T. Mahafza, Lubna Al-Ananbeh, Z. Obeid, Naseem T. Mahafza, Eshraq Albdour, M. Rawashdeh, M. Shaheen
Background: The adenoids are part of Waldeyer’s ring of lymphoid tissue and when hypertrophied they cause many symptoms, e.g., snoring. They hypertrophy physiologically in children between the ages of 6 and 10 years, and then atrophy by the age of 16 years. Objectives: The aim of this study was to reveal the risk factors and clinical patterns associated with adenoid hypertrophy in patients aged over 12 years. Methods: We studied 130 patients aged over 12 who had undergone an adenoidectomy between January 2016 to January 2021. Patients were evaluated in the Department of Otorhinolaryngology and Head and Neck Surgery at Jordan University Hospital, Amman, Jordan. Some patients were accessed using medical records and their data were collected by telephone. Results: Of the 130 patients, 81 were male and 49 were female, with a mean age of 19.68 years. Snoring was the most common presenting symptom (81.5%), followed by nasal obstruction (75.4%) and mouth breathing (71.5%). The most common associated risk factor was septal deviation (44.6%), and then passive smoking (40.8 %), allergic rhinitis (38.5%), and pollution (38.5%). Conclusion: There are multiple suspected risk factors for adenoid hypertrophy in patients aged over 12 years. In our study, septal deviation was the most common associated factor, followed by passive smoking, allergic rhinitis and pollution. Snoring was the most common presenting symptom, followed by nasal obstruction.
{"title":"Risk Factors for Adenoid Hypertrophy in Patients Twelve Year and Older","authors":"T. Mahafza, Lubna Al-Ananbeh, Z. Obeid, Naseem T. Mahafza, Eshraq Albdour, M. Rawashdeh, M. Shaheen","doi":"10.35516/jmj.v57i2.1363","DOIUrl":"https://doi.org/10.35516/jmj.v57i2.1363","url":null,"abstract":"Background: The adenoids are part of Waldeyer’s ring of lymphoid tissue and when hypertrophied they cause many symptoms, e.g., snoring. They hypertrophy physiologically in children between the ages of 6 and 10 years, and then atrophy by the age of 16 years. \u0000Objectives: The aim of this study was to reveal the risk factors and clinical patterns associated with adenoid hypertrophy in patients aged over 12 years. \u0000Methods: We studied 130 patients aged over 12 who had undergone an adenoidectomy between January 2016 to January 2021. Patients were evaluated in the Department of Otorhinolaryngology and Head and Neck Surgery at Jordan University Hospital, Amman, Jordan. Some patients were accessed using medical records and their data were collected by telephone. \u0000Results: Of the 130 patients, 81 were male and 49 were female, with a mean age of 19.68 years. Snoring was the most common presenting symptom (81.5%), followed by nasal obstruction (75.4%) and mouth breathing (71.5%). The most common associated risk factor was septal deviation (44.6%), and then passive smoking (40.8 %), allergic rhinitis (38.5%), and pollution (38.5%). \u0000Conclusion: There are multiple suspected risk factors for adenoid hypertrophy in patients aged over 12 years. In our study, septal deviation was the most common associated factor, followed by passive smoking, allergic rhinitis and pollution. Snoring was the most common presenting symptom, followed by nasal obstruction.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47570581","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}
Raed Al-Taher, Mohammad Z. Rashdan, M. Amarin, R. Addasi, Ghada Odeh, Amal Abu-Harb, Rawan Habashneh, Dana Al-Omari, Lubna Al-Zughayer, Rama Toukan, Renad Al-Awamleh, Sanaa Qasho
Background and Aim: Attending operations is part of medical school education. This research studied the benefits and barriers facing students in the operating theaters. It also looked for student, surgeon and environmental factors that could play a role in participants’ understanding. The aim was to explore the effect on participants’ perception and understanding of surgical techniques to shed light on the obstacles faced, and whether the learning objectives, either in general surgery or sub-surgery courses, can be achieved. Materials and Methods: This cross-sectional, questionnaire-based study used an electronic questionnaire (Google Forms), and 287 responses were received. Data were then analyzed using SPSS software. Results: Of the 287 medical students who completed the questionnaire, 83% of those who scrubbed-in confirmed that scrubbing-in and being part of the operating team provided them with a better understanding. Laparoscopic-type surgeries carried a better teaching benefit. Neither the number of students attending the theatre, attendance at previous surgical skills courses, or the future specialty interest of the medical student had a significant correlation with the benefit of attending the operating rooms. Our findings align with those of many other studies, in that the main points are the role of the surgeon, the environment, and the importance of scrubbing-in. Conclusion: A surgeon who provides good explanations and a student who knows the learning goals before going to the theatre, as well as a friendly environment, were found to achieve the best combination with the best outcome.
{"title":"Attending Operating Rooms for Clinical-Years Medical Students: Benefits and Barriers","authors":"Raed Al-Taher, Mohammad Z. Rashdan, M. Amarin, R. Addasi, Ghada Odeh, Amal Abu-Harb, Rawan Habashneh, Dana Al-Omari, Lubna Al-Zughayer, Rama Toukan, Renad Al-Awamleh, Sanaa Qasho","doi":"10.35516/jmj.v57i2.1354","DOIUrl":"https://doi.org/10.35516/jmj.v57i2.1354","url":null,"abstract":"Background and Aim: Attending operations is part of medical school education. This research studied the benefits and barriers facing students in the operating theaters. It also looked for student, surgeon and environmental factors that could play a role in participants’ understanding. The aim was to explore the effect on participants’ perception and understanding of surgical techniques to shed light on the obstacles faced, and whether the learning objectives, either in general surgery or sub-surgery courses, can be achieved. \u0000Materials and Methods: This cross-sectional, questionnaire-based study used an electronic questionnaire (Google Forms), and 287 responses were received. Data were then analyzed using SPSS software. \u0000Results: Of the 287 medical students who completed the questionnaire, 83% of those who scrubbed-in confirmed that scrubbing-in and being part of the operating team provided them with a better understanding. Laparoscopic-type surgeries carried a better teaching benefit. Neither the number of students attending the theatre, attendance at previous surgical skills courses, or the future specialty interest of the medical student had a significant correlation with the benefit of attending the operating rooms. Our findings align with those of many other studies, in that the main points are the role of the surgeon, the environment, and the importance of scrubbing-in. \u0000Conclusion: A surgeon who provides good explanations and a student who knows the learning goals before going to the theatre, as well as a friendly environment, were found to achieve the best combination with the best outcome.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42065562","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}
M. Ahram, Reem Alshiyyab, Ashraf Al Debie, Ala’a Al-Sukhni, Asma Shabsough, M. Jaghbir
Background: Smoking-related behavior including passive smoking poses a major burden on the health status of populations and national economies. This is particularly true for countries that have a high prevalence of smoking like Jordan, which also has an increasing trend of waterpipe smoking: Knowledge of passive smoking and the association of knowledge of smoking as cancer-causing with quitting in addition to characteristics of smokers with denial or ignorance were assessed. Methods: This study is part of a nationwide, cross-sectional survey conducted in Jordan. Respondents (3196) were asked about their knowledge of passive smoking in addition to the association of active, waterpipe, and passive smoking with cancer. Smokers were also asked about the possibility of them developing cancer. Knowledge and perception were correlated to past attempts and future intentions of quitting smoking. Smokers with a denial of developing cancer or lack of knowledge of the association of smoking with cancer were further characterized. Results: Approximately half of the respondents, in general, knew of the term “passive smoking.” Knowledge of the association of smoking-related behavior with cancer was very high (~95%). However, almost 75% of smokers thought that they would develop cancer with a strong association between this perception with previous attempts or future intentions to quit smoking. Whereas smokers in their 20s and 50s, those with decreasing income, and female smokers were more likely to be in denial that they may develop cancer, male smokers and smokers in their 40s, or with intermediate education or increasing income appeared to be ignorant of the association of smoking with developing cancer. Conclusions: These results may aid in the development of more effective and targeted anti-smoking campaigns.
{"title":"Influence of Knowledge of Smoking as Cancer-Causing on Behavior among Smokers","authors":"M. Ahram, Reem Alshiyyab, Ashraf Al Debie, Ala’a Al-Sukhni, Asma Shabsough, M. Jaghbir","doi":"10.35516/jmj.v57i2.1360","DOIUrl":"https://doi.org/10.35516/jmj.v57i2.1360","url":null,"abstract":"Background: Smoking-related behavior including passive smoking poses a major burden on the health status of populations and national economies. This is particularly true for countries that have a high prevalence of smoking like Jordan, which also has an increasing trend of waterpipe smoking: Knowledge of passive smoking and the association of knowledge of smoking as cancer-causing with quitting in addition to characteristics of smokers with denial or ignorance were assessed. \u0000Methods: This study is part of a nationwide, cross-sectional survey conducted in Jordan. Respondents (3196) were asked about their knowledge of passive smoking in addition to the association of active, waterpipe, and passive smoking with cancer. Smokers were also asked about the possibility of them developing cancer. Knowledge and perception were correlated to past attempts and future intentions of quitting smoking. Smokers with a denial of developing cancer or lack of knowledge of the association of smoking with cancer were further characterized. \u0000Results: Approximately half of the respondents, in general, knew of the term “passive smoking.” Knowledge of the association of smoking-related behavior with cancer was very high (~95%). However, almost 75% of smokers thought that they would develop cancer with a strong association between this perception with previous attempts or future intentions to quit smoking. Whereas smokers in their 20s and 50s, those with decreasing income, and female smokers were more likely to be in denial that they may develop cancer, male smokers and smokers in their 40s, or with intermediate education or increasing income appeared to be ignorant of the association of smoking with developing cancer. \u0000Conclusions: These results may aid in the development of more effective and targeted anti-smoking campaigns.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44574325","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 identified therapies for hoarding disorder. Methods: The literature review method was employed with several databases: EBSCOhost, PubMed, Sage Journals, and ScienceDirect, and the Google Scholar search engine. Articles were sorted based on the following inclusion criteria: published between 2011–2021, written in Indonesian or English, available full-text, type of experimental study (RCT, quasi), focus on hoarding or compulsive hoarding and its effects on daily life, and including a sample for a primary study with adult and elderly hoarders aged 19 plus. Results: Five articles were found discussing therapies using an experimental method of treating hoarding disorder. The findings showed improvement in hoarding symptoms with outcomes of 23–28% for support group therapy, 31.8% for contingency management therapy, 38% for cognitive rehabilitation and exposure/sorting therapy (CREST), 43% for community-based CREST, and four out of six (66.67%) participants experiencing clinically significant changes following clutter buddies therapy. Conclusion: The procedures, periods, and number of sessions allotted to each study could have influenced the effectiveness of the intervention. However, since only one study used an RCT, further research is recommended using this method regarding therapies for hoarding disorder.
{"title":"Randomized Controlled Trials and Quasi-Experimental Therapies for Hoarding Disorder: A Review of the Literature","authors":"N. Hidayati, Nazla Nida, Iwan Shalahuddin","doi":"10.35516/jmj.v57i2.1359","DOIUrl":"https://doi.org/10.35516/jmj.v57i2.1359","url":null,"abstract":"Aims: This study identified therapies for hoarding disorder. \u0000Methods: The literature review method was employed with several databases: EBSCOhost, PubMed, Sage Journals, and ScienceDirect, and the Google Scholar search engine. Articles were sorted based on the following inclusion criteria: published between 2011–2021, written in Indonesian or English, available full-text, type of experimental study (RCT, quasi), focus on hoarding or compulsive hoarding and its effects on daily life, and including a sample for a primary study with adult and elderly hoarders aged 19 plus. \u0000Results: Five articles were found discussing therapies using an experimental method of treating hoarding disorder. The findings showed improvement in hoarding symptoms with outcomes of 23–28% for support group therapy, 31.8% for contingency management therapy, 38% for cognitive rehabilitation and exposure/sorting therapy (CREST), 43% for community-based CREST, and four out of six (66.67%) participants experiencing clinically significant changes following clutter buddies therapy. \u0000Conclusion: The procedures, periods, and number of sessions allotted to each study could have influenced the effectiveness of the intervention. However, since only one study used an RCT, further research is recommended using this method regarding therapies for hoarding disorder.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45781488","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: With the increasing deterioration in male fertility rates over the past few decades, assisted reproductive therapy via sperm banking has gained considerable attention from different health authorities worldwide. The process of sperm cryopreservation exerts certain harmful effects on sperm quality parameters. The aim of the current study was to examine the effect of omega-3 on human sperm cryopreservation as a dietary supplement and as a cryoprotectant stimulant. Methods: From healthy men, 120 seminal fluid samples were randomly collected for cryopreservation (for 30 days). All samples were divided into three groups (40 in each). The supplement group (SG) (first group) had been given dietary supplements of omega-3 (30% EPA: 20% DHA) for eight weeks before sample collection. The samples of the cryoprotectant group (CG) (second group) were treated with omega-3 additive in the diluent at the time of being collected and before we cryopreserved them. The samples from the control group (third group) were cryopreserved without any dietary or cryoprotectant supplementation. Initial seminal analysis was recorded and post-thawing assessment of sperm motility, vitality (using eosin test) and oxidative stress (using a nitro blue tetrazolium (NBT) test) were compared. Results and Conclusion: SG samples had greater initial seminal fluid volumes, as well as better sperm motility and vitality, but the oxidative stress assessment did not differ significantly pre-cryo. Post-thawing assessment revealed that the CG group had the best parameters of motility, vitality and oxidative stress. These results may be related to the positive effects of omega-3 fatty acids on reproductive glands, hormonal milieu, sperm function and structure, making it a suitable biostimulant for improving the outcome of human sperm banking. Results were comparable to multiple previous animal studies.
{"title":"Omega-3 Fatty Acids as Supplements and Cryoprotectants and Positive Outcomes for Human Seminal Cryopreservation: A Study in the Iraqi Context","authors":"M. Al-Obeidy, S. Akkila, Khalida I. Noel","doi":"10.35516/jmj.v57i2.1364","DOIUrl":"https://doi.org/10.35516/jmj.v57i2.1364","url":null,"abstract":"Background: With the increasing deterioration in male fertility rates over the past few decades, assisted reproductive therapy via sperm banking has gained considerable attention from different health authorities worldwide. The process of sperm cryopreservation exerts certain harmful effects on sperm quality parameters. The aim of the current study was to examine the effect of omega-3 on human sperm cryopreservation as a dietary supplement and as a cryoprotectant stimulant. \u0000Methods: From healthy men, 120 seminal fluid samples were randomly collected for cryopreservation (for 30 days). All samples were divided into three groups (40 in each). The supplement group (SG) (first group) had been given dietary supplements of omega-3 (30% EPA: 20% DHA) for eight weeks before sample collection. The samples of the cryoprotectant group (CG) (second group) were treated with omega-3 additive in the diluent at the time of being collected and before we cryopreserved them. The samples from the control group (third group) were cryopreserved without any dietary or cryoprotectant supplementation. Initial seminal analysis was recorded and post-thawing assessment of sperm motility, vitality (using eosin test) and oxidative stress (using a nitro blue tetrazolium (NBT) test) were compared. \u0000Results and Conclusion: SG samples had greater initial seminal fluid volumes, as well as better sperm motility and vitality, but the oxidative stress assessment did not differ significantly pre-cryo. Post-thawing assessment revealed that the CG group had the best parameters of motility, vitality and oxidative stress. These results may be related to the positive effects of omega-3 fatty acids on reproductive glands, hormonal milieu, sperm function and structure, making it a suitable biostimulant for improving the outcome of human sperm banking. Results were comparable to multiple previous animal studies.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43944774","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: The aims of this study were to report women’s reasons for using midazolam in the third stage of labor after the delivery of the fetal head, and report their knowledge of, attitudes toward, and satisfaction with its use. Methods and Materials: This prospective study was conducted between November 1, 2019 and November 1, 2020. Inclusion criteria were age 18 years or more, admitted into labor or for induction of labor, and having knowledge of midazolam. The women’s reasons, knowledge, attitudes, perceptions, and satisfaction were recorded and analyzed. Results: We recruited 200 women, mean age 29.4 years, 61% of whom knew about midazolam. Their reasons for choosing to have midazolam were relief of pain associated with the delivery of the fetal head, fear of delivery of the fetal head, and a desire to forget delivery details in 74%, 15%, and 11%, respectively. The factors that correlated positively with the women’s reasons for choosing midazolam included younger age, higher parity, and source of information due to being used in previous deliveries (all p-values were <0.05). Satisfaction was high in 88.5% of women. The factors that correlated positively with higher satisfaction included the women’s positive feeling about not recalling delivery details, and positive attitude toward the use of midazolam (all p-values were <0.05). Conclusion: The women chose to have midazolam for relief of pain associated with the delivery of the fetal head, fear of delivery of the fetal head, or a desire to forget delivery details. This reflects deficiencies in antenatal pain management counseling and the presence of barriers against the use of epidural analgesia.
{"title":"Why do Women Use Midazolam in the Third Stage of Labor? An Exploratory Study","authors":"Ismaiel Abu Mahfouz","doi":"10.35516/jmj.v57i2.1357","DOIUrl":"https://doi.org/10.35516/jmj.v57i2.1357","url":null,"abstract":"Aims: The aims of this study were to report women’s reasons for using midazolam in the third stage of labor after the delivery of the fetal head, and report their knowledge of, attitudes toward, and satisfaction with its use. \u0000Methods and Materials: This prospective study was conducted between November 1, 2019 and November 1, 2020. Inclusion criteria were age 18 years or more, admitted into labor or for induction of labor, and having knowledge of midazolam. The women’s reasons, knowledge, attitudes, perceptions, and satisfaction were recorded and analyzed. \u0000Results: We recruited 200 women, mean age 29.4 years, 61% of whom knew about midazolam. Their reasons for choosing to have midazolam were relief of pain associated with the delivery of the fetal head, fear of delivery of the fetal head, and a desire to forget delivery details in 74%, 15%, and 11%, respectively. The factors that correlated positively with the women’s reasons for choosing midazolam included younger age, higher parity, and source of information due to being used in previous deliveries (all p-values were <0.05). Satisfaction was high in 88.5% of women. The factors that correlated positively with higher satisfaction included the women’s positive feeling about not recalling delivery details, and positive attitude toward the use of midazolam (all p-values were <0.05). \u0000Conclusion: The women chose to have midazolam for relief of pain associated with the delivery of the fetal head, fear of delivery of the fetal head, or a desire to forget delivery details. This reflects deficiencies in antenatal pain management counseling and the presence of barriers against the use of epidural analgesia.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47371785","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}
Objectives: The study aimed to assess the level of knowledge and attitudes of Jordanian women regarding influenza and its vaccine during pregnancy. Methods: A cross-sectional study was conducted on 384 Jordanian women who had had a full-term delivery during the last 12 months. Data were collected with an interviewer-administrated questionnaire at five governmental comprehensive healthcare centers in Amman governorate. Results: Most participants had moderate knowledge (78.1%) (average score of 6.08 ± 1.38 out of 10). Women were either positive (51.0%) or neutral (47.9%) towards the influenza vaccination during pregnancy (average score of 52.43 ± 6.29 out of 75). Further, the vaccination rate during the women’s latest pregnancy was 2.1%. A significant positive relationship was found between the knowledge and attitudes of participants (p=0.001). Conclusion: The vaccination rate was low among women during pregnancy. The study’s results suggest that a greater awareness of the flu vaccine would help build positive attitudes towards its uptake during pregnancy. In this sense, antenatal care healthcare providers, such as gynecologists and midwives, should communicate strong health education messages about the flu vaccine as a preventative measure against influenza complications during pregnancy.
{"title":"Knowledge and Attitudes of Women toward the Influenza Vaccination during Pregnancy in Amman, Jordan","authors":"Yasmeen Barham","doi":"10.35516/jmj.v57i1.1099","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.1099","url":null,"abstract":"Objectives: The study aimed to assess the level of knowledge and attitudes of Jordanian women regarding influenza and its vaccine during pregnancy. \u0000Methods: A cross-sectional study was conducted on 384 Jordanian women who had had a full-term delivery during the last 12 months. Data were collected with an interviewer-administrated questionnaire at five governmental comprehensive healthcare centers in Amman governorate. \u0000Results: Most participants had moderate knowledge (78.1%) (average score of 6.08 ± 1.38 out of 10). Women were either positive (51.0%) or neutral (47.9%) towards the influenza vaccination during pregnancy (average score of 52.43 ± 6.29 out of 75). Further, the vaccination rate during the women’s latest pregnancy was 2.1%. A significant positive relationship was found between the knowledge and attitudes of participants (p=0.001). \u0000Conclusion: The vaccination rate was low among women during pregnancy. The study’s results suggest that a greater awareness of the flu vaccine would help build positive attitudes towards its uptake during pregnancy. In this sense, antenatal care healthcare providers, such as gynecologists and midwives, should communicate strong health education messages about the flu vaccine as a preventative measure against influenza complications during pregnancy.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43153513","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}
Y. Alabdallat, K. Albakri, B. Al-Hanaqtah, M. Al-Dajani, O. Saleh, H. Harvey
Introduction: Awareness of psychological disorders such as smartphone addiction, anxiety, and depression is a trending research area in the scientific community that has further escalated with the impact of COVID-19. In this regard, young adults and medical students are already considered to be under a high level of stress academically and culturally. This study aimed to investigate the relationship between depression, anxiety, and smartphone addiction among medical students in Jordan. Methods: A cross-sectional study was conducted using an online structured questionnaire. The survey was completed by 164 male and female medical students stratified by years one to three in the basic medical sciences. The survey consisted of items from the Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9), and Smartphone Addiction Scale-Short Version (SAS-SV), in addition to two questions concerning the impact of the COVID-19 pandemic on smartphone addiction. Results: Among the students who participated, the mean age was 18.9, with almost half (47.2%) being first-year students. The results showed no significant difference in stress, anxiety or cell phone addiction based on gender or academic year. The logistic regression model was not statistically significant regarding the covariates, except for GAD, which had an OR=1.15 (CI: 1.06 -1.25). Furthermore, SAS-SV was positively correlated with GAD-7 and PHQ-9 scores (r=0.42, r=0.2, p< 0.000, p=0.029, respectively). Conclusions: The results of the study showed a statistically significant positive correlation between smartphone addiction, depression, and anxiety. These variables were not statistically different among medical students in terms of gender and academic year.
{"title":"The Association between Smartphone Addiction, Depression and Anxiety among Medical Students in Jordan","authors":"Y. Alabdallat, K. Albakri, B. Al-Hanaqtah, M. Al-Dajani, O. Saleh, H. Harvey","doi":"10.35516/jmj.v57i1.1102","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.1102","url":null,"abstract":"Introduction: Awareness of psychological disorders such as smartphone addiction, anxiety, and depression is a trending research area in the scientific community that has further escalated with the impact of COVID-19. In this regard, young adults and medical students are already considered to be under a high level of stress academically and culturally. This study aimed to investigate the relationship between depression, anxiety, and smartphone addiction among medical students in Jordan. \u0000Methods: A cross-sectional study was conducted using an online structured questionnaire. The survey was completed by 164 male and female medical students stratified by years one to three in the basic medical sciences. The survey consisted of items from the Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9), and Smartphone Addiction Scale-Short Version (SAS-SV), in addition to two questions concerning the impact of the COVID-19 pandemic on smartphone addiction. \u0000Results: Among the students who participated, the mean age was 18.9, with almost half (47.2%) being first-year students. The results showed no significant difference in stress, anxiety or cell phone addiction based on gender or academic year. The logistic regression model was not statistically significant regarding the covariates, except for GAD, which had an OR=1.15 (CI: 1.06 -1.25). Furthermore, SAS-SV was positively correlated with GAD-7 and PHQ-9 scores (r=0.42, r=0.2, p< 0.000, p=0.029, respectively). \u0000Conclusions: The results of the study showed a statistically significant positive correlation between smartphone addiction, depression, and anxiety. These variables were not statistically different among medical students in terms of gender and academic year.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42811357","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}
A. Tamimi, F. Obeidat, Nosaiba T. Al Ryalat, M. Juweid, S. Jabaiti, Yazen Olimat, Rahma M. Doudeen, Almustafa Sahar, Zaid Abuajamieh, Majed Ftaiha, I. Tamimi
Background: Melanocytoma is a rare pigmented central nervous tumor. In the spine, it may develop in meninges, extramedullary or intramedullary. It usually has good outcome after total excision. Case report: A 40-year-old male patient was admitted to our hospital 12 years ago with a 3-month history of progressive neck pain and difficulty walking. On clinical examination, he showed upper dorsal bilateral gray blue hyperpigmentation, quadriparesis and bilateral hypoesthesia below C4. Cervical magnetic resonance imaging (MRI) T1-weighted images without contrast showed a C3-C4 intradural, extramedullary lesion. The patient underwent total microsurgical resection of the lesion. Histological and immunohistochemical analyses confirmed the diagnosis of melanocytoma. Another skin biopsy of the abnormal area showed histological findings of a blue skin nevus. Eight years after resection the patient presented with recurrent symptoms, which were similar to his initial presentation. Cervical MRI showed an intradural extramedullary tumor anterior to the spinal cord at the same C3-C4 level. The patient underwent a second complete tumor excision and melanocytoma was confirmed histologically. The patient significantly improved and remained well at last follow-up. Conclusions: Intradural extra- or intramedullary melanocytoma is a rare benign tumor that frequently recurs but usually has good outcome following total excision. Keywords: Spinal cord, Meningeal, Melanocytoma, Extramedullary, Skin Nevus of Ito, Outcome
{"title":"Cervical Intradural Extramedullary Melanocytoma , Associated with Nevus of Ito. Recurrence and Long-Term Outcome","authors":"A. Tamimi, F. Obeidat, Nosaiba T. Al Ryalat, M. Juweid, S. Jabaiti, Yazen Olimat, Rahma M. Doudeen, Almustafa Sahar, Zaid Abuajamieh, Majed Ftaiha, I. Tamimi","doi":"10.35516/jmj.v57i1.419","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.419","url":null,"abstract":"Background: Melanocytoma is a rare pigmented central nervous tumor. In the spine, it may develop in meninges, extramedullary or intramedullary. It usually has good outcome after total excision. \u0000Case report: \u0000A 40-year-old male patient was admitted to our hospital 12 years ago with a 3-month history of progressive neck pain and difficulty walking. On clinical examination, he showed upper dorsal bilateral gray blue hyperpigmentation, quadriparesis and bilateral hypoesthesia below C4. Cervical magnetic resonance imaging (MRI) T1-weighted images without contrast showed a C3-C4 intradural, extramedullary lesion. The patient underwent total microsurgical resection of the lesion. Histological and immunohistochemical analyses confirmed the diagnosis of melanocytoma. Another skin biopsy of the abnormal area showed histological findings of a blue skin nevus. Eight years after resection the patient presented with recurrent symptoms, which were similar to his initial presentation. Cervical MRI showed an intradural extramedullary tumor anterior to the spinal cord at the same C3-C4 level. The patient underwent a second complete tumor excision and melanocytoma was confirmed histologically. The patient significantly improved and remained well at last follow-up. \u0000Conclusions: Intradural extra- or intramedullary melanocytoma is a rare benign tumor that frequently recurs but usually has good outcome following total excision. \u0000Keywords: Spinal cord, Meningeal, Melanocytoma, Extramedullary, Skin Nevus of Ito, Outcome","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44406232","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}
Mira Alamer, Z. Kaló, Tara Schuller, E. Almomani, R. Alqutob
As Jordan strives to achieve universal health coverage, the mechanism for determining which health technologies to include in the basket of reimbursed services has become increasingly important. This study sought to understand stakeholder perspectives in the Jordanian health system regarding the readiness and need to implement health technology assessment (HTA) to support decision-making quality and transparency, ensure value for money on health system spending, and support the achievement of universal health coverage. This study used a cross-sectional survey methodology, and a quantitative analysis was conducted. A questionnaire based on the HTA implementation scorecard was administered in-person to capture responses regarding fourteen dimensions. Thirty-one responses from representatives across the Ministry of Health, regulatory authority, and other stakeholders in the national health system were collected. Most respondents were familiar with HTA and there was nearly unanimous agreement on the need for HTA implementation in Jordan. While the perspectives on how the implementation would occur were varied, careful consideration may be warranted in the areas of the legal framework for HTA, the quality of available data, financial constraints, and limited human resource capacity, as Jordan progresses towards implementing HTA on the road to universal healthcare.
{"title":"Understanding of the Readiness for HTA Implementation in Jordan as a Step Towards Universal Health Coverage","authors":"Mira Alamer, Z. Kaló, Tara Schuller, E. Almomani, R. Alqutob","doi":"10.35516/jmj.v57i1.1103","DOIUrl":"https://doi.org/10.35516/jmj.v57i1.1103","url":null,"abstract":"As Jordan strives to achieve universal health coverage, the mechanism for determining which health technologies to include in the basket of reimbursed services has become increasingly important. This study sought to understand stakeholder perspectives in the Jordanian health system regarding the readiness and need to implement health technology assessment (HTA) to support decision-making quality and transparency, ensure value for money on health system spending, and support the achievement of universal health coverage. This study used a cross-sectional survey methodology, and a quantitative analysis was conducted. A questionnaire based on the HTA implementation scorecard was administered in-person to capture responses regarding fourteen dimensions. Thirty-one responses from representatives across the Ministry of Health, regulatory authority, and other stakeholders in the national health system were collected. Most respondents were familiar with HTA and there was nearly unanimous agreement on the need for HTA implementation in Jordan. While the perspectives on how the implementation would occur were varied, careful consideration may be warranted in the areas of the legal framework for HTA, the quality of available data, financial constraints, and limited human resource capacity, as Jordan progresses towards implementing HTA on the road to universal healthcare.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46272193","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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