Morphometrics of T11-L5 Vertebrae in Jordanian Population: CT Scan-Based Study / Morfometría de las Vértebras T11-L5 en una Población Jordana: Estudio Basado en Tomografía Computarizada

SUMMARY: The study will provide information on the morphometrics of the vertebrae, which can be used to guide clinicians on the appropriate size of transpedicular screws to use in spine interventions among the Jordanian population and for comparative studies with other races. A retrospective analysis of normal CT scans of the lumbar and thoracolumbar areas was done. Linear and angular measurements of 336 vertebrae were collected for 25 males and 23 females. The results were compared between right and left and between both sexes. The L5 has the longest AVBH and the shortest PVBH in both sexes, it also, had the shortest and widest pedicle in both males and females. ratio of the AVBH to PVBH showed progressive increase in both sexes from T11 to L5. Similarly, the VBW increased progressively from the top to the bottom in both sexes, but it was significantly different between both sexes. The L1 was the most cranially oriented vertebrae in males while the L2 showed the most cranial orientation in females. Both sexes L5 was the most caudally oriented vertebrae. This study provides a database for vertebral morphometrics in the Jordanian population, there are slight differences between the right and left side in the upper studied vertebrae (T11-L2) and some measurement showed significant differences between males and females. These findings need to be taken into consideration when inserting pedicle screws.

Este estudio proporciona información sobre la morfometría de las vértebras, la cual puede ser utilizada por los médicos oara determinar el tamaño adecuado de los tornillos transpediculares a utilizar en intervenciones de columna en la población jordana y para estudios comparativos con otras grupos. Se realizó un análisis retrospectivo de tomografías computarizadas normales de las áreas lumbar y toracolumbar. Se recogieron medidas lineales y angulares de 336 vértebras de 25 hombres y 23 mujeres. Los resultados se compararon entre vértebras derechas e izquierdas y entre ambos sexos. La L5 tiene el AVBH más largo y el PVBH más corto en ambos sexos, también tenía el pedículo más corto y más ancho tanto en hombres como en mujeres. La relación de AVBH a PVBH mostró un aumento progresivo en ambos sexos de T11 a L5. De manera similar, el VBW aumentó progresivamente de arriba hacia abajo en ambos sexos, pero fue significativamente diferente entre ambos sexos. La L1 fue la vértebra más orientada cranealmente en los hombres, mientras que la L2 mostró la orientación más craneal en las mujeres. En ambos sexos L5 fue la vértebra más orientada caudalmente. Este estudio proporciona una base de datos para la morfometría vertebral en la población jordana, donde existen ligeras diferencias entre el lado derecho e izquierdo en las vértebras superiores estudiadas (T11-L2). Algunas mediciones mostraron diferencias significativas entre hombres y mujeres. Estos hallazgos deben tenerse en cuenta al insertar tornillos pediculares.

Determinants of breast cancer screening mammography uptake: Results from Jordan population and family health survey

Background: Screening for breast cancer utilizing mammography is associated with reduced advanced cancer diagnosis and reduced breast cancer mortality. We aimed to assess the lifetime history of breast cancer screening utilization for Jordanian women aged 40 and 49 years and determinants of this utilization. Methods: This paper reports the analyzed data from the seventh cycle of the Jordan Population and Family Health Survey (JPFHS). For this study, the analysis was confined to 4486 women aged between 40 and 49 years at the time of data collection who reported their nationality as Jordanian. We used multivariate logistic regression analysis to assess whether any socio?demographic variables could predict greater breast cancer screening utilization. Results: Only 14% of all respondents aged 40� years reported ever having a mammogram. Results of multivariate logistic regression showed that area of residence, husband抯 level of education, younger age, and living in a wealthy status were strong predictors of lifetime history of breast cancer screening. Conclusions: This study elucidates that breast cancer screening mammography among Jordanian women has remained opportunistic and underutilized despite the efforts of national entities to promote screening and early detection of breast cancer. There is a geographic and social disparity in the utilization of mammography screening among Jordanian women.

Assessment of skipping breakfast at home among adolescent school students in Badia Region, Jordan

@#Introduction: Healthy meals play an essential role in the healthy physical and mental development of adolescents. Breakfast at home is associated with improved nutritional choices, and skipping breakfast is detrimental. This study assessed prevalence of skipping breakfast at home among adolescent students in the Badia Region of Jordan, identifying the reasons and characteristics associated with such behavioural choice. Methods: A cross-sectional survey among adolescent students (aged 13-16 years, in 8th-9th grades) from six public schools in Badia Region, Mafraq Governorate, Jordan, was conducted through self-administered questionnaire from February to March 2022. Results: Results showed that 68.1% of 552 student participants regularly skipped breakfast at home (72.4% boys vs. 61.3% girls; p=0.007). Among those who regularly skipped breakfast, three main rationales for this choice were not feeling hungry (5.3%), lack of time (2.7%), and lack of appetite (3.5%). Conclusion: The prevalence of skipping breakfast at home among adolescents in Badia Region was high for various reasons, including lack of time, not feeling hungry, seeking to manage weight, and insufficient knowledge on the importance of healthy breakfast. Therefore, understanding the reasons and factors that contribute towards breakfast skipping may help in solving the problem, underscoring that positive beliefs should be reinforced in schools, with parents encouraging adolescents to eat healthy breakfast.

Reproductive Health Education Using Interactive Learning Approach among the University Students

@#Introduction: This study objectives were to evaluate the youth’s knowledge and awareness of reproductive health issues among the Hashemite University students and to measure the effectiveness of the interactive teaching approach in delivering the reproductive health knowledge course. Methods: Quantitative and qualitative research designs were used. The sample was 160 (two cohorts) undergraduate students who enrolled in the reproductive health course during two semesters at the Hashemite University. Quantitative data was collected from the students before and after receiving a reproductive health course. Qualitative data was collected through focus group discussions. Results: The study results showed an improvement in the reproductive health awareness level of students. There was a statistically significant increase in the total score of knowledge between the pretest (M = 19.97, SD = 3.89) and posttest (M = 21.65, SD = 4.03) for the first cohort at p =.00. There was a statistically significant increase in the total score of knowledge between pretest (M = 19.33, SD = 2.89) and posttest (M = 20.66, SD = 5.78) for the 2nd cohort at p =.00. Qualitative data revealed that the students were very interested in the reproductive health course and found it very useful for themselves, their families, friends, and society. Conclusion: The interactive learning approach was useful in teaching reproductive health course and increased university students’ awareness regarding reproductive health topics, which were important for students. It was recommended by students to teach reproductive health course to other students in all universities using interactive learning.

Physical Activity Correlates among Jordanian Diabetes Patients

@#Introduction: An important keystone in preventing diabetes mellitus (DM) complications are performing Self-Care Behaviors (SCB) such as engaging in Physical Activity (PA). The objectives of the present research project are to identify PA levels among Jordanian patients with diabetes, explore the associations between PA and the socio-demographic characteristics of the participants, and recognize its predictors. Method: This study utilized quantitative descriptive cross-sectional design. The authors used purposive sampling method to recruit bout four hundred patients. Those patients were selected from the governmental sector of the Jordanian hospitals. Results: The inferential statistics illustrated that three factors were significant predictors to PA: complication presence (p=0.001), social norms (p= 0.01) in addition to perceived behavioral control (p= 0.001). The results indicated that about 65% of the participants had inadequate participation in the recommended physical activity. Similar findings were reported in the Arabic context, for example about 65 % of the Yemini patients had inadequate physical activity. Concerning the predictors the study results showed that those patients with diabetes complication have higher adherence to the prescribed physical activity. Dissimilar findings were evident in the literature For example, Shiriyedeve et al. found that there was association between adherence to PA and age (r = −0.085). However, this association was not statically significant. One of the most chronic illnesses in Jordan is diabetes mellitus. This could increase the responsibilities of the Jordanian health care providers especially the nurses. Conclusion: Being active participants in the physical activity is highly recommended measure to manage diabetes mellitus signs and symptoms appropriately.

Loneliness Among in-patients Diagnosed With Schizophrenia: Its Correlates and Relations With Social Support and Satisfaction With Life

@#Introduction: Schizophrenia is one of the most serious and disabling psychiatric disorders which affect the overall patients’ life and predispose them to suffer from loneliness. The purpose of this study was to identify levels and correlates of loneliness among patients with schizophrenia. Methods: A cross-sectional design was applied to collect data about loneliness; social support from friends, family members, and significant others; satisfaction with life; and demographic and illness-related variables. A semi-structured interview with patients was employed to collect data from 230 in-patients with schizophrenia receiving treatment at a large psychiatric hospital. Results: Level of loneliness was 52.6 out of 80. Higher rates of patients (66.5%) were found within the category of moderate to high level of loneliness. Loneliness was found to be highly associated with low satisfaction with life, low social support from friends, and longer duration of treatment. Loneliness was higher in female patients, those living with other people in the house, and those with a history of drug/substance abuse. Conclusion: Loneliness was found to be in a moderate to high level. Therefore, there is a crucial need for interventional programs that aimed to decrease the feeling of loneliness and enhance satisfaction with life and social support from others among patients with schizophrenia.

Seroprevalences of Toxoplasma gondii and Neospora caninum infections in Jordanian women who had a recent spontaneous abortion / Soroprevalências de infecções por Toxoplasma gondii e Neospora caninum em mulheres jordanianas que tiveram um aborto espontâneo recente

Abstract This cross-sectional study investigates Toxoplasma gondii and Neospora caninum among 445 recently spontaneously aborted (RSA) Jordanian women using ELISA and indirect fluorescent antibody (at a cut-off value of 1/200) tests, respectively. The type of hospital, age, cat and dog contacts, raw and barbecued meat and wild plant consumption, number of abortions, and stillbirths were tested as independent variables using univariate and multivariate logistic regression analyses. The true seroprevalences were 22.1% for T. gondii-IgG, 22.7% for N. caninum-IgG, 2.6% for T. gondii-IgM, 10.6% for N. caninum-IgM, 0% for T. gondii-IgG and IgM, 6.7% for N. caninum-IgG and IgM, and 4.6% and 0% for both parasite IgG and IgM, respectively. T. gondii-IgM-seropositivity was associated with the number of abortions with odds ratios (OR) of 2.4 and eating barbecued meat (OR = 0.12). N. caninum-IgG-seropositivity was associated with having a dog in the house (OR = 2.6), and with stillbirth (OR = 0.1). N. caninum-IgM was associated with visiting a private-hospital (OR = 2.7). RSA Jordanian women are equally exposed to both parasites with significantly (p < 0.05) higher seroprevalence of N. caninum-IgM compared to T. gondii-IgM suggestive of active infections among RSA women in Jordan.

Resumo Este é um estudo transversal, investigando Toxoplasma gondii e Neospora caninum entre 445 mulheres jordanianas recentemente abortadas espontaneamente (RSA), usando-se ELISA e testes de anticorpos fluorescentes indiretos (com valor de corte de 1/200), respectivamente. Tipo de hospital, idade, contato com o cão, consumo de carne, número de abortos foram testados como variáveis independentes, usando-se análises de regressão logística univariada e multivariada. As verdadeiras seroprevalências foram 22,1% para T. gondii-IgG; 22,7% para N. caninum-IgG; 2,6% para T. gondii-IgM; 10,6% para N. caninum-IgM, 0% para T. gondii-IgG e IgM, 6,7% para N. caninum-IgG e IgM, e 4,6% e 0% para ambos os parasitas IgG e IgM, respectivamente. A soropositividade para T. gondii-IgM foi associada ao número de abortos com "odds ratio" (OR) de 2,4 e ingestão de carne grelhada (OR = 0,12). A soropositividade para N. caninum-IgG foi associada à presença de cachorro em casa (OR = 2,6) e natimorto (OR = 0,1). N. caninum-IgM foi associada à visita a um hospital privado (OR = 2,7). Mulheres jordanianas com RSA estão igualmente expostas a ambos os parasitas com soroprevalência significativamente (p <0,05) maior de N. caninum-IgM, em comparação com T. gondii-IgM, sugestivo de infecções ativas entre mulheres com RSA na Jordânia.

Evaluación de la calidad del agua de un río tropical usando índices bióticos, fisicoquímicos y de diversidad / Water quality assessment of a tropical stream using biotic, physicochemical and diversity indices

Introducción: Los ríos andinos en Colombia están fuertemente influenciados por diferentes actividades antrópicas. Los macroinvertebrados han sido utilizados para evaluar la calidad del agua en estos ecosistemas. Objetivo: Este estudio analizó el comportamiento de diferentes índices basados en macroinvertebrados para evaluar la calidad del agua del tramo medio-bajo del río Jordán en Jamundí (Colombia). Materiales y métodos: Se ubicaron tres estaciones de muestreo: E1 (1173 m.s.n.m.), E2 (1069 m.s.n.m.) y E3 (1019 m.s.n.m.). Se colectaron individuos en grava, bolos y macrófitas (n=15) y se midieron las concentraciones de variables fisicoquímicas y microbiológicas (n=15). Se evaluaron los índices de calidad de agua ICA-NSF y bióticos (BMWP/Univalle, ASPT y EPT) y los índices de Shannon-Weaver, Margalef y Simpson. Se realizó una correlación de Spearman entre las matrices de similitud biótica y ambiental. Resultados: El ICA-NSF presentó variaciones espacio temporales no significativas entre las estaciones de muestreo, con calidades de agua entre "regular" y "excelente". Los índices de diversidad mostraron que la equidad y riqueza son mayores en la estación E1. El BMWP/Univalle evidenció la influencia de las diferentes actividades sobre la subcuenca del río Jordán, clasificando la estación E1 como "Buena", E2 "Aceptable" y E3 "Dudosa". Las variables que mejor explicaron el patrón de diversidad fueron las asociadas a la contaminación orgánica (DBO5 y Coliformes totales). Conclusiones: Integralmente, los índices muestran que la mejor calidad del agua se presenta en la estación E1 donde la influencia de las actividades antrópicas es menor.

Introduction: Andean rivers in Colombia are heavily influenced along the drainage basin by various human activities. Aquatic macroinvertebrates have been used in different water environments to assess water quality in rivers. Objective: This study analyzed the behavior of different biotic indices to assess water quality of the lower middle section of the Jordan River in the department of Valle del Cauca, Colombia. Materials and methods: Sampling sites were situated at different altitudes as well with different anthropogenic influences. Physicochemical and microbiological parameters (n = 15) were measured, simultaneously with biological variables. Individuals were collected in gravel, pebbles and macrophytes (n = 15) using Surber nets (0.36 m2, 500 µm) a screen net (1.6 m2, 350 µm) and a D-net (0.9 m2, 500 µm). The water quality index (NSF ICA), biotic indices BMWP/Univalle, ASPT, EPT, and the Shannon-Weaver Equity index, Margalef Diversity index and Simpson's dominance index were evaluated to determine the macroinvertebrate assemblage through sampling sites. Spearman correlation between matrices of biotic and environmental similarity, using PRIMER® software was used to determine relationship between physicochemical variables and biodiversity. Results: The water quality index ICA-NSF showed spatio-temporal variations with water qualities between "regular" and "excellent". Diversity indices showed that equity and wealth are greater at site E1, where the influence of pollution is low. Biotic indices behaved variably, BMWP/Univalle index reflected more adequately the influence of human activities of the Jordan River sub-basin. Conclusions: The variables that best explained the pattern of diversity were those associated with organic pollution (BOD5 and total coliforms).

Investigating the Behavior, Quit Attempts and Attitudes of Smoking Pharmacy Students in the Pharmacy Faculty at Isra University in Jordan

Background: The proportion of smokers in Jordan is one of the largest in the world and ranks number one the Middle East and second worldwide.Aim: The aim of this study was to describe the behavior, quit attempts and attitudes among pharmacy students in the pharmacy college at Isra University –Jordan Methods: Participants answereda structuredquestionnaire and were randomlyselected from students who smoke who were enrolled at the faculty of pharmacy at Isra University during the academic year of 2017-2018. Students were eligible to participate if they smoked regular cigarettes, or hookah or other types of smoke devices.Results: Most participants smoke cigarettes (n=82, 71.9%) over hookah. Thirty-seven students (32.5%) of the age group 20-25 have started smoking less than 5 years ago. A total of 72 students (63%) are highly addicted consuming at least one pack of 20 cigarettes or more per day. Moststudents (87.7%) spend between 50-100 JOD (~$70-141USD) monthly on smoking. Furthermore, 80 students (70.2%) have tried to quit before. Conclusions: The current study showed a positive attitude toward establishing designated smoking zones. Smokers also stated their eagerness to quit smoking. There is an urgent need to have more awareness campaigns and smoking cessation clinics or counselors on college campuses

Age, gender and climate associations with the seroprevalence of Neospora species infection in horses in Jordan / Idade, sexo e associações climáticas com a soroprevalência da infecção por Neospora em cavalos da Jordânia

Abstract A cross-sectional study was carried out on a sample of 379 horses to determine the seroprevalence of Neospora spp. in Jordan using the indirect fluorescent antibody test. Five variables, namely locality (n=10), climatic zone (n=4), age group (n=3), gender, and breed were tested as risk factors for Neospora-immunoglobulin (Ig)G seropositivity at four cutoff titers (1:50, 1:200, 1:400, and 1:800) using univariate and multivariate logistic regression analyses. A total of 122 (32%; 95% CI: 28, 37) sera samples had anti-Neospora-IgG at a cutoff titer of 1:50. Increased Neospora-IgG seropositivity was found in horses in three localities (Madaba, Zarka, and Petra) and was associated with the following variables: cool temperate climate; age >14 years; and female gender. Seropositivity was found among horses from Madaba at all cutoff titers, Zarka at titers >1:200, and Petra at titers <1:200. Cool temperate climate was associated with titers <1:400. Horses aged >14 years were found to be associated with seropositivity at titers ≥1:200. Female gender was associated with high seropositivity at >1:800.

Resumo Um estudo transversal foi realizado, na Jordânia, em uma amostra de 379 cavalos, para determinar a soroprevalência de Neospora spp., usando-se o teste de anticorpos fluorescentes indiretos. Cinco variáveis: localidade (n=10), zona climática (n=4), grupo etário (n=3), sexo e raça, foram testadas como fatores de risco para soropositividade para Neospora-imunoglobulina (Ig)G, considerando-se quatro pontos de corte (1:50, 1:200, 1:400 e 1:800) por meio de análises de regressão logística univariada e multivariada. Um total de 122 (32%; 95% CI: 28, 37) amostras de soros apresentaram anti-Neospora-IgG, utilizando-se como ponto de corte o título de 1:50. Cavalos de três localidades apresentaram aumento da soropositividade para Neospora-IgG (Madaba, Zarka e Petra) o que foi associado às seguintes variáveis: clima temperado fresco; idade >14 anos; e sexo feminino. Os cavalos de Madaba apresentaram soropositividade em todos os títulos utilizados como ponto de corte; os cavalos de Zarka em títulos >1:200; e os cavalos de Petra em títulos <1:200. O clima temperado fresco foi associado aos títulos <1:400. Cavalos com idade >14 anos estiveram associados à soropositividade nos títulos ≥1:200. O sexo feminino esteve associado à alta soropositividade nos títulos >1:800.

"Ensamblaje" de macroinvertebrados acuáticos y su relación con variables fisicoquímicas en un río de montaña en Colombia

Debido a la influencia de diferentes actividades humanas, los ríos y su biodiversidad están bajo tensión. El objetivo de este estudio fue evaluar la diversidad de los macroinvertebrados acuáticos del río Jordán (Valle del Cauca) y su relación con variables fisicoquímicas. En el tramo evaluado (5 650 m) se realizan actividades de minería, captación de agua, ganadería, agricultura, recreación y ocupación ilegal del territorio. Se ubicó una estación de muestreo a 1 173 m.s.n.m. (E1), con vertimientos de agua residual doméstica. La segunda a 1 069 m (E2) se ubicó antes de la bocatoma del acueducto, y la tercera a 1 019 m (E3) después de la bocatoma. Se midieron las concentraciones de variables fisicoquímicas (n = 15). Los organismos fueron recolectados usando redes surber (0.36 m2, 500 µm), de pantalla (1.6 m2, 350 µm) y D-net (0.9 m2, 500 µm), evaluando la estructura del ensamblaje mediante categorías de abundancia. El ensamblaje de macroinvertebrados acuáticos se relacionó con las variables fisicoquímicas mediante un análisis de correspondencia canónica (ACC). Las variables fisicoquímicas mostraron que E3 fue la estación más contaminada. Se registraron 9 órdenes, 23 familias y 31 taxa. E3 presentó la menor riqueza y en E2 Rhagovelia fue dominante. El ACC mostró que las variables que mayor influencia tienen sobre el ensamblaje de macroinvertebrados son el oxígeno, la DBO5, los sólidos disueltos totales y la turbidez. Se concluye que la diversidad de macroinvertebrados acuáticos disminuye con el aumento de la materia orgánica posiblemente debido a los vertimientos residuales y disminución del caudal.

Because of the influence of different human activities, rivers and their associated biodiversity are under stress. The aim of this study was to evaluate the diversity of aquatic macroinvertebrates of the Jordán River and its relation to water quality. Mining, water harvesting, livestock, agriculture, recreation and illegal occupation of the territory; take place in the evaluated section (5 650 m). A sampling site was established at 1 173 m.a.s.l. (E1), here the river receives wastewater. The second, at 1 069 m.a.s.l. (E2) was set up before the intake of an aqueduct. And the third, at 1 019 m.a.s.l. (E3) after the inlet pipe. Concentrations of physicochemical variables (n = 15) were measured. Aquatic macroinvertebrates were collected in gravel, pebbles and macrophytes using Surber nets (0.36 m2, 500 µm), a screen net (1.6 m2, 350 µm) and a D-net (0.9 m2, 500 µm). The assemblage structure was assessed using abundance categories. The diversity of aquatic macroinvertebrate and physicochemical variables were associated using canonical correspondence analysis (CCA). The physicochemical variables showed that E3 was the most contaminated site. There were 9 orders, 23 families and 31 taxa. E3 had the lowest richness and in E2 Rhagovelia was dominant. The CCA showed that variables that have the greatest influence on the diversity of macroinvertebrates are oxygen, BOD5, Total Dissolved Solids (TDS) and turbidity. It is concluded that the diversity of macroinvertebrates decreases with increasing organic matter possibly due to sewage and flow decrease.

Incidence, Risk Factors and Prognosis of Acute Kidney Injury Following Hematopoietic Stem Cell Transplant: A Pilot Study

BACKGROUND AND OBJECTIVES: The burden of acute kidney injury (AKI) has not been explored in Jordanian patients who receive hematopoietic stem cell transplant (HSCT). The aim of this study was to evaluate the frequency, risk factors, and mortality of AKI among patients who underwent HSCT. METHODS: A retrospective pilot study included 70 adult patients who received peripheral HSCT was conducted. Weekly measurement of serum creatinine (SCr) was obtained for 3 months after chemotherapy and HSCT. Then, stages of Risk, Injury, and Failure of Kidney were determined based on the Kidney Disease for Improving Global Outcomes (KDIGO). RESULTS: The median follow-up was 41 months. Mortality was reported in 16 patients (23%). Out of 60 patients that had SCr values, 19 patients (31.6%) had AKI in 90 days after chemotherapy. Allogeneic HSCT, male donors, high-dose melphalan protocols and values of blood urea nitrogen (BUN) were significantly higher among patients with AKI. CONCLUSIONS: Combining many nephrotoxic drugs and dosing adjustments should be considered in uniform protocols. Multidisciplinary care should be utilized to assess early kidney dysfunction that decreases adverse events and improves outcomes.

Nutrient intake patterns and breast cancer risk among Jordanian women: a case-control study / 한국역학회지

OBJECTIVES: Breast cancer (BC) is the most common type of cancer worldwide. Globally, BC is rapidly becoming a major common health problem among women. This study aimed to evaluate the association between nutrient intake patterns and BC risk among Jordanian women. METHODS: A total of 400 Jordanian women 20-65 years of age were recruited in this case-control study. Two hundred women recently diagnosed with BC were matched in age, income, and marital status to 200 BC-free women. A food frequency questionnaire was used to assess nutrient intake patterns. RESULTS: In this study, 3 nutrient intake patterns were identified: a high vitamin C and β-carotene nutrient intake pattern; a high calcium, phosphorus, and vitamin D nutrient intake pattern; and a high-fat nutrient intake pattern. A significant increase in BC risk was associated with the high vitamin C and β-carotene nutrient pattern (the highest for the fourth quartile; odds ratio [OR], 5.42; 95% confidence interval [CI], 2.11 to 13.91; p(trend)=0.001). In the high calcium, phosphorus, and vitamin D nutrient pattern, a significant inverse trend was detected for the risk of BC. The high-fat nutrient pattern showed a significant direct association with BC risk in the third (OR, 3.88; 95% CI, 1.58 to 9.51) and fourth (OR, 3.87; 95% CI, 1.53 to 9.77) quartiles (p(trend)=0.001). CONCLUSIONS: A significant increase in BC risk was detected for the high vitamin C and β-carotene nutrient intake pattern and the high-fat nutrient intake pattern. However, for the high calcium, phosphorus, and vitamin D nutrient intake pattern, a significant inverse trend was observed.

Nutrient intake patterns and breast cancer risk among Jordanian women: a case-control study / 한국역학회지

OBJECTIVES: Breast cancer (BC) is the most common type of cancer worldwide. Globally, BC is rapidly becoming a major common health problem among women. This study aimed to evaluate the association between nutrient intake patterns and BC risk among Jordanian women.METHODS: A total of 400 Jordanian women 20-65 years of age were recruited in this case-control study. Two hundred women recently diagnosed with BC were matched in age, income, and marital status to 200 BC-free women. A food frequency questionnaire was used to assess nutrient intake patterns.RESULTS: In this study, 3 nutrient intake patterns were identified: a high vitamin C and β-carotene nutrient intake pattern; a high calcium, phosphorus, and vitamin D nutrient intake pattern; and a high-fat nutrient intake pattern. A significant increase in BC risk was associated with the high vitamin C and β-carotene nutrient pattern (the highest for the fourth quartile; odds ratio [OR], 5.42; 95% confidence interval [CI], 2.11 to 13.91; p(trend)=0.001). In the high calcium, phosphorus, and vitamin D nutrient pattern, a significant inverse trend was detected for the risk of BC. The high-fat nutrient pattern showed a significant direct association with BC risk in the third (OR, 3.88; 95% CI, 1.58 to 9.51) and fourth (OR, 3.87; 95% CI, 1.53 to 9.77) quartiles (p(trend)=0.001).CONCLUSIONS: A significant increase in BC risk was detected for the high vitamin C and β-carotene nutrient intake pattern and the high-fat nutrient intake pattern. However, for the high calcium, phosphorus, and vitamin D nutrient intake pattern, a significant inverse trend was observed.

Current Status of Theranostics in Jordan / 대한핵의학회잡지

Exploring the unknown is one of the key factors that lead to great discoveries in mankind history.With the advances in medicine and the development of new approaches towards patient care, like next-generation sequencing and patient-centered care, the need for treatments tailored to patient through personalized medicine has become more compelling. Theranostics has been introduced as a combination of a diagnostic tool and a therapeutic tool on the same vector for a specific disease, to facilitate personalized medicine. Nuclear medicine has shown the capability of providing a strong platform for this new approach through its arms, molecular imaging, and targeted molecular therapies. Though the prototype of theranostics has been practiced in Jordan since decades in the field of diagnosis and treatment of well-differentiated thyroid cancer, recently, the King Hussein Cancer Center (KHCC), a leading and comprehensive cancer center in Jordan and in the Middle East, has leaped forward to introduce the new approaches of theranostics through the nuclear medicine applications. This paper sheds the light on the most important aspects of this new theranostics practice in Jordan such as peptide receptor radionuclide therapy (PRRT) and prostate-specific membrane antigen (PSMA)–based theranostics.

Genotyping and serotyping of macrolide and multidrug resistant Streptococcus pneumoniae isolated from carrier children.

Aims: Streptococcus pneumoniae, an opportunistic pathogen commonly carried asymptomatically in the nasopharynx of children, is associated with increasing rates of treatment failures due to a worldwide increase in drug resistance. We investigated the carriage of S. pneumoniae in children 5 years or younger, the identity of prevalent serotypes, the rates of resistance to macrolides and other antimicrobial agents and the genotypes responsible for macrolide resistance. Materials and Methods: Nasopharyngeal swabs were collected from 157 children under 5 years for cultural isolation of S. pneumoniae. Antibiogram of isolates was determined using the disk diffusion test, and the minimal inhibitory concentration to macrolides was determined using the E‑test. Isolate serotypes and macrolide resistance genes, erm(B) and mef(E), were identified using multiplex polymerase chain reactions. Results: S. pneumoniae was recovered from 33.8% of children; 41.9% among males and 21.9% among females (P = 0.009). The highest carriage rate occurred among age groups 7–12 months and 49–60 months. Most frequent serotypes were 19F, 6A/B, 11A, 19A, 14 and 15B/C. Resistance to macrolides was 60.4%. Resistance to oxacillin, trimethoprim/ sulfamethoxazole and clindamycin was present among 90.6%, 54.7% and 32.1% of isolates, respectively. All isolates were susceptible to chloramphenicol, levofloxacin and vancomycin. Isolates resistant to one or more macrolide drugs were more likely to be multidrug resistant. Resistance to clindamycin or oxacillin coexisted with macrolide resistance. Among the erythromycin‑resistant isolates, erm(B), mef(E) and erm(B) and mef(E) genes were present at rates of 43.8%, 37.5% and 6.3%, respectively. Erm(B) and mef(E) were associated with very high level and moderate‑to‑high level resistance to macrolides, respectively. Conclusion: A significant proportion of children harboured macrolide and multidrug‑resistant S. pneumoniae.

Molecular study on methicillin-resistant Staphylococcus aureus strains isolated from dogs and associated personnel in Jordan

Objective:To determine the prevalence, genetic relatedness, and pattern of antimicrobial susceptibility in methicillin-resistant Staphylococcus aureus (S. aureus) (MRSA) isolated from household dogs, farm dogs, and stray dogs, compared to isolates from their associated personnel. Methods: MRSA was isolated from 250 nasal swabs (150 swabs from dogs and 100 swabs from humans). PCR assays were used to detect the presence of both the nuc and mecA genes, which confirmed the identity of S. aureus isolates and the presence of methicillin resistance, respectively. Disk diffusion was used to determine the antibiotic susceptibility against 15 antimicrobial agents along with an E-test that determined the minimum inhibitory concentration for oxacillin. Pulsed field gel electrophoresis was conducted to determine the genetic relatedness of MRSA isolates from dogs to those from associated and unassociated personnel. Results:The prevalence of S. aureus in dogs and humans was 12.7%and 10.0%respectively, while the prevalence of MRSA isolates in dogs and humans was 5.3%and 5.0%, respectively. The prevalence of MRSA isolates in household dogs, farm dogs, and stray dogs was 7.8%, 4.7%, and 0.0%, respectively. MRSA isolates demonstrated a significantly higher rate of multi-resistance against three or more antimicrobial agents than methicillin-susceptible S. aureus (MSSA). Trimethoprim-sulphamethoxazole and chloramphenicol were the most effective antibiotics against all MRSA isolates. Pulsed field gel electrophoresis revealed a strong association between dog MRSA isolates and MRSA isolates from strongly associated personnel. Conclusions:MRSA is prevalent in house dogs, as well as in dog rearing centers and among their strongly associated personnel. A strong association was found between the MRSA isolates from dogs and those from humans who are in close contact. In addition, MRSA isolates showed a high rate of multi-resistance compared to MSSA isolates.

Molecular study on methicillin-resistant Staphylococcus aureus strains isolated from dogs and associated personnel in Jordan

Objective: To determine the prevalence, genetic relatedness, and pattern of antimicrobial susceptibility in methicillin-resistant Staphylococcus aureus ( S. aureus) (MRSA) isolated from household dogs, farm dogs, and stray dogs, compared to isolates from their associated personnel. Methods: MRSA was isolated from 250 nasal swabs (150 swabs from dogs and 100 swabs from humans). PCR assays were used to detect the presence of both the nuc and mecA genes, which confirmed the identity of S. aureus isolates and the presence of methicillin resistance, respectively. Disk diffusion was used to determine the antibiotic susceptibility against 15 antimicrobial agents along with an E-test that determined the minimum inhibitory concentration for oxacillin. Pulsed field gel electrophoresis was conducted to determine the genetic relatedness of MRSA isolates from dogs to those from associated and unassociated personnel. Results: The prevalence of S. aureus in dogs and humans was 12.7% and 10.0% respectively, while the prevalence of MRSA isolates in dogs and humans was 5.3% and 5.0%, respectively. The prevalence of MRSA isolates in household dogs, farm dogs, and stray dogs was 7.8%, 4.7%, and 0.0%, respectively. MRSA isolates demonstrated a significantly higher rate of multi-resistance against three or more antimicrobial agents than methicillin-susceptible S. aureus (MSSA). Trimethoprim-sulphamethoxazole and chloramphenicol were the most effective antibiotics against all MRSA isolates. Pulsed field gel electrophoresis revealed a strong association between dog MRSA isolates and MRSA isolates from strongly associated personnel. Conclusions: MRSA is prevalent in house dogs, as well as in dog rearing centers and among their strongly associated personnel. A strong association was found between the MRSA isolates from dogs and those from humans who are in close contact. In addition, MRSA isolates showed a high rate of multi-resistance compared to MSSA isolates.

Frequency of Three Common Mutations of CARD15/NOD2 Gene in Jordanian Patients with Crohn’s Disease.

Background and Aims: CARD15/NOD2 is recognized as a major susceptibility gene for Crohn’s disease. Several mutations of CARD15/NOD2 have been reported in different racial groups. We aimed to investigate the frequency of three common CARD15/NOD2 mutations in a Jordanian Crohn’s disease cohort. Methodology: Fifty one unrelated Crohn’s disease patients and fifty one age- and sex-matched healthy controls were recruited at two hospitals in Jordan. Demographic and phenotypic characteristics of patients were ascertained. Allele frequencies for three CARD15/NOD2 mutations (G2722C, C2104T, 3020insC) were determined by PCR-RFLP, ARM-PCR, and direct sequencing using allele specific primers. Results: The frequencies of G2722C alleles in Crohn’s disease patients were higher but not statistically significant as compared to healthy controls (5.9% vs. 1.9%; P = 0.32). On the other hand, C2104T and 3020insC mutations have not been detected in Crohn’s disease patients or healthy controls. Conclusion: Our findings indicate that common mutations of CARD15/NOD2 gene in White patients with Crohn’s disease are not associated with Crohn’s disease in the Jordanian population. Further studies are needed to ascertain the effect of these and other mutations on Crohn’s disease susceptibility and behavior in our population.

Seroprevalence and Potential Risk Factors Associated with Neospora spp. Infection among Asymptomatic Horses in Jordan

This study aimed to determine the seroprevalence and to identify risk factors associated with Neospora spp. infection in horses in Jordan. Management related data were collected from each farm and individual horses. Sera from 227 horses from 5 of 6 climatic regions in Jordan were analyzed for the presence of antibodies to Neospora spp. by ELISA kit. The study was performed during spring of 2010. The association between seropositivity and risk factors was analyzed. A total of 7 (3%) of 227 sera had antibodies for Neospora spp. There was a significant regional difference (P=0.018) between the 5 climatic regions. Positive cases were located in Amman and Irbid, while the other regions (Zarqa, Jordan Valley, and Wadi Mousa) had zero prevalence. The use of anthelmintics at least once a year resulted in a significant reduction of the seroprevalence to Neospora spp. (1.6% vs 9.8%). However, this might be a phenomenon by chance and a better hygiene since owners can invest in anthelmintics. Other risk factors such as age, gender, breed, usage, body condition score, grazing, presence of other animals mixed with the horses in the same property, and a history of previous diseases were not significantly associated with the seroprevalence to Neospora spp. infection. This is the first study to report on the presence of Neospora seropositive horses in Jordan. Further studies are warranted to better understand the role of certain risk factors in the transmission of Neospora spp. among horse population and to determine which Neospora spp. are responsible for the infection.