This case report illustrates an incidental finding of asymptomatic Fitz-Hugh-Curtis syndrome in a 34-year old woman undergoing laparoscopy due to a spontaneous ruptured ectopic pregnancy after bilateral tubal ligation. To our knowledge, this is the first case that reported an atypical presentation in a twofold aspect: the presence of perihepatic adhesions associated with asymptomatic pelvic inflammatory disease (Fitz-Hugh-Curtis Syndrome) with a history of bilateral tubal ligation, and the spontaneous tubal ectopic pregnancy after a failed tubal ligation. This report highlights the clinical importance of conducting an attentive examination of the pelvis via surgical exploration of all abdominal cavity including perihepatic space, especially in women with suspected pelvic inflammatory disease and ectopic pregnancy.
{"title":"Ectopic Pregnancy after Bilateral Tubal Ligation in a Woman with Asymptomatic Fitz-Hugh-Curtis Syndrome","authors":"H. Aoun, S. Alhomsi, M. Mousa, M. Al-Jefout","doi":"10.35516/jmj.v56i4.465","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.465","url":null,"abstract":"This case report illustrates an incidental finding of asymptomatic Fitz-Hugh-Curtis syndrome in a 34-year old woman undergoing laparoscopy due to a spontaneous ruptured ectopic pregnancy after bilateral tubal ligation. To our knowledge, this is the first case that reported an atypical presentation in a twofold aspect: the presence of perihepatic adhesions associated with asymptomatic pelvic inflammatory disease (Fitz-Hugh-Curtis Syndrome) with a history of bilateral tubal ligation, and the spontaneous tubal ectopic pregnancy after a failed tubal ligation. This report highlights the clinical importance of conducting an attentive examination of the pelvis via surgical exploration of all abdominal cavity including perihepatic space, especially in women with suspected pelvic inflammatory disease and ectopic pregnancy.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44042451","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}
Objective: To study risk factors, incidence, indications, maternal and perinatal complications of women who underwent emergency peripartum hysterectomy (EPH) at Sultan Qaboos University Hospital (SQUH) in Oman. Method: This is a retrospective study, in which all cases EPH performed at SQUH between January 2007 and December 2016 were reviewed. Results: During the 9 years study period, there were 18 cases of EPH; the total number of deliveries during the same period was 32,963, so the incidence of EPH was 0.55 per 1,000 deliveries. Of all cases of EPH, 13 cases (72.2%) were cesarean hysterectomy compared with 5 cases (27.8%) were postpartum hysterectomy. Twelve cases (66.7%) were total hysterectomy while 6 cases (33.3%) were subtotal hysterectomy. The most common risk factor for EPH was placenta previa and accrete with previous cesarean section (CS) (27.6%); followed by previous CS without placenta previa (24.1%). The most common indication for EPH was placenta previa and accreta (44.4%), and previous CS (16.7%). During the study period, there was only one case of maternal death (5.6%). There were no cases of stillbirths or early neonatal deaths. There were 4 cases of bladder injury (22.2%). Women aged between 35-34 years and para > 5 had the highest incidence of EPH (50.0%). Conclusion: To reduce the incidence of EPH and its catastrophic consequences, we need to identify high-risk cases ante-natally and potential cases for EPH should be booked early during pregnancy and managed during pregnancy and delivery at a tertiary hospital by an experienced team.
{"title":"Emergency Peripartum Hysterectomy at Sultan Qaboos University Hospital in Oman. Nine years’ study","authors":"A. Abu-Heija, Majeda R. Al-Bash","doi":"10.35516/jmj.v56i4.461","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.461","url":null,"abstract":"Objective: To study risk factors, incidence, indications, maternal and perinatal complications of women who underwent emergency peripartum hysterectomy (EPH) at Sultan Qaboos University Hospital (SQUH) in Oman. \u0000Method: This is a retrospective study, in which all cases EPH performed at SQUH between January 2007 and December 2016 were reviewed. \u0000Results: During the 9 years study period, there were 18 cases of EPH; the total number of deliveries during the same period was 32,963, so the incidence of EPH was 0.55 per 1,000 deliveries. Of all cases of EPH, 13 cases (72.2%) were cesarean hysterectomy compared with 5 cases (27.8%) were postpartum hysterectomy. Twelve cases (66.7%) were total hysterectomy while 6 cases (33.3%) were subtotal hysterectomy. The most common risk factor for EPH was placenta previa and accrete with previous cesarean section (CS) (27.6%); followed by previous CS without placenta previa (24.1%). The most common indication for EPH was placenta previa and accreta (44.4%), and previous CS (16.7%). During the study period, there was only one case of maternal death (5.6%). There were no cases of stillbirths or early neonatal deaths. There were 4 cases of bladder injury (22.2%). Women aged between 35-34 years and para > 5 had the highest incidence of EPH (50.0%). \u0000Conclusion: To reduce the incidence of EPH and its catastrophic consequences, we need to identify high-risk cases ante-natally and potential cases for EPH should be booked early during pregnancy and managed during pregnancy and delivery at a tertiary hospital by an experienced team.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46840232","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}
Hayaa A Banat, Mohammed Alsbou, Nidaa Bawaresh, F. El‑Dahiyat, J. Jaber, Khalid Tawalbeh, Dana S Ahmad, A. Batarseh
Knowledge, attitude, and practice toward pharmacovigilance (PV) among healthcare providers are strongly associated with reporting of adverse drug reactions (ADRs). This study was conducted to evaluate knowledge, attitude, and practice toward pharmacovigilance and to identify barriers for ADR reporting among physicians working at public and private hospitals in Jordan. This study was conducted using an online questionnaire in the Arabic language, designed by the members of the Health Hazard Evaluation Committee of the Jordan Food and Drug Administration (JFDA) between (August 2016 to December 2017). The questionnaire was completed using Google Forms online. A total of 341 physicians completed the questionnaire online. The rate of reporting of ADRs is low among physicians, only 4.7% have reported an ADR. The majority of physicians had never heard the term PV before. Respondents also lacked awareness of the existence of a PV centre in Jordan, and were unaware that monitoring of ADRs is carried out by the JFDA. Although the majority of physicians had never seen the ADR form, many had positive attitudes toward reporting ADRs. According to participant responses, the main barriers to reporting are: 1) not knowing how to report, 2) not knowing the importance of reporting, 3) unavailability of the ADR form, and 4) general time pressure in the work environment. Although there is a low rate of ADR reporting among physicians, doctors have a positive attitude toward PV and are willing to implement ADR reporting in their practices. More education and training sessions are needed in order to raise physician awareness and knowledge of PV, and to enhance ADR reporting.
{"title":"Assessment of Knowledge, Attitude, and Practice of Physicians toward Pharmacovigilance in Public and Private Hospitals in Jordan","authors":"Hayaa A Banat, Mohammed Alsbou, Nidaa Bawaresh, F. El‑Dahiyat, J. Jaber, Khalid Tawalbeh, Dana S Ahmad, A. Batarseh","doi":"10.35516/jmj.v56i4.468","DOIUrl":"https://doi.org/10.35516/jmj.v56i4.468","url":null,"abstract":"Knowledge, attitude, and practice toward pharmacovigilance (PV) among healthcare providers are strongly associated with reporting of adverse drug reactions (ADRs). This study was conducted to evaluate knowledge, attitude, and practice toward pharmacovigilance and to identify barriers for ADR reporting among physicians working at public and private hospitals in Jordan. This study was conducted using an online questionnaire in the Arabic language, designed by the members of the Health Hazard Evaluation Committee of the Jordan Food and Drug Administration (JFDA) between (August 2016 to December 2017). The questionnaire was completed using Google Forms online. A total of 341 physicians completed the questionnaire online. The rate of reporting of ADRs is low among physicians, only 4.7% have reported an ADR. The majority of physicians had never heard the term PV before. Respondents also lacked awareness of the existence of a PV centre in Jordan, and were unaware that monitoring of ADRs is carried out by the JFDA. Although the majority of physicians had never seen the ADR form, many had positive attitudes toward reporting ADRs. According to participant responses, the main barriers to reporting are: 1) not knowing how to report, 2) not knowing the importance of reporting, 3) unavailability of the ADR form, and 4) general time pressure in the work environment. Although there is a low rate of ADR reporting among physicians, doctors have a positive attitude toward PV and are willing to implement ADR reporting in their practices. More education and training sessions are needed in order to raise physician awareness and knowledge of PV, and to enhance ADR reporting.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45218672","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}
Awni T. Abu Sneineh, Sara Haj Ali, T. Tamimi, Eman Alshebli, Reem Rajab, T. Dada, Deema Rayyan, Y. Rayyan
Primary amyloidosis is the most prevalent type of amyloidosis and is usually due to plasma cell dyscrasia. It more commonly presents with renal and cardiac involvement and, although the liver is frequently involved in primary amyloidosis, it rarely causes clinically apparent disease. The most common form of hepatic involvement is hepatomegaly and mild elevation of alkaline phosphatase. Diagnosis requires tissue biopsy that demonstrates positive staining for Congo red and treatment is ideally a combination of chemotherapy and hematopoietic cell transplantation. The prognosis of hepatic amyloidosis associated with liver failure is poor. Here, we report a fatal case of primary amyloidosis in the setting of multiple myeloma in a 54-year-old man who presented with acute liver failure.
{"title":"Primary Hepatic Amyloidosis Associated with Multiple Myeloma Causing Acute Liver Failure: A Case Report","authors":"Awni T. Abu Sneineh, Sara Haj Ali, T. Tamimi, Eman Alshebli, Reem Rajab, T. Dada, Deema Rayyan, Y. Rayyan","doi":"10.35516/jmj.v56i3.360","DOIUrl":"https://doi.org/10.35516/jmj.v56i3.360","url":null,"abstract":"Primary amyloidosis is the most prevalent type of amyloidosis and is usually due to plasma cell dyscrasia. It more commonly presents with renal and cardiac involvement and, although the liver is frequently involved in primary amyloidosis, it rarely causes clinically apparent disease. The most common form of hepatic involvement is hepatomegaly and mild elevation of alkaline phosphatase. Diagnosis requires tissue biopsy that demonstrates positive staining for Congo red and treatment is ideally a combination of chemotherapy and hematopoietic cell transplantation. The prognosis of hepatic amyloidosis associated with liver failure is poor. Here, we report a fatal case of primary amyloidosis in the setting of multiple myeloma in a 54-year-old man who presented with acute liver failure.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"282 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69858775","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}
Laith A. Hamdan-Mansour, Sireen M Alkhaldi, Nour Awamleh, Bayan E. Hwidi, Tala M Mesmar, Sama Bani Ahmad, Ahmed Friehat, Rakan Al-Sawaeer, Batool Ahmad, Majd M. Mabadrieh, Zaid Taimeh, A. Hamdan-Mansour
Background: The postpartum period is critical for women due to significant bio-psychosocial changes and the consequences of delivery. Aims: The purpose of this study was to investigate the role of the use of contraceptives and other health-related factors in the risk of developing postpartum depression among women in Jordan. Materials and methods: A cross-sectional, descriptive-correlational design was used to recruit 803 women using a convenience sample technique from the central district of Jordan. Data were collected on depressive symptoms, contraceptive use and type, and pregnancy health-related factors. Results: Using binary logistic regression analysis, non-hormonal contraceptives and musculoskeletal pain were significant predictors (p<.05) of the risk of developing depressive symptoms in the sampled women (OR=4.1, 3.8; respectively). For the women in our sample, 24.9% (n=200) developed depressive symptoms. Most of those who felt depressed reported suffering from insomnia (50.0%] and baby blues (13.0%), while loss of appetite was reported by 33.0%. The analysis also showed that 51.0% (n=409) had used at least one method of contraception. Among those using contraceptive methods, 31.0% had only used hormonal contraceptives compared to 69.0% using non-hormonal forms. Conclusion: Non-hormonal contraceptive use and musculoskeletal pain were found to be significantly associated with the risk of developing postpartum depressive symptoms. Family and reproductive health professionals need to emphasize the bio-psychological aspects of health for pregnant and postpartum women.
{"title":"Predictors of Depressive Symptoms in Postpartum Women: The Role of Contraceptive Use, Type and Health-Related Factors","authors":"Laith A. Hamdan-Mansour, Sireen M Alkhaldi, Nour Awamleh, Bayan E. Hwidi, Tala M Mesmar, Sama Bani Ahmad, Ahmed Friehat, Rakan Al-Sawaeer, Batool Ahmad, Majd M. Mabadrieh, Zaid Taimeh, A. Hamdan-Mansour","doi":"10.35516/jmj.v56i3.356","DOIUrl":"https://doi.org/10.35516/jmj.v56i3.356","url":null,"abstract":"Background: The postpartum period is critical for women due to significant bio-psychosocial changes and the consequences of delivery. \u0000Aims: The purpose of this study was to investigate the role of the use of contraceptives and other health-related factors in the risk of developing postpartum depression among women in Jordan. \u0000Materials and methods: A cross-sectional, descriptive-correlational design was used to recruit 803 women using a convenience sample technique from the central district of Jordan. Data were collected on depressive symptoms, contraceptive use and type, and pregnancy health-related factors. \u0000Results: Using binary logistic regression analysis, non-hormonal contraceptives and musculoskeletal pain were significant predictors (p<.05) of the risk of developing depressive symptoms in the sampled women (OR=4.1, 3.8; respectively). For the women in our sample, 24.9% (n=200) developed depressive symptoms. Most of those who felt depressed reported suffering from insomnia (50.0%] and baby blues (13.0%), while loss of appetite was reported by 33.0%. The analysis also showed that 51.0% (n=409) had used at least one method of contraception. Among those using contraceptive methods, 31.0% had only used hormonal contraceptives compared to 69.0% using non-hormonal forms. \u0000Conclusion: Non-hormonal contraceptive use and musculoskeletal pain were found to be significantly associated with the risk of developing postpartum depressive symptoms. Family and reproductive health professionals need to emphasize the bio-psychological aspects of health for pregnant and postpartum women.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44851757","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}
Introduction: Chronic hepatitis B (CHB) is caused by hepatitis B virus infection. It has been shown that vitamin D3 has very important biological effects in the immune system and host response to viral infection. This study aimed to identify potential risk factors of vitamin D deficiency among CHB patients in Birjand, Iran. Materials and Methods: In this case-control study, there were 292 patients with CHB and 304 healthy subjects as a control group in the outpatient clinic of the Infectious Diseases Department from January, 2017 to December, 2018. Of all the subjects, 62.7% of the control and 48.1% of the case groups were male. We quantified the levels of total vitamin D3 in their serum samples. We employed t- and chi-square tests along with logistic regression to determine the association between the variables of interest and vitamin D3 deficiency related to CHB (p<0.05). Results: The mean age and vitamin D3 levels of the case group were 39.9 ±13.3 years and 20.76 ±15.53ng/ml, and for the control group 43 ±13.3 years and 19.07 ±12.41 ng/ml. No significant association between vitamin D3 deficiency and CHB risk factors was found (p>0.05). The prevalence of vitamin D3 inadequacy was high in both HBV patients (63%) and in the healthy group (52.9%). The frequency distribution for the vitamin D3 serum level was significantly different in the two groups (p=0.001). Conclusions: According to the results, a high risk of vitamin D3 deficiency related to CHB was not found among CHB patients in Birjand, in contrast to previous literature. Possible reasons for these findings were discussed, although future comprehensive studies are needed to clarify underlying mechanisms and real association.
{"title":"Evaluation of Serum Vitamin D3 Levels and Factors Associated with Chronic Hepatitis B: A Case-Control Study","authors":"M. Ziaee, Freshteh Osmani","doi":"10.35516/jmj.v56i3.358","DOIUrl":"https://doi.org/10.35516/jmj.v56i3.358","url":null,"abstract":"Introduction: Chronic hepatitis B (CHB) is caused by hepatitis B virus infection. It has been shown that vitamin D3 has very important biological effects in the immune system and host response to viral infection. This study aimed to identify potential risk factors of vitamin D deficiency among CHB patients in Birjand, Iran. \u0000Materials and Methods: In this case-control study, there were 292 patients with CHB and 304 healthy subjects as a control group in the outpatient clinic of the Infectious Diseases Department from January, 2017 to December, 2018. Of all the subjects, 62.7% of the control and 48.1% of the case groups were male. We quantified the levels of total vitamin D3 in their serum samples. We employed t- and chi-square tests along with logistic regression to determine the association between the variables of interest and vitamin D3 deficiency related to CHB (p<0.05). \u0000Results: The mean age and vitamin D3 levels of the case group were 39.9 ±13.3 years and 20.76 ±15.53ng/ml, and for the control group 43 ±13.3 years and 19.07 ±12.41 ng/ml. No significant association between vitamin D3 deficiency and CHB risk factors was found (p>0.05). The prevalence of vitamin D3 inadequacy was high in both HBV patients (63%) and in the healthy group (52.9%). The frequency distribution for the vitamin D3 serum level was significantly different in the two groups (p=0.001). \u0000Conclusions: According to the results, a high risk of vitamin D3 deficiency related to CHB was not found among CHB patients in Birjand, in contrast to previous literature. Possible reasons for these findings were discussed, although future comprehensive studies are needed to clarify underlying mechanisms and real association.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42035733","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}
Shada Ba-Abbad, A. Dahbour, Mays Akileh, Basel Ghaith, S. Dahbour
Background: Lumbar puncture (LP) is a bedside procedure used to investigate diseases of the central and peripheral nervous systems. We report the experience of a major teaching hospital in this procedure over a 5-year period. Methods: Medical records were reviewed of patients aged ≥ 13 years who underwent LP in the years 2014¬–2018. Age, gender, technique, indications, findings, complications, and final diagnosis were analyzed. Results: 195 patients, of whom 133 (68.2%) were females (aged 40.0 ±15.7) were studied. Opening pressure was measured in 104 (53.3%) patients (86, 82.7% females) showing a mean of 31.2±12.1cm, and closing pressure was measured in 54 (27.7%) patients with a mean of 16.5±5.7cm. Leukocyte and erythrocyte counts, and glucose and protein levels were measured in most patients (99.0%, 98.5%, 96.9%, and 96.9%, respectively). Bacterial culture and gram stain were performed in 28 (14.4%) and six (3.1%) patients, respectively. Cytology and oligoclonal bands were studied in 16 (8%) and 28 (14.4%) patients, respectively. Headache, peripheral neuropathy, and papilledema were the main indications found in 69 (35.4%), 41 (21.0%), and 26 (13.3%) patients, respectively. The most common final diagnoses were idiopathic intracranial hypertension, central nervous system inflammatory diseases, peripheral neuropathy, and meningoencephalitis in 68 (34.9%), 27 (13.3%), 20 (10.3%) and 16 (8.7%) patients, respectively. No major complications were recorded. Conclusions: LP is a common bedside procedure and the most common indications were intracranial pressure and inflammatory neurological disorders. It is a quite safe and useful procedure.
{"title":"Lumbar Puncture in a Teaching Hospital: Indications, Findings, and Complications over Five Years with Adult Patients","authors":"Shada Ba-Abbad, A. Dahbour, Mays Akileh, Basel Ghaith, S. Dahbour","doi":"10.35516/jmj.v56i3.354","DOIUrl":"https://doi.org/10.35516/jmj.v56i3.354","url":null,"abstract":"Background: Lumbar puncture (LP) is a bedside procedure used to investigate diseases of the central and peripheral nervous systems. We report the experience of a major teaching hospital in this procedure over a 5-year period. Methods: Medical records were reviewed of patients aged ≥ 13 years who underwent LP in the years 2014¬–2018. Age, gender, technique, indications, findings, complications, and final diagnosis were analyzed. Results: 195 patients, of whom 133 (68.2%) were females (aged 40.0 ±15.7) were studied. Opening pressure was measured in 104 (53.3%) patients (86, 82.7% females) showing a mean of 31.2±12.1cm, and closing pressure was measured in 54 (27.7%) patients with a mean of 16.5±5.7cm. Leukocyte and erythrocyte counts, and glucose and protein levels were measured in most patients (99.0%, 98.5%, 96.9%, and 96.9%, respectively). Bacterial culture and gram stain were performed in 28 (14.4%) and six (3.1%) patients, respectively. Cytology and oligoclonal bands were studied in 16 (8%) and 28 (14.4%) patients, respectively. Headache, peripheral neuropathy, and papilledema were the main indications found in 69 (35.4%), 41 (21.0%), and 26 (13.3%) patients, respectively. The most common final diagnoses were idiopathic intracranial hypertension, central nervous system inflammatory diseases, peripheral neuropathy, and meningoencephalitis in 68 (34.9%), 27 (13.3%), 20 (10.3%) and 16 (8.7%) patients, respectively. No major complications were recorded. Conclusions: LP is a common bedside procedure and the most common indications were intracranial pressure and inflammatory neurological disorders. It is a quite safe and useful procedure.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42572539","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}
Obesity is defined by an excess of fat and can be considered as a heterogeneous, multifactorial phenotype, determined by genetic factors, environmental factors, and gene-environment interaction. A high body mass index is an important risk factor in the development of much comorbidity dominated by metabolic disorders and cardiovascular diseases. The objective of this work was to describe the obesity (BMI≥30 kg/m2) and metabolic profile of adults in Constantine. A descriptive cross-sectional survey was conducted and anthropometric and clinical examinations were performed. Biochemical assays (fasting glucose, triglycerides, total cholesterol, HDL and LDL cholesterol) were performed. In total, 1,143 subjects participated, with the sample comprised of 41.3% men and 58.7% women. The mean body mass index was 27.22, and the overall prevalence of obesity in the sample was 30.9%. Abdominal obesity by the International Diabetes Federation (IDF) was present in 68.15% (83.5% women vs. 46.4% men). The incidence of type 2 diabetes was 42% in the obese subjects. The average number of metabolic complications was greater in the obese than non-obese subjects. Binary logistic regression analysis showed that in men the association between hypercholesterolemia, dyslipidemia, and hypertriglyceridemia was the same, regardless of the participants’ BMI. This association increased with BMI in women. With regard to hyperglycemia, the association increased with BMI in men but much more in women. Metabolic abnormalities are more frequent in obese people, increasing their cardiovascular risk, and thus urgent preventive actions need to be taken.
{"title":"Association between Obesity and Metabolic Anomalies in a Population in Eastern Algeria","authors":"Souhaila Dalichaouche-Benchaoui, N. Abadi","doi":"10.35516/jmj.v56i3.361","DOIUrl":"https://doi.org/10.35516/jmj.v56i3.361","url":null,"abstract":"Obesity is defined by an excess of fat and can be considered as a heterogeneous, multifactorial phenotype, determined by genetic factors, environmental factors, and gene-environment interaction. A high body mass index is an important risk factor in the development of much comorbidity dominated by metabolic disorders and cardiovascular diseases. The objective of this work was to describe the obesity (BMI≥30 kg/m2) and metabolic profile of adults in Constantine. A descriptive cross-sectional survey was conducted and anthropometric and clinical examinations were performed. Biochemical assays (fasting glucose, triglycerides, total cholesterol, HDL and LDL cholesterol) were performed. In total, 1,143 subjects participated, with the sample comprised of 41.3% men and 58.7% women. The mean body mass index was 27.22, and the overall prevalence of obesity in the sample was 30.9%. Abdominal obesity by the International Diabetes Federation (IDF) was present in 68.15% (83.5% women vs. 46.4% men). The incidence of type 2 diabetes was 42% in the obese subjects. The average number of metabolic complications was greater in the obese than non-obese subjects. Binary logistic regression analysis showed that in men the association between hypercholesterolemia, dyslipidemia, and hypertriglyceridemia was the same, regardless of the participants’ BMI. This association increased with BMI in women. With regard to hyperglycemia, the association increased with BMI in men but much more in women. Metabolic abnormalities are more frequent in obese people, increasing their cardiovascular risk, and thus urgent preventive actions need to be taken.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44263829","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. Yousuf, H. Harvey, Aiman Al Sharei, K. Albakri, Y. Alabdallat
Background: Depression and anxiety are common mental disorders that are often missed in primary healthcare settings due to the lack of diagnosis criteria. Using valid and reliable easy-to-use instruments can overcome this problem. Aims: To translate and culturally adapt the Patient Health Questionnaire-9 (PHQ9) and the Generalized Anxiety Disorders-7 (GAD7) instruments into Arabic, determine the reliability of these translated versions, and compare them with previous attempts. Methods: Forward and blind back-translation was used to translate the instruments into Arabic. An online version was created and sent to medical school students at the Hashemite University, Jordan. For each instrument, internal consistency reliability and inter-item correlation were calculated. For each item, the mean, standard deviation, item-total correlation, and value of Cronbach’s alpha if the item was deleted were determined. Analysis was performed using IBM SPSS version 25. Results: There were 256 respondents to the translated instruments. The average age was 18.85 and 61% were females. The alpha for the PHQ9 was 0.876, with an average inter-item correlation of 0.444. Removal of any of the nine items decreased the value of alpha. The GAD7 had an alpha of 0.895 with an average inter-item correlation of 0.551. Deletion of any item decreased the internal consistency reliability of the instrument. Conclusion: Using an efficient translation process that was both accurate and culturally sensitive enabled the construction of Arabic versions of the PHQ9 and the GAD7 scales that had high internal consistency reliability and good inter-item correlation.
{"title":"Patient Health Questionnaire-9 and Generalized Anxiety Discorders-7: Arabic Version Reliability in Jordan","authors":"M. Yousuf, H. Harvey, Aiman Al Sharei, K. Albakri, Y. Alabdallat","doi":"10.35516/jmj.v56i3.362","DOIUrl":"https://doi.org/10.35516/jmj.v56i3.362","url":null,"abstract":"Background: Depression and anxiety are common mental disorders that are often missed in primary healthcare settings due to the lack of diagnosis criteria. Using valid and reliable easy-to-use instruments can overcome this problem. Aims: To translate and culturally adapt the Patient Health Questionnaire-9 (PHQ9) and the Generalized Anxiety Disorders-7 (GAD7) instruments into Arabic, determine the reliability of these translated versions, and compare them with previous attempts. Methods: Forward and blind back-translation was used to translate the instruments into Arabic. An online version was created and sent to medical school students at the Hashemite University, Jordan. For each instrument, internal consistency reliability and inter-item correlation were calculated. For each item, the mean, standard deviation, item-total correlation, and value of Cronbach’s alpha if the item was deleted were determined. Analysis was performed using IBM SPSS version 25. Results: There were 256 respondents to the translated instruments. The average age was 18.85 and 61% were females. The alpha for the PHQ9 was 0.876, with an average inter-item correlation of 0.444. Removal of any of the nine items decreased the value of alpha. The GAD7 had an alpha of 0.895 with an average inter-item correlation of 0.551. Deletion of any item decreased the internal consistency reliability of the instrument. Conclusion: Using an efficient translation process that was both accurate and culturally sensitive enabled the construction of Arabic versions of the PHQ9 and the GAD7 scales that had high internal consistency reliability and good inter-item correlation.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43205974","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. Khamaiseh, L. A. Al Hadid, M. Barmawi, Manar AlAzzam, H. Taha
Abstract Background: Nursing is a noble profession that aims to care for individuals, families, and communities to achieve optimum health and quality of life. Nurses are the largest constituent of the healthcare team and nursing students’ motivation towards their field of inquiry affects their satisfaction and academic performance. Aim: To examine the academic motivation among nursing students in public universities in Jordan in the context of COVID-19. Materials and Methods: A descriptive cross-sectional study conducted in three public universities in Jordan. A total of 437 nursing students in their second, third, or fourth year of study answered a self-administered online questionnaire. Descriptive and multivariant analysis was conducted using SPSS 24. Results: Academic motivation among students from three public universities was below the averages reported in the international literature. Students’ mean scores on the academic motivation scale knowledge was 90.25 out of 196, and the average mean scores for all subscales were just above the midpoint, except for the extrinsic regulation scale, which was 14.57 out of 30. Students reported higher levels of extrinsic motivation. Conclusions: Educators must focus on nursing students’ need for support and consider the development of a curriculum that strengthens student learning and nurtures their internal and external motivation needs.
{"title":"Predictors and Components in the Academic Motivation of Nursing Students during the Covid-19 Pandemic in Jordan","authors":"A. Khamaiseh, L. A. Al Hadid, M. Barmawi, Manar AlAzzam, H. Taha","doi":"10.35516/jmj.v56i3.363","DOIUrl":"https://doi.org/10.35516/jmj.v56i3.363","url":null,"abstract":"Abstract \u0000Background: Nursing is a noble profession that aims to care for individuals, families, and communities to achieve optimum health and quality of life. Nurses are the largest constituent of the healthcare team and nursing students’ motivation towards their field of inquiry affects their satisfaction and academic performance. \u0000Aim: To examine the academic motivation among nursing students in public universities in Jordan in the context of COVID-19. \u0000Materials and Methods: A descriptive cross-sectional study conducted in three public universities in Jordan. A total of 437 nursing students in their second, third, or fourth year of study answered a self-administered online questionnaire. Descriptive and multivariant analysis was conducted using SPSS 24. \u0000Results: Academic motivation among students from three public universities was below the averages reported in the international literature. Students’ mean scores on the academic motivation scale knowledge was 90.25 out of 196, and the average mean scores for all subscales were just above the midpoint, except for the extrinsic regulation scale, which was 14.57 out of 30. Students reported higher levels of extrinsic motivation. \u0000Conclusions: Educators must focus on nursing students’ need for support and consider the development of a curriculum that strengthens student learning and nurtures their internal and external motivation needs.","PeriodicalId":39681,"journal":{"name":"Jordan Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41420400","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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