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Article: Western Medical Acupuncture Perception and Use for Pain Management Among Athletes: A Systematic Review.

Chaabna, Karima / Jithesh, Anupama / Cheema, Jibrail / Aboughanem, Jasmine / Mamtani, Ravinder

2024 Volume 17, Page(s) 357–366

Abstract: Purpose: This systematic review aims to assess the use and perception of "Western" medical acupuncture-based on conventional biomedical mechanisms and evidence-based medicine for diagnosis and needle placement-for pain management among athletes and ... ...

Abstract	Purpose: This systematic review aims to assess the use and perception of "Western" medical acupuncture-based on conventional biomedical mechanisms and evidence-based medicine for diagnosis and needle placement-for pain management among athletes and their healthcare providers. Methods: A systematic review is reported based on the PRISMA guidelines. PubMed, Web of Science, SPORTDiscus, Allied and Complementary Medicine databases, and Google Scholar were searched (search: from database inception to July 2023). Two authors independently conducted multi-stage screening, data extraction, and quality assessment. The outcomes of interest were prevalence of acupuncture prescriptions by healthcare professionals, prevalence of acupuncture use by athletes, and perceptions related to acupuncture effectiveness among healthcare professionals and athletes. Only studies wherein "Western" medical acupuncture was used for pain management were included. Results: Our review included 11 observational studies and clinical trials. The prevalence of "Western" medical acupuncture prescription varied from 15.4% (UK) to 58.4% (US) among sports medicine healthcare professionals. Prevalence of acupuncture use among athletes ranged from 2.2% among college athletes in Palestine to 61% among professional football players in the Netherlands. Acupuncture was used for managing delayed-onset of soreness and pain due to various types of musculoskeletal injuries. Both athletes and their healthcare providers reported positive perceptions of acupuncture. Conclusion: Our systematic review identifies a notable research gap in evaluating the practice and perception of "Western" medical acupuncture among healthcare professionals and athletes. Our findings suggest that "Western" medical acupuncture is not only prescribed by sport medicine professionals and used by athletes for diverse musculoskeletal pains but is also generally perceived positively for its effectiveness. Given the positive clinical experience of health professionals, athletes' favorable perception, and acupuncture's well-established safety profile, acupuncture should be given serious consideration-as a complementary approach-in the overall management of pain. Registration: Open Science Framework (https://osf.io/qb9gc).
Language	English
Publishing date	2024-01-26
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2495284-9
ISSN	1178-7090
ISSN	1178-7090
DOI	10.2147/JPR.S441869
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: An ecological study of the burden of road traffic crashes in the Middle East and North Africa.

Chaabna, Karima / Doraiswamy, Sathyanarayanan / Mamtani, Ravinder / Cheema, Sohaila

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit

2023 Volume 29, Issue 2, Page(s) 132–145

Abstract: Background: Road traffic injuries (RTIs) and deaths constitute a serious preventable global public health problem.: Aims: To analyse time trends of age-standardized mortality rates and disability-adjusted life years (DALYs) caused by RTIs in 23 ... ...

Abstract	Background: Road traffic injuries (RTIs) and deaths constitute a serious preventable global public health problem. Aims: To analyse time trends of age-standardized mortality rates and disability-adjusted life years (DALYs) caused by RTIs in 23 Middle East and North Africa (MENA) countries; and to assess the correlation between national implementation of best practice for road safety recommended by the World Health Organization, national income level, and RTI burden. Methods: Time trend analysis over 17 years (2000-2016) was conducted using Joinpoint regression. An overall score was calculated for each country to assess implementation of best practice for road safety. Results: Mortality decreased significantly (P < 0.05) in Islamic Republic of Iran, Jordan, Kuwait, Lebanon, Morocco, Oman, Qatar, and Tunisia. In most MENA countries, DALYs increased but they significantly decreased in the Islamic Republic of Iran. The score calculated varied widely among the MENA countries. In 2016, no correlation was identified between the overall score and mortality and DALYs. National income was not associated with RTI mortality or the calculated overall score. Conclusion: Countries in the MENA region had varying levels of success in reducing the burden from RTIs. During the Decade of Action for Road Safety 2021-2030, MENA countries can achieve optimal road safety by implementing measures that are customized for the local context, such as law enforcement and public education. Other focus areas for improving road safety are building capacity in sustainable safety management and leadership, improving vehicle standards, and addressing gaps in areas such as use of child restraint.
MeSH term(s)	Child ; Humans ; Accidents, Traffic/prevention & control ; Middle East/epidemiology ; Africa, Northern/epidemiology
Language	English
Publishing date	2023-02-26
Publishing country	Egypt
Document type	Journal Article
ZDB-ID	1291071-5
ISSN	1687-1634 ; 1020-3397
ISSN (online)	1687-1634
ISSN	1020-3397
DOI	10.26719/emhj.23.018
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Article ; Online: Ecological study of breast cancer incidence among nationals and nonnationals in the Gulf Cooperation Council countries.

Chaabna, Karima / Ladumor, Heta / Cheema, Sohaila

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit

2023 Volume 29, Issue 1, Page(s) 40–48

Abstract: Background: Breast cancer incidence is increasing in the Gulf Cooperation Council (GCC) countries: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates.: Aims: This study analysed geographical patterns, time trends, and age ... ...

Abstract	Background: Breast cancer incidence is increasing in the Gulf Cooperation Council (GCC) countries: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates. Aims: This study analysed geographical patterns, time trends, and age distribution of female breast cancer incidence among nationals and non-nationals in GCC countries. Methods: Available cancer registry data for 1979-2016 were retrieved for the GCC countries. Age-standardized rates (ASRs) per 100 000 women were calculated using the World standard population. Comparisons were made by calculating comparative incidence figures. Results: From 1998 to 2012, incidence among nationals was highest in Bahrain (ASR 61.85), Kuwait (ASR 52.66), and Qatar (ASR 56.90) and lowest in Saudi Arabia (ASR 19.76), Oman (ASR 22.33), and United Arab Emirates (ASR 31.05). In the most recent period, data were available only in Qatar (2014-2016) and Saudi Arabia (2013-2015). Non-nationals and nationals in Qatar had higher incidence rates than in Saudi Arabia. Incidence among nationals in Qatar was at least twice that in Saudi Arabia (comparative incidence figure 2.32). Incidence among non-nationals in Qatar was 3 times higher than in Saudi Arabia. Among nationals in Kuwait, 10.8% of cases of breast cancer occurred in women aged < 40 years in 2008-2012, compared with 24.2% in non-nationals in Qatar in 2014-2016. Conclusion: Breast cancer incidence has increased over time among women in most GCC countries, likely reflecting the improvements in healthcare access and screening programmes. Nationals and non-nationals developed breast cancer at a younger age than women in other high-income countries. Increased screening uptake is still required in the region. Evidence-based, locally-informed interventions should be implemented to address risk factors specific to the nationals and non-nationals in the GCC countries.
MeSH term(s)	Female ; Humans ; Breast Neoplasms/epidemiology ; Incidence ; Qatar/epidemiology ; Saudi Arabia/epidemiology ; Kuwait/epidemiology ; Oman/epidemiology ; United Arab Emirates/epidemiology ; Bahrain/epidemiology
Language	English
Publishing date	2023-01-19
Publishing country	Egypt
Document type	Journal Article
ZDB-ID	1291071-5
ISSN	1687-1634 ; 1020-3397
ISSN (online)	1687-1634
ISSN	1020-3397
DOI	10.26719/emhj.23.005
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Article ; Online: Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis.

Chaabane, Sonia / Chaabna, Karima / Khawaja, Salina / Aboughanem, Jasmine / Mittal, Dhruv / Mamtani, Ravinder / Cheema, Sohaila

Scientific reports

2024 Volume 14, Issue 1, Page(s) 4656

Abstract: Sleep disturbances like poor and insufficient sleep are common among medical students in the Middle East and North Africa (MENA) countries; however, the extent of medically defined sleep disorders (SDs) remains unclear. This meta-analysis determines SD ... ...

Abstract	Sleep disturbances like poor and insufficient sleep are common among medical students in the Middle East and North Africa (MENA) countries; however, the extent of medically defined sleep disorders (SDs) remains unclear. This meta-analysis determines SD prevalence and identifies associated factors among medical students in the MENA. PubMed, Web of Science, Google Scholar, and reference lists of included studies were searched (latest search: June 2022). Meta-analyses included 22 studies and were performed using random-effect models. Included studies used self-reported screening tools for assessing SDs and then estimated the proportion of participants at high risk of developing a SD. Central disorders of hypersomnolence were the most prevalent SD [prevalence
MeSH term(s)	Humans ; Female ; Students, Medical ; Middle East/epidemiology ; Africa, Northern/epidemiology ; Jordan ; Sleep Wake Disorders/epidemiology
Language	English
Publishing date	2024-02-26
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-024-53818-2
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Journal ; Article ; Online: An ecological study of the burden of road traffic crashes in the Middle East and North Africa

Karima Chaabna / Ravinder Mamtani / Sathyanarayanan Doraiswamy / Sohaila Cheema

2023

Abstract: Background: Road traffic injuries (RTIs) and deaths constitute a serious preventable global public health problem. Aims: To analyse time trends of age-standardized mortality rates and disability-adjusted life years (DALYs) caused by RTIs in 23 Middle ... ...

Abstract	Background: Road traffic injuries (RTIs) and deaths constitute a serious preventable global public health problem. Aims: To analyse time trends of age-standardized mortality rates and disability-adjusted life years (DALYs) caused by RTIs in 23 Middle East and North Africa (MENA) countries; and to assess the correlation between national implementation of best practice for road safety recommended by the World Health Organization, national income level, and RTI burden. Methods: Time trend analysis over 17 years (2000–2016) was conducted using Joinpoint regression. An overall score was calculated for each country to assess implementation of best practice for road safety. Results: Mortality decreased significantly (P < 0.05) in Islamic Republic of Iran, Jordan, Kuwait, Lebanon, Morocco, Oman, Qatar, and Tunisia. In most MENA countries, DALYs increased but they significantly decreased in the Islamic Republic of Iran. The score calculated varied widely among the MENA countries. In 2016, no correlation was identified between the overall score and mortality and DALYs. National income was not associated with RTI mortality or the calculated overall score. Conclusion: Countries in the MENA region had varying levels of success in reducing the burden from RTIs. During the Decade of Action for Road Safety 2021–2030, MENA countries can achieve optimal road safety by implementing measures that are customized for the local context, such as law enforcement and public education. Other focus areas for improving road safety are building capacity in sustainable safety management and leadership, improving vehicle standards, and addressing gaps in areas such as use of child restraint. 132 145
Keywords	Traffic Accidents ; Accidents ; Traffic ; Lebanon ; Tunisia ; Iran ; Jordan ; prevention and control
Language	English
Publisher	World Health Organization. Regional Office for the Eastern Mediterranean
Document type	Journal ; Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Journal ; Article ; Online: Ecological study of breast cancer incidence among nationals and nonnationals in the Gulf Cooperation Council countries

Karima Chaabna / Heta Ladumor / Sohaila Cheema

2023

Abstract: Background: Breast cancer incidence is increasing in the Gulf Cooperation Council (GCC) countries: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates. Aims: This study analysed geographical patterns, time trends, and age distribution of ...

Abstract	Background: Breast cancer incidence is increasing in the Gulf Cooperation Council (GCC) countries: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates. Aims: This study analysed geographical patterns, time trends, and age distribution of female breast cancer incidence among nationals and non-nationals in GCC countries. Methods: Available cancer registry data for 1979–2016 were retrieved for the GCC countries. Age-standardized rates (ASRs) per 100 000 women were calculated using the World standard population. Comparisons were made by calculating comparative incidence figures. Results: From 1998 to 2012, incidence among nationals was highest in Bahrain (ASR 61.85), Kuwait (ASR 52.66), and Qatar (ASR 56.90) and lowest in Saudi Arabia (ASR 19.76), Oman (ASR 22.33), and United Arab Emirates (ASR 31.05). In the most recent period, data were available only in Qatar (2014–2016) and Saudi Arabia (2013–2015). Non-nationals and nationals in Qatar had higher incidence rates than in Saudi Arabia. Incidence among nationals in Qatar was at least twice that in Saudi Arabia (comparative incidence figure 2.32). Incidence among non-nationals in Qatar was 3 times higher than in Saudi Arabia. Among nationals in Kuwait, 10.8% of cases of breast cancer occurred in women aged < 40 years in 2008–2012, compared with 24.2% in non-nationals in Qatar in 2014–2016. Conclusion: Breast cancer incidence has increased over time among women in most GCC countries, likely reflecting the improvements in healthcare access and screening programmes. Nationals and non-nationals developed breast cancer at a younger age than women in other high-income countries. Increased screening uptake is still required in the region. Evidence-based, locally-informed interventions should be implemented to address risk factors specific to the nationals and non-nationals in the GCC countries. 40 48
Keywords	Cancer ; Breast Neoplasms ; Bahrain ; United Arab Emirates ; Qatar ; Oman ; Kuwait ; epidemiology
Language	English
Publisher	World Health Organization. Regional Office for the Eastern Mediterranean
Document type	Journal ; Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Reply to the letter to the editor on "factors associated with perceived stress in Middle Eastern university students".

Cheema, Sohaila / Chaabna, Karima / Abraham, Amit / Maisonneuve, Patrick / Lowenfels, Albert B / Mamtani, Ravinder

Journal of American college health : J of ACH

2023 , Page(s) 1–2

Language	English
Publishing date	2023-01-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	604907-2
ISSN	1940-3208 ; 0744-8481
ISSN (online)	1940-3208
ISSN	0744-8481
DOI	10.1080/07448481.2022.2158038
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Article ; Online: Burnout increased among university students during the COVID-19 pandemic: a systematic review and meta-analysis.

Abraham, Amit / Chaabna, Karima / Sheikh, Javaid I / Mamtani, Ravinder / Jithesh, Anupama / Khawaja, Salina / Cheema, Sohaila

Scientific reports

2024 Volume 14, Issue 1, Page(s) 2569

Abstract: Generally, university students are at risk of burnout. This likely was exacerbated during the COVID-19 pandemic. We aimed to investigate burnout prevalence among university students during the COVID-19 pandemic and examine its distribution across ... ...

Abstract	Generally, university students are at risk of burnout. This likely was exacerbated during the COVID-19 pandemic. We aimed to investigate burnout prevalence among university students during the COVID-19 pandemic and examine its distribution across countries, sexes, fields of study, and time-period. PubMed, EMBASE, PsycINFO, World Health Organization's Global COVID-19 database, Scopus, Epistemonikos, ERIC and Google Scholar were searched (protocol: https://doi.org/10.17605/OSF.IO/BYRXW ). Studies were independently screened and extracted. Random-effects meta-analysis was performed. Study quality was appraised, and certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation approach. We identified 44 primary studies comprising 26,500 students. Global prevalence rates were 56.3% for high emotional exhaustion (EE), 55.3% for high cynicism (CY) and 41.8% for low personal accomplishment (PA). Prevalence of EE, CY, and PA domains varied significantly across fields of study, countries and WHO and World Bank regions, but not sex. All studies demonstrated good internal validity, although substantial heterogeneity existed between studies. The certainty of evidence was rated as moderate. Considering its potentially severe consequences, burnout is a significant public health concern. The development and implementation of evidence-based localized interventions at organizational and individual levels are necessary to mitigate burnout.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Pandemics ; Universities ; Burnout, Professional/epidemiology ; Burnout, Psychological/epidemiology ; Students ; Prevalence
Language	English
Publishing date	2024-01-31
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-024-52923-6
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Article ; Online: Reply to a comment on meta-analysis on facemask use in community settings.

Chaabna, Karima / Doraiswamy, Sathyanarayanan / Mamtani, Ravinder / Cheema, Sohaila

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

2020 Volume 103, Page(s) 162–163

MeSH term(s)	Humans ; Masks ; Respiratory Tract Infections
Language	English
Publishing date	2020-11-17
Publishing country	Canada
Document type	Letter ; Comment
ZDB-ID	1331197-9
ISSN	1878-3511 ; 1201-9712
ISSN (online)	1878-3511
ISSN	1201-9712
DOI	10.1016/j.ijid.2020.11.141
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Article ; Online: Hepatitis C infection in eastern Algeria: Between statistics and reality.

Rouabhia, Samir / Chaabna, Karima

Journal of medical virology

2017 Volume 89, Issue 6, Page(s) 941–942

MeSH term(s)	Algeria ; Hepatitis C ; Humans
Language	English
Publishing date	2017-03-03
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	752392-0
ISSN	1096-9071 ; 0146-6615
ISSN (online)	1096-9071
ISSN	0146-6615
DOI	10.1002/jmv.24686
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