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1.
Rev. bras. estud. popul ; 36: e0086, 2019. tab, graf
Artigo em Português | LILACS (Américas) | ID: biblio-1042238

RESUMO

O artigo busca explorar os condicionantes e características distintivas da inserção socioeconômica de sírios e libaneses no interior paulista, entre as décadas de 1880 e 1950. Do início difícil como mascates, portadores de uma cultura distante, os sírios e libaneses lograram se firmar como comerciantes, aproveitando as oportunidades que suas redes (de parentes e conterrâneos) e a economia cafeeira em expansão ofereciam, estabelecendo-se sobretudo nos ramos de roupas, tecidos e armarinhos de secos e molhados e de gado e cereais. Tomando como fonte principal uma série de obras - acadêmicas e memorialísticas -, nas quais o imigrante sírio e libanês é retratado no interior, o artigo indica ainda as principais regiões do oeste paulista nas quais o grupo se concentrou, discute trajetórias que ilustram algumas das possibilidades de mobilidade, a formação de lideranças, o modo como as práticas religiosas se transformaram e a mobilidade acentuada - como doutores e políticos - conquistada por estratos da primeira geração nascida no Brasil.


The article seeks to explore the conditions and distinctive characteristics of the socioeconomic insertion of Syrians and Lebanese in the interior of São Paulo between the 1880s and 1950s. From the difficult beginning as peddlers with a distant culture, Syrians and Lebanese managed to establish themselves as merchants, seizing the opportunities that their networks (of relatives and of countrymen) and the expanding coffee economy offered, establishing themselves mainly in the sectors of clothing, linen and fabrics, cattle and cereals. Taking as main source a series of works in which the Syrian and Lebanese immigrants are portrayed in the interior, the article also indicates the main regions of west of São Paulo where the group mainly concentrated, and discusses trajectories which illustrate some of the possibilities of mobility, formation of leadership, the way religious practices have been transformed and the marked mobility - as doctors and politicians - achieved by strata of the first generation born in Brazil.


El artículo busca explorar los condicionantes y las características distintivas de la inserción socioeconómica de sirios y libaneses en el interior paulista entre la década del ochenta del siglo XIX y la del cincuenta del siglo XX. Del inicio difícil como vendedores ambulantes, portadores de una cultura distante, los sirios y libaneses lograron establecerse como comerciantes, aprovechando las oportunidades que sus redes;de parientes y de compatriotas; y que la economía cafetalera en expansión ofrecía se establecieron sobre todo en las ramas de ropa y tejidos, de mercería, y de ganado y cereales. Tomando como fuente principal una serie de obras en las que el inmigrante sirio y libanés es retratado en el interior, el artículo indica además las principales regiones del oeste paulista en las que el grupo se concentró, discute trayectorias que ilustran algunas de las posibilidades de movilidad, la formación de los líderes, el modo en que las prácticas religiosas se transformaron y la movilidad acentuada;como doctores y como políticos; conquistada por estratos de la primera generación nacida en Brasil.


Assuntos
Humanos , Classe Social , Síria/etnologia , Revisão , Comércio , Emigração e Imigração , Líbano , Religião , Mobilidade Social , Migrantes , Desenvolvimento Econômico , Árabes , Características Culturais , Mercado de Trabalho
2.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-766192

RESUMO

OBJECTIVE: To examine the relationship of serum/plasma YKL-40 levels with rheumatoid arthritis (RA) and their correlation with RA activity and rheumatoid factor (RF) level. METHODS: We performed a meta-analysis comparing the serum/plasma YKL-40 levels between patients with RA and controls and examined the correlation coefficients of the circulating YKL-40 level with the RF level and RA activity based on the 28-joint disease activity score (DAS28), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) level. RESULTS: Nine studies (707 patients with RA and 1,041 controls) were included in the meta-analysis. The YKL-40 levels were significantly higher in the RA group than in the control group (standardized mean difference [SMD]=1.071, 95% confidence interval [CI]=0.726~1.417, p100) populations. Meta-analysis of correlation coefficients showed a significant positive correlation between the YKL-40 levels and DAS28, ESR, CRP level, and RF level (DAS28: correlation coefficient=0.381, 95% CI=0.044~0.640, p=0.028; RF level: correlation coefficient=0.341, 95% CI=0.176~0.487, p<0.001). CONCLUSION: The circulating YKL-40 levels are high in patients with RA and positively correlate with RA activity and RF level.


Assuntos
Árabes , Artrite Reumatoide , Grupo com Ancestrais do Continente Asiático , Sedimentação Sanguínea , Proteína C-Reativa , Humanos , Fator Reumatoide , Tamanho da Amostra
3.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-763956

RESUMO

OBJECTIVES: To describe the step-by-step person-centered, theory-based development of the KELA.AE app for Arabic speaking hemodialysis patients. METHODS: A step-by-step person-driven theory-based approach was conducted to develop a self-monitoring and educational dietary app for hemodialysis patients. The development follows the Integration, Design, Assessment, and Sharing (IDEAS) framework. Qualitative, semi-structured interviews with 6 hemodialysis patients and 6 healthcare practitioners (dietitians and nephrologists) were performed to assess the need for an app, the willingness to use an app, and features desired in an app. RESULTS: The KELA.AE app, which includes a self-monitoring feature, CKD-friendly recipes, and a theory-based, evidence-based educational feature was developed. Qualitative analysis of interviews revealed two predominant themes from patient interviews ‘Experience with the diet’, ‘App evaluation’, and one theme from interviews with healthcare practitioners ‘App evaluation’. Patients expressed frustration with current accessibility of dietary information along with the need for educational materials in the app. The review of the KELA.AE prototype was positive overall, and patients reported a willingness to use the app. Healthcare practitioners considered the app accurate, simple, and culturally sensitive but expressed concerns about app misuse and the replacement of healthcare practitioners. CONCLUSIONS: The KELA.AE app was found to be satisfactory and supportive of the participants' needs. Changes were made to the app as suggested during the interviews.


Assuntos
Árabes , Assistência à Saúde , Dieta , Frustração , Comportamentos Relacionados com a Saúde , Humanos , Falência Renal Crônica , Aplicativos Móveis , Diálise Renal , Telemedicina
4.
Rev. Kairós ; 21(2): 407-418, jun. 2018.
Artigo em Português | LILACS (Américas) | ID: biblio-970674

RESUMO

A Gastronomia é uma forma de expressão cultural. A cozinha árabe chegou ao Brasil no século XIX por meio dos imigrantes árabes da Síria e do Líbano. Partindo da atual definição de saúde, entende-se que a alimentação e as técnicas de culinária do idoso representam grande papel em seu estado de bem-estar e, com isso, a Gerontologia tende a utilizar a mesma como um espaço de socialização e expressão durante o envelhecer. O povo árabe tem em sua gastronomia um forte apego familiar e um anseio de conservar a sua cultura tradicional, visto que suas receitas são antiquíssimas e preservadas em sua forma original, firmando, assim, através dos seus hábitos alimentares, a importância da vida em família, a valorização da herança culinária de filhos, pais e avós. O objetivo deste artigo é identificar a propagação da gastronomia árabe e sua relação com a saúde dos imigrantes idosos, principalmente no estado do Rio Grande do Sul.


Gastronomy is a form of cultural expression. Arab cuisine arrived in Brazil in the 19th century through Arab immigrants from Syria and Lebanon. Based on the current definition of health, it is understood that the elderly's food and cooking techniques play a large role in their well-being, and with this gerontology tends to use it as a space of socialization and expression during the age. The Arab people have in their gastronomy a strong family attachment and a desire to conserve their traditional culture, since their recipes are very old and preserved in their original form, thus establishing through their eating habits, the importance of family life, valuing the culinary heritage of children, parents and grandparents. The objective of this article is to identify the propagation of Arab gastronomy and its relation with the health of the elderly immigrants, mainly in the state of Rio Grande do Sul.


La gastronomía es una forma de expresión cultural. La cocina árabe llegó a Brasil en el siglo XIX por medio de los inmigrantes árabes de Siria y del Líbano. A partir de la actual definición de salud, se entiende que la alimentación y las técnicas de culinaria del anciano representan un gran papel en su estado de bienestar y, con ello, la Gerontología tiende a utilizar la misma como un espacio de socialización y expresión durante el envejecimiento. El pueblo árabe tiene en su gastronomía un fuerte apego familiar y un anhelo de conservar su cultura tradicional, ya que sus recetas son antiquísimas y preservadas en su forma original, firmando así, a través de sus hábitos alimenticios, la importancia de la vida en familia, la valorización de la herencia culinaria de hijos, padres y abuelos. El objetivo de este artículo es identificar la propagación de la gastronomía árabe y su relación con la salud de los inmigrantes ancianos, principalmente en el estado de Rio Grande do Sul.


Assuntos
Humanos , Pessoa de Meia-Idade , Idoso , Saúde do Idoso , Relação entre Gerações , Árabes , Culinária , Emigrantes e Imigrantes , Relações Familiares , Geriatria
5.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-212875

RESUMO

PURPOSE: The purpose of this study was to assess the knowledge of pharmacists practicing in Palestine of issues related to using psychotropic medications in older people. METHODS: The study was conducted with a cross-sectional observational design using a questionnaire. A total of 400 pharmacists responded to a 19-statement knowledge test related to the use of psychotropic medications in older people. The study was conducted from July 2016 to February 2017. The reliability and internal consistency of the study tool was assessed using the test-retest method and the Cronbach alpha. Categorical groups were compared using the chi-square test and the Spearman rank correlation. RESULTS: On the 19-statement knowledge test, the median score was 55.3% with an interquartile range of 21.9%. In a comparison of the demographic and practice-related variables of the pharmacists who scored ≥ 50% on the 19-statement knowledge test with those who scored < 50%, age, gender, and having taken a course on psychotropic medications were found to be significantly associated with performance, as shown by the chi-square test and Spearman correlation. CONCLUSION: Pharmacists practicing in Palestine possess less than optimal knowledge of issues related to the use of psychotropic medications in older people. Continuing educational interventions and/or training might be helpful in improving pharmacists' knowledge of issues related to using psychotropic medications in older people.


Assuntos
Árabes , Estudos Transversais , Geriatria , Humanos , Métodos , Farmacêuticos , Psicotrópicos
6.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-29656

RESUMO

BACKGROUND: Ghrelin (GHRL), a gastric peptide encoded by the GHRL gene, is known to be involved in energy homeostasis via its G protein receptor, encoded by the growth hormone secretagogue receptor (GHSR) gene. Some studies have shown associations between plasma GHRL levels and GHRL single-nucleotide polymorphisms (SNPs), namely the Leu72Met polymorphism (rs696217 TG), with type 2 diabetes mellitus (T2DM) and insulin resistance (IR), while others have not. The controversies in these associations raise the issue of ‘which SNPs in which populations.’ The aim of this study was to investigate whether SNPs in GHRL and/or GHSR genes were associated with T2DM, IR, or plasma GHRL levels among Arab Saudis. METHODS: Blood was collected from 208 Saudi subjects with (n=107) and without (n=101) T2DM. DNA samples from these subjects were analyzed by real-time polymerase chain reaction to genotype five intronic SNPs in the GHRL (rs696217 TG, rs27647 CT, rs2075356 CT, and rs4684677 AT) and GHSR (rs509030 GC) genes. In addition, plasma GHRL levels were measured by a radioimmunoassay. RESULTS: None of the SNPs were associated with T2DM, IR, or plasma GHRL levels. The frequencies of the alleles, genotypes, and haplotypes of the five SNPs were comparable between the T2DM patients and the non-diabetic subjects. A large number of the GHRL haplotypes indicates the molecular heterogeneity of the preproghrelin gene in this region. CONCLUSION: Neither the Leu72Met polymorphism nor the other intronic GHRL and GHSR SNPs were associated with T2DM, IR, or GHRL levels. Further investigations should be carried out to explain the molecular basis of the association of the GHRL peptide with T2DM and IR.


Assuntos
Alelos , Árabes , Diabetes Mellitus Tipo 2 , DNA , Genótipo , Grelina , Proteínas de Ligação ao GTP , Haplótipos , Homeostase , Humanos , Resistência à Insulina , Insulina , Íntrons , Plasma , Polimorfismo de Nucleotídeo Único , Características da População , Radioimunoensaio , Reação em Cadeia da Polimerase em Tempo Real , Receptores de Grelina
7.
Medical Principles and Practice. 2016; 25 (1): 1-7
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-175842

RESUMO

Objective: The aim of this study was to evaluate the validity and reliability of an Arabic language version [Ar] of the Falls Efficacy Scale-International [FES-I] with respect to its use with Arabic-speaking elderly subjects


Subjects and Methods: For cross-cultural adaptation, the translation of the original English version of the scale was conducted based on the protocol of the Prevention of Falls Network Europe [ProFaNE]. The FES-I [Ar] was administered via face-to-face interviews to 108 community-dwelling elderly Palestinians [61 women and 47 men, aged 60-84 years]. Statistical analyses were used to determine group differences with respect to age, gender and fall history. To assess validity, Spearman's rank correlation coefficient was used to examine the correlation between the total scores of FES-I [Ar] and the Timed Up and Go [TUG] test, gait speed and balance. Test-retest reliability between the two test occasions was assessed in accordance with Svensson's method


Results: The FES-I [Ar] total scores were positively correlated with TUG [r[s] = 0.641, p < 0.001] and negatively correlated with gait speed [r[s] = -0.670, p < 0.001] and balance [r[s] = -0.592, p < 0.001]. All items of the FES-I [Ar] indicated a high percentage agreement [from 88 to 93%], and the relative position ranged from 0.01 to 0.06


Conclusion: In this study, the FES-I [Ar] was shown to be a comprehensible, valid and reliable measure of the concern about falling among community-dwelling elderly subjects. In clinical practice and future research, the FES-I [Ar] instrument could be used to effectively assess concern about falling in Arabic-speaking elderly persons


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Comparação Transcultural , Reprodutibilidade dos Testes , Adaptação Fisiológica , Árabes , Idoso
8.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-215537

RESUMO

BACKGROUND: The sacrococcygeal morphology of Arabs and Europeans has been studied using computed tomography (CT) or magnetic resonance imaging to determine the cause of coccydynia. Studies have suggested differences in sacrococcygeal morphology among ethnic groups. However, there are no data on the sacrococcygeal anatomy of Koreans. METHODS: We conducted a retrospective analysis of 606 pelvic CT scans that were taken at Cheju Halla General Hospital between 2008 and 2014. Fractures of the sacrum or coccyx were excluded. Differences in the sacrococcygeal morphology among age groups stratified by decade of life and between genders were analyzed using sagittal plane pelvic CT scans. The morphological parameters studied were the sacral and coccygeal curved indexes, sacrococcygeal angle, intercoccygeal angle, coccygeal type, coccygeal segmental number, and sacrococcygeal fusion. RESULTS: The average sacral and coccygeal curved indexes were 6.15 and 7.41, respectively. The average sacrococcygeal and intercoccygeal angles were 110° and 49°, respectively. Type II coccyx was most common, and the rate of sacrococcygeal fusion was 34%. There was a moderate positive correlation between age and the sacral curved index (r = 0.493, p = 0.000) and a weak negative correlation between age and the coccyx curved index (r = −0.257, p = 0.000). There was a weak negative correlation between age and the intercoccygeal angle (r = −0.187, p = 0.000). The average intercoccygeal angle in males and females was 53.9° and 44.7°, respectively. CONCLUSIONS: The sacrum tended to be more curved and the coccyx straighter with age. The coccyx was straighter in females than males. Knowledge of the sacrococcygeal anatomy of Koreans will promote better understanding of anatomical differences among ethnicities and future studies on coccydynia.


Assuntos
Árabes , Grupo com Ancestrais do Continente Asiático , Cóccix , Grupos Étnicos , Feminino , Hospitais Gerais , Humanos , Imagem por Ressonância Magnética , Masculino , Estudos Retrospectivos , Sacro , Tomografia Computadorizada por Raios X
9.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-68579

RESUMO

BACKGROUND: Recently, the pharmaceutical manufacturing industry has been growing rapidly in many countries in the world, including in Arab countries. Pharmaceuticals reach aquatic environments and are prevalent at small concentrations in wastewater from the drug manufacturing industry and hospitals. Such presence also occurs in domestic wastewater and results from the disposal of unused and expired medicines. Therefore, the objective of this study was to analyze and compare the quantity and quality of publications made by researchers in Arab countries on pharmaceutical wastewater. METHODS: To retrieve documents related to pharmaceutical wastewater, we used the Scopus database on November 21, 2015. All documents with terms related to pharmaceutical wastewater in the title or abstract were analysed. Results obtained from Arab countries were compared with those obtained from Turkey, Iran and Israel. RESULTS: Globally, a total of 6360 publications were retrieved while those from Arab countries, Iran, Turkey and Israel, were 179, 113, 96 and 54 publications respectively. The highest share of publications belonged to Kingdom of Saudi Arabia (KSA) with a total of 47 (26.2 %) publications, followed by Egypt (38; 21.2 %), Tunisia (17; 9.5 %) and Morocco (16; 8.9 %). The total number of citations was 1635, with a mean of 9.13 and a median (inter quartile range) of 3 (1.0–10.0). The study identified 87 (48.6 %) documents with 32 countries of international collaboration with Arab countries. It was noted that Arab researchers collaborated mainly with authors in Western Europe (54; 30.2 %), followed by authors from the Asiatic region (29; 16.2 %) and Northern America (15; 8.4 %). The most productive institution was King Saud University, KSA (13; 7.3 %), followed by the National Research Centre, Egypt (10; 7.3 %). CONCLUSIONS: This study showed that KSA has the largest share of productivity on pharmaceutical wastewater research. Bibliometric analysis demonstrated that research productivity, mainly from Arab countries in pharmaceutical wastewater research, was relatively lagging behind. More research effort is required for Arab countries to catch up with those of non-Arab Middle Easter countries on pharmaceutical wastewater research.


Assuntos
Mundo Árabe , Árabes , Bibliometria , Comportamento Cooperativo , Eficiência , Egito , Europa (Continente) , Humanos , Irã (Geográfico) , Israel , Oriente Médio , Marrocos , América do Norte , Arábia Saudita , Tunísia , Turquia , Águas Residuárias
10.
ABCD arq. bras. cir. dig ; 28(2): 102-104, Apr-Jun/2015. tab
Artigo em Inglês | LILACS (Américas) | ID: lil-751846

RESUMO

BACKGROUND: Only few studies have examined the impact of racial differences on the age of onset, course and outcomes of diverticulitis. AIM: To provide data about the epidemiology of diverticulitis in northern Israel, and to determine whether ethnicity is a predictor of age of onset, complications, and need for surgery. METHODS: Was conducted a retrospective review of the charts of all patients diagnosed with a first episode of diverticulitis in our hospital between 2005 and 2012. RESULTS: Were found 638 patients with a first episode of acute diverticulitis in the eight year interval. Israeli Arabs developed a first episode of diverticulitis at a younger age compared to Jews (51.2 vs 63.8 years, p<0.01). Arabs living in rural areas developed diverticulitis at a younger age than Arabs living in urban centers (49.4 vs 54.5 years, P=0.03). Jewish and Arabic men developed diverticulitis at younger age compared to their female counterparts (59.9 vs 66.09, p<0.01, and 47.31 vs 56.93, p<0.01, respectively). Arabs were more likely [odds ratio (OR)=1.81 ,95% confidence interval (CI)1.12-2.90, p=0.017] than Jews to require surgical treatment (urgent or elective) for diverticulitis. CONCLUSIONS: Israeli Arabs tend to develop diverticulitis at a younger age and are more likely to require surgical treatment for diverticulitis compared to Jews. Arabs living in rural areas develop diverticulitis at a younger age than Arabs living in urban centers. These findings highlight a need to address the root cause for ethnic differences in onset, course and outcome of acute diverticulitis. .


RACIONAL: Somente poucos estudos examinaram o impacto das diferenças raciais na idade de início, curso e os resultados da diverticulite. OBJETIVO: Fornecer dados sobre a epidemiologia da diverticulite no norte de Israel, e determinar se a etnia é preditor de idade de início, complicações e necessidade de tratamento cirúrgico. MÉTODOS: Foi realizado estudo retrospectivo dos prontuários de todos os pacientes diagnosticados com um primeiro episódio de diverticulite em nosso hospital entre 2005 e 2012. RESULTADOS: Foram encontrados 638 pacientes com um primeiro episódio de diverticulite aguda no intervalo de oito anos. Os árabes israelenses desenvolveram o primeiro episódio de diverticulite em idade mais jovem em comparação com os judeus (51,2 vs 63,8 anos, p<0,01). Árabes que vivem em áreas rurais a diverticulite foi desenvolvida em idade mais jovem do que os árabes que vivem em centros urbanos (49,4 vs 54,5 anos, p=0,03). Homens judeus e árabes desenvolveram diverticulite em idade mais jovem em comparação com os seus homólogos do sexo feminino (59,9 vs 66,09, p<0,01, e 47,31 vs 56,93, p<0,01, respectivamente). Os árabes eram mais prováveis ​​do que os judeus de necessitar de tratamento cirúrgico (urgência ou eletiva) para a diverticulite [odds ratio (OR)=1,81, intervalo de confiança de 95% (CI) 1,12-2,90, p=0,017]. CONCLUSÕES: Os árabes israelenses tendem a desenvolver diverticulite em idade mais jovem e são mais propensos a necessitar de tratamento cirúrgico para a diverticulite em comparação com os judeus. Árabes que vivem em áreas rurais desenvolvem diverticulite em idade mais jovem do que os árabes que vivem em centros urbanos. Estes resultados destacam a necessidade de abordar a causa raiz para diferenças étnicas em início, o curso e o resultado da diverticulite aguda. .


Assuntos
Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças do Colo/epidemiologia , Doenças do Colo/cirurgia , Diverticulite/epidemiologia , Diverticulite/cirurgia , Doença Aguda , Fatores Etários , Árabes , Israel , Judeus , Estudos Retrospectivos
11.
Journal of the Saudi Heart Association. 2015; 27 (2): 135-136
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-161916
12.
Oman Medical Journal. 2015; 30 (1): 17-25
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-168159

RESUMO

Our study aimed to develop a survey that could be used by nurses during regular cystic fibrosis [CF] clinic visits, providing clinicians with a standardized means of longitudinally assessing and monitoring symptom progression in their patients. In addition, the use of this survey would provide an opportunity for patient engagement and relationship building, thereby enhancing patient education and improving adherence to treatment. This is the first such survey designed specifically for use in Arab populations. The Cystic Fibrosis Symptom Progression Survey [CF-SPS] was developed using previously published patient reported outcomes relating to pulmonary exacerbations in CF. It contains 10 items that provide a patient-focused account of symptoms. The survey was translated into Arabic and was completed by 12 patients on 139 occasions over 22 months. The psychometric properties of the survey were evaluated, as was the relationship between the survey findings and other known clinical measures of health status in CF. The CF-SPS performs well as a psychometrically valid clinical tool, with good internal consistency as determined by Cronbach's alpha analysis. Our results suggest that the CF-SPS is able to identify significant declines in health status in line with routine clinical patient assessment [chest sounds, body mass index and admissions]. As such it is a useful tool that can support clinical decision making in the care of Arabic speaking CF patients. We recommend the CF-SPSa [Arabic version] as a valid tool for the longitudinal monitoring of symptom progression in CF in Arabic speaking populations


Assuntos
Humanos , Progressão da Doença , Avaliação de Sintomas , Árabes
13.
Oman Medical Journal. 2015; 30 (1): 36-41
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-168162

RESUMO

Our study sought to evaluate the association between periodontitis and body mass index [BMI] among patients with type 2 diabetes mellitus. In this cross-sectional case control study analysis of 186 diabetic patients, 112 patients had a body mass index >30 kg/m[2] and 74 control patients had BMI <30 kg/m[2]. All participants underwent oral examinations including a full mouth recording of clinical attachment level [CAL]. Information regarding HbA1c levels and high-sensitivity C-reactive protein [hs-CRP] were also gathered. Over half [61%] of patients had a BMI > 30. Of these 52% had CAL less than 2 mm. Multivariate logistic regression analysis showed that there was no association between BMI and CAL. In addition, hs-CRP levels were significantly and positively associated with CAL [OR:1.06, 95% CI: 1.01, 1.12; p=0.007]. Among patients with type 2 diabetes mellitus, there was no association between periodontitis and BMI. More studies are needed to further explore this relationship taking into consideration additional lifestyle factors


Assuntos
Humanos , Masculino , Feminino , Índice de Massa Corporal , Periodontite , Árabes , Estudos Transversais
14.
Arab Journal of Gastroenterology. 2015; 16 (3-4): 116-120
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-174964

RESUMO

Background and study aims: Arab-Americans [ArA] in Michigan, USA had the lowest colorectal cancer screening [CRCS] in 2008 compared to the state's general population [45.6% vs. 60.8%]. The adherence rate and barriers to CRCS have been identified in a previous study; however, these differences have been not examined among ArA from different countries of origin


Patients and methods: Community-based study through a survey filled by 130 Arab-Americans aged >/= 50 years. Demographic information and information about CRC screening knowledge were obtained. Responses were compared between the two largest population groups [Lebanese and Yemenis]


Results: The majority of the participants [80%] were from Lebanon [52.3%] and Yemen [27.7%]. Majority of the Yemenis group have never been screened for CRC [72.2% vs. 27.9%, p < 0.001]. Majority of the unscreened Yemenis were males [100% vs. 63.2%, p = 0.002]. Both unscreened groups had similar length of residence in U.S., citizenship status, education level, health insurance and access to primary care physicians. Unscreened Lebanese had a higher family history of CRCS [31.6% vs. 0%, p = 0.002]. The most common reported barrier for both groups was the misconception that CRCS is not necessary [62% for Yemenis and 42% for Lebanese, p = 0.197]. Unscreened Yemenis were more unaware about CRCS [46% vs. 11%, p = 0.002]


Conclusion: CRC screening rates vary among Arab-Americans from different countries of origin. Physicians should consider the country of origin when recommending CRC screening to Arab-Americans


Assuntos
Humanos , Programas de Rastreamento , Árabes
15.
EMHJ-Eastern Mediterranean Health Journal. 2015; 21 (12): 861-870
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-179307

RESUMO

An analysis was made of recent health care spending patterns in the occupied Palestinian territory, in order to inform future health policy-making and planning. Data were obtained from the national health accounts for the period 2000-2011. The current level of resource allocation to the health care sector is higher than in many developed countries and is not sustainable. The private sector represents the largest source of health financing [61%] and the burden falls disproportionally on individual households, who account for 63% of private health care expenditure. Key recommendations include: building capacity in the government sector to reduce the outsourcing of health services; modifying inequitable financing mechanisms to reduce the burden on households; and allocating more resources for health promotion and disease prevention programmes. Reorientation of the health system is also needed in terms of reducing the share of spending on inpatient services in favour of more day surgery, outpatient and home-based services


Assuntos
Territorialidade , Árabes , Assistência à Saúde
16.
JABHS-Journal of the Arab Board of Health Specializations. 2014; 15 (1): 14-23
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-157619

RESUMO

Pro12Ala is a common functional mutation of PPAR-gamma2 gene whose frequency varies widely worldwide. In Iraq, there are no studies of the frequency of Pro12Ala. The aim of this study is to find out the frequency of Pro12Ala [rs1801282] in an Iraqi population and to compare it with those of other populations. Pro12Ala was genotyped in 95 healthy unrelated Arabic native Iraqi adult subjects using PCR- Restriction Fragment Length Polymorphism [PCR-RFLP]. Its frequency was compared to those of other populations. Genotype frequencies were within Hardey-Weinberg Equilibrium [HWE]. Allelic frequencies were 90.53% for the C [Pro] allele and 9.47% for the G [Ala12] allele. The homozygous wild type genotype [Pro12Pro] frequency was 81.05%. The heterozygous mutant genotype [Pro12Ala] was evident in 18.95% of subjects with no cases of [Ala12Ala]. Allelic and genotypic frequencies were statistically different from those of Ukrainian [p=0.007 and 0.017], Chinese [p=0.041 and 0.034], and African Americans [p=0.000 and 0.000]. Iraqis have relatively high prevalence of Pro12Ala mutation which differs from several populations confirming the need for understanding the genetic background of each population


Assuntos
Humanos , Masculino , Feminino , Árabes/genética , Frequência do Gene , Alelos , Polimorfismo de Fragmento de Restrição
17.
EMHJ-Eastern Mediterranean Health Journal. 2014; 20 (11): 726-731
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-159275

RESUMO

This study investigated the prevalence of iron-deficiency anaemia, glucose-6-phosphate dehydrogenase [G6PD] deficiency and beta-thalassaemia trait among Arab migrating nomad children in southern Islamic Republic of Iran. Blood samples were analysed from 134 schoolchildren aged < 18 years [51 males, 83 females]. Low serum ferritin [< 12 ng/dL] was present in 17.9% of children [21.7% in females and 11.8% in males]. Low haemoglobin [Hb] correlated significantly with a low serum ferritin. Only 1 child had G6PD deficiency. A total of 9.7% of children had HbA2 >/= 3.5 g/ dL, indicating beta-thalassaemia trait [10.8% in females and 7.8% in males]. Mean serum iron, serum ferritin and total iron binding capacity were similar in males and females. Serum ferritin index was as accurate as Hb index in the diagnosis of iron-deficiency anaemia. A high prevalence of beta-thalassaemia trait was the major potential risk factor in this population


Assuntos
Humanos , Masculino , Feminino , Anemia Ferropriva/epidemiologia , Deficiência de Glucosefosfato Desidrogenase/epidemiologia , Migrantes , Prevalência , Árabes , Criança , Ferritinas , Hemoglobinas , Estudos Transversais
18.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-225076

RESUMO

BACKGROUND: Diabetes mellitus (DM) is associated with high mortality, morbidity, poor general health, and loss of health-related quality of life (HRQOL). The objective of the study was to assess the factors associated with HRQOL among patients with type 2 diabetes mellitus (T2DM). METHODS: This was a cross sectional study conducted among 283 T2DM patients during June 2011 and September 2012 at a major tertiary hospital in Riyadh, Saudi Arabia. The respondents were purposively and conveniently selected according to their availability during their routine visit to the outpatient clinics and they were interviewed using the Arabic version of the Short-Form 36-item survey (SF-36) to assess the HRQOL. RESULTS: The mean age of the participants was 56.4+/-13.2 years. Around 63% (178) were males and 37% (105) were females. Glycosylated hemoglobin level was found to be significantly higher among female and HRQOL was higher among male. Respondents who were more than 50 years old had poor HRQOL than less than 50 years age group. Poor economic status, reported diabetic complications and longer duration of diabetes were significantly associated with poor HRQOL. The respondents treated with combination of therapies (oral medication plus insulin) indicated better HRQOL than patients with insulin therapy alone. Multivariate analysis indicated that gender, economic status (except subscale energy), and complications of DM (except subscale energy) as independent risk factor for HRQOL. CONCLUSION: Gender, economic status, and complication of DM were independent risk factors for majority of the subscales of HRQOL.


Assuntos
Instituições de Assistência Ambulatorial , Ansiedade , Árabes , Estudos Transversais , Inquéritos e Questionários , Complicações do Diabetes , Diabetes Mellitus , Diabetes Mellitus Tipo 2 , Feminino , Hemoglobina A Glicada , Humanos , Insulina , Masculino , Mortalidade , Análise Multivariada , Qualidade de Vida , Fatores de Risco , Arábia Saudita , Centros de Atenção Terciária
19.
Rev. bras. psiquiatr ; 35(3): 231-236, Jul-Sep/2013. tab
Artigo em Inglês | LILACS (Américas) | ID: lil-687950

RESUMO

Objective: The aim of the present study was to determine the prevalence of psychological distress, depression, anxiety, and stress among postpartum Arab mothers of preterm or low birth weight (LBW) infants and to identify maternal characteristics that can predict psychological distress among mothers of preterm infants. Methods: A hospital-based study was conducted. A representative sample of 2,091 postpartum mothers was surveyed and 1,659 women (79.3%) gave their consent to participate in the study. The study was based on a face-to-face interview with a designed questionnaire covering sociodemographic characteristics, anthropometric measures, medical history, and maternal characteristics. Depression, anxiety, and stress were measured using the Depression Anxiety Stress Scale (DASS-21). Results: In the study sample, 10.2% of the postpartum mothers had preterm/LBW infants. Depression (29.4 vs. 17.3%) and anxiety (26.5 vs. 11.6%) were significantly more common among mothers of preterm births compared to mothers of full term infants (p < 0.001). The risk of depression in mothers of preterm/LBW infants was two times the risk in mothers of full term infants, while the risk of anxiety was 2.7 times in mothers of preterm/LBW infants than in mothers of full term infants. Young mothers and those who had less than secondary education (42.0 vs. 21.7%; p = 0.007) and lower monthly household income (72.0 vs. 53.3%; p = 0.024) were more depressed and anxious after the preterm birth when compared with mothers of full term infants. Psychological distress was higher in mothers with history of preterm birth (30.0 vs. 21.7%) and delivery complications (52.0 vs. 33.3%). Conclusions: We found a greater risk of depression and anxiety in mothers of preterm births than in mothers of full term infants. Our analysis revealed that depressed and anxious women of preterm infants were younger, less educated, had a lower body weight and low household income ...


Assuntos
Adulto , Feminino , Humanos , Recém-Nascido , Pessoa de Meia-Idade , Gravidez , Ansiedade/epidemiologia , Depressão Pós-Parto/epidemiologia , Recém-Nascido Prematuro , Mães/psicologia , Estresse Psicológico/epidemiologia , Fatores Etários , Árabes , Ansiedade/psicologia , Depressão Pós-Parto/psicologia , Recém-Nascido de Baixo Peso , Prevalência , Saúde Pública , Fatores de Risco
20.
Bahrain Medical Bulletin. 2013; 35 (2): 69-73
em Inglês | IMEMR (Mediterrâneo Oriental) | ID: emr-142635

RESUMO

To measure the inter-alar width of the nose, the maxillary inter-canine distance and mouth width of an Arab sample and evaluate the ethnic variations. A prospective study. College of Medicine and Medical Sciences, Arabian Gulf University, Bahrain. One hundred sixty-eight young adult Arab subjects [51 males and 117 females], from five countries of the Gulf Cooperation Council [GCC], were selected randomly from undergraduate medical students during the academic year 2009/2010. Mouth, nose and teeth dimensions were measured using Vernier caliper; for each subject, three measurements were taken and the average was recorded. The mean inter-alar width of the nose was 35.06 mm [37.14 mm in males and 33.21 mm in females]. The mean maxillary inter-canine distance was 37.96 mm [39.66 mm in males and 36.38 mm in females]. The mean mouth width was 50.66 mm [52.85 mm in males and 48.63 mm in females]. The maxillary inter-canine distance was 75% of mouth width; therefore, the mouth width is a reliable predictor of the maxillary inter-canine distance and vice versa in the Arab population. Comparison between nationals from different GCC countries showed that Bahraini males had significantly wider mouths than Saudi Arabian males [P=0.034]. GCC Arab males had significantly wider noses, broader maxillary arches and wider mouths than females [P<0.001]. Anterior maxillary arches were found to be wide in males and females, which seems to be an ethnic characteristic in Arabs of this region


Assuntos
Humanos , Masculino , Feminino , Árabes , Face/anatomia & histologia , Nariz/anatomia & histologia , Maxila/anatomia & histologia , Boca/anatomia & histologia , Estudos Prospectivos , Estudantes de Medicina , Acesso aos Serviços de Saúde
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