N. Abu-Yaghi, Jehad Meqbil, Layth Helwa, M. Al-imam, Ayat M. Zghoul, Noor Hammad, Rana Awad, Abdul Hakeem AL- Obaidy, Bisan Abusalah, Mutasem Elfalah, Almutez M. Gharaibeh
Abstract Background: Retinopathy of prematurity (ROP) is a preventable cause of childhood blindness. This study aims to measure knowledge, awareness and attitudes of Jordanian pediatricians towards ROP screening and treatment protocols, and to identify any barriers concerning referrals to specialized care. Methods: This is a cross-sectional non-interventional descriptive study. A self-administered semi- structured electronic questionnaire was designed to assess the knowledge, attitude and practice patterns of responders and was disseminated via social media and direct contact with pediatricians in governmental and private hospitals from all over the country and collected between June and November of 2022. The questionnaire included questions regarding demographics, level of education, practice details and knowledge regarding ROP. Results: A total of 85 responders from all levels completed the questionnaire. Most of the responders (78 (91.8%)) identified the main risk factors of ROP as low birth weight and gestational age and maintained that timely screening should be performed by an ophthalmologist. Fifty-nine pediatricians (69.4%) were sure that ROP is preventable and 62 (72.9%) identified both laser and anti- vascular endothelial growth factor injections as possible modalities of treatment. Thirty participants (35.3%) faced real limitations reaching ophthalmologists for a reliable ROP consultation. Conclusions: This study demonstrated a high level of awareness of ROP among Jordanian pediatricians of all levels, although some gaps pertaining to the accurate timing of screening still exist. There are identifiable limitations facing Jordanian pediatricians to reach a reliable ophthalmic service to screen and manage referred cases. A unified nation-wide ROP screening protocol with clear access to standardized ophthalmic care is necessary to reduce the challenges facing the screening and management process and by extension, the burden of this preventable disease.
{"title":"Knowledge, awareness and attitudes towards retinopathy of prematurity among Jordanian pediatricians: a cross sectional descriptive study","authors":"N. Abu-Yaghi, Jehad Meqbil, Layth Helwa, M. Al-imam, Ayat M. Zghoul, Noor Hammad, Rana Awad, Abdul Hakeem AL- Obaidy, Bisan Abusalah, Mutasem Elfalah, Almutez M. Gharaibeh","doi":"10.35516/jmj.v57i4.2074","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2074","url":null,"abstract":"Abstract \u0000Background: Retinopathy of prematurity (ROP) is a preventable cause of childhood blindness. This study aims to measure knowledge, awareness and attitudes of Jordanian pediatricians towards ROP screening and treatment protocols, and to identify any barriers concerning referrals to specialized care. \u0000Methods: This is a cross-sectional non-interventional descriptive study. A self-administered semi- structured electronic questionnaire was designed to assess the knowledge, attitude and practice patterns of responders and was disseminated via social media and direct contact with pediatricians in governmental and private hospitals from all over the country and collected between June and November of 2022. The questionnaire included questions regarding demographics, level of education, practice details and knowledge regarding ROP. \u0000Results: A total of 85 responders from all levels completed the questionnaire. Most of the responders (78 (91.8%)) identified the main risk factors of ROP as low birth weight and gestational age and maintained that timely screening should be performed by an ophthalmologist. Fifty-nine pediatricians (69.4%) were sure that ROP is preventable and 62 (72.9%) identified both laser and anti- vascular endothelial growth factor injections as possible modalities of treatment. Thirty participants (35.3%) faced real limitations reaching ophthalmologists for a reliable ROP consultation. \u0000Conclusions: This study demonstrated a high level of awareness of ROP among Jordanian pediatricians of all levels, although some gaps pertaining to the accurate timing of screening still exist. There are identifiable limitations facing Jordanian pediatricians to reach a reliable ophthalmic service to screen and manage referred cases. A unified nation-wide ROP screening protocol with clear access to standardized ophthalmic care is necessary to reduce the challenges facing the screening and management process and by extension, the burden of this preventable disease.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"159 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139009961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aims: This study aimed to assess parental knowledge of COVID-19, particularly in the dental setting, and to evaluate the attitudes of parents in Jordan with regard to prevention of COVID-19 transmission especially to children attending dental clinics. Methods: A cross-sectional study was carried out among parents of pediatric dental patients in Jordan. A questionnaire composed of 37 questions divided into three sections was used. The first covered socio-demographic characteristics of the sample, the second assessed parental knowledge; and the third evaluated the attitudes of parents towards COVID-19, particularly with regard to children visiting the dentist. An online form of the questionnaire was published on social media platforms. Parents who fulfilled the inclusion criteria were asked to complete the questionnaire and share it with acquaintances in a form of snowball sampling. Descriptive and analytical statistical analysis was performed using SPSS for Windows. Statistical significance was set at 0.05. Results: The number of questionnaires included in the study was 671. Only 44% of the study sample reported that they had accompanied a child to a dental clinic during the COVID-19 outbreak and 60.3% reported that the visit was for emergency reasons. Almost all the parents (94.5%) talked about COVID-19 with their children. Conclusions: Parents had good knowledge, positive attitude, and appropriate practices towards COVID-19.
{"title":"The Impact of COVID-19 on Pediatric Dentistry: A Study of the Knowledge and Attitudes of Parents in Jordan","authors":"Lana Al-Ajlouni, Suha Abu-Ghazaleh, Lamis Rajab","doi":"10.35516/jmj.v57i4.2069","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2069","url":null,"abstract":"Aims: This study aimed to assess parental knowledge of COVID-19, particularly in the dental setting, and to evaluate the attitudes of parents in Jordan with regard to prevention of COVID-19 transmission especially to children attending dental clinics. \u0000Methods: A cross-sectional study was carried out among parents of pediatric dental patients in Jordan. A questionnaire composed of 37 questions divided into three sections was used. The first covered socio-demographic characteristics of the sample, the second assessed parental knowledge; and the third evaluated the attitudes of parents towards COVID-19, particularly with regard to children visiting the dentist. An online form of the questionnaire was published on social media platforms. Parents who fulfilled the inclusion criteria were asked to complete the questionnaire and share it with acquaintances in a form of snowball sampling. Descriptive and analytical statistical analysis was performed using SPSS for Windows. Statistical significance was set at 0.05. \u0000Results: The number of questionnaires included in the study was 671. Only 44% of the study sample reported that they had accompanied a child to a dental clinic during the COVID-19 outbreak and 60.3% reported that the visit was for emergency reasons. Almost all the parents (94.5%) talked about COVID-19 with their children. \u0000Conclusions: Parents had good knowledge, positive attitude, and appropriate practices towards COVID-19.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"17 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alireza Haghi, Rashed Bawand, Mohammad Nazari, Mohammad Rabiee
Abstract Background: Thyroid cancers are the most prevalent cancers of the endocrine system and platelets are effective components in the progression of thyroid tumors and can be affected by some products of tumor cells. Objective: To measure the changes of mean platelet volume (MPV) index in patients with benign and malignant thyroid disorders compared to healthy individuals. Materials and Methods: Patients who had undergone thyroidectomy were divided into two groups of benign and malignant thyroid disorders. There was also a healthy control group with normal thyroid function. All participants were compared for MPV. Results: This study assessed 190 participants, including 44 males (23.2%) and 146 females (76.8%). The age range of the participants spanned from 9 to 90 years, with an average age of 43.2 years and a standard deviation of 16.3 years. The number of euthyroid volunteers was 101 (53.2%), while 39 individuals (20.5%, five men and 34 women) had malignant thyroid disorders and the other 50 cases (26.3%, one man and 49 women) had benign thyroid disorders. The difference in MPV between patients with benign and malignant thyroid disorders and normal subjects—in the form of binary comparisons—was significant. Multinodular goiter and papillary thyroid carcinoma were the most prevalent benign and malignant thyroid disorders, respectively and had significantly different MPVs. Furthermore, the MPV value enabled differentiation between normal individuals and patients with papillary thyroid carcinoma, patients with Hashimoto’s thyroiditis, and those with multinodular goiter. However, the MPV index did not enable other subgroups of malignant and benign thyroid disorders to be differentiated. Lymphatic invasions were also unable to be detected by measuring MPV changes. Conclusion: Platelet volume measurement can be used as a complementary method for the differentiation of malignant and benign disorders of the thyroid gland.
{"title":"Mean Platelet Volume Index for Differentiation of Benign and Malignant Thyroid Disorders: Evaluation of a Possible Diagnostic Biomarker","authors":"Alireza Haghi, Rashed Bawand, Mohammad Nazari, Mohammad Rabiee","doi":"10.35516/jmj.v57i4.2070","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2070","url":null,"abstract":"Abstract \u0000Background: Thyroid cancers are the most prevalent cancers of the endocrine system and platelets are effective components in the progression of thyroid tumors and can be affected by some products of tumor cells. \u0000Objective: To measure the changes of mean platelet volume (MPV) index in patients with benign and malignant thyroid disorders compared to healthy individuals. \u0000Materials and Methods: Patients who had undergone thyroidectomy were divided into two groups of benign and malignant thyroid disorders. There was also a healthy control group with normal thyroid function. All participants were compared for MPV. \u0000Results: This study assessed 190 participants, including 44 males (23.2%) and 146 females (76.8%). The age range of the participants spanned from 9 to 90 years, with an average age of 43.2 years and a standard deviation of 16.3 years. The number of euthyroid volunteers was 101 (53.2%), while 39 individuals (20.5%, five men and 34 women) had malignant thyroid disorders and the other 50 cases (26.3%, one man and 49 women) had benign thyroid disorders. The difference in MPV between patients with benign and malignant thyroid disorders and normal subjects—in the form of binary comparisons—was significant. Multinodular goiter and papillary thyroid carcinoma were the most prevalent benign and malignant thyroid disorders, respectively and had significantly different MPVs. Furthermore, the MPV value enabled differentiation between normal individuals and patients with papillary thyroid carcinoma, patients with Hashimoto’s thyroiditis, and those with multinodular goiter. However, the MPV index did not enable other subgroups of malignant and benign thyroid disorders to be differentiated. Lymphatic invasions were also unable to be detected by measuring MPV changes. \u0000Conclusion: Platelet volume measurement can be used as a complementary method for the differentiation of malignant and benign disorders of the thyroid gland.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"6 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138980906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To provide normal values for the lumbar spinal canal, lumbar vertebral body and dural sac dimensions and canal body ratio by MRI for a Jordanian population sample. Material and methods: Three well trained observers reviewed 218 lumbar MRI scans performed between 2019–2021 (1090 lumbar levels) and obtained from the central computerized medical archive of three main governmental hospitals in north, central and south Jordan. All MRIs with alignment abnormalities (scoliosis and kyphosis), canal compression, vertebral disease (including fractures) or technical artifacts were excluded. The following were measured from L1 to L5 levels: the midsagittal diameters of the spinal canal and vertebral body, axial anteroposterior (AP), and transverse diameter of the vertebral body, dural canal and dural canal area. Data on sex and age were also documented. Results: The studied MRI scans included 113 males (51.8%) and 105 females (48.2%). Age ranged between 23–86 years old (mean 52.23 ± 13.125). The mid sagittal mid vertebral AP diameter of the lumbar spine range was 2.8–3.1 cm. The mid sagittal spinal canal diameter range was 1.3–1.5 cm. Canal body ratio was 3.3–3.6. The AP, transverse dural sac diameter ranges were 1.2–1.4 cm and 1.5–1.9 cm, respectively. Finally, the dural sac area ranged from 331–362 mm2. Conclusion: The dimensions of the lumbar spinal canal, vertebral bodies, and vertebral canal ratio at all levels were documented for a Jordanian population sample. Dimensions varied according to sex and when compared with other ethnic groups (Asian and African). The findings suggest that canal stenosis criteria should take these differences into consideration.
{"title":"Normative MRI for Lumbar Spinal Canal and Vertebral Body Dimensions in a Jordanian Population Sample","authors":"Hana’ Qudsieh, Israa Al-Rawashdeh, Basil Al Tah, Abdallah Daradkeh, Tareq Abualnadi","doi":"10.35516/jmj.v57i4.2073","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2073","url":null,"abstract":"Aim: To provide normal values for the lumbar spinal canal, lumbar vertebral body and dural sac dimensions and canal body ratio by MRI for a Jordanian population sample. \u0000Material and methods: Three well trained observers reviewed 218 lumbar MRI scans performed between 2019–2021 (1090 lumbar levels) and obtained from the central computerized medical archive of three main governmental hospitals in north, central and south Jordan. All MRIs with alignment abnormalities (scoliosis and kyphosis), canal compression, vertebral disease (including fractures) or technical artifacts were excluded. The following were measured from L1 to L5 levels: the midsagittal diameters of the spinal canal and vertebral body, axial anteroposterior (AP), and transverse diameter of the vertebral body, dural canal and dural canal area. Data on sex and age were also documented. \u0000Results: The studied MRI scans included 113 males (51.8%) and 105 females (48.2%). Age ranged between 23–86 years old (mean 52.23 ± 13.125). The mid sagittal mid vertebral AP diameter of the lumbar spine range was 2.8–3.1 cm. The mid sagittal spinal canal diameter range was 1.3–1.5 cm. Canal body ratio was 3.3–3.6. The AP, transverse dural sac diameter ranges were 1.2–1.4 cm and 1.5–1.9 cm, respectively. Finally, the dural sac area ranged from 331–362 mm2. \u0000Conclusion: The dimensions of the lumbar spinal canal, vertebral bodies, and vertebral canal ratio at all levels were documented for a Jordanian population sample. Dimensions varied according to sex and when compared with other ethnic groups (Asian and African). The findings suggest that canal stenosis criteria should take these differences into consideration.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"149 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138978515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sami Al-Yatim, Layla Mohammad Hosni Abu Al-Ola, Nabeel Al-Yateem
The sensitivity and complexity of healthcare sector mandate having competent leaders within nursing graduates. They are expected to hit the ground and be ready to lead their way when joining their first workplace. Although, some literatures have illuded to the correlation between leadership competency level and graduated nursing students’ readiness for practice, none of them studied the direct correlation among them. The purpose of this study was to investigate the degree of leadership competencies availability among nursing graduates of Jordanian nursing colleges and the degree of their readiness for practice, and the correlation among both variables. This study used a quantitative correlational method. 40 items questionnaire was developed for this study to assess leadership competency. while 22 items Casey- Fink survey was used to explore new graduates’ readiness for practice. The study sample was chosen based on convenience sampling technique and consisted of 268 Clinical Nurse Leaders (CNLs) who participate in supervising and preparing new graduating nurses in their first employment. The minimal required sample size was 260 participants, and the total number of obtained participants were 268. SPSS system was used to analyse the quantitative data in this study, frequencies, percentages, means and standard deviation were calculated for all study survey items. Pearson correlation coefficients was calculated to measure the relationship between the degree of leadership competencies availability among graduates of Jordanian nursing colleges and their readiness to practice, whereas Spearman's rho test used to measure the strength of association between leadership dimensions and new graduate’s readiness for practice. The overall results showed a moderate availability of leadership competencies, and a moderate degree of readiness to practice among nursing graduates from CNLs perspectives. Pearson coefficient correlation value showed a strong positive relationship among new graduates’ leadership competencies availability and their readiness for practice. To conclude, It is highly recommended to incorporate and focus on nursing leadership within teaching curriculum over different academic years in an incremental manner starting from fundamental kills, then to moderate and advance levels. More connections for students with the nursing professional body outside the university may start at early academic stages, connecting them with national nursing councils, Committees, and health organizations to improve their leadership competence and make them ready for workplace when graduating is highly recommended.
{"title":"Enhancing Nursing Graduate readiness for practice Through leadership competence: a correlational study","authors":"Sami Al-Yatim, Layla Mohammad Hosni Abu Al-Ola, Nabeel Al-Yateem","doi":"10.35516/jmj.v57i4.2076","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2076","url":null,"abstract":"The sensitivity and complexity of healthcare sector mandate having competent leaders within nursing graduates. They are expected to hit the ground and be ready to lead their way when joining their first workplace. Although, some literatures have illuded to the correlation between leadership competency level and graduated nursing students’ readiness for practice, none of them studied the direct correlation among them. The purpose of this study was to investigate the degree of leadership competencies availability among nursing graduates of Jordanian nursing colleges and the degree of their readiness for practice, and the correlation among both variables. This study used a quantitative correlational method. 40 items questionnaire was developed for this study to assess leadership competency. while 22 items Casey- Fink survey was used to explore new graduates’ readiness for practice. The study sample was chosen based on convenience sampling technique and consisted of 268 Clinical Nurse Leaders (CNLs) who participate in supervising and preparing new graduating nurses in their first employment. The minimal required sample size was 260 participants, and the total number of obtained participants were 268. SPSS system was used to analyse the quantitative data in this study, frequencies, percentages, means and standard deviation were calculated for all study survey items. Pearson correlation coefficients was calculated to measure the relationship between the degree of leadership competencies availability among graduates of Jordanian nursing colleges and their readiness to practice, whereas Spearman's rho test used to measure the strength of association between leadership dimensions and new graduate’s readiness for practice. The overall results showed a moderate availability of leadership competencies, and a moderate degree of readiness to practice among nursing graduates from CNLs perspectives. Pearson coefficient correlation value showed a strong positive relationship among new graduates’ leadership competencies availability and their readiness for practice. To conclude, It is highly recommended to incorporate and focus on nursing leadership within teaching curriculum over different academic years in an incremental manner starting from fundamental kills, then to moderate and advance levels. More connections for students with the nursing professional body outside the university may start at early academic stages, connecting them with national nursing councils, Committees, and health organizations to improve their leadership competence and make them ready for workplace when graduating is highly recommended.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138979452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Leader empowering behaviors have a positive effect on quality nursing care, nurses’ job satisfaction and organizational outcomes. Leaders empower nurses through motivating staff, enhancing the meaningfulness of work, facilitating nurses’ efforts to learn, grow and use their skills to participate in decision-making. They also exhibit confidence in employees’ abilities and performance, support them with information and resources, and increase their work autonomy. This study aimed to evaluate Jordanian nurse leaders’ empowering behaviors and shed light on the contributing factors as perceived by staff nurses. Methods: Descriptive, cross-sectional, correlational designs were used. A convenience sample of 414 registered nurses from 12 hospitals in Jordan was recruited to complete the leader empowering behaviors scale developed by Hui. Results: Jordanian staff nurses reflected moderate levels of leader empowering behaviors. Seven factors were found to affect Jordanian nurse leaders’ empowering behaviors as perceived by staff nurses: shift work, staff participation in continuing education programs, leadership style, hospital type, nurses’ age and experience, and daily census rate of the department. A multiple linear regression model debriefed three variables (continuing education programs, nurses’ experience, and shift work). These variables explained approximately 55% of the variance in leader empowering behaviors. Conclusion: This study deepens the understanding that nurses’ capabilities and experience are the most important factors in nurse leader empowering behaviors as perceived by Jordanian nurses. For better empowerment, nurse managers should encourage staff nurse participation in different continuing education programs to advance their skills and abilities, and enhance professional development.
{"title":"Jordanian Nurse Leaders’ Empowering Behaviors and Contributing Factors as Perceived by Staff Nurses","authors":"Rola Mudallal, Hanan Modallal, Sukaina Alzyoud, Rania Abdel-Rahman","doi":"10.35516/jmj.v57i4.2071","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2071","url":null,"abstract":"Background: Leader empowering behaviors have a positive effect on quality nursing care, nurses’ job satisfaction and organizational outcomes. Leaders empower nurses through motivating staff, enhancing the meaningfulness of work, facilitating nurses’ efforts to learn, grow and use their skills to participate in decision-making. They also exhibit confidence in employees’ abilities and performance, support them with information and resources, and increase their work autonomy. This study aimed to evaluate Jordanian nurse leaders’ empowering behaviors and shed light on the contributing factors as perceived by staff nurses. \u0000Methods: Descriptive, cross-sectional, correlational designs were used. A convenience sample of 414 registered nurses from 12 hospitals in Jordan was recruited to complete the leader empowering behaviors scale developed by Hui. \u0000Results: Jordanian staff nurses reflected moderate levels of leader empowering behaviors. Seven factors were found to affect Jordanian nurse leaders’ empowering behaviors as perceived by staff nurses: shift work, staff participation in continuing education programs, leadership style, hospital type, nurses’ age and experience, and daily census rate of the department. A multiple linear regression model debriefed three variables (continuing education programs, nurses’ experience, and shift work). These variables explained approximately 55% of the variance in leader empowering behaviors. \u0000Conclusion: This study deepens the understanding that nurses’ capabilities and experience are the most important factors in nurse leader empowering behaviors as perceived by Jordanian nurses. For better empowerment, nurse managers should encourage staff nurse participation in different continuing education programs to advance their skills and abilities, and enhance professional development.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"7 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138979834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nassime Zaoui, Amina Boukabous, Nadhir Bachir, Ali Terki
Introduction: Myocarditis is defined by an inflammatory myocardial infiltrate with necrosis of non-ischemic origin in three forms: fulminant, acute and chronic. Diagnosis is guided by clinical presentation, ECG, echocardiography and biology, and confirmed by MRI and myocardial biopsy. The prognosis depends on clinical manifestations, echocardiographic features and serum troponin levels. Management is based on the treatment of heart failure (HF). For two years, the world has been experiencing a pandemic related to SARS-CoV2 that can affect the heart with ischemic or non-ischemic lesions (myocarditis, most often fulminant) whose treatment is non-specific. Trials with corticosteroids and immunosuppressant drugs have yielded discordant results. Objective: To describe the evolutionary modalities of COVID-19 associated myocarditis and identify factors of poor ejection fraction recovery under HF treatment. Method: This observational, retrospective, single-center study, in 2021, included patients with non-fulminant COVID-19 associated myocarditis suspected at echocardiography and biology and confirmed on MRI. Patients with previous HF and reduced left ventricular ejection fraction (LVEF) were excluded (n=06). Patients were divided into two groups according to LVEF three months later (LVEF>50% v. LVEF<50%) and compared to identify factors predicting a poor LVEF recovery. Results: 33 patients (19♂/14♀) aged between 30–61 years with acute non-fulminant COVID-19 associated myocarditis were included. All had ECG repolarization abnormalities. The mean LVEF at baseline was 44.3% +/- 6.3 (30–52%) with an average troponin level 480 times normal (20–2,100). Beta-blocker and RASB treatment was initiated in all patients, spironolactone (37.5 mg) in 13 patients with LVEF <40% and furosemide if congestive signs (17 patients/51.5%). Clinical, electrical, biological and echocardiographic monitoring was performed at one and three months. Eight patients developed uncomplicated pericardial effusion. A significant improvement in LVEF>50% was observed in 29 patients. One patient with LVEF of 38% presented with incessant ventricular tachyarrhythmia that necessitated an ICD. Three patients kept LVEF<50%. Sex, congestive signs, ECG and coronary angiogram abnormalities do not seem to influence the LVEF evolution (p at 0.62, 1.00, 1.00, 0.56, 0.50, and 0.23, respectively). Age >60 years, troponins >1,200 times normal, pericardial effusion and a combined criterion of the three seem to be a good predictor of poor LVEF evolution (p at 0.07, 0.02, 0.035 and 0.01, respectively). Discussion: The absence of fulminant forms in our series explains the absence of mortality at three months (>30% in the literature). Acute non-fulminant COVID-19 associated myocarditis has a good prognosis with LVEF recovery in 87.88%. The factors of poor LVEF recovery are the age >60 years, troponins >1,200 times normal, pericardial effusion, and the combined criterion of the three (p respectively at 0.07
{"title":"COVID-19 Associated Myocarditis: A Monocentric Series of 33 Cases","authors":"Nassime Zaoui, Amina Boukabous, Nadhir Bachir, Ali Terki","doi":"10.35516/jmj.v57i4.2067","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2067","url":null,"abstract":"Introduction: Myocarditis is defined by an inflammatory myocardial infiltrate with necrosis of non-ischemic origin in three forms: fulminant, acute and chronic. Diagnosis is guided by clinical presentation, ECG, echocardiography and biology, and confirmed by MRI and myocardial biopsy. The prognosis depends on clinical manifestations, echocardiographic features and serum troponin levels. Management is based on the treatment of heart failure (HF). For two years, the world has been experiencing a pandemic related to SARS-CoV2 that can affect the heart with ischemic or non-ischemic lesions (myocarditis, most often fulminant) whose treatment is non-specific. Trials with corticosteroids and immunosuppressant drugs have yielded discordant results. \u0000Objective: To describe the evolutionary modalities of COVID-19 associated myocarditis and identify factors of poor ejection fraction recovery under HF treatment. \u0000Method: This observational, retrospective, single-center study, in 2021, included patients with non-fulminant COVID-19 associated myocarditis suspected at echocardiography and biology and confirmed on MRI. Patients with previous HF and reduced left ventricular ejection fraction (LVEF) were excluded (n=06). Patients were divided into two groups according to LVEF three months later (LVEF>50% v. LVEF<50%) and compared to identify factors predicting a poor LVEF recovery. \u0000Results: 33 patients (19♂/14♀) aged between 30–61 years with acute non-fulminant COVID-19 associated myocarditis were included. All had ECG repolarization abnormalities. The mean LVEF at baseline was 44.3% +/- 6.3 (30–52%) with an average troponin level 480 times normal (20–2,100). Beta-blocker and RASB treatment was initiated in all patients, spironolactone (37.5 mg) in 13 patients with LVEF <40% and furosemide if congestive signs (17 patients/51.5%). Clinical, electrical, biological and echocardiographic monitoring was performed at one and three months. Eight patients developed uncomplicated pericardial effusion. A significant improvement in LVEF>50% was observed in 29 patients. One patient with LVEF of 38% presented with incessant ventricular tachyarrhythmia that necessitated an ICD. Three patients kept LVEF<50%. Sex, congestive signs, ECG and coronary angiogram abnormalities do not seem to influence the LVEF evolution (p at 0.62, 1.00, 1.00, 0.56, 0.50, and 0.23, respectively). Age >60 years, troponins >1,200 times normal, pericardial effusion and a combined criterion of the three seem to be a good predictor of poor LVEF evolution (p at 0.07, 0.02, 0.035 and 0.01, respectively). \u0000Discussion: The absence of fulminant forms in our series explains the absence of mortality at three months (>30% in the literature). Acute non-fulminant COVID-19 associated myocarditis has a good prognosis with LVEF recovery in 87.88%. The factors of poor LVEF recovery are the age >60 years, troponins >1,200 times normal, pericardial effusion, and the combined criterion of the three (p respectively at 0.07","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"29 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138979383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nur Iffah Norazzman, Mat Ghani Siti Nor Assyuhada, Nuur Daud, Noorzalifah Mazuki, Nurul Musa, Sharifah Hassan, Ayunni Bahri, Naam Adeeb, Nik Hassan, Nazihah Yunus, Mohamad Sidek, Mohamad Musa, Muhammadfahmee Talek, Farid Zain, Numan Hayimasae, Md. Salleh Yaapar, B. Zilfalil
Malay populations are sub-groups of the Malayo-Polynesian, with various sub-ethnic groups believed to have different ancestral origins based on their migration centuries ago. The variability in the genetic pattern within the Malay population might impose different risk and disease probabilities or certain phenotypes. This study aimed to analyze single nucleotide polymorphisms (SNPs) in Malayo-Polynesian sub-groups of the Malay population in Southeast Asia. SNPs were genotyped through T-ARMS PCR in 52 unrelated individuals from three Malay sub-groups: Champa (n=16), Kelantan (n=25) and Bugis (n=11). Most (60%) of the SNP genotypes showed a similarity with all Malay sub-ethnic groups. The PCA plot showed that all Malay sub-ethnic groups were slightly separated but clustered together with Asian populations compared with population groups from other geographical regions. Overall, the SNP genotyping generated from this study provides essential knowledge of the genetic relationships within Malay sub-ethnic groups in Southeast Asia and other global populations. Additionally, these findings may be used for future illness research, drug response estimation, and the development of preventive and therapeutic management strategies toward more personalized or precision medicine. Malay populations are sub-groups of the Malayo-Polynesian, with various sub-ethnic groups believed to have different ancestral origins based on their migration centuries ago. The variability in the genetic pattern within the Malay population might impose different risk and disease probabilities or certain phenotypes. This study aimed to analyze single nucleotide polymorphisms (SNPs) in Malayo-Polynesian sub-groups of the Malay population in Southeast Asia. SNPs were genotyped through T-ARMS PCR in 52 unrelated individuals from three Malay sub-groups: Champa (n=16), Kelantan (n=25) and Bugis (n=11). Most (60%) of the SNP genotypes showed a similarity with all Malay sub-ethnic groups. The PCA plot showed that all Malay sub-ethnic groups were slightly separated but clustered together with Asian populations compared with population groups from other geographical regions. Overall, the SNP genotyping generated from this study provides essential knowledge of the genetic relationships within Malay sub-ethnic groups in Southeast Asia and other global populations. Additionally, these findings may be used for future illness research, drug response estimation, and the development of preventive and therapeutic management strategies toward more personalized or precision medicine.
{"title":"Ancestry Single Nucleotide Polymorphisms in Malayo-Polynesian Sub-Groups in the Malay Population: A Preliminary Study","authors":"Nur Iffah Norazzman, Mat Ghani Siti Nor Assyuhada, Nuur Daud, Noorzalifah Mazuki, Nurul Musa, Sharifah Hassan, Ayunni Bahri, Naam Adeeb, Nik Hassan, Nazihah Yunus, Mohamad Sidek, Mohamad Musa, Muhammadfahmee Talek, Farid Zain, Numan Hayimasae, Md. Salleh Yaapar, B. Zilfalil","doi":"10.35516/jmj.v57i4.2064","DOIUrl":"https://doi.org/10.35516/jmj.v57i4.2064","url":null,"abstract":"Malay populations are sub-groups of the Malayo-Polynesian, with various sub-ethnic groups believed to have different ancestral origins based on their migration centuries ago. The variability in the genetic pattern within the Malay population might impose different risk and disease probabilities or certain phenotypes. This study aimed to analyze single nucleotide polymorphisms (SNPs) in Malayo-Polynesian sub-groups of the Malay population in Southeast Asia. SNPs were genotyped through T-ARMS PCR in 52 unrelated individuals from three Malay sub-groups: Champa (n=16), Kelantan (n=25) and Bugis (n=11). Most (60%) of the SNP genotypes showed a similarity with all Malay sub-ethnic groups. The PCA plot showed that all Malay sub-ethnic groups were slightly separated but clustered together with Asian populations compared with population groups from other geographical regions. Overall, the SNP genotyping generated from this study provides essential knowledge of the genetic relationships within Malay sub-ethnic groups in Southeast Asia and other global populations. Additionally, these findings may be used for future illness research, drug response estimation, and the development of preventive and therapeutic management strategies toward more personalized or precision medicine. \u0000Malay populations are sub-groups of the Malayo-Polynesian, with various sub-ethnic groups believed to have different ancestral origins based on their migration centuries ago. The variability in the genetic pattern within the Malay population might impose different risk and disease probabilities or certain phenotypes. This study aimed to analyze single nucleotide polymorphisms (SNPs) in Malayo-Polynesian sub-groups of the Malay population in Southeast Asia. SNPs were genotyped through T-ARMS PCR in 52 unrelated individuals from three Malay sub-groups: Champa (n=16), Kelantan (n=25) and Bugis (n=11). Most (60%) of the SNP genotypes showed a similarity with all Malay sub-ethnic groups. The PCA plot showed that all Malay sub-ethnic groups were slightly separated but clustered together with Asian populations compared with population groups from other geographical regions. Overall, the SNP genotyping generated from this study provides essential knowledge of the genetic relationships within Malay sub-ethnic groups in Southeast Asia and other global populations. Additionally, these findings may be used for future illness research, drug response estimation, and the development of preventive and therapeutic management strategies toward more personalized or precision medicine.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"126 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138981626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Al-Husban, F. Thekrallah, Aymen M. Qatawneh, Dania Al-Ramahi, Rama Al-Ashqar, Balqees Faraj, Mirona Asfour, F. Khreisat
Introduction: Ectopic pregnancy accounts for approximately 2% of all pregnancies and is the most common cause of pregnancy-related mortality in the first trimester. Our aim was to study the preoperative clinical factors affecting the choice of laparoscopic approach to tubal ectopic pregnancy. Materials and methods: This was a retrospective cross-sectional study of tubal ectopic pregnancy cases that were managed by laparoscopy at an academic university hospital in the period January 2010 to December 2018. Cases that were managed medically or conservatively and laparoscopic cases that were converted to laparotomy were excluded. Cases where the surgical approach of laparoscopy or laparotomy were determined by the patients’ choice were also excluded. Results: The laparoscopy rate was 49.4%. The mean age was 32.04 years. Compared with laparotomy, laparoscopy was significantly associated with low parity (less than 3) (p=0.008), a low level of initial beta-human chorionic gonadotrophin (p=0.032), fewer cases of adnexal mass (p=0.000451), hemoperitoneum (p=0.000072), ruptured ectopic (p=0.000261), and more cases of bowel adhesions (p=0.0095). There was no significant difference between laparoscopy and laparotomy regarding the risk factors of ectopic pregnancy. Salpingectomy and salpingostomy were not significantly different between the two surgical approaches (p=0.643). Twenty-eight laparoscopic cases were converted to laparotomy. Conclusion: The laparoscopic approach to ectopic pregnancy was affected by parity, presenting symptoms of pain and vomiting, mean initial beta-human chorionic gonadotrophin, the presence of adnexal mass, the presence of hemoperitoneum, and the rupture of the ectopic. Bowel adhesions were seen more frequently in laparoscopy than laparotomy. Salpingectomy and salpingostomy were no different between laparoscopy and laparotomy.
{"title":"Clinical Predictive Factors Affecting Laparoscopic Approach in the Management of Ectopic Pregnancy: A Retrospective Cross-Sectional Study","authors":"N. Al-Husban, F. Thekrallah, Aymen M. Qatawneh, Dania Al-Ramahi, Rama Al-Ashqar, Balqees Faraj, Mirona Asfour, F. Khreisat","doi":"10.35516/jmj.v57i3.1675","DOIUrl":"https://doi.org/10.35516/jmj.v57i3.1675","url":null,"abstract":"Introduction: Ectopic pregnancy accounts for approximately 2% of all pregnancies and is the most common cause of pregnancy-related mortality in the first trimester. Our aim was to study the preoperative clinical factors affecting the choice of laparoscopic approach to tubal ectopic pregnancy. \u0000Materials and methods: This was a retrospective cross-sectional study of tubal ectopic pregnancy cases that were managed by laparoscopy at an academic university hospital in the period January 2010 to December 2018. Cases that were managed medically or conservatively and laparoscopic cases that were converted to laparotomy were excluded. Cases where the surgical approach of laparoscopy or laparotomy were determined by the patients’ choice were also excluded. \u0000Results: The laparoscopy rate was 49.4%. The mean age was 32.04 years. Compared with laparotomy, laparoscopy was significantly associated with low parity (less than 3) (p=0.008), a low level of initial beta-human chorionic gonadotrophin (p=0.032), fewer cases of adnexal mass (p=0.000451), hemoperitoneum (p=0.000072), ruptured ectopic (p=0.000261), and more cases of bowel adhesions (p=0.0095). There was no significant difference between laparoscopy and laparotomy regarding the risk factors of ectopic pregnancy. Salpingectomy and salpingostomy were not significantly different between the two surgical approaches (p=0.643). Twenty-eight laparoscopic cases were converted to laparotomy. \u0000Conclusion: The laparoscopic approach to ectopic pregnancy was affected by parity, presenting symptoms of pain and vomiting, mean initial beta-human chorionic gonadotrophin, the presence of adnexal mass, the presence of hemoperitoneum, and the rupture of the ectopic. Bowel adhesions were seen more frequently in laparoscopy than laparotomy. Salpingectomy and salpingostomy were no different between laparoscopy and laparotomy.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41554249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nadeem Mahafza, T. Mahafza, M. Mahafza, H. Alomari
Objective: The purpose of this study was to investigate the prevalence of tinnitus and other associated risk factors among students from the University of Jordan. Methods and Design: This cross-sectional study included 1,302 students (785 females and 517 males; aged 17–30 years old) attending the University of Jordan. All participants completed a tinnitus survey that included questions concerning the presence of tinnitus and its characteristics, exposure to recreational noise, and smoking habits. Tinnitus discomfort was measured using an Arabic Visual Analogue Scale (VAS). Descriptive and inferential statistics were used to analyze the data. Results: The overall prevalence of tinnitus (continuous or intermittent) was 21.2% among participants, with females having 13.9% prevalence and males having 7.3%. Pearson’s Chi-square test revealed a significant association between tinnitus and the influence of the various risk factors (x2=102.09, df=4, p<0.001). In addition, tinnitus was more likely to be associated with noise exposure (29%) and smoking (15%), and less likely to be related to seasonal allergies and gender. The results of the VAS indicated that only 5% of the students reported that their tinnitus was extremely uncomfortable. Conclusion: According to the findings of this study, the prevalence of tinnitus among university students who participated in this study was 21.2%. Furthermore, our results showed that exposure to recreational noise and smoking were associated with the presence of tinnitus.
{"title":"Prevalence and Risk Factors of Tinnitus Among University Students","authors":"Nadeem Mahafza, T. Mahafza, M. Mahafza, H. Alomari","doi":"10.35516/jmj.v57i3.1678","DOIUrl":"https://doi.org/10.35516/jmj.v57i3.1678","url":null,"abstract":"Objective: The purpose of this study was to investigate the prevalence of tinnitus and other associated risk factors among students from the University of Jordan. \u0000Methods and Design: This cross-sectional study included 1,302 students (785 females and 517 males; aged 17–30 years old) attending the University of Jordan. All participants completed a tinnitus survey that included questions concerning the presence of tinnitus and its characteristics, exposure to recreational noise, and smoking habits. Tinnitus discomfort was measured using an Arabic Visual Analogue Scale (VAS). Descriptive and inferential statistics were used to analyze the data. \u0000Results: The overall prevalence of tinnitus (continuous or intermittent) was 21.2% among participants, with females having 13.9% prevalence and males having 7.3%. Pearson’s Chi-square test revealed a significant association between tinnitus and the influence of the various risk factors (x2=102.09, df=4, p<0.001). In addition, tinnitus was more likely to be associated with noise exposure (29%) and smoking (15%), and less likely to be related to seasonal allergies and gender. The results of the VAS indicated that only 5% of the students reported that their tinnitus was extremely uncomfortable. \u0000Conclusion: According to the findings of this study, the prevalence of tinnitus among university students who participated in this study was 21.2%. Furthermore, our results showed that exposure to recreational noise and smoking were associated with the presence of tinnitus.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42897606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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