities and organisational boundaries. PMID:24596833

  14. Microfilming maps of abandoned anthracite mines: mines in the southern anthracite field

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

    Gait, G.B.

    1978-01-01

    This report is the fifth in a series concerning the Bureau of Mines program for microfilming maps of abandoned mines in the Pennsylvania anthracite region. A catalog of the microfilmed maps of 47 of 49 major mines and 18 independent mines in the Southern field is presented. Previous reports included catalogs of microfilmed maps of mines in the Eastern Middle field, the Wyoming and Lackawanna Basins of the Northern field, and the Western Middle anthracite field.

  15. Attitudes towards Intimate Partner Violence against Women among Women and Men in 39 Low- and Middle-Income Countries

    PubMed Central

    Tran, Thach Duc; Nguyen, Hau; Fisher, Jane

    2016-01-01

    Background Violence against women perpetrated by an intimate partner (IPV) is prevalent in low- and middle-income countries (LAMIC). The aim was to describe the attitudes of women and men towards perpetration of physical violence to women by an intimate partner, in a large group of low- and middle-income countries. Methods and Findings We used data from Round Four of the UNICEF Multiple Indicator Cluster Surveys. Attitudes towards IPV against women were assessed by a study-specific scale asking if ‘wife beating’ is justified in any of five circumstances. Overall, data from 39 countries (all had data from women and 13 countries also had data from men) were included in the analyses. The proportions of women who held attitudes that ‘wife-beating’ was justified in any of the five circumstances varied widely among countries from 2.0% (95% CI 1.7;2.3) in Argentina to 90.2% (95% CI 88.9;91.5) in Afghanistan. Similarly, among men it varied from 5.0% (95% CI 4.0;6.0) in Belarus to 74.5% (95% CI 72.5;76.4) in the Central African Republic. The belief that ‘wife-beating’ is acceptable was most common in Africa and South Asia, and least common in Central and Eastern Europe and Latin America and the Caribbean. In general this belief was more common among people in disadvantaged circumstances, including being a member of a family in the lowest household wealth quintile, living in a rural area and having limited formal education. Young adults were more likely to accept physical abuse by a man of his intimate partner than those who were older, but people who had never partnered were less likely to have these attitudes. Conclusions Violence against women is an international priority and requires a multicomponent response. These data provide evidence that strategies should include major public education programs to change attitudes about the acceptability of IPV against women, and that these should be addressed to women and girls as well as to boys and men. PMID:27893861

  16. The Late Triassic bivalve Monotis in accreted terranes of Alaska

    USGS Publications Warehouse

    Silberling, Norman J.; Grant-Mackie, J. A.; Nichols, K.M.

    1997-01-01

    Late Triassic bivalves of the genus Monotis occur in at least 16 of the lithotectonic terranes and subterranes that together comprise nearly all of Alaska, and they also occur in the Upper Yukon region of Alaska where Triassic strata are regarded as representing non-accretionary North America. On the basis of collections made thus far, 14 kinds of Monotis that differ at the species or subspecies level can be recognized from alaska. These are grouped into the subgenera Monotis (Monotis), M. (Pacimonotis), M. (Entomonotis), and M. (Eomonotis). In places, Monotis shells of one kind or another occur in rock-forming abundance. On the basis of superpositional data from Alaska, as well as from elsewhere in North America and Far Eastern Russia, at least four distince biostratigraphic levels can be discriminated utilizing Monotis species. Different species of M. (Eomonotis) characterize two middle Norian levels, both probably within the supper middle Norian Columbianus Ammonite Zone. Two additional levels are recognized in the lower upper Norian Cordilleranus Ammonite Zone utilizing species of M. (Monotis) or M. (Entomonotis), both of which subgenera are restricted to the late Norian. An attached-floating mode of life is commonly attributed to Monotis; thus, these bivalves would have been pseudoplanktonic surface dwellers that were sensitive to surface-water temperature and paleolatitude. Distinctly different kinds of Monotis occur at different paleolatitudes along the Pacific and Arctic margins of the North American craton inboard of the accreted terranes. Comparison between thse craton-bound Monotis faunas and those of the Alaskan terranes in southern Alaska south of the Denali fault were paleoequatorial in latitude during Late Triassic time. Among these terranes, the Alexander terrane was possibly in the southern hemisphere at that time. Terranes of northern Alaska, on the other hand, represent middle, possibly high-middle, northern paleolatitudes.

  17. High-temperature flooding injury

    USDA-ARS?s Scientific Manuscript database

    This problem, also called scald, is most serious in the hot desert valleys of the southwestern United States, subtropical regions in eastern Australia, and western Asia and northern Africa (Middle East) where fields are established and irrigated under high temperatures. The disorder also occurs to...

  18. Patterns of uveitis in a tertiary eye care center in Iran.

    PubMed

    Soheilian, Masood; Heidari, Kumars; Yazdani, Shahin; Shahsavari, Mohsen; Ahmadieh, Hamid; Dehghan, Mohammad

    2004-12-01

    To identify the distribution and characteristics of new uveitis referrals to a tertiary eye care center in Tehran. A three-year prospective study was carried out to obtain information on 544 new patients referred with uveitis. A complete ophthalmologic examination was performed in all cases; a routine set of tests and an additional battery of directed workup were conducted when indicated. Mean age was 32.3 years. There was no significant sex predominance. The most common forms of uveitis were anterior (38.4%) vs. other anatomical forms, chronic (62.1%) vs. acute (28.3%), nongranulomatous (85.5%) vs. granulomatous (14.5%), and noninfectious (83.5%) vs. infectious (16.5%). With regard to etiology, 45.5% were idiopathic, 19.9% were due to specific ocular disease, and 37.3% were associated with systemic disorders. Behcet's disease was the most common noninfectious disease and toxoplasmosis the most common infectious entity. The most prevalent causes were idiopathic, Fuchs' heterochromic iridocylitis, and seronegative spondyloarthropathies in anterior uveitis; toxoplasmosis, Eales disease, and toxocariasis in posterior uveitis; idiopathic, sarcoidosis, and multiple sclerosis in intermediate uveitis; and, finally, Behcet's disease, idiopathic, and Vogt-Koyanagi-Harada syndrome in panuveitis. The most frequent cause in patients under 16 years of age was pars planitis. Over 80% of the patients belonged to middle-to-upper socioeconomic classes. Uveitis significantly affected patients' lives in 63.1% of the cases. Although the current study was performed at a referral center, it may reflect to some extent the different distribution of uveitis in Iran and probably other Middle Eastern countries. Some entities such as presumed ocular histoplasmosis were not found, cytomegalovirus retinitis and birdshot chorioretinopathy were extremely rare, and HLA-B27-associated iridocyclitis was less commonly observed. In contrast, Behcet's disease, Fuchs' heterochromic iridocyclitis, Eales disease, and toxocariasis were among the more prevalent entities.

  19. Large Scale Winter Time Disturbances in Meteor Winds over Central and Eastern Europe

    NASA Technical Reports Server (NTRS)

    Greisiger, K. M.; Portnyagin, Y. I.; Lysenko, I. A.

    1984-01-01

    Daily zonal wind data of the four pre-MAP-winters 1978/79 to 1981/82 obtained over Central Europe and Eastern Europe by the radar meteor method were studied. Available temperature and satellite radiance data of the middle and upper stratosphere were used for comparison, as well as wind data from Canada. The existence or nonexistence of coupling between the observed large scale zonal wind disturbances in the upper mesopause region (90 to 100 km) and corresponding events in the stratosphere are discussed.

  20. Wooden Calendar Sticks in Eastern Europe

    NASA Astrophysics Data System (ADS)

    Koleva, Vesselina; Koleva, Svetlana

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

  1. Middle East Composite

    Atmospheric Science Data Center

    2013-04-16

    ... and farming are prevalent. Wending its way through eastern Egypt is the Nile. In the south is Lake Nasser and the Aswan Dam; continuing ... coast, west of the delta, is the ancient city of Alexandria, Egypt's main seaport. "MISR", as it turns out, is the transliteration of ...

  2. Combating Daesh: A Socially Unconventional Strategy

    DTIC Science & Technology

    2015-06-01

    is relying on a minimalist strategy through military partnerships and air support. This research contends that this fairly conventional approach is...ultimately destroy Daesh, yet afraid to mire itself in another Middle Eastern conflict, the United States is relying on a minimalist strategy through

  3. Gender differences in the prevalence and impact factors of hysterical tendencies in adolescents from three eastern Chinese provinces.

    PubMed

    Cheng, Qinglin; Xie, Li; Hu, Yunkai; Hu, Jinfeng; Gao, Wei; Lv, Yongxiang; Xu, Yong

    2018-02-07

    Few studies have attempted to compare the differences in the prevalence and impact factors of hysterical tendencies (HTs) in adolescents. Thus, the aim of this study was to examine gender differences in the prevalence and impact factors of adolescents' HTs across three eastern Chinese provinces (Anhui, Jiangsu, and Zhejiang). A multicenter, school-based, cross-sectional study was conducted in three provinces (Anhui, Jiangsu, and Zhejiang) in China in 2014. The sample included 10,131 middle-school students aged 13-18 years who were randomly selected using a multiphase, stratified, cluster sampling technique. A two-stage appraisal procedure was used to determine the adolescents' HTs. We also designed a multicenter, school-based, case control (1329 cases with 2661 control individuals) study to collect data on the common factors affecting this population using a common protocol and questionnaire. An overall positive rate of HTs among adolescents across the three eastern Chinese provinces studied was found at 13.1% (95% confidence interval (CI) 12.5-13.8%), at 14.5% (95% CI 13.3-15.7%) for females, and at 12.2% (95% CI 11.1-13.4%) for males. Gender-stratified, multiple conditional regression analyses revealed that superstitious beliefs pertaining to life, somatotype, teacher-student satisfaction, and family achievement orientation were significantly linked to HTs only in males, while left-behind adolescents, emotional and social adaptation, teacher-student support, family cohesion, and the Hospital Anxiety and Depression Scale - depression scores were significantly associated with female HTs only. The models indicated that of all the independent variables studied, family medical history was the strongest impact factor for both male HTs (adjusted matched odds ratio (amOR) = 2.92, 95% CI = 1.84-4.86) and female HTs (amOR = 2.74, 95% CI = 1.59-4.98). HTs are prevalent among adolescents in the three eastern Chinese provinces studied. Gender differences in the prevalence and impact factors of HTs are significant in adolescents, and HTs seem to affect more females than males. Therefore, sex-specific intervention programs against HTs in adolescents should be considered to reduce HT prevalence in adolescents by modifying influential social, school, and family factors.

  4. Harnessing Knowledge on Very Important Pharmacogenes CYP2C9 and CYP2C19 Variation for Precision Medicine in Resource-Limited Global Conflict Zones.

    PubMed

    Barlas, İbrahim Ömer; Sezgin, Orhan; Dandara, Collet; Türköz, Gözde; Yengel, Emre; Cindi, Zinhle; Ankaralı, Handan; Şardaş, Semra

    2016-10-01

    Pharmacogenomics harnesses the utility of a patient's genome (n = 1) in decisions on which therapeutic drugs and in what amounts should be administered. Often, patients with shared ancestry present with comparable genetic profiles that predict drug response. However, populations are not static, thus, often, population mobility through migration, especially enmasse as is seen for refugees, changes the pharmacogenetic profiles of resultant populations and therefore observed responses to commonly used therapeutic drugs. For example, in the aftermath of the Syrian civil war since 2011, millions have fled their homes to neighboring countries in the Middle East. The growing permanence of refugees and mass migrations is a call to shift our focus in the life sciences community from old models of pharmaceutical innovation. These seismic social changes demand faster decisions for "population-to-population bridging," whereby novel drugs developed in or for particular regions/countries can meet with rational regulatory decisions/approval in world regions impacted by migrant/refugee populations whose profiles are dynamic, such as in the Eastern Mediterranean region at present. Thus, it is important to characterize and report on the prevalence of pharmacogenes that affect commonly used medications and predict if population changes may call for attention to particular differences that may impact health of patients. Thus, we report here on four single-nucleotide polymorphism (SNP) variations in CYP2C9 and CYP2C19 genes among Mersin-Turkish healthy volunteers in the Mersin Province in the Eastern Mediterranean region that is currently hosting a vast number of migrant populations from Syria. Both CYP2C9 and CYP2C19 are very important pharmacogene molecular targets. We compare and report here on the observed SNP genetic variation in our sample with data on 12 world populations from dbSNP and discuss the feasibility of forecasting the pharmacokinetics of drugs utilized by migrant communities in Mersin and the Eastern Mediterranean region. This study can serve as a catalyst to invest in research in Syrian populations currently living in the Eastern Mediterranean. The findings have salience for rapid and rational regulatory decision-making for worldwide precision medicine and, specifically, "pharmacogenovigilance-guided bridging of pharmacokinetics" across world populations in the current era of planetary scale migration.

  5. Tectonic control on sediment sources in the Jaca basin (Middle and Upper Eocene of the South-Central Pyrenees)

    NASA Astrophysics Data System (ADS)

    Roigé, Marta; Gómez-Gras, David; Remacha, Eduard; Daza, Raquel; Boya, Salvador

    2016-03-01

    The Eocene clastic systems of the Jaca foreland Basin (southern Pyrenees) allow us to identify changes in sediment composition through time. We provide new data on sediment composition and sources of the northern Jaca basin, whose stratigraphic evolution from Middle Lutetian deep-marine to Priabonian alluvial systems record a main reorganization in the active Pyrenean prowedge. Petrological analysis shows that the Banastón and the Lower Jaca turbidite systems (Middle-Upper Lutetian) were fed from an eastern source, which dominated during the sedimentation of the Hecho Group turbidites. In contrast, the upper part of the Jaca turbidite systems (Lutetian-Bartonian transition) records an increase in the number of subvolcanic rock and hybrid-sandstone fragments (intrabasinal and extrabasinal grains) being the first system clearly fed from the north. This change is interpreted as associated with an uplifting of the Eaux-Chaudes/Lakora thrust sheet in the northern Axial Zone. The Middle Bartonian Sabiñánigo sandstone derives from eastern and northeastern source areas. In contrast, the overlying Late Bartonian-Early Priabonian Atarés delta records sediment input from the east. The Santa Orosia alluvial system records a new distinct compositional change, with a very high content of hybrid-sandstone clasts from the Hecho Group, again from a northern provenance. Such cannibalized clasts were sourced from newly emerged areas of the hinterland, associated with the basement-involved Gavarnie thrust activity in the Axial Zone.

  6. 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

  7. Consumption patterns of sweetened food and drink products in a Catholic Middle Eastern Canadian community.

    PubMed

    Moubarac, Jean-Claude; Receveur, Olivier; Cargo, Margaret; Daniel, Mark

    2014-02-01

    The present study describes the consumption patterns of sweetened food and drink products in a Catholic Middle Eastern Canadian community and examines its associations with physical activity, sedentary behaviours and BMI. A two-stage cross-sectional design was used. In Stage 1 (n 42), 24 h recalls enabled the identification of sweetened products. In Stage 2 (n 192), an FFQ was administered to measure the daily consumption of these products and to collect sociodemographic and behavioural data. Sweetened products were defined as processed culinary ingredients and ultra-processed products for which total sugar content exceeded 20% of total energy. Three Catholic Middle Eastern churches located in Montreal, Canada. Normoglycaemic men and women (18-60 years old). Twenty-six sweetened products represented an average consumption of 75·4 g total sugars/d or 15·1% of daily energy intake (n 190, 56% women). Soft drinks, juices, sweetened coffee, chocolate, cookies, cakes and muffins were the main sources of consumption and mostly consumed between meals. Age (exp (β) = 0·99; P < 0·01), physical activity (exp (β) = 1·08; P < 0·01) and recreational computer use (exp (β) = 1·17; P < 0·01) were independently associated with sweetened product consumption. The association between sweetened product consumption and physical activity was U-shaped. BMI was not significantly associated with sweetened product consumption but all participants regardless of BMI were above the WHO recommendation for free sugars. Being physically active and spending less time using a computer may favour a reduced consumption of sweetened products. Very active individuals may, however, overconsume such products.

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

    PubMed

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

    2015-06-01

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

  9. Middle Holocene thermal maximum in eastern Beringia

    NASA Astrophysics Data System (ADS)

    Kaufman, D. S.; Bartlein, P. J.

    2015-12-01

    A new systematic review of diverse Holocene paleoenvironmental records (Kaufman et al., Quat. Sci. Rev., in revision) has clarified the primary multi-centennial- to millennial-scale trends across eastern Beringia (Alaska, westernmost Canada and adjacent seas). Composite time series from midges, pollen, and biogeochemical indicators are compared with new summaries of mountain-glacier and lake-level fluctuations, terrestrial water-isotope records, sea-ice and sea-surface-temperature analyses, and peatland and thaw-lake initiation frequencies. The paleo observations are also compared with recently published simulations (Bartlein et al., Clim. Past Discuss., 2015) that used a regional climate model to simulate the effects of global and regional-scale forcings at 11 and 6 ka. During the early Holocene (11.5-8 ka), rather than a prominent thermal maximum as suggested previously, the newly compiled paleo evidence (mostly sensitive to summer conditions) indicates that temperatures were highly variable, at times both higher and lower than present, although the overall lowest average temperatures occurred during the earliest Holocene. During the middle Holocene (8-4 ka), glaciers retreated as the regional average temperature increased to a maximum between 7 and 5 ka, as reflected in most proxy types. The paleo evidence for low and variable temperatures during the early Holocene contrasts with more uniformly high temperatures during the middle Holocene and agrees with the climate simulations, which show that temperature in eastern Beringia was on average lower at 11 ka and higher at 6 ka than at present (pre-industrial). Low temperatures during the early Holocene can be attributed in part to the summer chilling caused by flooding the continental shelves, whereas the mid-Holocene thermal maximum was likely driven by the loss of the Laurentide ice sheet, rise in greenhouse gases, higher-than-present summer insolation, and expansion of forest over tundra.

  10. Landscape and environmental changes along the Eastern Primorye coast during the middle to late Holocene and human effects

    NASA Astrophysics Data System (ADS)

    Razjigaeva, N. G.; Ganzey, L. A.; Grebennikova, T. A.; Mokhova, L. M.; Kudryavtseva, E. P.; Arslanov, Kh. A.; Maksimov, F. E.; Starikova, A. A.

    2018-06-01

    Several stages are recognizable in landscape evolution along the Eastern Primorye coast, Kit Bay and its surrounding mountains in terms of climatic changes and related sea level fluctuations during the middle-late Holocene. The last 3.8-3.5 cal ka years were marked by a notable effect of the pyrogenic factor. The sea level rise at the maximum phase of the Holocene transgression led to the formation of lagoons at stream mouths, which underwent a complicated development. At that time, the coast's principal topographic elements came into being, and the modern landscape's pattern was laid on the coastal lowlands. The authors trace the changes in the vegetation in the process of short-term warmings and coolings. Korean pine appeared in the forests surrounding Kit Bay much earlier than in other regions of the Eastern Primorye. During the considered period, warmer phases were marked by increasing importance of broadleaf species, while at the cooler phases, a proportion of the Korean pine grew in the low mountains. In the last 2.3 cal ka, at greater elevations in the middle mountains, dark coniferous forests became more widespread, particularly spruce. At the same time, larch groves existed around the coastal sphagnum bog, probably due to seasonally frozen ground persisting for the greater part of a year. Extreme events with a considerable effect on the coastal landscape evolution include floods, whose frequency has been growing for the last 1.75 cal ka. Strong tsunamis are another factor influencing coastal evolution. Finally, changes in landscapes have been recorded related to human activities in the last few decades.

  11. Petrologic evolution of Miocene-Pliocene mafic volcanism in the Kangal and Gürün basins (Sivas-Malatya), central east Anatolia: Evidence for Miocene anorogenic magmas contaminated by continental crust

    NASA Astrophysics Data System (ADS)

    Kocaarslan, Ayça; Ersoy, E. Yalçın

    2018-06-01

    This study discusses the geochemical features of the Early-Middle Miocene and Pliocene basaltic (SiO2 = 46-52; MgO = 6-10 wt%) to andesitic (SiO2 = 59; MgO = 4 wt%) rocks exposed in the Gürün and Kangal basins (Sivas, eastern part of central Anatolia), respectively. The basaltic rocks are characterized by alkaline to tholeiitic affinities, while the more evolved andesitic samples show calc-alkaline affinity. Trace element variations reveal that they can be evaluated in three sub-groups, each represented by different contents of trace elements for given Nb contents. Primary magmas of each groups were likely produced by different degrees of partial melting ( 1-2, 2-3, 7-10% respectively) from a common mantle source, subsequently underwent different degrees of fractionation and crustal contamination. Derivation from a common mantle source of the primitive magmas of each group is supported by similar Sr, Nd and Pb isotopic ratios. Increasing degrees of partial melting seem to be responsible for the alkaline to tholeiitic variation among the basaltic samples, while higher degrees of crustal contamination (AFC) resulted in calc-alkaline affinity of the more evolved samples. Most primitive Pliocene samples show intra-plate (anorogenic) geochemical features, while the more evolved Miocene calc-alkaline samples resemble geochemically subduction-related (orogenic) magmatic rocks. However, on the basis of detailed geochemical models, we propose that the calc-alkaline affinity among the Miocene samples can also be gained by crustal contamination of their primary magmas which were also anorogenic in character. If this is true, overall, the Miocene and Pliocene basaltic to andesitic rocks in the Gürün and Kangal basins appear to may have formed by variable degrees of partial melting of a common anorogenic mantle that had not been subject to subduction-related metasomatism. This is an alternative approach to the general view assuming the Early-Middle Miocene magmatic activity in the region was derived from subduction-modified mantle sources in response to subduction of the Arabian Plate under the Anatolian Plate. This hypothesis further implies that either delamination of the sub-continental lithosphere or slab break-off processes beneath the central to eastern Anatolia might took place well before the Miocene, thus allowing upwelling unaltered mantle to provide the source of the Miocene to Pliocene volcanic rocks.

  12. Potential for deep basin-centered gas accumulation in Travis Peak (Hosston) Formation, Gulf Coastal Basin

    USGS Publications Warehouse

    Bartberger, Charles E.; Dyman, Thaddeus S.; Condon, Steven M.

    2003-01-01

    The potential of Lower Cretaceous sandstones of the Travis Peak Formation in the northern Gulf Coast Basin to harbor a basin-centered gas accumulation was evaluated by examining (1) the depositional and diagenetic history and reservoir properties of Travis Peak sandstones, (2) the presence and quality of source rocks for generating gas, (3) the burial and thermal history of source rocks and time of gas generation and migration relative to tectonic development of Travis Peak traps, (4) gas and water recoveries from drill-stem and formation tests, (5) the distribution of abnormal pressures based on shut-in-pressure data, and (6) the presence or absence of gas-water contacts associated with gas accumulations in Travis Peak sandstones. The Travis Peak Formation (and correlative Hosston Formation) is a basinward-thickening wedge of terrigenous clastic sedimentary rocks that underlies the northern Gulf Coast Basin from eastern Texas across northern Louisiana to southern Mississippi. Clastic infl ux was focused in two main fl uvial-deltaic depocenters?one located in northeastern Texas and the other in southeastern Mississippi and northeastern Louisiana. Across the main hydrocarbon-productive trend in eastern Texas and northern Louisiana, the Travis Peak Formation is about 2,000 ft thick. Most Travis Peak hydrocarbon production in eastern Texas comes from drilling depths between 6,000 and 10,000 ft. Signifi cant decrease in porosity and permeability occurs through that depth interval. Above 8,000-ft drilling depth in eastern Texas, Travis Peak sandstone matrix permeabilities often are signifi cantly higher than the 0.1-millidarcy (mD) cutoff that characterizes tight-gas reservoirs. Below 8,000 ft, matrix permeability of Travis Peak sandstones is low because of pervasive quartz cementation, but abundant natural fractures impart signifi cant fracture permeability. Although pressure data within the middle and lower Travis Peak Formation are limited in eastern Texas, overpressured reservoirs caused by thermal generation of gas, typical of basin-centered gas accumulations, are not common in the Travis Peak Formation. Signifi cant overpressure was found in only one Travis Peak sandstone reservoir in 1 of 24 oil and gas fi elds examined across eastern Texas and northern Louisiana. The presence of gas-water contacts is perhaps the most defi nitive criterion indicating that a gas accumulation is conventional rather than a ?sweet spot? within a basin-centered gas accumulation. Hydrocarbon-water contacts within Travis Peak sandstone reservoirs were documented in 17 fi elds and probably occur in considerably more fi elds across the productive Travis Peak trend in eastern Texas and northern Louisiana. All known hydrocarbon-water contacts in Travis Peak reservoirs in eastern Texas, however, occur within sandstones in the upper 500 ft of the formation. Although no gas-water contacts have been reported within the lower three-fourths of the Travis Peak Formation in northeastern Texas, gas production from that interval is limited. The best available data suggest that most middle and lower Travis Peak sandstones are water bearing in northeastern Texas. Insuffi cient hydrocarbon charge relative to permeability of Travis Peak reservoirs might be responsible for lack of overpressure and basin-centered gas within the Travis Peak Formation. Shales interbedded with Travis Peak sandstones in eastern Texas are primarily oxidized fl ood-plain deposits with insuffi cient organic-carbon content to be signifi cant sources of oil and gas. The most likely source rocks for hydrocarbons in Travis Peak reservoirs are two stratigraphically lower units, the Jurassic-age Bossier Shale of the Cotton Valley Group, and laminated, lime mudstones of the Jurassic Smackover Formation. Hydrocarbon charge, therefore, might be suffi cient for development of conventional gas accumulations, but it is insuffi cient for

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

    PubMed

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

    2018-05-11

    Asthma is a common chronic respiratory disease leading to morbidity, mortality and impaired quality of life worldwide. Information on asthma prevalence in the Middle East is fragmented and relatively out-dated. The SNAPSHOT program was conducted to obtain updated information. SNAPSHOT is a cross-sectional epidemiological program carried out in five Middle Eastern countries (Egypt, Turkey, Kuwait, Saudi Arabia, and the United Arab Emirates, the latter three grouped into a Gulf cluster) to collect data on asthma, allergic rhinitis, benign prostatic hyperplasia and bipolar disorder. The survey was carried out by telephone in a random sample of the adult general population with quotas defined according to country demographics. The analysis presented in this paper focuses on asthma. Subjects were screened for asthma based on criteria from the global Asthma Insights and Reality studies. Current prevalence (last 12 months) was estimated. Multivariate logistic regression analyses were used to investigate risk factors related to asthma and the association with allergic rhinitis and other co-morbidities. Quality of life was assessed using the three-level EQ-5D questionnaire. 2124 out of the 33,486 subjects enrolled in the SNAPSHOT program fulfilled the criteria for asthma. The adjusted prevalence of asthma ranged from 4.4% [95% CI: 4.0-4.8%] in Turkey, to 6.7% [95% CI: 6.2-7.2%] in Egypt and 7.6% [95% CI: 7.1-8.0%] in the Gulf cluster. Prevalence was higher (p < 0.0001) in women than men and increased with age (p < 0.0001). Co-morbidities occurred more frequently in asthma subjects compared to the non-asthma population (38% vs. 15% p < 0.0001). Subjects with asthma reported a lower (p < 0.0001) EQ-VAS score (68.2 ± 22.9) compared to the general population (78.1 ± 17.5). The risk factors associated with asthma were age, gender, country, and certain co-morbidities, namely respiratory, cardiovascular, gastrointestinal, nervous, and neurological diseases. The observed adjusted prevalence of asthma in the Middle East ranges from 4.4% to 7.6%, which is comparatively lower than the reported prevalence in Europe and North America. Asthma has a negative impact on quality of life, and is associated with high levels of co-morbid diseases, indicating a need for physicians to check for co-morbidities and ensure they are managed correctly in all asthma patients.

  14. Long-acting nifedipine for hypertensive patients in the Middle East and Morocco: observations on efficacy and tolerability of monotherapy or combination therapy

    PubMed Central

    Ghoneim, Raafat AL; Omar, Abdalla Kamal; Sebastian, VJ; Kassab, Roland; Akijian, George; Hafiz, Meryem; Schmidt, Birgit

    2013-01-01

    Background The Middle Eastern and North African region of developing countries is associated with poor rates of blood pressure (BP) control and antihypertensive prescribing patterns. This post hoc analysis of data from an international observational study aimed to investigate the efficacy and tolerability of long-acting nifedipine (30 mg or 60 mg; monotherapy or in combination) in the Middle Eastern and Moroccan populations defined as having high cardiovascular risk. Methods This was a prospective, noninterventional, multicenter observational study. Observations from patients (aged ≥ 18 years) with treated or untreated hypertension from the Middle East (Jordan, Saudi Arabia, Kuwait, Lebanon, Qatar, United Arab Emirates, and Yemen) and Morocco are presented. Hypertension grade and cardiovascular risk were defined at baseline, and systolic/diastolic BP change was defined at post-baseline visits (≤3). Adverse events and ratings of therapy efficacy and patient/physician satisfaction were recorded. Results The study included 1466 patients from the Middle East and 524 from Morocco. Characteristics of the populations differed, with a more severe hypertension profile in Moroccan patients. Despite these differences, nifedipine reduced BP to a similar extent in each group, with efficacy dependent on cardiovascular risk factors such as hypertension grade and age. Few adverse drug reactions occurred and nifedipine was well-tolerated in both populations. Efficacy and satisfaction with therapy were rated highly. Conclusion Good rates of BP control were observed with nifedipine in patients with moderate-to-severe hypertension and high added risk. Published data in these countries suggest poor antihypertensive prescribing patterns and BP control; these data confirm this trend and suggest that suboptimal dosing may be prevalent. PMID:23807860

  15. 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.

  16. Effects of opium consumption on cardiometabolic diseases.

    PubMed

    Masoudkabir, Farzad; Sarrafzadegan, Nizal; Eisenberg, Mark J

    2013-12-01

    Opium is the second-most-commonly abused substance (after tobacco) in developing countries of the Middle East region, and in many Asian nations. One of the reasons for the high prevalence of opium abuse in these countries is a traditional belief among Eastern people, even including some medical staff, that opium might have beneficial effects on cardiovascular health and in the control of diabetes mellitus, hypertension, and dyslipidaemia. In this Perspectives article, we summarize the current understanding of the pharmacotoxicology of opium and its specific effects on glycaemic control, blood pressure, lipid profile, and atherosclerosis. On the basis of the available evidence, we believe not only that opium has no ameliorating effect on cardiovascular diseases, but also that the use of this drug might have adverse effects on these conditions. Therefore, people should be educated about the hazardous effects of opium consumption on cardiometabolic diseases.

  17. Molecular Epidemiology of Blastocystis in Lebanon and Correlation between Subtype 1 and Gastrointestinal Symptoms

    PubMed Central

    El Safadi, Dima; Meloni, Dionigia; Poirier, Philippe; Osman, Marwan; Cian, Amandine; Gaayeb, Lobna; Wawrzyniak, Ivan; Delbac, Frederic; El Alaoui, Hicham; Delhaes, Laurence; Dei-Cas, Eduardo; Mallat, Hassan; Dabboussi, Fouad; Hamze, Monzer; Viscogliosi, Eric

    2013-01-01

    Blastocystis is the most common eukaryotic parasite in the intestinal tract of humans. Because of its potential impact in public health, we acquired the first data concerning the prevalence of this parasite and the frequency of the Blastocystis subtypes (STs) in the Lebanese population. In this study, fecal samples from 220 Lebanese symptomatic and asymptomatic patients were collected and a total of 42 patients (19%) were identified as positive for this parasite by direct-light microscopy of smears. Among these, 36 Blastocystis isolates were genotyped using partial small subunit ribosomal RNA gene sequencing. The ST distribution in the present Lebanese population was as follows: ST3 (33.3%), ST2 (33.3%), ST1 (30.6%), and ST4 (2.8%). These data were compared with those available in other Middle Eastern and neighboring countries. Finally, ST1 was significantly more prevalent among symptomatic patients of this Lebanese population. PMID:23458955

  18. Building Bridges through Science.

    PubMed

    Lissek, Thomas; Adams, Michelle; Adelman, John; Ahissar, Ehud; Akaaboune, Mohammed; Akil, Huda; al'Absi, Mustafa; Arain, Fazal; Arango-Lasprilla, Juan Carlos; Atasoy, Deniz; Avila, Jesus; Badawi, Ashraf; Bading, Hilmar; Baig, Abdul Mannan; Baleriola, Jimena; Belmonte, Carlos; Bertocchi, Ilaria; Betz, Heinrich; Blakemore, Colin; Blanke, Olaf; Boehm-Sturm, Philipp; Bonhoeffer, Tobias; Bonifazi, Paolo; Brose, Nils; Campolongo, Patrizia; Celikel, Tansu; Chang, Cathy C; Chang, Ta-Yuan; Citri, Ami; Cline, Hollis T; Cortes, Jesus M; Cullen, Kathleen; Dean, Kellie; Delgado-Garcia, José M; Desroches, Mathieu; Disterhoft, John F; Dowling, John E; Draguhn, Andreas; El-Khamisy, Sherif F; El Manira, Abdeljabbar; Enam, S Ather; Encinas, Juan M; Erramuzpe, Asier; Esteban, José A; Fariñas, Isabel; Fischer, Edmond; Fukunaga, Izumi; Gabilondo, Iñigo; Ganten, Detlev; Gidon, Albert; Gomez-Esteban, Juan Carlos; Greengard, Paul; Grinevich, Valery; Gruart, Agnés; Guillemin, Roger; Hariri, Ahmad R; Hassan, Bassem; Häusser, Michael; Hayashi, Yasunori; Hussain, Natasha K; Jabbar, Adnan Abdul; Jaber, Mohamed; Jahn, Reinhardt; Janahi, Essam Mohammed; Kabbaj, Mohamed; Kettenmann, Helmut; Kindt, Merel; Knafo, Shira; Köhr, Georg; Komai, Shoji; Krugers, Harm; Kuhn, Bernd; Ghazal, Nouria Lakhdar; Larkum, Matthew E; London, Mickey; Lutz, Beat; Matute, Carlos; Martinez-Millan, Luis; Maroun, Mouna; McGaugh, James; Moustafa, Ahmed A; Nasim, Anwar; Nave, Klaus-Armin; Neher, Erwin; Nikolich, Karoly; Outeiro, Tiago; Palmer, Lucy M; Penagarikano, Olga; Perez-Otano, Isabel; Pfaff, Donald W; Poucet, Bruno; Rahman, Atta-Ur; Ramos-Cabrer, Pedro; Rashidy-Pour, Ali; Roberts, Richard J; Rodrigues, Serafim; Sanes, Joshua R; Schaefer, Andreas T; Segal, Menahem; Segev, Idan; Shafqat, Saad; Siddiqui, Nikhat Ahmed; Soreq, Hermona; Soriano-García, Eduardo; Spanagel, Rainer; Sprengel, Rolf; Stuart, Greg; Südhof, Thomas C; Tønnesen, Jan; Treviño, Mario; Uthman, Basim M; Venter, J Craig; Verkhratsky, Alexei; Weiss, Craig; Wiesel, Torsten N; Yaksi, Emre; Yizhar, Ofer; Young, Larry J; Young, Paul; Zawia, Nasser H; Zugaza, José L; Hasan, Mazahir T

    2017-11-15

    Science is ideally suited to connect people from different cultures and thereby foster mutual understanding. To promote international life science collaboration, we have launched "The Science Bridge" initiative. Our current project focuses on partnership between Western and Middle Eastern neuroscience communities. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. 78 FR 57681 - Norfolk Southern Railway Company-Abandonment Exemption-in Polk County, Iowa

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-19

    ... 26th Ct. and milepost SD 337.1 at Scott Ave. (the eastern segment); and (2) approximately 0.3 miles of... separated by an approximately 2.0-mile middle line segment, which will not be abandoned and which will...

  20. Seventeenth-century uplift in eastern Hokkaido, Japan

    USGS Publications Warehouse

    Atwater, B.F.; Furakawa, R.; Hemphill-Haley, E.; Ikeda, Y.; Kashima, K.; Kawase, K.; Kelsey, H.M.; Moore, A.L.; Nanayama, F.; Nishimura, Y.; Odagiri, S.; Ota, Y.; Park, S.-C.; Satake, K.; Sawai, Y.; Shimokawa, K.

    2004-01-01

    Shores of eastern Hokkaido rose by perhaps 1 m a few centuries ago. The uplifted area extended at least 50 km along the southern Kuril Trench. It included the estuaries Akkeshi-ko and Hichirippu, on the Pacific coast, and Fu??ren-ko and Onneto??, which open to the Okhotsk Sea. At each estuary, intertidal and subtidal flats rose with respect to tide level; wetland plants colonized the emerging land; and peaty wetland deposits thereby covered mud and sand of the former flats. Previous work at Akkeshi-ko and Onneto?? showed that such emergence occurred at least three times in the past 3000 years. Volcanic-ash layers date the youngest emergence to the seventeenth century AD. New evidence from Akkeshi-ko, Hichirippu and Fu??ren-ko clarifies the age and amount of this youngest emergence. Much of it probably dates from the century's middle decades. Some of the newly emerged land remained above high tides into the middle of the eighteenth century or later. The emergence in the last half of the seventeenth century probably exceeded 0.5 m (inferred from stratigraphy and diatom palaeoecology) without far exceeding 1 m (estimated by comparing seventeenth- and eighteenth-century descriptions of Akkeshi-ko). The stratigraphy and palaeoecology of the emergence are better explained by tectonic uplift than by bay-mouth blockage, tidal-flat accretion or sea-level fall. Eastern Hokkaido needs occasional uplift, moreover, to help reconcile its raised marine terraces with its chronic twentieth-century subsidence. Because it took place above forearc mantle, eastern Hokkaido's seventeenth-century uplift probably lacks analogy with coseismic uplift that occurs above typical plate-boundary ruptures at subduction zones.

  1. Hydrocarbon potential of Central Monagas, Eastern Venezuela Basin, Venezuela

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

    Barrios, F.; Daza, J.; Iusco, G.

    1996-08-01

    The Central Monagas area is part of the foreland sub-basin located on the southern flank of the Eastern Venezuela Basin. The sedimentary column of the Central Monagas is at least 7500 in thick and consists of Mesozoic (Cretaceous) and Cenozoic rocks. Interpretations of 60 regional seismic sections have been integrated with data from 12 existing wells, which cover an area of 1200 km{sup 2}. From these interpretations, basin-wide structure and interval isopach maps were constructed in order to aid the depiction of the basin architecture and tectonic history. The sub-basin developed on the southern flank of the Eastern Venezuela Basinmore » is tightly linked to its evolution from a Mesozoic extensional regime into a Cenozoic compressional and strike-slip stage. The basin formed in the Middle Mesozoic by crustal extension of a rifting process. Regional northward tilting of the slab continued during the Late Cretaceous. Finally, the transpression of the Caribbean Plate during the Oligocene-Neogene induced the overprint of compressional deformation associated with the deposition of a foredeep wedge. Geochemical source rock analysis gave an average of 1.2 TOC, and R{sub o} of 0.66 indicating a mature, marine source. The modeling of the hydrocarbon generative history of the basin indicates that the oil migration started in the Middle Miocene, after the trap was formed. Analysis and mapping of reservoir rocks and seal rocks defined the effective area limits of these critical factors. The main play in the area is the extension of the Lower Oficina Formation which is the proven petroleum target in the Eastern Venezuela Basin.« less

  2. Synthesis on Quaternary aeolian research in the unglaciated eastern United States

    NASA Astrophysics Data System (ADS)

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

    2015-06-01

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

  3. Asbestos between science and myth. A 6,000-year story.

    PubMed

    Bianchi, Claudio; Bianchi, Tommaso

    2015-01-22

    Asbestos was used in making pottery in Eastern Finland from around 4000 B.C. In the ancient era and in the Middle Ages, magic properties were frequently attributed to this mineral. In the first century A.D., the Latin encyclopaedist Pliny the Elder reported in his Historia Naturalis that asbestos protects against all poisonings, particularly that of magicians. Moreover, asbestos was often found in places of worship, in Rome as well as in Athens and in Jerusalem. In the Middle Ages asbestos was identified with some animals, such as the salamander and certain white rodents. With such appearance, the mineral  had a huge success in Western as well as in Eastern literature and the fine arts. Marco Polo (1254-1324) in the Milione tried to deny that asbestos was a salamander. Despite its noxious effects, asbestos continues to be used in much of the world. In the 21st century it seems to be maintaining its quality as a magic stone.

  4. Prevalence, perpetrators, and characteristics of witnessing parental violence and adult dating Violence in Latina, East Asian, South Asian, and Middle Eastern women.

    PubMed

    Maker, Azmaira H; deRoon-Cassini, Terri A

    2007-01-01

    The present study describes and compares the prevalence, perpetrators, and characteristics of witnessing parental violence during childhood and experiencing adult relationship violence in 251 college-educated South Asian/Middle Eastern (n = 93), East Asian (n = 72), and Latina (n = 86) women residing in the United States. Results showed that more than 50% of each ethnic group witnessed parental and adult relationship violence. For all three groups, adult psychological violence was more prevalent than physical violence, which, in turn, was more prevalent than injury violence. Significant differences were found for paternal and maternal psychological, physical, and injury violence witnessed within ethnic groups. High prevalence rates and significant differences emerged for psychological, physical, and injury violence experienced as a victim and enacted as a perpetrator within ethnic groups. The implications of college-educated, higher socioeconomic status (SES) women of color being at risk for witnessing and experiencing family violence are discussed.

  5. Mammography screening among Arab American women in metropolitan Detroit.

    PubMed

    Schwartz, Kendra; Fakhouri, Monty; Bartoces, Monina; Monsur, Joseph; Younis, Amani

    2008-12-01

    Mammography screening behavior has not been well studied among Middle Eastern immigrant women. We conducted a telephone survey of 365 Arab American women residing in metropolitan Detroit, home to one of the largest populations of Middle Eastern immigrants in the US, to determine prevalence of factors associated with mammography, and attitudes and beliefs regarding mammography screening. Of 365 participants, only five were born in the US. Mean age was 53.2 years (SD 10.8). Two hundred twelve (58.1%) reported having mammogram every 1-2 years; 70% ever had mammogram. Age 50-64 years, having health insurance, married status, being in the US over 10 years, and being Lebanese were associated with mammography every 1-2 years. After adjusting for demographic factors, perceived seriousness of disease, general health motivation, and having fewer barriers were associated with more frequent screening. Appropriate mammography screening is decreased in this group. Targeted outreach regarding screening is appropriate for this population; however, lack of insurance may prevent adequate follow-up.

  6. Cenozoic Polarity Time Scale (CPTS) as the Tool of Dating and Correlation of the Cenozoic Strata in North-Eastern Russia

    NASA Astrophysics Data System (ADS)

    Minyuk, P.

    2004-12-01

    About 70 sections of continental and marine sediments covering he age through Paleocene to Pleistocene have been studied in North-Eastern Russia. Zones of polarity were used to determine the age and regional correlation of the strata with different biostratigraphic characteristic. On the basis of relation of magnetic zones to the CPTS, the dating of the major paleoclimatic and stratigraphic boundaries of the region fixed in the local stratons, has been obtained. There are the following events: chrones 25-24r - warming of the climate (boundary layers between Paleocene and Eocene ); chrones 13r - the beginning of the Eocene-Oligocene climatic pessimum; the boundary of the chrones 6Cn-6Cr - the climatic pessimum at the boundary of the Paleogene and Neogene; chrones 5Br - the middle of the chrone 5Adn - the first climatic optimum of the Miocene (the boundary of the Lower and Middle Miocene); chrones 5r - the lower part of the chrone 5n - the second climatic optimum of the Miocene ( the boundary interval between Middle and Lower Miocene). According to the paleomagnetic data, the supposed boundaries of the Miocene and Pliocene, Pliocene and Pleistocene are considered to be problematic and are fixed in the unique

  7. Meningococcal disease in the Middle East and Africa: Findings and updates from the Global Meningococcal Initiative.

    PubMed

    Borrow, Ray; Caugant, Dominique A; Ceyhan, Mehmet; Christensen, Hannah; Dinleyici, Ener Cagri; Findlow, Jamie; Glennie, Linda; Von Gottberg, Anne; Kechrid, Amel; Vázquez Moreno, Julio; Razki, Aziza; Smith, Vincent; Taha, Muhamed-Kheir; Tali-Maamar, Hassiba; Zerouali, Khalid

    2017-07-01

    The Global Meningococcal Initiative (GMI) has recently considered current issues in Middle Eastern and African countries, and produced two recommendations: (i) that vaccination of attendees should be considered for some types of mass-gathering events, as some countries mandate for the Hajj, and (ii) vaccination of people with human immunodeficiency virus should be used routinely, because of increased meningococcal disease (MD) risk. Differences exist between Middle Eastern and African countries regarding case and syndrome definitions, surveillance, and epidemiologic data gaps. Sentinel surveillance provides an overview of trends and prevalence of different capsular groups supporting vaccine selection and planning, whereas cost-effectiveness decisions require comprehensive disease burden data, ideally counting every case. Surveillance data showed importance of serogroup B MD in North Africa and serogroup W expansion in Turkey and South Africa. Success of MenAfriVac ® in the African "meningitis belt" was reviewed; the GMI believes similar benefits may follow development of a low-cost meningococcal pentavalent vaccine, currently in phase 1 clinical trial, by 2022. The importance of carriage and herd protection for controlling invasive MD and the importance of advocacy and awareness campaigns were also highlighted. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  8. Cancer incidence in the Middle Eastern population of California, 1988-2004.

    PubMed

    Nasseri, Kiumarss; Mills, Paul K; Allan, Mark

    2007-01-01

    International statistics suggest lower cancer incidence in the Middle East and Middle Eastern (ME) immigrants in Europe, Australia, and Canada, but little is known from the United States. This study compares cancer rates in ME population with other race/ethnic groups in California from 1988 through 2004. ME cases in California cancer registry were identified by surname and ME population was estimated from U.S. Census data. Cancer rates for ME countries was obtained from Globocan. The ME incidence rate ratios for all sites combined in male and female were 0.77 and 0.82, respectively and were statistically significant. ME rates were significantly lower for cancers of the colon, lung, skin melanoma, female breast and prostate, and were significantly higher for cancers of the stomach, liver, thyroid, leukemia, and male breast. Cancer incidence in ME population in California was 2.4 times higher than rates in home countries. Incidence trends in ME males remained fairly stable but in females shows a slight decline in recent years. Cancer incidence in ME population is lower than non-Hispanic white and non-Hispanic Black, but is higher than rates for Hispanics and Asians, and ME countries. Improved data quality, chronic infections, acculturation, and access to screening services are some of the factors responsible for the observed pattern.

  9. Cancer Incidence in the Middle Eastern Population of California, 1988–2004

    PubMed Central

    Nasseri, Kiumarss; Mills, Paul K; Allan, Mark

    2008-01-01

    International statistics suggest lower cancer incidence in the Middle East and Middle Eastern (ME) immigrants in Europe, Australia, and Canada, but little is known from the United States. This study compares cancer rates in ME population with other race/ethnic groups in California from 1988 through 2004. ME cases in California cancer registry were identified by surname and ME population was estimated from U.S. Census data. Cancer rates for ME countries was obtained from Globocan. The ME incidence rate ratios for all sites combined in male and female were 0.77 and 0.82, respectively and were statistically significant. ME rates were significantly lower for cancers of the colon, lung, skin melanoma, female breast and prostate, and were significantly higher for cancers of the stomach, liver, thyroid, leukemia, and male breast. Cancer incidence in ME population in California was 2.4 times higher than rates in home countries. Incidence trends in ME males remained fairly stable but in females shows a slight decline in recent years. Cancer incidence in ME population is lower than non-Hispanic white and non-Hispanic Black, but is higher than rates for Hispanics and Asians, and ME countries. Improved data quality, chronic infections, acculturation, and access to screening services are some of the factors responsible for the observed patterns. PMID:18159978

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

    PubMed

    Koshy, Remya; Ranawat, Anop; Scaria, Vinod

    2017-10-01

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

  11. Evolution of Meso-Cenozoic lithospheric thermal-rheological structure in the Jiyang sub-basin, Bohai Bay Basin, eastern North China Craton

    NASA Astrophysics Data System (ADS)

    Xu, Wei; Qiu, Nansheng; Wang, Ye; Chang, Jian

    2018-01-01

    The Meso-Cenozoic lithospheric thermal-rheological structure and lithospheric strength evolution of the Jiyang sub-basin were modeled using thermal history, crustal structure, and rheological parameter data. Results indicate that the thermal-rheological structure of the Jiyang sub-basin has exhibited obvious rheological stratification and changes over time. During the Early Mesozoic, the uppermost portion of the upper crust, middle crust, and the top part of the upper mantle had a thick brittle layer. During the early Early Cretaceous, the top of the middle crust's brittle layer thinned because of lithosphere thinning and temperature increase, and the uppermost portion of the upper mantle was almost occupied by a ductile layer. During the late Early Cretaceous, the brittle layer of the middle crust and the upper mantle changed to a ductile one. Then, the uppermost portion of the middle crust changed to a thin brittle layer in the late Cretaceous. During the early Paleogene, the thin brittle layer of the middle crust became even thinner and shallower under the condition of crustal extension. Currently, with the decrease in lithospheric temperature, the top of the upper crust, middle crust, and the uppermost portion of the upper mantle are of a brittle layer. The total lithospheric strength and the effective elastic thickness ( T e) in Meso-Cenozoic indicate that the Jiyang sub-basin experienced two weakened stages: during the late Early Cretaceous and the early Paleogene. The total lithospheric strength (approximately 4-5 × 1013 N m-1) and T e (approximately 50-60 km) during the Early Mesozoic was larger than that after the Late Jurassic (2-7 × 1012 N m-1 and 19-39 km, respectively). The results also reflect the subduction, and rollback of Pacific plate is the geodynamic mechanism of the destruction of the eastern North China Craton.

  12. A possible abrupt change in summer precipitation over eastern China around 2009

    NASA Astrophysics Data System (ADS)

    Ren, Yongjian; Song, Lianchun; Wang, Zunya; Xiao, Ying; Zhou, Bing

    2017-04-01

    Historical studies have shown that summer rainfall in eastern China undergoes decadal variations, with three apparent changes in the late 1970s, 1992, and the late 1990s. The present observational study indicates that summer precipitation over eastern China likely underwent a change in the late 2000s, during which the main spatial pattern changed from negative-positive-negative to positive-negative in the meridional direction. This change in summer precipitation over eastern China may have been associated with circulation anomalies in the middle/upper troposphere. A strong trough over Lake Baikal created a southward flow of cold air during 2009-15, compared with 1999-2008, while the westward recession of the western Pacific subtropical high strengthened the moisture transport to the north, creating conditions that were conducive for more rainfall in the north during this period. The phase shift of the Pacific Decadal Oscillation in the late 2000s led to the Pacific-Japan-type teleconnection wave train shifting from negative to positive phases, resulting in varied summer precipitation over eastern China.

  13. Huge natural gas reserves central to capacity work, construction plans in Iran

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

    Not Available

    1994-07-11

    Questions about oil production capacity in Iran tend to mask the country's huge potential as a producer of natural gas. Iran is second only to Russia in gas reserves, which National Iranian Gas Co. estimates at 20.7 trillion cu m. Among hurdles to Iran's making greater use of its rich endowment of natural gas are where and how to sell gas not used inside the country. The marketing logistics problem is common to other Middle East holders of gas reserves and a reason behind the recent proliferation of proposals for pipeline and liquefied natural gas schemes targeting Europe and India.more » But Iran's challenges are greater than most in the region. Political uncertainties and Islamic rules complicate long-term financing of transportation projects and raise questions about security of supply. As a result, Iran has remained mostly in the background of discussions about international trade of Middle Eastern gas. The country's huge gas reserves, strategic location, and existing transport infrastructure nevertheless give it the potential to be a major gas trader if the other issues can be resolved. The paper discusses oil capacity plans, gas development, gas injection for enhanced oil recovery, proposals for exports of gas, and gas pipeline plans.« less

  14. Only the bad died young in the ancient Middle East.

    PubMed

    Arnett, W S

    1985-01-01

    Biblical writers generally viewed old age as a reward for righteousness and piety. Consequently, they stressed the belief that the elderly were blessed and that they should be venerated. While life expectancy was usually below forty years, there are exceptional cases on record of individuals--men and women--living to advanced old ages. An analysis of these special few cases and a discussion of extra-Biblical texts shows that other ancient Middle Eastern societies held attitudes toward aging and the aged comparable to those expressed in the Hebrew Bible.

  15. Developing Regionalized Models of Lithospheric Thickness and Velocity Structure Across Eurasia and the Middle East from Jointly Inverting P-Wave and S-Wave Receiver Functions with Rayleigh Wave Group and Phase Velocities

    DTIC Science & Technology

    2010-09-01

    lithospheric velocity structure for a wide variety of tectonic regions throughout Eurasia and the Middle East. We expect the regionalized models will improve...constructed by combining the 1D joint inversion models within each tectonic region and validated through regional waveform modeling. The velocity models thus...important differences in lithospheric structure between the cratonic regions of Eastern Europe and the tectonic regions of Western Europe and the

  16. Optimizing eastern gamagrass forage harvests using growing degree days

    USDA-ARS?s Scientific Manuscript database

    Tripsacum dactyloides (L.) L., commonly known as eastern gamagrass is useful for grazing, stored forage, soil amelioration and conservation, and potentially as a biofuel feedstock. Our goal was to calculate accumulated growing degree days (GDD) from existing datasets collected for eastern gamagrass...

  17. Libya: A Future Arab Democracy

    DTIC Science & Technology

    2012-03-21

    with the Berber tribes of North Africa. The eastern region of Cyrenaica is more closely associated with the Arab states of the Middle East...Springborg’s analysis is nationalism. Libya has a strong sense of national identity as well as a very homogeneous population that is 97% Berber /Arab

  18. Islamic Beliefs and Practices.

    ERIC Educational Resources Information Center

    Sefein, Naim A.

    1981-01-01

    To help social studies classroom teachers present a realistic picture of the Middle Eastern religion of Islam, this article presents an overview of major beliefs and religious practices of Moslems. Information is presented on religious fundamentals, Islam's relationship to Judaism and Christianity, the development of Islam, the role of women, and…

  19. Doctoral Degrees Granted in Foreign Languages in the United States: 1995.

    ERIC Educational Resources Information Center

    Benseler, David P.; And Others

    1996-01-01

    Lists doctoral degrees granted in the United States in African languages and literatures; Celtic languages and literatures; comparative literature; foreign-/second-language acquisition and teaching; French, Germanic, and Italian languages and literatures; theoretical linguistics; Near and Middle Eastern languages and literatures; and Portuguese,…

  20. European Science Notes Information Bulletin Reports on Current European/Middle Eastern Science,

    DTIC Science & Technology

    1988-02-01

    monosaccharides and stated that genetic stability of certain for the preparation of isotopically la- recombinant microoraanisms is one of the beled sugars...hydrocarbons and polyethylene glycol (PEG)/ polysaccharide hydrocarbon derivatives) in the aqueous and PEG/salt. The polysaccharide may be phase. The solvent

  1. Alienation: A Cross-Cultural Analysis

    ERIC Educational Resources Information Center

    Tomeh, Aida K.

    1974-01-01

    This study examines alienation in two different cultural groups. Students from Middle Eastern or transitional societies expressed greater feelings of alienation than American students. In the case of students in both cultures from professional backgrounds the results were reversed. The results of the study are discussed in terms of cultural…

  2. Multicultural Resources on the Internet: An Introduction.

    ERIC Educational Resources Information Center

    Jacobson, Trudi E.

    1995-01-01

    Explores the Internet system and Internet resources for particular culture groups. The author provides some Internet definitions as well as descriptions of available resources listed by cultural group including resources for African American, Chicano/Latino, Native American, Middle Eastern/Jewish/Islamic, and Asian American/Asian people. (GR)

  3. Doctoral Degrees Granted in Foreign Languages in the United States: 1993.

    ERIC Educational Resources Information Center

    Benseler, David P.; Lannoch, Martha Calvert

    1994-01-01

    Findings are reported from the annual survey of doctoral degrees granted in foreign languages, literatures, cultures, linguistics, and foreign language education in the following categories: African, Asian, French, Germanic, Italian, Near and Middle Eastern, Slavic, and Spanish languages/literatures; classics; comparative literature; theoretical…

  4. 75 FR 80082 - Meetings of Humanities Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-21

    ... THE NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES Meetings of Humanities Panel AGENCY: The... assistance under the National Foundation on the Arts and the Humanities Act of 1965, as amended, including... applications for Political Science and Law/European, Asian, and Middle Eastern Studies in Kluge Fellowships...

  5. Depositional and provenance record of the Paleogene transition from foreland to hinterland basin evolution during Andean orogenesis, northern Middle Magdalena Valley Basin, Colombia

    NASA Astrophysics Data System (ADS)

    Moreno, Christopher J.; Horton, Brian K.; Caballero, Victor; Mora, Andrés; Parra, Mauricio; Sierra, Jair

    2011-10-01

    The Central Cordillera and Eastern Cordillera of the northern Andes form the topographic flanks of the north-trending Magdalena Valley Basin. Constraining the growth of these ranges and intervening basin has implications for Andean shortening and the transformation from a foreland to hinterland basin configuration. We present sedimentological, paleocurrent, and sandstone petrographic results from Cenozoic type localities to provide insights into the tectonic history of the northern Middle Magdalena Valley Basin of Colombia. In the Nuevo Mundo Syncline, the mid-Paleocene transition from marine to nonmarine deposystems of the Lisama Formation corresponds with a paleocurrent shift from northward to eastward transport. These changes match detrital geochronological evidence for a contemporaneous shift from cratonic (Amazonian) to orogenic (Andean) provenance, suggesting initial shortening-related uplift of the Central Cordillera and foreland basin generation in the Magdalena Valley by mid-Paleocene time. Subsequent establishment of a meandering fluvial system is recorded in lower-middle Eocene strata of the lower La Paz Formation. Eastward paleocurrents in mid-Paleocene through uppermost Eocene fluvial deposits indicate a continuous influence of western sediment source areas. However, at the upper middle Eocene (˜40 Ma) boundary between the lower and upper La Paz Formation, sandstone compositions show a drastic decrease in lithic content, particularly lithic volcanic fragments. This change is accompanied by a facies shift from mixed channel and overbank facies to thick, amalgamated braided fluvial deposits of possible fluvial megafans, reflecting changes in both the composition and proximity of western sediment sources. We attribute these modifications to the growing influence of exhumed La Cira-Infantas paleohighs in the axial Magdalena Valley, features presently buried beneath upper Eocene-Quaternary basin fill along the western flank of the Nuevo Mundo Syncline. In uppermost Eocene strata of the lower Esmeraldas Formation, paleocurrents show a sharp reversal from eastward to dominantly westward transport that persisted into the Neogene. The Esmeraldas also records a change to more-distal, floodplain-dominated deposition of finer sediments. These adjustments are interpreted to reflect burial of the La Cira-Infantas highs and onset of Eastern Cordillera exhumation, resulting in a transition from foreland to hinterland basin conditions in the Magdalena Valley. The lack of significant variation in sandstone compositions suggests a bulk-rock compositional similarity between the La Cira-Infantas paleohighs (subsurface Magdalena Valley) and the Eastern Cordillera. Collectively, the data presented here refine previous thermochronologic and provenance studies and suggest that major uplift-induced exhumation in the Central Cordillera and Eastern Cordillera commenced by the mid-Paleocene and latest Eocene, respectively.

  6. St. Croix, U.S. Virgin Islands, Caribbean Sea

    NASA Image and Video Library

    1993-01-19

    STS054-74-049 (13-19 Jan. 1993) --- St. Croix is the largest, and most industrial of the U.S. Virgin Islands. This photograph captures St. Croix's features in great detail. The large industrial complex in the middle of the southern shore is the world's largest petroleum refinery. The main city, Christiansted, can be seen across the island on the north shore. The reefs around the eastern end of St. Croix are preserved as a submarine national park -- Buck Island Reef National Park -- around the small island off the north shore of the eastern end of St. Croix.

  7. The Interpretation of Crustal Dynamics Data in Terms of Plate Interactions and Active Tectonics of the Anatolian Plate and Surrounding Regions in the Middle East

    NASA Technical Reports Server (NTRS)

    Toksoz, M. Nafi; Reilinger, Robert E.

    1990-01-01

    During the past 6 months, efforts were concentrated on the following areas: (1) Continued development of realistic, finite element modeling of plate interactions and associated deformation in the Eastern Mediterranean; (2) Neotectonic field investigations of seismic faulting along the active fault systems in Turkey with emphasis on identifying seismic gaps along the North Anatolian fault; and (3) Establishment of a GPS regional monitoring network in the zone of ongoing continental collision in eastern Turkey (supported in part by NSF).

  8. Variances in the projections, resulting from CLIMEX, Boosted Regression Trees and Random Forests techniques

    NASA Astrophysics Data System (ADS)

    Shabani, Farzin; Kumar, Lalit; Solhjouy-fard, Samaneh

    2017-08-01

    The aim of this study was to have a comparative investigation and evaluation of the capabilities of correlative and mechanistic modeling processes, applied to the projection of future distributions of date palm in novel environments and to establish a method of minimizing uncertainty in the projections of differing techniques. The location of this study on a global scale is in Middle Eastern Countries. We compared the mechanistic model CLIMEX (CL) with the correlative models MaxEnt (MX), Boosted Regression Trees (BRT), and Random Forests (RF) to project current and future distributions of date palm ( Phoenix dactylifera L.). The Global Climate Model (GCM), the CSIRO-Mk3.0 (CS) using the A2 emissions scenario, was selected for making projections. Both indigenous and alien distribution data of the species were utilized in the modeling process. The common areas predicted by MX, BRT, RF, and CL from the CS GCM were extracted and compared to ascertain projection uncertainty levels of each individual technique. The common areas identified by all four modeling techniques were used to produce a map indicating suitable and unsuitable areas for date palm cultivation for Middle Eastern countries, for the present and the year 2100. The four different modeling approaches predict fairly different distributions. Projections from CL were more conservative than from MX. The BRT and RF were the most conservative methods in terms of projections for the current time. The combination of the final CL and MX projections for the present and 2100 provide higher certainty concerning those areas that will become highly suitable for future date palm cultivation. According to the four models, cold, hot, and wet stress, with differences on a regional basis, appears to be the major restrictions on future date palm distribution. The results demonstrate variances in the projections, resulting from different techniques. The assessment and interpretation of model projections requires reservations, especially in correlative models such as MX, BRT, and RF. Intersections between different techniques may decrease uncertainty in future distribution projections. However, readers should not miss the fact that the uncertainties are mostly because the future GHG emission scenarios are unknowable with sufficient precision. Suggestions towards methodology and processing for improving projections are included.

  9. Late Eocene Inversion and Exhumation of the Sivas Basin (Central Anatolia) Based On Low-Temperature Thermochronometry: Implications for Diachronous Initiation of Arabia-Eurasia Collision

    NASA Astrophysics Data System (ADS)

    Darin, M. H.; Umhoefer, P. J.; Thomson, S. N.; Schleiffarth, W. K.

    2017-12-01

    The timing of initial Arabia-Eurasia collision along the Bitlis-Zagros suture is controversial, with widely varying estimates from middle Eocene to late Miocene ( 45-10 Ma). The Cenozoic Sivas Basin (central Anatolia) preserves a detailed record of the initial stages of Arabia collision directly north of the suture in the Eurasian foreland. New apatite fission track and (U-Th)/He thermochronology data from Late Cretaceous to Paleogene units indicate rapid basin inversion and initiation of the north-vergent Southern Sivas Fold and Thrust Belt (SSFTB) during the late Eocene to early Oligocene ( 40-30 Ma), consistent with the age of a basin-wide unconformity and switch from marine to nonmarine sedimentation. We interpret late Eocene exhumation and the predominantly north-vergent kinematics of the SSFTB to reflect northward propagation of contraction into the Sivas retro-foreland basin due to initial collision of the Arabian passive margin with the Anatolide-Tauride block along the southern Eurasian margin during the late middle Eocene. We test this hypothesis by comparing our new results with regional-scale compilations of both published thermochronology and geochronology data from the entire Arabia-Eurasia collision zone. Low-temperature thermochronology data from eastern Anatolia, the Caucasus, Zagros, and Alborz demonstrate that rapid cooling and intraplate deformation occurred across much of the Eurasian foreland during the middle Eocene to early Oligocene ( 45-30 Ma). Our regional compilation of published geochronology data from central and eastern Anatolia reveals a distinct magmatic lull during the latest Eocene, Oligocene, and earliest Miocene (ca. 38-20 Ma), slightly earlier than a diachronous magmatic lull initiating at 25-5 Ma from northwest to southeast in Iran (Chiu et al., 2013). These results support a tectonic model for diachronous collision in which initial collision of the Arabia promontory occurred in central-eastern Anatolia during the middle-late Eocene ( 45-35 Ma) followed by magmatic quiescence due to subduction termination. Collisional strain transferred into the Caucasus, Alborz, and northwestern Zagros by the late Eocene to early Oligocene and became progressively younger towards the southeast along the Zagros suture from the late Oligocene to late Miocene.

  10. Y-chromosome diversity in modern Bulgarians: new clues about their ancestry.

    PubMed

    Karachanak, Sena; Grugni, Viola; Fornarino, Simona; Nesheva, Desislava; Al-Zahery, Nadia; Battaglia, Vincenza; Carossa, Valeria; Yordanov, Yordan; Torroni, Antonio; Galabov, Angel S; Toncheva, Draga; Semino, Ornella

    2013-01-01

    To better define the structure and origin of the Bulgarian paternal gene pool, we have examined the Y-chromosome variation in 808 Bulgarian males. The analysis was performed by high-resolution genotyping of biallelic markers and by analyzing the STR variation within the most informative haplogroups. We found that the Y-chromosome gene pool in modern Bulgarians is primarily represented by Western Eurasian haplogroups with ∼ 40% belonging to haplogroups E-V13 and I-M423, and 20% to R-M17. Haplogroups common in the Middle East (J and G) and in South Western Asia (R-L23*) occur at frequencies of 19% and 5%, respectively. Haplogroups C, N and Q, distinctive for Altaic and Central Asian Turkic-speaking populations, occur at the negligible frequency of only 1.5%. Principal Component analyses group Bulgarians with European populations, apart from Central Asian Turkic-speaking groups and South Western Asia populations. Within the country, the genetic variation is structured in Western, Central and Eastern Bulgaria indicating that the Balkan Mountains have been permeable to human movements. The lineage analysis provided the following interesting results: (i) R-L23* is present in Eastern Bulgaria since the post glacial period; (ii) haplogroup E-V13 has a Mesolithic age in Bulgaria from where it expanded after the arrival of farming; (iii) haplogroup J-M241 probably reflects the Neolithic westward expansion of farmers from the earliest sites along the Black Sea. On the whole, in light of the most recent historical studies, which indicate a substantial proto-Bulgarian input to the contemporary Bulgarian people, our data suggest that a common paternal ancestry between the proto-Bulgarians and the Altaic and Central Asian Turkic-speaking populations either did not exist or was negligible.

  11. Y-chromosomal analysis of Greek Cypriots reveals a primarily common pre-Ottoman paternal ancestry with Turkish Cypriots

    PubMed Central

    Fernández-Domínguez, Eva; Bertoncini, Stefania; Chimonas, Marios; Christofi, Vasilis; King, Jonathan; Budowle, Bruce; Manoli, Panayiotis

    2017-01-01

    Genetics can provide invaluable information on the ancestry of the current inhabitants of Cyprus. A Y-chromosome analysis was performed to (i) determine paternal ancestry among the Greek Cypriot (GCy) community in the context of the Central and Eastern Mediterranean and the Near East; and (ii) identify genetic similarities and differences between Greek Cypriots (GCy) and Turkish Cypriots (TCy). Our haplotype-based analysis has revealed that GCy and TCy patrilineages derive primarily from a single gene pool and show very close genetic affinity (low genetic differentiation) to Calabrian Italian and Lebanese patrilineages. In terms of more recent (past millennium) ancestry, as indicated by Y-haplotype sharing, GCy and TCy share much more haplotypes between them than with any surrounding population (7–8% of total haplotypes shared), while TCy also share around 3% of haplotypes with mainland Turks, and to a lesser extent with North Africans. In terms of Y-haplogroup frequencies, again GCy and TCy show very similar distributions, with the predominant haplogroups in both being J2a-M410, E-M78, and G2-P287. Overall, GCy also have a similar Y-haplogroup distribution to non-Turkic Anatolian and Southwest Caucasian populations, as well as Cretan Greeks. TCy show a slight shift towards Turkish populations, due to the presence of Eastern Eurasian (some of which of possible Ottoman origin) Y-haplogroups. Overall, the Y-chromosome analysis performed, using both Y-STR haplotype and binary Y-haplogroup data puts Cypriot in the middle of a genetic continuum stretching from the Levant to Southeast Europe and reveals that despite some differences in haplotype sharing and haplogroup structure, Greek Cypriots and Turkish Cypriots share primarily a common pre-Ottoman paternal ancestry. PMID:28622394

  12. Y-chromosomal analysis of Greek Cypriots reveals a primarily common pre-Ottoman paternal ancestry with Turkish Cypriots.

    PubMed

    Heraclides, Alexandros; Bashiardes, Evy; Fernández-Domínguez, Eva; Bertoncini, Stefania; Chimonas, Marios; Christofi, Vasilis; King, Jonathan; Budowle, Bruce; Manoli, Panayiotis; Cariolou, Marios A

    2017-01-01

    Genetics can provide invaluable information on the ancestry of the current inhabitants of Cyprus. A Y-chromosome analysis was performed to (i) determine paternal ancestry among the Greek Cypriot (GCy) community in the context of the Central and Eastern Mediterranean and the Near East; and (ii) identify genetic similarities and differences between Greek Cypriots (GCy) and Turkish Cypriots (TCy). Our haplotype-based analysis has revealed that GCy and TCy patrilineages derive primarily from a single gene pool and show very close genetic affinity (low genetic differentiation) to Calabrian Italian and Lebanese patrilineages. In terms of more recent (past millennium) ancestry, as indicated by Y-haplotype sharing, GCy and TCy share much more haplotypes between them than with any surrounding population (7-8% of total haplotypes shared), while TCy also share around 3% of haplotypes with mainland Turks, and to a lesser extent with North Africans. In terms of Y-haplogroup frequencies, again GCy and TCy show very similar distributions, with the predominant haplogroups in both being J2a-M410, E-M78, and G2-P287. Overall, GCy also have a similar Y-haplogroup distribution to non-Turkic Anatolian and Southwest Caucasian populations, as well as Cretan Greeks. TCy show a slight shift towards Turkish populations, due to the presence of Eastern Eurasian (some of which of possible Ottoman origin) Y-haplogroups. Overall, the Y-chromosome analysis performed, using both Y-STR haplotype and binary Y-haplogroup data puts Cypriot in the middle of a genetic continuum stretching from the Levant to Southeast Europe and reveals that despite some differences in haplotype sharing and haplogroup structure, Greek Cypriots and Turkish Cypriots share primarily a common pre-Ottoman paternal ancestry.

  13. Constraints to applying systems thinking concepts in health systems: A regional perspective from surveying stakeholders in Eastern Mediterranean countries.

    PubMed

    El-Jardali, Fadi; Adam, Taghreed; Ataya, Nour; Jamal, Diana; Jaafar, Maha

    2014-12-01

    Systems Thinking (ST) has recently been promoted as an important approach to health systems strengthening. However, ST is not common practice, particularly in Low- and Middle-Income Countries (LMICs). This paper seeks to explore the barriers that may hinder its application in the Eastern Mediterranean Region (EMR) and possible strategies to mitigate them. A survey consisting of open-ended questions was conducted with a purposive sample of health policy-makers such as senior officials from the Ministry of Health (MoH), researchers, and other stakeholders such as civil society groups and professional associations from ten countries in the region. A total of 62 respondents participated in the study. Thematic analysis was conducted. There was strong recognition of the relevance and usefulness of ST to health systems policy-making and research, although misconceptions about what ST means were also identified. Experience with applying ST was very limited. Approaches to designing health policies in the EMR were perceived as reactive and fragmented (66%). Commonly perceived constraints to application of ST were: a perceived notion of its costliness combined with lack of the necessary funding to operationalize it (53%), competing political interests and lack of government accountability (50%), lack of awareness about relevance and value (47%), limited capacity to apply it (45%), and difficulty in coordinating and managing stakeholders (39%). While several strategies have been proposed to mitigate most of these constraints, they emphasized the importance of political endorsement and adoption of ST at the leadership level, together with building the necessary capacity to apply it and apply the learning in research and practice.

  14. Constraints to applying systems thinking concepts in health systems: A regional perspective from surveying stakeholders in Eastern Mediterranean countries

    PubMed Central

    El-Jardali, Fadi; Adam, Taghreed; Ataya, Nour; Jamal, Diana; Jaafar, Maha

    2014-01-01

    Background: Systems Thinking (ST) has recently been promoted as an important approach to health systems strengthening. However, ST is not common practice, particularly in Low- and Middle-Income Countries (LMICs). This paper seeks to explore the barriers that may hinder its application in the Eastern Mediterranean Region (EMR) and possible strategies to mitigate them. Methods: A survey consisting of open-ended questions was conducted with a purposive sample of health policy-makers such as senior officials from the Ministry of Health (MoH), researchers, and other stakeholders such as civil society groups and professional associations from ten countries in the region. A total of 62 respondents participated in the study. Thematic analysis was conducted. Results: There was strong recognition of the relevance and usefulness of ST to health systems policy-making and research, although misconceptions about what ST means were also identified. Experience with applying ST was very limited. Approaches to designing health policies in the EMR were perceived as reactive and fragmented (66%). Commonly perceived constraints to application of ST were: a perceived notion of its costliness combined with lack of the necessary funding to operationalize it (53%), competing political interests and lack of government accountability (50%), lack of awareness about relevance and value (47%), limited capacity to apply it (45%), and difficulty in coordinating and managing stakeholders (39%). Conclusion: While several strategies have been proposed to mitigate most of these constraints, they emphasized the importance of political endorsement and adoption of ST at the leadership level, together with building the necessary capacity to apply it and apply the learning in research and practice. PMID:25489598

  15. Addressing gaps in international blood availability and transfusion safety in low- and middle-income countries: a NHLBI workshop.

    PubMed

    Custer, Brian; Zou, Shimian; Glynn, Simone A; Makani, Julie; Tayou Tagny, Claude; El Ekiaby, Magdy; Sabino, Ester C; Choudhury, Nabajyoti; Teo, Diana; Nelson, Kenrad; Peprah, Emmanuel; Price, LeShawndra; Engelgau, Michael M

    2018-05-01

    In April 2017, a workshop sponsored by the National Heart, Lung, and Blood Institute, Division of Blood Diseases and Resources, and the Center for Translation Research and Implementation Science was held to discuss blood availability and transfusion safety in low- and middle-income countries (LMICs). The purpose of the workshop was to identify research opportunities for implementation science (IS) to improve the availability of safe blood and blood components and transfusion practices in LMICs. IS describes the late stages of the translational research spectrum and studies optimal and sustainable strategies to deliver proven-effective interventions. Regional working groups were formed to focus on opportunities and challenges in East Africa, Central/West Africa, Middle East and North Africa, Latin America and the Caribbean, Southeast Asia, Western Pacific Asia, Eastern Europe, and Central Asia. The need for an "adequate supply of safe blood" emerged as the major overriding theme. Among the regional working groups, common cross-cutting themes were evident. The majority of research questions, priorities, and strategies fell into the categories of blood availability, blood transfusion safety, appropriate use of blood, quality systems, health economics and budgeting, and training and education in IS. The workshop also brought into focus inadequate country-level data that can be used as the basis for IS initiatives. A mixed approach of needs assessment and targeted interventions with sufficient evidence base to move toward sustainment is an appropriate next step for blood availability and transfusion safety research in LMICs. © 2018 AABB.

  16. Middle Palaeolithic occupation in the Thar Desert during the Upper Pleistocene: the signature of a modern human exit out of Africa?

    NASA Astrophysics Data System (ADS)

    Blinkhorn, James; Achyuthan, Hema; Petraglia, Michael; Ditchfield, Peter

    2013-10-01

    The Thar Desert marks the transition from the Saharo-Arabian deserts to the Oriental biogeographical zone and is therefore an important location in understanding hominin occupation and dispersal during the Upper Pleistocene. Here, we report the discovery of stratified Middle Palaeolithic assemblages at Katoati in the north-eastern Thar Desert, dating to Marine Isotope Stages (MIS) 5 and the MIS 4-3 boundary, during periods of enhanced humidity. Hominins procured cobbles from gravels at the site as evidenced by early stages of stone tool reduction, with a component of more formalised point production. The MIS 5c assemblages at Katoati represent the earliest securely dated Middle Palaeolithic occupation of South Asia. Distinctive artefacts identified in both MIS 5 and MIS 4-3 boundary horizons match technological entities observed in Middle Palaeolithic assemblages in South Asia, Arabia and Middle Stone Age sites in the Sahara. The evidence from Katoati is consistent with arguments for the dispersal of Homo sapiens populations from Africa across southern Asia using Middle Palaeolithic technologies.

  17. Eastern red cedar: Cedarwood oil extraction and bioactivity

    USDA-ARS?s Scientific Manuscript database

    Eastern red cedar (ERC), Juniperus virginana L. (Cupressaceae) is a common coniferous evergreen tree and is a very abundant natural resource in the United States. Because of its encroachment onto pastures and rangeland, ERC is considered an invasive species. Eastern red cedar, however, is highly pri...

  18. European Science Notes Information Bulletin Reports on Current European and Middle Eastern Science

    DTIC Science & Technology

    1993-10-01

    yielding sulfate and zation of such construction and similar waste mate- salts. These inorganics are difficult to treat in rials. Basic pavement...to humans. This research 10 shampooings could remove the drug. Although showed no correlation to the amounts of cocaine Dr. Cone had dissolved hair

  19. Contaminant profiles for surface water, sediment, flora and fauna associated with the mangrove fringe along middle and lower East Tampa Bay

    EPA Science Inventory

    Contaminant concentrations are reported for surface water, sediment, seagrass, mangroves, Florida Crown conch, blue crabs and fish collected during 2010-2011 from the mangrove fringe along eastern Tampa Bay. Concentrations of trace metals, chlorinated pesticides, atrazine, total ...

  20. 75 FR 21598 - Energy and Infrastructure Mission to Saudi Arabia

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    .... Participating in an official U.S. industry delegation, rather than traveling to Saudi Arabia independently, will... petrochemical industry. Construction At a time when some Middle Eastern countries are facing financial.... Likewise, the Saudi real estate market is set to grow significantly over the next four years. Saudi Arabia...

  1. European Science Notes Information Bulletin. Reports on Current European and Middle Eastern Science

    DTIC Science & Technology

    1993-03-01

    und technology establishmcnt, we find the Bildung, BMBW) Forschungsanstalt der Bundeswehr ftr Wasser - (quoted from Meyer-Krahmer, p. 81): schall und...Scholarships has designated it to adminis- " symbolizing and strengthening the fruitful relation ter grants for study abroad and for college-level between

  2. Diverging from Traditional Paths: Reconstructing Fairy Tales in the EFL Classroom

    ERIC Educational Resources Information Center

    Hayik, Rawia

    2015-01-01

    Framed by transactional and critical literacy theories, this teacher-research introduces practical examples of implementing antisexist pedagogy in an EFL Middle Eastern classroom. After a short preview of the gender-biased educational messages abundant in literature and pop culture, the article focuses on students' transaction with "Cinder…

  3. U.S./Arab Reflections on Our Tolerance for Ambiguity

    ERIC Educational Resources Information Center

    Bright, Larry K.; Mahdi, Ghada S.

    2012-01-01

    As the authors, a Midwestern American educational administration professor and a Middle Eastern Iraqi doctoral candidate, have continued to interact over the past 3 years, both have come to appreciate the importance of increasing their tolerance for ambiguity--ambiguities in examining cultural, linguistic, and religious customs and complexities in…

  4. The Gifted Disadvantaged of Israel.

    ERIC Educational Resources Information Center

    Shmueli, Eliezer

    The immigrant population of Israel falls into two large groups: those of European descent and those from North African and Middle Eastern countries. Families from traditionally agrarian Arab countries generally have a lower socioeconomic status, and their children have difficulty competing in school with children from a more urban, industrialized,…

  5. Beyond Fairy Godmothers and Glass Slippers: A Look at Multicultural Variants of Cinderella.

    ERIC Educational Resources Information Center

    Leeper, Angela

    2002-01-01

    This annotated bibliography presents a collection of multicultural Cinderella variants, all of which allow children to experience the culture within an easily identifiable framework. Variants include African/African American/American South, Asian, Jewish, Latino/Latin American/Caribbean, Middle Eastern, Native American, and other European…

  6. Perceptual Articulation in Three Middle Eastern Culture

    ERIC Educational Resources Information Center

    Amir, Yehuda

    1975-01-01

    Noting that one would expect that members of cultural groups whose modes of child rearing foster individual autonomy would achieve more articulated perceptual functioning rather than persons reared in societies where conformity and emotional dependence are stressed, this article discusses a study which compared two Israeli sub-groups and two…

  7. Living History with a Medieval Banquet in the Alhambra Palace.

    ERIC Educational Resources Information Center

    Shabbas, Audrey

    1996-01-01

    Recommends that students learn about Islamic civilization by presenting a "medieval banquet in the Alhambra Palace." Provides information about middle eastern culture and history that students could use to plan and produce the banquet. Includes a list of 26 "guests" who would be role-played by students. (CFR)

  8. Creating Tech Wizards: Tech-Savvy Students Help Teachers Transform Practice

    ERIC Educational Resources Information Center

    Breiner, Beth

    2009-01-01

    In eastern Pennsylvania, middle schoolers are teaching the teachers how to use technology effectively in the classroom. This article describes the Technology Wizards program which was developed by the Carbon Lehigh Intermediate Unit's Department of Instructional Innovation. It is a radical departure from traditional educational professional…

  9. Increasing Student Participation in Science Fair Competitions

    ERIC Educational Resources Information Center

    Miles, Rhea

    2012-01-01

    In the summer of 2009, 22 African American middle school students in eastern North Carolina became participants in the Reach Up program to increase the number of underrepresented students participating in science-, technology-, engineering-, and mathematics-related activities. One of the goals of the program was for these students to participate…

  10. Strategizing Control of the Academy

    ERIC Educational Resources Information Center

    Roy, Sara

    2005-01-01

    Attacks on academic freedom are very prevelant on college campuses nationwide. Attacks are directed at academic freedom generally but the most specific and virulent is reserved for those educators--both Jewish and non-Jewish--in area studies, and notably, Middle Eastern studies whose ideas are considered anti-Israel, anti-Semitic or anti-American.…

  11. European Science Notes Information Bulletin Reports on Current European/ Middle Eastern Science

    DTIC Science & Technology

    1991-01-01

    Pirelli SpaI Developmentof Passive Faes E Optc-ElectronlcSensorsfor Sistemas E Instrumentacion SA E Measurementsand Diagnostics In Univ. Politecnica...electronics, and microfabrication may In a companion presentation, H. Kirk, BNL, described have the same or larger impact on accelerators of the 21st the

  12. Pulicaria jaubertii extract prevents triglyceride deposition in 3T3-L1 adipocytes

    USDA-ARS?s Scientific Manuscript database

    Currently, levels of obesity in Middle Eastern countries are increasing. Phytochemicals have anti-obesogenic properties as evidenced by prevention of adipocyte differentiation. In Yemen, Pulicaria jaubertii E.Gamal-Eldin (PJ) is a food additive and a traditional medicine. We tested the ability of ex...

  13. Disparities in economic development in Eastern China: impact on nutritional status of adolescents.

    PubMed

    Hesketh, Therese; Ding, Qu Jian; Tomkins, Andrew M

    2002-04-01

    To compare the effects of disparities in economic development in urban and rural Eastern China on the nutritional status of adolescents. A cross-sectional survey consisting of self-completion questionnaires, anthropometry and haemoglobin measurement. Twelve middle schools in an urban and a rural area of Zhejiang Province: Hangzhou, the capital, and Chunan, a poor mountainous area. Some 4835 young adolescents (predominant age range 13-16 years). The mean body mass index (BMI) was significantly higher in urban Hangzhou (P = 0.01) Overweight affected 3.6% overall; adjusted odds ratios (ORs) showed male sex (OR 2.1, 95% confidence interval (CI) 1.1-3.4) and urban residence (OR 9.1, 95% CI 3.7-22) to be the most important risk factors. The prevalence of underweight was 18%, with no significant urban-rural difference. Predictors of underweight were male sex (OR 1.5, 95% CI 1.1-2.0) and low household income (OR, 1.3, 95% CI 1.1-1.5). Mean haemoglobin was significantly lower in the rural area. Anaemia was more common in girls, 51% compared with 21% of the boys, but rural residence was not an independent risk factor. Rural students exercised more and had a less varied diet than their urban counterparts. Around one-third of the respondents consumed dietary supplements on a regular basis. These results suggest that in urban areas of Eastern China a dual picture is emerging with the problems of excess (overweight and obesity) coexisting with underweight and anaemia. In rural areas the problems of relative nutritional deprivation predominate, but the long-term consequences of such marginal underweight and anaemia are not clear.

  14. Genome-Wide Diversity in the Levant Reveals Recent Structuring by Culture

    PubMed Central

    Haber, Marc; Gauguier, Dominique; Youhanna, Sonia; Patterson, Nick; Moorjani, Priya; Botigué, Laura R.; Platt, Daniel E.; Matisoo-Smith, Elizabeth; Soria-Hernanz, David F.; Wells, R. Spencer; Bertranpetit, Jaume; Tyler-Smith, Chris

    2013-01-01

    The Levant is a region in the Near East with an impressive record of continuous human existence and major cultural developments since the Paleolithic period. Genetic and archeological studies present solid evidence placing the Middle East and the Arabian Peninsula as the first stepping-stone outside Africa. There is, however, little understanding of demographic changes in the Middle East, particularly the Levant, after the first Out-of-Africa expansion and how the Levantine peoples relate genetically to each other and to their neighbors. In this study we analyze more than 500,000 genome-wide SNPs in 1,341 new samples from the Levant and compare them to samples from 48 populations worldwide. Our results show recent genetic stratifications in the Levant are driven by the religious affiliations of the populations within the region. Cultural changes within the last two millennia appear to have facilitated/maintained admixture between culturally similar populations from the Levant, Arabian Peninsula, and Africa. The same cultural changes seem to have resulted in genetic isolation of other groups by limiting admixture with culturally different neighboring populations. Consequently, Levant populations today fall into two main groups: one sharing more genetic characteristics with modern-day Europeans and Central Asians, and the other with closer genetic affinities to other Middle Easterners and Africans. Finally, we identify a putative Levantine ancestral component that diverged from other Middle Easterners ∼23,700–15,500 years ago during the last glacial period, and diverged from Europeans ∼15,900–9,100 years ago between the last glacial warming and the start of the Neolithic. PMID:23468648

  15. Saudi Arabian nurses' experiences of studying Masters degrees in Australia.

    PubMed

    Clerehan, R; McCall, L; McKenna, L; Alshahrani, K

    2012-06-01

    This paper presents findings from a study which explored a group of Saudi Arabian nurses' experiences of studying for a Masters degree in Australia. Arab states in the Middle East, Saudi Arabia in particular, have high expatriate nursing populations, and governments in the region have allocated considerable funding to up-skilling their health workforce, often at Western universities. However, there has been little research into the learning experiences of nursing students from Middle East nations. A descriptive qualitative study design was used. Middle Eastern students undertaking Masters courses in a School of Nursing and Midwifery at one Australian university were invited to participate in a semi-structured interview. Ten Saudi students participated and data were analysed using content analysis. Students experienced challenges related to the transition to very different forms of study; to managing relationships and family. They were resourceful, employing strategies to manage multiple demands, including differences in culture, and stressed the significance of strong personal relationships with staff. Students acknowledged being changed, even transformed, by their experience, and saw themselves as future change agents. Highly skilled local nursing professionals are being sought in many Middle Eastern countries and may undertake post-graduate studies in Western contexts quite different from their own. Students reported that, in spite of difficulties, their experience prompted transformational change: intellectually, psychologically and developmentally. It is necessary for staff to understand expectations and learning preferences of these students to ensure fruitful learning outcomes and benefits to nursing in their home countries. © 2011 The Authors. International Nursing Review © 2011 International Council of Nurses.

  16. Some contrasting biostratigraphic links between the Baker and Olds Ferry Terranes, eastern Oregon

    USGS Publications Warehouse

    Nestell, Merlynd K.; Blome, Charles D.

    2016-01-01

    New stratigraphic and paleontologic data indicate that ophiolitic melange windows in the Olds Ferry terrane of eastern Oregon contain limestone blocks and chert that are somewhat different in age than those present in the adjacent Baker terrane melange. The melange windows in the Olds Ferry terrane occur as inliers in the flyschoid Early and Middle Jurassic age Weatherby Formation, which depositionally overlies the contact between the melange-rich Devonian to Upper Triassic rocks of the Baker terrane on the north, and Upper Triassic and Early Jurassic volcanic arc rocks of the Huntington Formation on the south. The Baker terrane and Huntington Formation represent fragments of a subduction complex and related volcanic island arc, whereas the Weatherby Formation consists of forearc basin sedimentary deposits. The tectonic blocks in the melange windows of the Weatherby Formation (in the Olds Ferry terrane) are dated by scarce biostratigraphic evidence as Upper Pennsylvanian to Lower Permian and Upper Triassic. In contrast, tectonic blocks of limestone in theBaker terrane yield mostly fusulinids and small foraminifers of Middle Pennsylvanian Moscovian age at one locality.Middle Permian (Guadalupian) Tethyan fusulinids and smaller foraminifers (neoschwagerinids and other Middle Permian genera) are present at a few other localities. Late Triassic conodonts and bryozoans are also present in a few of the Baker terrane tectonic blocks. These limestone blocks are generally embedded in Permian and Triassic radiolarian bearing chert or argillite. Based on conodont, radiolarian and fusulinid data, the age limits of the meange blocks in the Weatherby Formation range from Pennsylvanian to Late Triassic.

  17. Molecular phylogeny of the tribe Torini Karaman, 1971 (Actinopterygii: Cypriniformes) from the Middle East and North Africa.

    PubMed

    Borkenhagen, Kai

    2017-02-22

    Freshwater fishes of the cyprinid tribe Torini are widespread in Africa the Middle East and Indomalaya. The relationships of Middle-Eastern Torini are analysed based on mitochondrial markers (Cyt b, ND4) of the majority of relevant species. I present a larely well resolved phylogeny, which confirms the validity of the morphologically defined genera Arabibarbus, Carasobarbus, Mesopotamichthys and Pterocapoeta. The Torini originated in Indomalaya and colonised Africa via the Middle East. Morocco was colonised two times independently, first from sub-Saharan Africa and secondly along the southern margin of the Mediterranean Sea. The Tigris-Euphrates system is an important crossroad for the colonisation of the Jordan River, the Orontes River and the watercourses of the Arabian Peninsula by freshwater fishes. The Jordan lost its connection to the Euphrates earlier than the Orontes. The Arabian Peninsula was colonised from the Tigris-Euphrates system in at least two independent events.

  18. The RIPASA score is sensitive and specific for the diagnosis of acute appendicitis in a western population.

    PubMed

    Malik, Muhammad Usman; Connelly, Tara M; Awan, Faisal; Pretorius, Frederik; Fiuza-Castineira, Constantino; El Faedy, Osama; Balfe, Paul

    2017-04-01

    The definitive diagnosis of acute appendicitis (AA) requires histopathological examination. Various clinical diagnostic scoring systems attempt to reduce negative appendectomy rates. The most commonly used in Western Europe and the USA is the Alvarado score. The Raja Isteri Pengiran Anak Saleha appendicitis (RIPASA) score achieves better sensitivity and specificity in Asian and Middle Eastern populations. We aimed to determine the diagnostic accuracy of the RIPASA score in Irish patients with AA. All patients who presented to our institution with right iliac fossa pain and clinically suspected AA between January 1 and December 31, 2015, were indentified from our hospital inpatient enquiry database and retrospectively studied. Operating theatre records and histology reports confirmed those who underwent a non-elective operative procedure and the presence or absence of AA. SPSS version 22 was used for statistical analysis. Standard deviation is provided where appropriate. Two hundred eight patients were included in the study (106/51% male, mean age 22.7 ± 9.2 years). One hundred thirty-five (64.9%) had histologically confirmed AA (mean symptom duration = 36.19 ± 15.90 h). At a score ≥7.5, the previously determined score most likely associated with AA in Eastern populations, the RIPASA scoring system demonstrated a sensitivity of 85.39%, specificity of 69.86%, positive predictive value of 84.06%, negative predictive value of 72.86% and diagnostic accuracy of 80% in our cohort. The RIPASA score is a useful tool to aid in the diagnosis of acute appendicitis in the Irish population. A score of ≥7.5 provides sensitivity and specificity exceeding that previously documented for the Alvarado score in Western populations. WHAT DOES THIS PAPER ADD TO THE LITERATURE?: This is the first study evaluating the utility of the RIPASA score in predicting acute appendicitis in a Western population. At a value of 7.5, a cut-off score suggestive of appendicitis in the Eastern population, RIPASA demonstrated a high-sensitivity, specificity, positive predictive value and diagnostic accuracy in our cohort and was more accurate than the commonly used Alvarado score.

  19. Systematic review of breast cancer biology in developing countries (part 2): asian subcontinent and South East Asia.

    PubMed

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

    2011-05-13

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

  20. Welfare State Regimes, Gender, and Depression: A Multilevel Analysis of Middle and High Income Countries

    PubMed Central

    Chung, Haejoo; Ng, Edwin; Ibrahim, Selahadin; Karlsson, Björn; Benach, Joan; Espelt, Albert; Muntaner, Carles

    2013-01-01

    Using the 2002 World Health Survey, we examine the association between welfare state regimes, gender and mental health among 26 countries classified into seven distinct regimes: Conservative, Southeast Asian, Eastern European, Latin American, Liberal, Southern/Ex-dictatorship, and Social Democratic. A two-level hierarchical model found that the odds of experiencing a brief depressive episode in the last 12 months was significantly higher for Southern/Ex- dictatorship countries than for Southeast Asian (odds ratio (OR) = 0.12, 95% confidence interval (CI) 0.05–0.27) and Eastern European (OR = 0.36, 95% CI 0.22–0.58) regimes after controlling for gender, age, education, marital status, and economic development. In adjusted interaction models, compared to Southern/Ex-dictatorship males (reference category), the odds ratios of depression were significantly lower among Southeast Asian males (OR = 0.16, 95% CI 0.08–0.34) and females (OR = 0.23, 95% CI 0.10–0.53) and Eastern European males (OR = 0.41, 95% CI 0.26–0.63) and significantly higher among females in Liberal (OR = 2.00, 95% CI 1.14–3.49) and Southern (OR = 2.42, 95% CI 1.86–3.15) regimes. Our results highlight the importance of incorporating middle-income countries into comparative welfare regime research and testing for interactions between welfare regimes and gender on mental health. PMID:23538729

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

    PubMed Central

    2010-01-01

    Background Existing questionnaires to assess barriers against consultation for urinary incontinence (UI) are not appropriate for use in the Middle East culture. The aim of this study was to explore barriers against seeking help for UI and introducing a questionnaire that assess these barriers among those women. This is important before proceeding to any educational programs or having interval clinical audits to help incontinent women. Methods 1- Screening for UI. Women - aged 20 years and older, attending the outpatient Urology and Gynaecology clinics were invited to participate and interviewed by a research nurse. The UDI-6 was administered to assess the presence and type of UI. Women with UI as their chief complaint were excluded. 2- Interviewing study subjects for possible barriers. Subjects who had UI - as determined by the UDI-6-were first asked an open question "what prevented you from seeking medical consultation for urine leakage?"." They were then asked the proposed questions to assess possible barriers. We developed a preliminary questionnaire based on a review of reasons for not seeking incontinence care from the literature and the response of UI sufferers to the open question in this study. The questionnaire was modified many times to reach this final form. 3- Pilot Study to assess characteristics of the questionnaire. Validity and reliability of the final version of the questionnaire were assessed in a small pilot study including 36 women who completed questionnaire at initial visit and again after 2 weeks. Results Of the 1231 subjects who agreed to participate in the study, 348 reported having UI. About 80% of incontinent women have never sought medical advice. Factors significantly associated with seeking help were husband encouragement, prayer affection and having severe UI. Common barriers were embarrassment and assuming UI as a normal part of aging. A pilot study included 36 women to assess the psychometric properties of the questionnaire after modifying it. The number of missing or not interpretable responses per item ranged from 2.2% to 8.7%. Internal consistency of the items was good. The test-retest reliability of individual items of the questionnaire was variable, with weighted kappa statistics ranging from 0.32 to 0.94 (median, 0.76, p 0.000). Conclusions Preliminary data on our proposed questionnaire show that it is an easy to administer, stable and suits the Middle Eastern culture. PMID:20105307

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

    PubMed

    El-Azab, Ahmed S; Shaaban, Omar M

    2010-01-27

    Existing questionnaires to assess barriers against consultation for urinary incontinence (UI) are not appropriate for use in the Middle East culture. The aim of this study was to explore barriers against seeking help for UI and introducing a questionnaire that assess these barriers among those women. This is important before proceeding to any educational programs or having interval clinical audits to help incontinent women. 1- Screening for UI. Women - aged 20 years and older, attending the outpatient Urology and Gynaecology clinics were invited to participate and interviewed by a research nurse. The UDI-6 was administered to assess the presence and type of UI. Women with UI as their chief complaint were excluded. 2- Interviewing study subjects for possible barriers. Subjects who had UI - as determined by the UDI-6-were first asked an open question "what prevented you from seeking medical consultation for urine leakage?"." They were then asked the proposed questions to assess possible barriers. We developed a preliminary questionnaire based on a review of reasons for not seeking incontinence care from the literature and the response of UI sufferers to the open question in this study. The questionnaire was modified many times to reach this final form. 3- Pilot Study to assess characteristics of the questionnaire. Validity and reliability of the final version of the questionnaire were assessed in a small pilot study including 36 women who completed questionnaire at initial visit and again after 2 weeks. Of the 1231 subjects who agreed to participate in the study, 348 reported having UI. About 80% of incontinent women have never sought medical advice. Factors significantly associated with seeking help were husband encouragement, prayer affection and having severe UI. Common barriers were embarrassment and assuming UI as a normal part of aging. A pilot study included 36 women to assess the psychometric properties of the questionnaire after modifying it. The number of missing or not interpretable responses per item ranged from 2.2% to 8.7%. Internal consistency of the items was good. The test-retest reliability of individual items of the questionnaire was variable, with weighted kappa statistics ranging from 0.32 to 0.94 (median, 0.76, p 0.000). Preliminary data on our proposed questionnaire show that it is an easy to administer, stable and suits the Middle Eastern culture.

  3. Fire in Eastern Hardwood Forests through 14,000 Years

    Treesearch

    Martin A. Spetich; Roger W. Perry; Craig A. Harper; Stacy L. Clark

    2011-01-01

    Fire helped shape the structure and species composition of hardwood forests of the eastern United States over the past 14,000 years. Periodic fires were common in much of this area prior to European settlement, and fire-resilient species proliferated. Early European settlers commonly adopted Native American techniques of applying fire to the landscape. As the demand...

  4. Skeleton decay in red cedar

    Treesearch

    Kevin T. Smith; Jessie A. Glaeser

    2013-01-01

    Eastern red cedar (Juniperus virginiana) is a common tree species throughout the eastern United States and the Great Plains. Although “cedar” is in the common name, the scientifc name shows a botanical kinship to the juniper species of the American southwest. Red cedar can survive and thrive within a broad range of soil conditions, seasonal...

  5. Most common road safety engineering deficiencies in South Eastern Europe as a part of safe system approach

    NASA Astrophysics Data System (ADS)

    Jovanov, D.; Vollpracht, H. J.; Beles, H.; Popa, V.; Tolea, B. A.

    2017-10-01

    Most common road safety engineering deficiencies identified by the authors in South Eastern Europe, including Romania, have been collected together and presented in this paper as a part of road safety unbreakably connected to the safe system approach (driver-vehicle-road). In different South Eastern Europe countries Road Safety Audit (RSA), Road Safety Inspection (RSI), as well as Black Spot Management (BSM) was introduced and practical implementation experience enabled the authors to analyze the road safety problems. Typical road safety engineering deficiencies have been presented in 8 different subsections, based on PIARC (World Road Association) RSA approach. This paper presents collected common road safety problems with relevant illustrations (real pictures) with associated accident risks.

  6. Lower and lower Middle Pennsylvanian coal palynofloras, southwestern Virginia

    USGS Publications Warehouse

    Eble, C.F.

    1996-01-01

    Lower and lower Middle Pennsylvanian coals, recovered from an exploratory drilling program in southwestern Virginia, were analyzed for their palynomorph content. Results show them to be dominated by spores produced by arboreous lycopsids. Lycospora pellucida and Lycospora pusilla generally are the most common species, with others, namely Lycospora granulata, L. micropapillata and Lycospora orbicula being locally abundant. Densosporites, Cristatisporites, Radiizonates and Cingulizonates, representing small lycopsids, and Granulatisporites, produced by small ferns, and perhaps some pteridosperms typically are sub-dominant taxa. The recovered palynofloras are similar in overall composition making individual coal bed identification and correlation very difficult, if not impossible. However, the introduction and extinction of a few forms do assist the correlation of packages of strata, on both an intra- and interbasinal scale. Dictyotriletes bireticulatus is first observed in basal Lee Formation strata, at about the level of the Cove Creek coal bed. Radiizonates aligerans and R. striatus also appear more abundantly at this level, although some forms have been observed in older, Pocahontas Formation coals. This level essentially coincides with the Namurian C/Westphalian A boundary, based on plant megafossil evidence. Laevigatosporites minor, L. vulgaris, Endosporites globiformis, E. zonalis and Granasporites medius are first seen consistently just above the Sewell coal bed. Radiizonates aligerans, R. striatus and Densosporites irregularis are last seen in the early Middle Pennsylvanian, at about the level of the Splash Dam coal bed. Schulzospora rara occurs throughout Early and early Middle Pennsylvanian strata, and is last seen in the Manchester coal. The Manchester is directly overlain by the Betsie Shale, a widespread marine unit; the base of the Betsie marks the Westphalian A/B contact. When compared with palynomorph assemblage zonations published for the Western Interior, and Eastern Interior Basins, Early and early Middle Pennsylvanian palynofloras from the Central Appalachian Basin compare most favorably with early Morrowan strata. Analysis of bench samples indicates that Lycospora typically dominates basal and middle portions of Early and early Middle Pennsylvanian coals. More terminal layers often contain higher percentages of Granulatisporites (and related trilete, sphaerotriangular genera, e.g. Lophotriletes, Acanthotriletes, Deltoidspora) and Densosporites (and related trilete, crassicingulate genera, e.g. Cristatisporites, Cingulizonates, Radiizonates). This temporal change is consistently observed and may primarily reflect a water table change within the paleomires from consistently high (covered with water or at least water-logged most of the time) to intermittently low (occasional substrate exposure).

  7. Composition of gaseous organic carbon during ECOCEM in Beirut, Lebanon: new observational constraints for VOC anthropogenic emission evaluation in the Middle East

    NASA Astrophysics Data System (ADS)

    Salameh, Thérèse; Borbon, Agnès; Afif, Charbel; Sauvage, Stéphane; Leonardis, Thierry; Gaimoz, Cécile; Locoge, Nadine

    2017-01-01

    The relative importance of eastern Mediterranean emissions is suspected to be largely underestimated compared to other regions worldwide. Here we use detailed speciated measurements of volatile organic compounds (VOCs) to evaluate the spatial heterogeneity of VOC urban emission composition and the consistency of regional and global emission inventories downscaled to Lebanon (European Monitoring and Evaluation Programme, EMEP; Atmospheric Chemistry and Climate Model Intercomparison Project, ACCMIP; and MACCity, Monitoring Atmospheric Composition and Climate and megaCITY Zoom for the Environment). The assessment was conducted through the comparison of the emission ratios (ERs) extracted from the emission inventories to the ones obtained from the hourly observations collected at a suburban site in Beirut, Lebanon, during summer and winter ECOCEM (Emissions and Chemistry of Organic Carbon in the Eastern Mediterranean) campaigns. The observed ERs were calculated using two independent methods. ER values from both methods agree very well and are comparable to the ones of the road transport sector from near-field measurements for more than 80 % of the species. There is no significant seasonality in ER for more than 90 % of the species, unlike the seasonality usually observed in other cities worldwide. Regardless of the season, ERs agree within a factor of 2 between Beirut and other representative cities worldwide, except for the unburned fuel fraction and ethane. ERs of aromatics (except benzene) are higher in Beirut compared to northern post-industrialized countries and even the Middle Eastern city Mecca. The comparison of the observed ER to the ones extracted from the ACCMIP and MACCity global emission inventories suggests that the overall speciation of anthropogenic sources for major hydrocarbons that act as ozone and secondary organic aerosol (SOA) precursors in ACCMIP is better represented than other species. The comparison of the specific road transport ERs, relative to acetylene derived from near-field measurements, to ERs from ACCMIP and EMEP emission inventories for the road transport sector showed that ERs of more reactive species are usually consistent within a factor of 2 with EMEP, while xylenes and toluene are underestimated by over a factor of 2 by ACCMIP. The observed heterogeneity of anthropogenic VOC emission composition between Middle Eastern cities can be significant for reactive VOCs but is not depicted by global emission inventories. This suggests that systematic and detailed measurements are needed in the eastern Mediterranean Basin in order to better constrain emission inventory.

  8. Synthesis on Quaternary aeolian research in the unglaciated eastern United States

    USGS Publications Warehouse

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

    2015-01-01

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

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

    PubMed

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

    2013-01-01

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

  10. Seismic signature of the Alpine indentation, evidence from the Eastern Alps

    PubMed Central

    Bianchi, I.; Bokelmann, G.

    2014-01-01

    The type of collision between the European and the Adriatic plates in the easternmost Alps is one of the most interesting questions regarding the Alpine evolution. Tectonic processes such as compression, escape and uplift are interconnected and shape this area. We can understand these ongoing processes better, if we look for signs of the deformation within the Earth's deep crust of the region. By collecting records from permanent and temporary seismic networks, we assemble a receiver function dataset, and analyze it with the aim of giving new insights on the structure of the lower crust and of the shallow portion of the upper mantle, which are inaccessible to direct observation. Imaging is accomplished by performing common conversion depth stacks along three profiles that crosscut the Eastern Alpine orogen, and allow isolating features consistently persistent in the area. The study shows a moderately flat Moho underlying a seismically anisotropic middle-lower crust from the Southern Alps to the Austroalpine nappes. The spatial progression of anisotropic axes reflects the orientation of the relative motion and of the stress field detected at the surface. These observations suggest that distributed deformation is due to the effect of the Alpine indentation. In the shallow upper mantle right below the Moho interface, a further anisotropic layer is recognized, extended from the Bohemian Massif to the Northern Calcareous Alps. PMID:26525181

  11. Population structure and demographic history of a tropical lowland rainforest tree species Shorea parvifolia (Dipterocarpaceae) from Southeastern Asia.

    PubMed

    Iwanaga, Hiroko; Teshima, Kosuke M; Khatab, Ismael A; Inomata, Nobuyuki; Finkeldey, Reiner; Siregar, Iskandar Z; Siregar, Ulfah J; Szmidt, Alfred E

    2012-07-01

    Distribution of tropical rainforests in Southeastern Asia has changed over geo-logical time scale, due to movement of tectonic plates and/or global climatic changes. Shorea parvifolia is one of the most common tropical lowland rainforest tree species in Southeastern Asia. To infer population structure and demographic history of S. parvifolia, as indicators of temporal changes in the distribution and extent of tropical rainforest in this region, we studied levels and patterns of nucleotide polymorphism in the following five nuclear gene regions: GapC, GBSSI, PgiC, SBE2, and SODH. Seven populations from peninsular Malaysia, Sumatra, and eastern Borneo were included in the analyses. STRUCTURE analysis revealed that the investigated populations are divided into two groups: Sumatra-Malay and Borneo. Furthermore, each group contained one admixed population. Under isolation with migration model, divergence of the two groups was estimated to occur between late Pliocene (2.6 MYA) and middle Pleistocene (0.7 MYA). The log-likelihood ratio tests of several demographic models strongly supported model with population expansion and low level of migration after divergence of the Sumatra-Malay and Borneo groups. The inferred demographic history of S. parvifolia suggested the presence of a scarcely forested land bridge on the Sunda Shelf during glacial periods in the Pleistocene and predominance of tropical lowland rainforest at least in Sumatra and eastern Borneo.

  12. Seismic signature of the Alpine indentation, evidence from the Eastern Alps.

    PubMed

    Bianchi, I; Bokelmann, G

    2014-12-01

    The type of collision between the European and the Adriatic plates in the easternmost Alps is one of the most interesting questions regarding the Alpine evolution. Tectonic processes such as compression, escape and uplift are interconnected and shape this area. We can understand these ongoing processes better, if we look for signs of the deformation within the Earth's deep crust of the region. By collecting records from permanent and temporary seismic networks, we assemble a receiver function dataset, and analyze it with the aim of giving new insights on the structure of the lower crust and of the shallow portion of the upper mantle, which are inaccessible to direct observation. Imaging is accomplished by performing common conversion depth stacks along three profiles that crosscut the Eastern Alpine orogen, and allow isolating features consistently persistent in the area. The study shows a moderately flat Moho underlying a seismically anisotropic middle-lower crust from the Southern Alps to the Austroalpine nappes. The spatial progression of anisotropic axes reflects the orientation of the relative motion and of the stress field detected at the surface. These observations suggest that distributed deformation is due to the effect of the Alpine indentation. In the shallow upper mantle right below the Moho interface, a further anisotropic layer is recognized, extended from the Bohemian Massif to the Northern Calcareous Alps.

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

    NASA Astrophysics Data System (ADS)

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

    2012-11-01

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

  14. The role of birds in the epizootiology of eastern encephalitis

    USGS Publications Warehouse

    Herman, C.M.

    1962-01-01

    Eastern encephalitis is a disease of horses, man, birds, and reptiles caused by a virus that in some hosts results in an inflammation of the brain. The causative virus belongs to a group classified as mosquito-borne encephalitides. This disease, more commonly called eastern equine encephalitis in the past, occurs from Wisconsin and Texas to the Atlantic coast and is particularly prevalent on our eastern seaboard.

  15. An in situ occurrence of coal balls in the Amburgy coal bed, Pikeville Formation (Duckmantian), central Appalachian Basin, USA

    USGS Publications Warehouse

    Greb, S.F.; Eble, C.F.; Chesnut, D.R.; Phillips, T.L.; Hower, J.C.

    1999-01-01

    Carbonate concretions containing permineralized peat, commonly called coal balls, were encountered in the Amburgy coal, a generally low-ash (9.4%), but commonly high-sulfur (3.6%), Middle Pennsylvanian coal of the Eastern Kentucky Coal Field. These are the first coal balls from the Amburgy coal, and one of only a few reported occurrences from the central Appalachian Basin. The coal balls occur in the upper part of the coal, between two paleochannel cut-outs at the top of the Pikeville Formation, and immediately beneath a scour with a marine fossil lag at the base of the Kendrick Shale Member, Hyden Formation. The coal is thickest (1.3 m) in a narrow (<300 m), elongate depression between the bounding paleochannels, and thins toward the occurrence of coal balls. Total biovolume as measured from acetate peels of coal balls indicates cordaites or lycopsid (36.1% each) dominance. Vertical sampling through one coal-ball aggregate shows zoning from a lower cordaites-dominant (88.7%) assemblage, to a middle, degraded, sphenopsid-rich assemblage, to an upper lycopsid-dominant (88.6%) assemblage. Beneath the coal balls, palynologic and petrographic analyses indicate the basal and middle portions of the bed are dominated by arborescent lycopsid spores and cordaites pollen, and by vitrinite macerals. The top part of the bed, above the coal balls, contains increased intertinite macerals, increased percentages of small fern spores, and variable ash yield (5-21%). Thickening of the Amburgy coal along a structural low, in combination with basal high-ash yields, vitrinite-dominance, and heterogenous palynoflora, indicate paleotopographic control on initial peat accumulation. Abundant lycopsid spores in the basal and middle part of the coal reflect rheotrophic conditions consistent with accumulation in a paleotopographic depression. Apparent zonation preserved in one of the coal-ball masses may document plant successions in response to flooding. Similar percentages of cordaites and lycopods, respectively, in the zones above and below the degraded incursion interval reflect development of a mixed, successional pattern in response to the flooding. Coal-ball formation may have been facilitated by channeling along the Kendrick ravinement, within a paleotopographic depression, at the split margin of the Amburgy peat, either through direct transmittal of carbonates and marine waters into the peat, or through degassing of the peat beneath the scour.

  16. Latitudinal gradients in tertiary molluscan faunas of the Pacific coast

    USGS Publications Warehouse

    Addicott, W.O.

    1970-01-01

    Tertiary molluscan faunas of the middle latitudes of the marginal eastern North Pacific are characterized by warm-water taxa whose descendants now live in more southerly latitudes. A series of profiles in which cumulative percentages of warm-water faunal elements are plotted against latitude show progressive northward decreases in the percentage of these elements in the faunas of Pacific coast Tertiary stages. Systematic changes in the relative position of these latitudinal gradients during the Middle and Late Tertiary are related to climatic change in the Pacific Basin. Widespread tropical marine climate in the middle latitudes of the eastern North Pacific during the Eocene is indicated by widespread faunal units characterized by high levels of taxonomic diversity. Succeeding Early Oligocene faunas are less diverse, suggesting cooler climatic conditions. Unusually low representations of warm-water genera characterize the molluscan faunas of the Acila shumardi Zone in central California (latitude 34??-37??N). The anomalously cool-water aspect of these faunas may record the occurrence of upwelling along a bold linear segment of the Pacific coast. During the Late Oligocene or the Early Miocene, they are replaced by faunas of unusually warm-water aspect resulting in positive anomalies in Miocene latitudinal faunal gradients in central California. The Miocene anomalies seem to result from the development of an irregular Neogene coastline with extensive, newly established shallow-water embayments. ?? 1970.

  17. Female Genital Mutilation as a Concern for Special Operations and Tactical Emergency Medical Support Medics.

    PubMed

    Wittich, Arthur C

    Female genital mutilation (FGM), frequently called female genital cutting or female circumcision, is the intentional disfigurement of the external genitalia in young girls and women for the purpose of reducing libido and ensuring premarital virginity. This traditional, nontherapeutic procedure to suppress libido and prevent sexual intercourse before marriage has been pervasive in Northern Africa, the Middle East, and the Arabian peninsula for over 2,500 years. FGM permanently destroys the genital anatomy while frequently causing multiple and serious complications. The International Federation of Gynecology and Obstetrics proposed a classification system of FGM according to the specific genital anatomy removed and the extensiveness of genital disfigurement. Although it has been ruled illegal in most countries, FGM continues to be performed worldwide. With African, Asian, and Middle Eastern immigration to the United States and Europe, western countries are experiencing FGM in regions where these immigrants have concentrated. As deployments of Special Operations Forces (SOF) increase to regions in which FGM is pervasive, and as African, Asian, and Middle Eastern immigration to the United States increases, SOF and Tactical Emergency Medical Support (TEMS) medics will necessarily be called upon to evaluate and treat complications resulting from FGM. The purpose of this article is to educate SOF/TEMS medical personnel about the history, geographic regions, classification of procedures, complications, and medical treatment of patients with FGM. 2017.

  18. Skate Bathyraja spp. egg predation in the eastern Bering Sea.

    PubMed

    Hoff, G R

    2009-01-01

    Predation on skate eggs by snails was examined for three skate species at seven nursery sites in three regions (north, middle and south) of the eastern Bering Sea. Mean predation levels were 6.46% for the Alaska skate Bathyraja parmifera, 2.65% for the Aleutian skate Bathyraja aleutica and 22.25% for the Bering skate Bathyraja interrupta. Predation levels were significantly higher at the middle and north sites than the south sites for all species combined. Predation levels decreased with increasing egg-case densities at all nursery sites, and the highest predation levels occurred where egg-case densities were very low. Predated egg-case density increased with increasing snail densities across all nursery sites examined. The Oregon triton Fusitriton oregonensis was the most abundant snail species at all nursery sites and displayed ability to drill holes in the egg case of B. parmifera. Holes left by predatory snails in egg cases of B. parmifera were significantly larger, and of different shape at the middle site compared to the south site. Holes in B. parmifera were also significantly larger than those in egg cases of B. interrupta across all sites examined. Egg cases of B. aleutica possess surface spines that cover the egg case and may inhibit predation by snails at a greater rate than that of the B. parmifera and B. interrupta, which have a smoother egg-case surface.

  19. New data on Eimeria dicentrarchi (Apicomplexa: Eimeriidae), a common parasite of farmed European sea bass (Dicentrarchus labrax) from the mid-eastern Adriatic

    USDA-ARS?s Scientific Manuscript database

    This study extends the original description of Eimeria dicentrarchi Daoudi and Marquès, 1987, a common coccidian parasite of European sea bass from the mid-eastern Adriatic, by providing insights into the parasite’s site of infection, development and pathogenicity. E. dicentrarchi was found in vario...

  20. Atlas of current and potential future distributions of common trees of the eastern United States

    Treesearch

    Louis R. Iverson; Anantha M. Prasad; Betsy J. Hale; Elaine Kennedy Sutherland

    1999-01-01

    This atlas documents the current and possible future distribution of 80 common tree species in the Eastern United States and gives detailed information on environmental characteristics defining these distributions. Also included are outlines of life history characteristics and summary statistics for these species. Much of the data are derived from Forest Inventory and...

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