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Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale

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https://www.readbyqxmd.com/read/28493274/developing-an-interministerial-substance-use-response-strategy-for-lebanon-process-content-and-lessons-learned
#1
Sandra Hajal, Nour Kik, Rabih El Chammay, Walid Ammar
Evidence on substance use in Lebanon shows an increase in usage, limited availability and accessibility to evidence-based services, and high level of stigma and discrimination. In line with the "Mental Health and Substance Use Strategy for Lebanon 2015-2020", the Ministry of Public Health initiated the process of developing a strategy focused on substance use response to address these challenges in collaboration with the Ministries of Education and Higher Education, Interior and Municipalities, Justice and Social Affairs...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493273/use-of-amphetamine-type-stimulants-in-the-islamic-republic-of-iran-2004-2015-a-review
#2
REVIEW
Behrang Shadloo, Masoumeh Amin-Esmaeili, Minoo Haft-Baradaran, Alireza Noroozi, Reza Ghorban-Jahromi, Afarin Rahimi-Movaghar
Amphetamine-type stimulants (ATS) are the second most commonly used illicit drugs in the world, after cannabis. The production of ATS has increased worldwide, including in the Middle East. This review aims to assess ATS use in the Islamic Republic of Iran. PubMed, Scientific Information Database (a national database) and Iranian Center for Addiction Studies were searched. The review included studies on the general population, university and high school students, other specific populations, and drug users. The result show that self-reported methamphetamine and ecstasy use in 2016 was < 1% in the general population and university and high-school students, but the prevalence was higher in certain groups...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493272/khat-use-and-related-addiction-mental-health-and-physical-disorders-the-need-to-address-a-growing-risk
#3
REVIEW
Michael Odenwald, Mustafa al'Absi
Khat use is a drug problem characteristic of the Eastern Mediterranean Region, which is a widespread culturally accepted practice in some countries and is becoming more prevalent in others. Although limited use may not be accompanied by serious consequences, prolonged exposure could lead to dependence, psychosis and other psychiatric disorders and physical conditions such as hypertension, cardiovascular complications, sexual dysfunction, hepatoxicity and reduced birth weight of infants born to khat-chewing mothers...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493271/alcohol-and-substance-use-in-humanitarian-and-postconflict-situations
#4
REVIEW
Fahmy B Hanna
A wide range of substance use problems are prevalent in a variety of humanitarian settings. The Inter Agency Standing Committee (IASC) guidelines on mental health and psychosocial support during emergencies highlights that during humanitarian and post conflict situations, substance use is associated with problems including gender-based violence, organized crime and the serious neglect of children. Although substance use is a public health issue in humanitarian settings it has always been a neglected area of public health with very limited information available in both published and grey literature on this matter...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493270/public-health-alternatives-to-incarceration-for-drug-offenders
#5
REVIEW
Nicholas Clark, Kate Dolan, David Farabee
Drug users are vastly overrepresented in prison populations. Once inside they face increased risks of acquiring infections such as HIV, hepatitis and TB, and on release they face an elevated risk of fatal overdose. Relapse and recidivism are the norm following release from prison. The implementation of evidence-based drug treatment programmes in prison is rare, yet drug treatment in prison reduces the transmission of infections, recidivism and fatal overdose on release. Recognising the negative returns associated with incarceration, many jurisdictions have begun to consider alternatives such as depenalisation of the personal use of illicit drugs, provision of treatment and social reintegration of drug offenders, and a shift in focus from supply reduction to demand and harm reduction measures in the community and in prison...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493269/interventions-for-the-management-of-substance-use-disorders-an-overview
#6
Richard A Rawson, Nicolas Clark
For the past 50 years, there has been a systematic effort to expand and improve treatment services for individuals with substance use disorders by developing an evidence base to guide practice. This policy brief aims to review the available interventions for the management of substance use disorders, examine the evidence base for these interventions, including the WHO Mental Health Gap Action Programme intervention guide, and make recommendations related to the treatment of substance use disorders. In the development of this policy brief, numerous documents were reviewed...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493268/development-of-services-for-substance-use-problems-need-for-a-system-based-approach
#7
REVIEW
Thomas F Babor
This review describes systems-level innovations that may enhance accessibility, economy and integration of treatment services for substance-related disorders. After introducing a conceptual model to describe the resources, qualities and effectiveness of drug treatment services, evidence is reviewed in three areas (primary care, criminal justice, and mental health) that illustrate how systems-level concepts can be used to organize services to maximize their population impact. Special attention is given to systems issues in relation to the development of services in countries of the Eastern Mediterranean Region...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493267/substance-use-prevention-evidence-based-intervention
#8
REVIEW
Maria Renstrom, Marica Ferri, Ahmed Mandil
The global substance use problem is a serious public health concern that affects not only health, safety and well-being of communities, but also social and economic development. It particularly affects children, young people and their families. All Member States should set substance use prevention measures and programmes as a priority in order to promote health and reduce social harm. During the past few decades there has been a significant advance in prevention science that has led to the development of international prevention standards and globally accepted evidence-based interventions...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493266/prevalence-determinants-and-impacts-of-khat-chewing-among-professional-drivers-in-southwestern-saudi-arabia
#9
Nabil J Awadalla, Hassan A Suwaydi
The objective of this study was to assess the prevalence and determinants of khat chewing, and explore its social, economic and work impacts and examine its relation with road traffic accidents (RTA) among professional drivers in Jazan region, Saudi Arabia. A cross-sectional study was conducted on 215 drivers recruited from transport stations in Jazan region by random cluster sampling. An interview questionnaire was utilized for data collection, and 47.4% of drivers were currently khat chewers. Using a logistic regression, the independent predictors of khat chewing were being a citizen of Saudi Arabia, divorced or widowed, working for less than 4 hours/day, and a non-seatbelt user...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493265/national-rehabilitation-center-programme-performance-measures-in-the-united-arab-emirates-2013
#10
Ahmed Elkashef, Layla Alhyas, Hanan Al Hashmi, Dina Mohammed, Alison Gonzalez, Rinso Paul, Shamil Wanigaratne, Tarek Gawad, Richard Rawson, Ali Al Marzooqi, Hamad Al Ghaferi
The aim of this study was to measure the performance of the National Rehabilitation Center (NRC) programme and the services it provides. A 6-point tool was developed based on international standards with appropriate performance measures. The elements of the tool were applied to the electronic data files for 2013. The results showed that there were some operational, quality and data system issues. Some items were easily accessible, e.g. capacity, waiting time, family involvement. Others were difficult to sort and find and some were not available in the electronic system and had to be retrieved from other sources, e...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493264/drop-out-from-a-drug-treatment-clinic-and-associated-reasons
#11
Leila Hoseinie, Zhaleh Gholami, Behrang Shadloo, Azarakhsh Mokri, Masoumeh Amin-Esmaeili, Afarin Rahimi-Movaghar
The aim of this study was to assess drop-out rates and associated reasons among patients at the Iranian National Center for Addiction Studies (INCAS) clinic. In a one-year period (April 2014 to March 2015), all patients with drug dependence who had been referred for treatment and attended for a first assessment were included in this study (N=242). Those who received treatment were followed until March 2016. Survival analysis showed that 70.2% had dropped out from treatment. Log rank test showed that treatment drop-out rates differed between the different approaches used (P < 0...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493263/pattern-of-addiction-and-its-relapse-among-habitual-drug-abusers-in-lahore-pakistan
#12
Sadia Batool, Iram Manzoor, Shamaila Hassnain, Aslam Bajwa, Muslim Abbas, Maha Mahmood, Hina Sohail
This study assessed the pattern of drug abuse and the reasons for relapse of addiction among male drug addicts seeking rehabilitative services in different centres in Lahore, Pakistan. A cross-sectional survey was conducted on male drug abusers from April to December 2016. Nonprobability purposive sampling was done to collect a sample of 119 participants. A structured questionnaire and in-depth interviews were used for data collection. Out of 119 participants, 71.4% were in the age group 15-35 years. Educational levels were low in the majority, with 68...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493262/level-of-khat-dependence-use-patterns-and-psychosocial-correlates-in-yemen-a-cross-sectional-investigation
#13
Motohiro Nakajima, Richard Hoffman, Mustafa al'Absi
Chronic khat use is associated with negative health consequences. However, no study has fully characterized individuals who are khat dependent. This paper examines socio-demographic and psychosocial correlates of adult khat dependence. A total of 270 khat users (129 women) in Yemen completed face-to-face interviews and provided demographic information and data on patterns of khat use, subjective mood, and sleep quality. The Severity of Dependence Scale-Khat (SDS-khat) was used to assess level of khat dependence...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493261/out-of-pocket-cost-of-drug-abuse-consequences-results-from-iranian-national-mental-health-survey
#14
Masoumeh Amin-Esmaeili, Mitra Hefazi, Reza Radgoodarzi, Abbas Motevalian, Vandad Sharifi, Ahmad Hajebi, Afarin Rahimi-Movaghar
Drug abuse has significant cost to the individual, the family and the society. This study aimed to assess out of-pocket costs of consequences of drug use disorder. Data were drawn from the Iranian Mental Health Survey (IranMHS) through face-to-face interviews with 7841 respondents aged 15-64 years. We used a bottom-up cost-ofillness method for economic analysis. Out-of-pocket costs for treatment of mental and drug problems, treatment of medical illnesses, as well as costs of crimes were assessed. The average of total annual expense was US$ 2120...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493260/international-drug-control-system-and-the-united-nations-general-assembly-special-session-ungass-on-the-world-drug-problem-an-overview
#15
Kamran Niaz
The international drug control system is one of the oldest consensus-based multilateral systems in existence. It provides the basis for the international community and the individual Member States to effectively put in place the mechanisms to address the problem of drug production trafficking and use of illicit substances at different levels. Currently, the international drug control conventions enjoy near universal adherence, with over 180 states party to the three international drug control conventions. This level of consensus is impressive given the highly contentious nature of the subject matter...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493259/situational-analysis-regional-review-of-the-substance-use-atlas-2015
#16
Elise Gehring, Khalid Saeed
The Atlas project on substance use is a global WHO project that aims to collect and disseminate data on resources for the prevention and treatment of substance use disorders. Information on resources available in the WHO Eastern Mediterranean Region was first published in 2012. The Atlas questionnaire was updated in 2014 and data were collected in all WHO Member States. All countries of the Region submitted the Atlas questionnaire. This report presents the latest key information on resources for the prevention and treatment of substance use disorders in the Eastern Mediterranean Region based on the responses of the countries to the questionnaire...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28493258/a-regional-framework-for-action-on-substance-use-and-public-health
#17
EDITORIAL
Khalid Saeed, Mahshid Taj
No abstract text is available yet for this article.
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28383101/lebanon-s-experience-in-surveillance-of-communicable-diseases-during-a-mass-gathering-sixth-francophone-games-2009
#18
Nadine Haddad, Walid Ammar, Alfred Khoury, Alex Cox, Nada Ghosn
In 2009, Lebanon hosted the 6th Francophone Games. Pandemic A(H1N1)2009 virus presented significant health threat at the time. A surveillance strategy was implemented for the timely detection and management of epidemiological events and outbreaks, in particular for A(H1N1)2009 virus cases. Data were collected and managed daily and feedback was generated through daily bulletins. A total of 299 medical consultations were reported, 29% of which related to infectious diseases. There were 10 cases reported as acute respiratory infections; all tested negative for A(H1N1)2009 virus within 24 hours...
March 30, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28383100/the-reality-of-liquid-medical-waste-management-in-damascus-hospitals
#19
Hanan M Mukhaiber
Large quantities of hazardous medical waste are deposited into hospitals wastewaters and these substances could negatively impact public health if not handled properly. The authorities in the Syrian Arab Republic have realized the seriousness of the problem and have issued a number of laws, guidelines and standard specifications relating to this issue since 2004. This study offers a detailed review of these documents and compares them with related World Health Organization publications. A questionnaire was designed based on the national guide for safe management of healthcare waste in order to investigate the reality of liquid medical waste management in a sample of hospitals in Damascus...
March 30, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28383099/work-profile-and-associated-health-hazards-among-nursing-students-at-mansoura-university-egypt
#20
Hala S Abou-Elwafa, Eman O Khashaba, Abdel-Hady El-Gilany, Samar Abd El-Raouf
Nursing students are increasingly undertaking paid term-time employment to finance their living expenses and studies. The objectives of this study are to estimate its prevalence, factors associated, and possible health hazards. A cross-sectional study was conducted of nursing students using a questionnaire that included sociodemographic and employment data, reasons for working, possible health hazards in the workplace, and perceived effects on academic performance. The prevalence of student paid employment was found to be 23...
March 30, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
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