Upload
buiquynh
View
220
Download
0
Embed Size (px)
Citation preview
9th Scientific Conference
“JUST to Adjust Your Health: Time
to Give Back to the Community”Organized by:
Faculty of Medicine – Jordan University of Science & Technology
In Partnership with:
This Conference is organized in collaboration with:
Sponsors
مستودع أدوية الكندي
مستودع أدوية الصباغ
مستودع أدوية أبو شريف
Chair
Dr. Wail Hayajneh
Treasurer
Prof. Firas Alzoubi
Scientific Committee:
Dr. Abdallah Alzoubi (Chair)
Dr. Ashraf Oweis
Dr. Mahmoud Alfaqih
Dr. Adi Khassawneh
Dr. Jehan Hamadneh
Dr. Liqa Rousan
Dr. Samir Al-Bashir
Dr. Rami Alazab
Financial Committee
Dr. Rashid Ibdah (Chair)
Dr. Rami Jahmani
Dr. Ahmad Al Omari
Dr. Rami Saadeh
Social Committee
Dr. Laila Ababneh (Chair)
Dr. Tagleb Mazahreh
Dr. Mohammad Alqudah
Student: Ammar Saadeh
Student: Lamis Al-Hallaq
Communication Committee
Dr. Ahmad Altarifi (Chair)
Student: Ahmad Alqaoud
Student: Majd Shalakhti
Conference Secretary
Ms. Khitam Abu Shosheh
Media Coordinator
Mr. Muhannad Malkawi
Committees
A Message from the Chair of the Conference
Dear Colleagues;
It is our great pleasure at the Faculty of Medicine, Jordan University of Science andTechnology (JUST), to welcome you all as you attend the 9th Scientific Conference of theFaculty of Medicine. We are most honored to organize this conference in partnership withKing Abdullah University Hospital (KAUH) and Princess Haya Biotechnology Center (PHBC), aswe all synchronize in serving our students, staff, community, and beloved Jordan. I feel mosthonored and privileged to take on the role of Chair of the Conference, and I hope to build onthe successes and accomplishments of the past conferences.
This year's conference will focus on certain themes that highlight our role in servingpriorities of our local community. These themes can be summarized as follows: Primaryhealthcare system, obesity, smoking, genetic disorders, and zoonotic diseases in Jordan.Accordingly, our slogan for the conference is: "JUST to Adjust your Health: Time to GiveBack to the Community". We are privileged this year to collaborate with a number ofdistinguished governmental and non-governmental organizations energetically operating inthe public health domain in Jordan; including the Eastern Mediterranean Public HealthNetwork (EMPHNet), Jordanian Public Health Society, the WHO Regional Office for theEastern Mediterranean (EMRO), the World Organization of Family Doctors (WONCA), theJordanian Society of Family Medicine, and Jordan Society for Obesity Treatment. Moreover,our medical students at JUST have had a great contribution to this conference, starting fromthe early phases of planning and preparation throughout the final stages of organization.This is why we are delighted to have a special session for them in the conference entitled:"Students Have Their Say". I am sure you will enjoy their involvement.
Dear Colleagues;
We thank our long-life partners in the Ministry of Health, Royal Medical Services, and otherinstitutions who have been always in support of the cause, mission, and vision of our Faculty.I wish you all a great scientific, academic, and cultural experience in our conference, andwould like to see you again in the upcoming events of our Faculty.
Best wishes
Wail Hayajneh, MD
Dean, Faculty of Medicine 111
212
Conference Program
WEDNESDAY 18-October-2017
Opening Ceremony Al-Zahrawi Hall – KAUH
8:15 – 8:55 Registration
9:00
- National Anthem
- Holy Quran: Dr. Obada Al-Ali
Opening Remarks:
- Hosts: Dr. Laila Ababneh
Dr. Ahmad Altarifi
9:10 KAUH Speech: Prof. Ismail Matalka; CEO of KAUH
9:15 Opening Speech: Dr. Wail Hayajneh; Dean FMJUST, Chair of Conference
9:20 Welcome Speech: Prof. Omar Al-Jarrah; President of JUST
9:25keynote Talk:
تطوير نظامنا الصحي من خالل رفع كفاءة الطبيب األردني وخبراته العلمية والعملية
Prof. Nidal Younes, CEO of Jordan Medical Council (JMC)
9:50 - 10:00 Launch of the Posters and Booths Area
10:00 - 12:00 Bariatric Surgery for Obesity: A Community Necessity?
Organizer: Dr. Tagleb MazahrehModerators: Prof. Abdelkarim Alomari (JUST), Prof. Fawaz Ammari (JUST), Prof.
Hussein Heiss (JUST)10:00-10:20 Long-term effects of bariatric procedures on co-
morbidity
Dr. Sami Salem (Private sector)
10:20-10:40 Bariatric surgery in 2017: Experience of an Italian
referral center
Dr. Enrico Facchiano (Azienda
Sanitaria di Firenze – Italy)
10:40-11:00 One Anastomosis Gastric Bypass (OAGBP) as a revision
procedure for weight gain after previous surgery. A
personal experience presentation
Dr. Khalil Zayadin (Private sector)
11:00-11:20 Post-sleeve gastrectomy leak. Our experience at King
Hussein Medical Center
Dr. Wael Al-Naasan (KHMC)
11:20-11:40 Long-term effect of bariatric surgery: Resolution of
diabetes and comorbidities
Dr. Ashraf Haddad (Private
sector)
11:40-11:50 Gastric band complications; case report and review of
the present role of gastric banding in bariatric surgery
Dr. Ghazi Gasaimeh (JUST)
11:50-12:00 Open Discussion
12:00-12:15 Coffee Break
3
3:15 - 5:00 Zoonotic Diseases as the Most Emergent Threat to Global Health Security
12:15 - 2:15 Towards a Smoking-Free Community in Jordan
7:00Gala Dinner
Organizer: Eastern Mediterranean Public Health Network (EMPHNet)Moderators: Prof. Hashem Jaddou (JUST), Dr. Wail Hayajneh (JUST), Dr. Ziad
Elnasser (JUST)
3:15-3:30Overview of zoonotic diseases in the context of IHR and
One Health ApproachDr. Ezzeddine Mohsni
3:30-3:45The importance of detection, prevention, and response
to emerging and re-emerging infectious diseasesDr. Ekhlas Hailat
3:45-4:00Proposed solutions for improving zoonotic diseases
management and related best practices Prof. Ahmad Almajali (JUST)
4:00-4:05 Jordan’s experience with brucellosis Dr. Adel Belbaisi
4:05-4:50 Open Discussion
4:50-5:00 Conclusions and Recommendations Dr. Mohannad Al Nsour
Organizer: Dr. Ashraf OweisModerators: Prof. Anwar Batieha (JUST), Dr. Suleiman Momani (JUST), Dr. Shaher
Samrah (JUST)
12:15-12:45
Health effects of tobacco use
(including secondhand smoke (SHS) exposure, 3rd hand
smoke exposure, infections)
Dr. Feras Hawari (KHCC)
12:45-12:55 Waterpipe smoking among youth in Jordan Dr. Khalid Kheirallah (JUST)
12:55-1:15 Addictive nature of tobacco smoke Mr. Eyad Ghonemat (KHCC)
1:15-1:30 Educational models (interactive session) Ms. Rawan Shehab (KHCC)
1:30-1:50 Benefits of quitting and ways to quit Mr. Eyad Ghonemat (KHCC)
1:50-2:05 Advances in the treatment of metastatic lung cancer Dr. Osama Alshari (JUST)
2:05-2:15 Open Discussion
2:15-3:15 Lunch Break
4
Running Theme: Poster SessionHospital Reception Area
11:00 - 1:00 Bringing Genetics Back to the Community
THURSDAY 19-October-2017
8:30 - 10:30 Primary Healthcare System in Jordan: An Overview
Organizer: Dr. Adi KhassawnehModerators: Prof. Yousef Khader (JUST), Dr. Mahmoud Abdallat (JPHS), Dr. Mai Hadidi (MoH)
8:30-8:40 Why family medicine? Prof. Mousa Al-Omary (JUST)
8:40-8:55 Open Discussion
8:55-9:05 Primary health care for saving money
Dr. Mohamed Abdel Rasoul Al-
Tarawneh (Secretary General of
High Health Council, President of
Jordanian Society of Family
Medicine)
9:05-9:15 Open Discussion
9:15-9:30Primary health care; Where are we and where are we
going?Prof. Anwar Batieha (JUST)
9:30-9:40 Open Discussion
9:40-10:00Scaling up family practice in EMRO countries to achieve
universal health coverage
Dr. Mohamad Ibraheem
Tarawneh (President of WONCA
EMR)
10:00-10:20 Open Discussion
10:30-11:00 Coffee Break
Organizer: Dr. Mahmoud AlfaqihModerators: Prof. Ismail Matalka (JUST), Prof. Nayef Gharybeh (JUST), Prof. Zeyad Bataineh
(JUST)
11:00-11:15Attitude of Jordanians toward genetic research, genetic
testing, and clinical trials Dr. Mamoun Ahram (JU)
11:15-11:30Knowledge and attitude of Jordanian physicians toward
Biochemistry and GeneticsDr. Mahmoud Alfaqih (JUST)
11:30-11:45Alkaptonuria in Jordan; experience with a rare genetic
disorder
Dr. Mohammad Al-Sbou (Mu'tah
University)
11:45-12:00 Panel Discussion
12:00-12:15The Use of GWAS for the discovery of disease-causing
genetic markers in Arabian populationsDr. Osama Al-Smadi (KHCC)
12:15-12:30Targeted next generation sequencing and its use in
clinical diagnosticsDr. Rowaida Al-Momani (JUST)
12:30-12:45Whole exome sequencing in children with global
developmental delayDr. Amira Al-Masri (JU)
12:45-1:00 Panel Discussion
1:00-2:00 Lunch Break
1:00 - 2:00 Arar Competition
5
2:00 - 3:30 Students Have their Say
Moderator: Dr. Mohammad Al-Qudah2:00-2:20 Medical Research Abdallah Akouleh
2:20-2:40 A glimpse into the Future - Personalized Medicine Kenan Rijjal & Omar Rababah
2:40-3:00 Antibiotic Resistance Areen Dhoon & Farah Bani Hani
3:00-3:20 Who said what you are now is who you are? Sajeda Kailani
3:20-3:30 Allowed in the Past, Prohibited in the Present Ahmad Abu Ajeene
3:30-4:00 Closing Ceremony
Running Theme: Poster SessionHospital Reception Area
6
KeynoteSpeaker
7
Keynote Speaker: Prof. Nidal Younes (MBBSc, MA, TSRF)
Consultant Endocrine Surgery
Faculty of Medicine/ University of Jordan
Diabetic Foot Specialist
National Center of Diabetes Endocrine
Disease and Genetics
CEO, Jordan Medical Council
Qualifications:
M.B, B.Sc. / Jordan
o Issued in June 1986 by Faculty of Medicine / University of
Jordan after a 6-year course (September 1980- June 1986)
License to Practice Medicine / Jordan
o Issued in May 1987 by Ministry of Health
MA in General Surgery
o Issued in June 1991 by the University of Jordan ( 4-year program
1987-1991)
Certificate of Specialization in general Surgery
o Issued in June 1991 by Jordan Medical Council
Certificate issued by Educational Commission for Foreign Medical
Graduate (ECFMG Certificate) / U.S.A
o Issued in March 1993 after passing the three components of
FMGEMS (Basic, Clinical and English)
Postdoctoral Research Fellow in Endocrine Surgery
o Issued in June 1995 by the University of Chicago - USA
T.S. Reeve fellowship in Endocrine surgery
o Issued in June in 1996 – University of Sydney-Australia
8
Sessions
9
Session 1: Bariatric Surgery for Obesity: A Community Necessity?
1. Long-term effects of bariatric procedures on co-morbidities.
The talk will highlight the personal experiences of Dr. Salem on the effects and
long-term results of the bariatric operations on diabetes mellitus type 2,
hypertension, hyperlipidemia, and joint pain patients with follow up periods
exceeding 5 years.
10
Dr. Sami Salem• 1981: Secondary School Certificate Hamburg/ Germany
• 1982-1988: Medical School Hamburg/ Germany
• 1988-1994: General Surgery Training/ Hamburg, Germany
• 1995-2000: General Surgical Training and Trust Surgeon/
London, UK
• 1997: FRCS, UK
• 2004: Facharzt (Specialist Certificate Hamburg) for Surgery
and Registration in London as Consultant in the specialist
register)
• 2000: Consultant for Gastrointestinal and Obesity Surgery
in Germany and Jordan
• 2015: HAAD-licensed and working as HOD & Consultant for
Gastrointestinal and Bariatric Surgery (Abu Dhabi)
2. Bariatric surgery in 2017: experience of an Italian referral Center.
The objective of this presentation is to give an overview of the activity of bariatric surgery
of the Italian referral Center of Florence. The number of bariatric procedure has risen in the
last years worldwide. This tendency in confirmed in Italy and in our Bariatric Center of
Florence. The Center of Bariatric Surgery of Florence was founded in 1991 and the activity
started with gastric banding procedures; laparoscopy was started in 1995. Other procedures
were progressively performed, including biliopancreatic diversion, Roux-en-Y Gastric
Bypass, Sleeve Gastrectomies and, in the last years, Mini Gastric Bypass. The first
laparoscopic gastric bypass was performed in 2002. The Center of Florence was the first in
Italy to propose a multidisciplinary approach for the selection of the bariatric patients.
Actually, all patients are evaluated preoperatively by a multidisciplinary team of specialists
including a bariatric surgeon, a dietician, a psychiatrist, an anesthesiologist and, if needed,
an endocrinologist, a pneumologist and a cardiologist. Other specialists are available if
needed. The surgical activity of our Center is represented in great part by gastric bypass
procedure (about 80% out of the total number of bariatric procedures), Roux-en-Y or Mini
gastric bypass. The Roux-en-Y gastric bypass is actually performed using the Double Loop
Technique (Video). The MiniGastric Bypass is performed fashioning a long and narrow
gastric pouch and performing a gastro-jejunal side-to-side anastomosis at a variable distance
(150 to 220 cm) from the Treitz ligament (Video). All patients undergo an ERABS
(Enhanced Recovery after Bariatric Surgery) protocol. Our results in terms of complications
and weight loss are presented.
At the Referral Bariatric Center of Florence, different types of procedures are regularly
performed: Roux-en-Y Gastric Bypass, Mini Gastric Bypass, Sleeve Gastrectomy, Gastric
Banding and Biliopancreatic Diversion. Gastric Bypass represents about 80% of the total
number of bariatric procedures performed. This operation appears safe and effective with a
low rate of short and long-term complications and excellent results in terms of weight loss.
11
Dr. Enrico Facchiano• M.D. degree from University of Rome in 2001.
• Accredited Trained Specialist in General Surgery at the
University of Perugia in 2007.
• Senior Registrar at the University of Paris VII – Louis
Mourier Hospital (France) in 2007 – 2011 with specific
training in Laparoscopic Surgery, Bariatric and
Metabolic Surgery, Cancer and Peritoneal
Carcinomatosis Surgery.
• General and Bariatric Surgeon at the Careggi University
Hospital of Florence in 2011 – 2014.
• Since 2011 General and Bariatric Surgeon at Santa
Maria Nuova Hospital – Florence.
• Ph.D. degree in Biomedical Science from the University
of Florence in 2017.
• Published several papers in international peer-reviewed
journals.
3. One Anastomosis Gastric Bypass (OAGBP) as a revision procedure for
weight gain after a previous surgery. A personal experience presentation.
Since 2005, OAGBP is mainly performed to reintroduce weight loss after failed
sleeve and band surgery. The technique is explained, 40% were available to follow up
due to the expatriate character of my patient. Parameter like EWL, complications are
presented. Conclusion, the mini gastric bypass is a good revision procedure with
excellent weight loss and a low complication rate if done correctly. As a
malabsorptive procedure although it needs a better follow up than RY bypass,
because of possible protein deficiency, vitamin and mineral poor absorption. Easier to
perform and reversibility is possible.
12
Dr. Khalil Zayadin• 1975: M.D: Humboldt University Berlin Germany.
• 1975 - 1980: General surgical training, Charite and
Friedrichshain Hospital Berlin.
• 1980 - 1981: Research with Ph.D. in medicine. Topic:
acute pancreatitis.
• 1981 - 1982: Research fellow at Sidney Farber cancer
institute in Boston and visiting surgeon MGH, John
Hopkins, and Mayo clinic
• 1983 - Present: Private practice in Amman / Jordan,
Admission rights in all major private hospitals.
• Laparoscopic and obesity surgery mainly in Amman
Surgical Hospital
• Performed laparoscopic surgery as early as January
1991.
• All advancements in laparoscopic surgery were
pioneered by Dr. Zayadin in Jordan.
• Instructor for laparoscopic surgery in Middle Eastern
Countries.
4. Post-sleeve gastrectomy leak. Our experience at King Hussein Medical
Center.
Objective: To present our experience at King Hussein Medical Center in the
management of stapler line leak post sleeve gastrectomy.
Methods: This is a retrospective study done at King Hussein Medical Center
between August 2014 and August 2017. Eleven patients who developed staple line
leak post sleeve gastrectomy were managed, conservative or with other procedures
including exploration and redo surgery. Site of the leak, type of procedures, hospital
stay, and mortality were discussed.
Results: Eleven patients with leak were managed at our center, are 3 from our
patients and 8 referred to our center form other hospitals. Two patients were males
and 9 females. Ten patients the leak was at the gastroesophageal junction and one
patient at the body of the stomach. Primary suturing, stenting and drainage of
collection, converting to bypass and using a T-tube to make the fistula controlled
one, and chest tube with naso-jejunal feeding tube, partial TPN with or without stent,
these are the procedures used. Average hospital stay were 24 days between 5-60
days. All patients did will. No mortality.
Conclusion: Management of staple line leak post sleeve gastrectomy needs a
specialized center with experienced multidisciplinary team. Management needs long
time hospitalization, multiple procedures and intensive follow up of the patients. In
experienced hand the results are excellent.
13
Dr. Wael Al Nassan• Consultant General, Laparoscopic & Bariatric Surgeon,
King Hussein Medical Center.
• Member of the Editorial Board of the Royal Medical
Services Journal, since March 2007.
• Associate Editor of the Royal Medical Services Journal,
since July 2013.
• Head of Laparoscopic Team and Obesity Unit at King
Hussein Medical Center, since March 2010.
• Board Examiner in Emergency Medicine, Jordan Medical
Council 2014- 2017
• Head of Surgery Department, Royal Medical Services
since 26 Jan 2016.
• Reviewer at the Jordan Medical Journal.
• Board Examiner in General Surgery, Jordan Medical
Council since June 2017.
6. Gastric band complications; case report and review of the
present role of gastric banding in bariatric surgery.
5. Long term effects of bariatric surgery. Resolution of diabetes and co-
morbidities.In this talk, we will explore the different weight loss theories. We will talk the long term
hormonal adaptation to weight loss and discuss the multiple compensatory mechanisms
encouraging weight regain. The factors and drivers of obesity were discussed both from an
environmental and genetic standpoint. The various surgical procedures will be discussed
with a focus on the laparoscopic sleeve gastrectomy and laparoscopic roux en-y gastric
bypass with delineation of their physiologic mechanisms of action. Mile stone studies that
describes the effects of Bariatric surgery on health and various comorbidities including
type II diabetes and cancer were reviewed including the Swedish obesity study and the
Utah Bariatric surgery study. Finally the 10 year outcomes of the gastric bypass will be
reviewed focusing on the remission and improvement rates of diabetes.
14
Dr. Ashraf HaddadDr. Ashraf Haddad received his medical degree from the Jordan
University of Science and technology. He then moved to the
United Kingdom where he finished two years of basic surgical
training. Then, in his pursuit for excellence, Dr. Haddad moved
to the United States to complete his general surgery training at
St. Agnes Hospital in Baltimore, Maryland. During his training
Dr. Haddad's interest in the field of Minimally Invasive and
Bariatric surgery grew. He presented his research work in
numerous national and international meetings. Furthermore, Dr.
Haddad had numerous publications in prestigious journals in the
fields of Bariatric, Gastrointestinal and Pancreatic Surgery. After
completing his general surgery training, Dr. Haddad moved to
California to complete his Minimally Invasive, Advanced GI, and
Bariatric surgery fellowship at UCSF - Fresno under the tutelage
of Dr. Kelvin Higa and Dr. Keith Boone. During the time he spent
working with his mentor (Dr. Higa - one of the giants of Bariatric
surgery) Dr. Haddad developed his passion and attained his skills
for complex and revisional bariatric and gastrointestinal cases. In
2015 Dr. Haddad moved back to Amman to join his Colleagues at
GBMC. Dr. Haddad wants to deliver the highest standard of care
to his patients in a state of the art center
Dr. Ghazi Gasaimeh• Associate Professor of Surgery, Faculty of Medicine, Jordan
University of Science and Technology.
• British Fellowship in General Surgery, Urology and anesthesia
from Royal College of Surgeons of Edinburgh. 1993.
• Jordanian Board in General Surgery from Jordan Medical
Council, 1995.
• BSc. In Medicine and Surgery from the University of the
Punjab, 1976.
Session 2: Towards a Smoking-Free Community in
Jordan
This session will describe health effects related to tobacco use depending on
evidence-based research and will highlight the harms of second-hand smoke
exposure, as well as exposure to third-hand smoke, then will go through the benefits
of quitting and ways to quit. Of interest to the Middle Eastern region is the waterpipe
smoking. The pervasiveness of this phenomenon among youth in the Arab world will
be particularly underscored during the session. Discussion of the smoking-related risk
of lung cancers is also scheduled in the session.
Speakers:
15
Dr. Feras HawariAs director of the Cancer Control Office at King Hussein
Cancer Center (KHCC), Dr. Feras Hawari plays a key role in
advancing tobacco control as a national priority in Jordan. He
is active in research on a variety of topic related to tobacco
control. Dr. Hawari established and leads the inpatient and
outpatient tobacco dependence treatment (TDT) programs at
KHCC and is a lead trainer on TDT and tobacco control in the
EMR. In addition to his role in the Cancer Control Office, Dr.
Hawari is the chief of the Pulmonary Critical Care Service and
director of the Respiratory Unit at KHCC. Dr, Hawari is board
certificate in internal medicine, clinical pharmacology,
pulmonary disease and critical care medicine and a fellow of
the American College of Chest Physicians, Prior to Joining
KHCC, Dr. Hawari worked with pulmonary and Critical Care
Medicine Branch at the U.S. National Heart, Lung and Blood
Institute at the National Institutes of Health.
Dr. Khalid Kheirallah• Associate Professor of Public Health and Community
Medicine.
• Ph.D. in Public Health from Tulane University, 2009.
• MSc, in Public Health from Tulane University, 2006.
• MSc. in Public Health from Jordan University of Science
and Technology, 2002.
• BSc. In Dentistry from Jordan University of Science and
Technology, 1999.
16
Ms. Rawan ShihabHead of the Nutrition and Health Education at the Cancer
Control Office/ King Hussein Cancer Center (KHCC). Ms.
Shihab, Plays a key role in different projects at the cancer
control office as the smoke free-zone certificate program since
2014. And several research projects focusing on different
aspects of tobacco control. Developing programs and training of
counselors related to tobacco control and healthy lifestyle are
parts of her responsibilities. She is also, passionate about
spreading awareness about harms of tobacco use and healthy
lifestyle for cancer prevention for different age groups.
Mr. Iyad Ghonimat• Manager, Respiratory Services & Pulmonary Function Test
Lab and Tobacco Treatment Specialist (TTS) at King
Hussein Cancer Center (KHCC).
• Certified as Tobacco Control Specialist from Johns Hopkins
Bloomberg School of Public Health - USA.
• Mr. Ghonimat plays a key role as a trainer of Tobacco
Dependence Treatment (TDT) for the Expand Availability of
TDT Services in the EMR project plus taking an essential
part in research projects as author and co-author. He is
also, a surveyor for the Health Care Accreditation Council
(HCAC).
Session 3: Zoonotic Diseases as the Most Emergent
Threat to Global Health Security
Background
Protecting people’s health by combatting outbreaks and preventing their
international spread remains a national priority for all countries. Addressing
emerging and re-emerging zoonotic diseases as a health security issue will promote
rapid detection of novel biological threats as well as assist in identifying
contextualized solutions for the management of these diseases, both from a security
and safety perspective as well as from a disease control perspective.
The Eastern Mediterranean Public Health Network (EMPHNET) will hold a
roundtable discussion for the attendees of JUST’s conference as part of
EMPHNET’s efforts in strengthening response to zoonotic diseases. This
roundtable session will encourage discussions related to the impact of zoonotic
diseases on global health security, and explore opportunities for professionals
working on human and animal health to coordinate response activities.
Purpose
The roundtable discussion session will aim at improving zoonotic diseases
management and related best practices among both the human and animal health
sectors.
17
Objectives
The session's specific objectives are to:
Present an overview of zoonotic diseases as public health events of
international concern
Provide an example from Jordan’s experience
Explore ways to strengthen the capacity of the public and veterinary health
systems to detect, report, and control emerging and re-emerging infectious diseases
Propose contextualized solutions for improving zoonotic diseases
management and related best practices
Description
The roundtable session will start with brief remarks from the invited panelists
to set the ground for the theme of the session and raise questions for discussion.
Panelists will briefly review major events and outbreaks that the world witnessed
since the beginning of the century such as SARS, MERS-CoV, H5N1, and Ebola.
They will highlight contributing factors related to the culture, behavior, demographic,
trade and traffic. Panelists will also highlight the importance of International Health
Regulations and countries capacity in preparedness and response. Jordan experience
will be presented as an example of an emergent threat from animals to humans, and
how there is a crucial need for inter-sectoral collaboration mechanisms such as an
integrated surveillance system for animal and human cases. The session will start
with a 30 to 45 minutes talk to set the scene, and will be followed by 75 minutes of
directed discussions.
Facilitators
EMPHNET’s subject matter experts and other interested JUST representative
who will initiate discussions with the audience by raising questions pertinent to the
objectives of the session.
Target Audience
This roundtable session will be open for all attendees of JUST’s Conference.
Participants of the discussions are expected to be medical and veterinary physicians
interested in the animal-human interface.
Language
Panelists will present in either English or Arabic and discussions can take
place in both languages.
EMPHNET educational material will also be provided during the roundtable discussion session (i.e. brucellosis brochures, relevant guidelines, etc.).
18
Speakers:
19
Session 4: Primary Healthcare System in Jordan
Primary care is the provision of integrated, accessible health care services by
clinicians who are accountable for addressing a large majority of personal health
care needs, developing a sustained partnership with patients, and practicing in the
context of family and community.”
Better Health Care
Primary care is the backbone of the health care system. Utilizing primary care
physicians puts an emphasis on the physician-patient relationship by shifting the
focus from physician-centered care to patient-centered care. An increase of one
primary care doctor per 10,000 people has been shown to result in:
5% decrease in outpatient visits
5.5% decrease in inpatient admissions
10.9% decrease in ER visits
7.2% decrease in surgeries
Better Access to Health Care
Urban and rural communities that have an adequate supply of primary care
providers experience lower infant mortality, higher birth weights, and
immunization rates at or above national standards, despite social disparities.
Evidence shows that primary care, in contrast to specialty care, is associated with
a more equitable distribution of health in populations--a finding that hold in both
national and international studies.
Lowering the Cost of Health Care
A primary care-based system may cost less because patients experience
fewer hospitalizations, less duplication of treatment, and more appropriate
use of technology.
U.S. adults who have a primary care physician accumulate 33% lower
health care-related costs.
Medicare spending is lower in states with more primary care physicians,
and these states also report more effective, higher-quality care.
20
Family Medicine: At the Center of Primary Care
Family medicine aims to reintegrate and personalize health care for patients, who are
increasingly frustrated with the fragmented and complex health care system. It is a
deviation from physician-centered traditional models of care, such as specialist care.
The family medicine model of care seeks to provide patients with a personal medical
home through which they receive a full range of services within the context of a
continuing relationship with their family physician. Family physicians deliver acute,
chronic, and preventive care, either directly or indirectly through established
relationships with clinicians outside their practice.
Scaling up Family Practice in EMRO countries
Objective: To improve the quality of primary health care in the EMRO countries,
through a comprehensive program, assisting the EMRO countries to improve primary
and reproductive health care by strengthening the public and private provision of these
services,
Background: Family practice [FP] is defined as the health-care services provided by
family doctors and often supported by a multidisciplinary team; it is characterized by
comprehensive, continuous, coordinated, collaborative, personal, family-and
community oriented-services and provides comprehensive medical care with a
particular emphasis on the family unit.
The World Health Organization (WHO) in collaboration with WONCA is working on
accelerating the adoption of family practice in the countries of the Region. This means
that the requirements necessary for implementation should be in place: clear policies
and strategies; evidence-based information to ensure technical support; engagement of
the community; and the necessary mechanisms for patient follow-up
Challenges: The major challenges facing family practice approach in EMRO
countries includes diversity of human resources capacity, financing limitations and
weak organization. Policy-makers have limited awareness about the concept of family
practice, and there is an increasing tendency to rely on expensive technology. Poor
logistics management and distribution of health facilities and workforce, lack of
public–private partnerships, and a shortage of resources and incentives are major
challenges to the proper implementation of a family practice program. Among the
biggest challenges are the insufficiency of trained family physicians and the fact that
existing training programs are failing to meet the enormous need for those
practitioners to support primary care.
21
Conclusions: Experience from across the world has shown that the family practice approach
can increase households’ access to a defined package of services at an affordable cost,
through trained and motivated family practice teams. Scale up Family Practice in EMRO
countries needs trained and motivated family practice teams that can ensure high-quality,
continuing and comprehensive primary care services for the individual and family across all
ages and both sexes.
22
Dr. Mohammed Abdel Rasoul Al-Tarawneh• Family medicine consultant.
• Secretary General of High Health Council, Jordan.
• President of Jordanian Society of Family Physicians.
• 2005 – 2008 Director of Cancer Prevention Directorate.
• 2003 – 2005 Director of Training & Education Directorate.
• 2002 – 2004 Counter Partner with PHCI Project/ USAIDs.
Prof. Mousa Al-Omary• Professor of Public Health and Community Medicine, Faculty of
Medicine, Jordan University of Science and Technology.
• BSC. In Medicine and Surgery from Mousul University, 1976.
• British Fellowship in Public Health from Royal College of
Physicians & Surgeons, 1999.
Dr. Mohammed TarawnehDr. Tarawneh has 25 years’ experience in PHC field in Royal Medical
Services of Jordan; as tutor, master trainer and examiner of the
family medicine residency program in the Royal Medical Services
(RMS). and 2 terms in Jordan Medical Council, he was a member of
the scientific committee in the faculty of medicine of M’uta'
University for 2 years where he worked as tutor for the medical
students, currently he is a family medicine consultant in the private
sector, published different papers in the field of Primary health care
in International and local medical journals. WHO EMRO temporary
advisor, and he is WONCA - EMR president for 2nd term from 2016 to
2018.
Prof. Anwar Batieha• Professor of Public Health and Community Medicine, Faculty of
Medicine, Jordan University of Science and Technology.
• Ph.D. in Public Health from Johns Hopkins University, 1992.
• MSc. In Public Health from Johns Hopkins University, 1989.
• BSc. In Medicine and Surgery from University of Alexandria,
1973.
Session 5: Bringing Genetics Back to the Community
1. Attitude of Jordanians toward genetic research, genetic testing, and
clinical trials.
Communities that have high rates of consanguineous marriages benefit from genetic
testing as it may reduce the rate and prevent hereditary diseases. Jordan has a high
rate of consanguineous marriages and have recently implemented premarital genetic
testing. Herein, the knowledge, practice, and attitudes of the public in Jordan
regarding genetic testing were investigated. Individuals (N = 3,196) were questioned
about the concepts of genetic testing and genetic counselors, if they underwent any
genetic tests, the type of test, the method of consenting to the test, as well as their
level of satisfaction with the privacy of the genetic testing service. Although almost
70 % of respondents knew the term "genetic testing," only 18 % had undergone
genetic testing, primarily the mandatory premarital test. In addition, there was a lack
of general knowledge about genetic counselors. Many of those who had genetic
testing (45 %) indicated they did not go through a consent process, and a lack of
consent was significantly related to dissatisfaction with the privacy of the service.
Going for routine health checkups was not significantly correlated with either actual
or potential uptake of genetic testing, suggesting health care providers do not play an
influential role in patients' testing decisions. Our results show a gap between the
knowledge and uptake of genetic testing and may help guide the design of effective
strategies to initiate successful genetic counseling and testing services.
23
Dr. Mamoun AhramDr. Mamoun Ahram is currently an Associate Professor at the
School of Medicine, The University of Jordan, and Head of the
Office of Research at Jordan University Hospital. He holds a PhD
degree in Cancer Biology from Wayne State University (USA) and
had received research training at the National Cancer Institute
(NCI) and the Pacific Northwest National Laboratory. Dr. Ahram
was the Director of the Biorepository and Bio-specimens
Research Unit and Head of the Proteomics Laboratory at the King
Hussein Institute for Biotechnology and Cancer (KHIBC). He is
actively engaged in elucidating the role of the androgen receptor
in breast cancer pathogenesis through a combination of cellular
and molecular biology techniques and gene expression profiling.
Dr. Mamoun is also interested in the mechanism(s) by which the
androgen receptor regulates microRNAs expression in breast
cancer cell lines and tissue specimens. Dr. Ahram published over
30 research articles, review articles, and book chapters in
different research areas. He also received several awards such as
the Best abstract at the 10th Middle East Best of San Antonio
Breast Cancer Symposium and a Scholar-in-Training Award by
the American Association for Cancer Research (AACR).
2. Knowledge and attitude of Jordanian physicians toward Biochemistry
and Genetics.
Biochemistry and Genetics are integral courses of the medical curriculum. Despite
the importance of having a solid background in these disciplines, studies found that
clinicians develop a negative attitude toward these courses during medical school.
Clinicians explain this by the lack of correlation between the concepts taught in these
courses with bedside teaching in the following years. This led many medical schools
to adopt an integrated system-based syllabus supplemented with clinical correlations
instead of teaching these courses independently. Medical schools in Jordan switched
to the integrated syllabus however, studies that evaluate the attitude of clinicians
toward Biochemistry and Genetics are lacking. To evaluate the knowledge of
physicians and their attitude toward Biochemistry and Genetics disciplines, a
structured questionnaire consisting of 40 statements was distributed to a random
sample of 616 clinicians practicing in private and governmental hospitals in Jordan.
Participants earned their MD or MBBS degree from Jordan or other countries and
were either interns, residents or specialists at the time of the study. In the
presentation, the result of the survey is discussed in the context of the current content
and teaching methods of the Biochemistry and Genetics curriculum and
recommendations are made based on the above results.
24
Dr. Mahmoud AlfaqihDr. Mahmoud A. Alfaqih is an Assistant Professor of Biochemistry
and Molecular Biology at the Jordan University of Science and
Technology (JUST). He received his PhD in Biochemistry from
Washington State University. Following his PhD, he trained in
nuclear receptor pharmacology and drug discovery as a
postdoctoral fellow at Duke University. His research integrates
epidemiologic methods with cell based experimental model
systems to understand the role of dietary and lifestyle factors in
disease progression and treatment. More recently, he gained
interest in the curriculum development of basic science courses
and the applications of different teaching models to enhance the
learning experience of undergraduate medical students in
Jordan. Dr. Alfaqih has received numerous awards and
scholarships including a scholarship from the Ministry of Higher
Education to fund his PhD studies, a scholarship from King
Hussein Institute for Biotechnology and Cancer (KHIBC) to fund
his postdoctoral degree, and a postdoctoral award from the
Department of Defense (DOD), USA. His research has appeared in
Journals like; Nature Reviews Urology, Cancer Research, BMC
Genetics and the Prostate. Dr. Alfaqih is a member of the
American Association of Cancer Research and The Endocrine
Society.
3. Alkaptonuria in Jordan; experience with a rare genetic disorder.
Alkaptonuria (AKU) is a very rare genetic disorder, characterized by a lack of
homogentisate 1, 2 dioxygenase enzyme, and causing excretion of homogentisic acid
(HGA) in the urine and the accumulation of HGA in connective tissues. Clinical
manifestations include dark urine, dark-black pigmentation of connective tissues
(ochronosis), and arthritis of large joints and the spine. The aims of the project were
to identify AKU patients in Jordan, create AKU patients registry and raise the
awareness about AKU among healthcare providers and the community. We identified
77 cases with AKU in Jordan (age range, 2 months-77 years), two third of the
patients were under the age of 30 years. The clinical, biochemical and genetic
findings will be presented. Achievements, international collaboration, challenges and
our future plans will also be discussed in the presentation. AKU research office and
Jordanian AKU society were established to support patients and their families.
4. The use of GWAS for the discovery of disease-causing genetic markers
in Arabian populations.
Despite a high prevalence of metabolic related disorders in populations of Arabic
descent, there is a lack of credible genetic determinants for these disorders. Arab
populations today are under-represented in global genome-wide association surveys.
The use of Genome Wide Association Studies (GWAS) for the identification of
genetic markers in metabolic disorders was used in many global studies, however it
wasn’t until recently that this powerful approach was used in regional studies which
focus on populations of Arabian ancestry. Both novel and common genomic variants
of genes/enzymes of key metabolic steps have surfaced as a result of these efforts.
Several examples of these findings and their implications will be presented and
discussed. 25
Dr. Mohammed Al-SbouDr. Mohammed Al-Sbou is an Associate Professor of Clinical
Pharmacology at the School of Medicine in Mutah University. He
is currently the chairman of the Department of Pharmacology. Dr
Al-Sbou is also the Chairman of the Health and Hazzard
Evaluation Committee at the Jordan Food and Drug
Administration (JFDA), the head of the Pharmacovigilance Centre
of Southern Jordan at Al-Karak governmental teaching hospital.
Dr Al-Sbou research focuses on the prevalence, and molecular
basis of rare genetic disorders. Dr Al-Sbou published several
articles on the genetic basis of Alkapatonuria and plays an active
role in educating the general public about this disease. His
efforts in this field are well recognized at the national and
international level as he is the chairman of Jordanian
Alkaptonuria Society and the head of “Alkaptonuria research” in
Jordan. Dr. Al-Sbou is also a member of the International
Alkaptonuria clinical trial team, and a co-ordinator of the FP7
project (DevelopAKUre Project) in Jordan established to find a
cure for Alkaptonuria.
5. Targeted next generation sequencing and its use in clinical diagnostics.
Next Generation Sequencing (NGS) has changed the way genomes are sequenced and led to a
decline in the cost of sequencing. However, routine sequencing of large numbers of whole
human genomes remains prohibitively expensive for clinical use. Nevertheless, we expect
that the use of this technology will become a routine practice in the near future. For the time
being, to fully leverage the power of NGS in a large number of samples in a cost-effective
manner, several targeted enrichment approaches are currently available to selectively enrich
genomic regions of interest before sequencing. Exome and targeted NGS approaches
facilitated the diagnosis of many genetic diseases, accelerated the identification of disease-
causing genes, and provided a systematic tool for the classification of previously intractable
genetic disorders. Based on the above, we believe that exome and targeted NGS can be
implemented as a routine diagnostic tool for the screening of many genetic diseases.
26
Dr. Osama AlsmadiDr. Alsmadi is currently the head of the Clinical Genomics and
Precision Medicine core facility at King Hussein Cancer Center
(KHCC). Prior to joining KHCC, Dr. Alsmadi was the Head of the
Dasman Genome Center in Kuwait. Dr. Alsmadi obtained his BS
in Medical Technology from Yarmouk University, and his
master’s and PhD degrees in Molecular Biology from New York
University. Throughout his career, Dr. Alsmadi established
several genomic facilities, assembled coherent research teams,
and developed several clinical research protocols. Dr. Alsmadi’s
research utilizes modern genomic technologies such as Next
Generation Sequencing (NGS) and Genome-Wide Association
Studies (GWAS), combined with computational tools, for the
analysis of human genome and exome data. His research has led
to the discovery of several disease causing genes of simple and
complex hereditary diseases. His research was published in
reputable international journals like the European Journal of
Medical Genetics, BMC Genomics and many others. Dr. Alsmadi
is a member of the American Diabetes Association and the
American Society of Human Genetics..
Dr. Rowaida AlmomaniDr. Almomani is currently an Assistant Professor in the Department of Medical
Laboratory Sciences, Jordan University of Science and Technology. Dr. Almomani
obtained her B.S. in biology from Mu’tah University with honors in 2002, her master’s
degree in applied biology/human Genetics in 2005 from Jordan University of Science
and Technology, and her doctorate in human Genetics from Leiden University in the
Netherlands. She did two post-doctoral fellowships, the first was in the Department of
Human Genetics at the University of Groningen and the second in the Department of
Clinical Genetics and Cell Biology at Maastricht University, the Netherlands. Dr.
Almomani was a member of the Neuromuscular Diseases Center Maastricht
(Spierziekten Centrum Maastricht) from January 2015- May 2017. She also was a Work
Package leader in an international collaborative project, the PROPANE study. Dr.
Almomani is interested in the application of new genomic technologies to understand
the basis of genetic disorders. In her research, she establishes and applies state of the
art technologies, such as targeted and exome next generation sequencing, for the
identification of genes and genetic variants linked with hereditary disorders.
6. Whole exome sequencing in children with global developmental delay.
Genetic diagnosis of children with global developmental delay (GDD) and
intellectual disabilities remains a major challenge in clinical genetics. In only around
40-60% of patients with GDD a specific molecular etiology can be identified through
traditional testing techniques which include neuroimaging, metabolic work up,
chromosomal analysis and single gene testing for known genetic disorders. In
countries with high rates of consanguineous marriages, consanguinity is a major risk
factor contributing to the prevalence of GDD. Accurate diagnosis is not only essential
in determining therapeutic options and prognosis for children with GDD, but is also
important for estimating the risks of recurrence for the family and in establishing the
priorities for future national prevention and care programs. Whole exome sequencing
(WES) is a high-throughput genetic sequencing method that only sequences the
protein-coding regions of the human genome. Its application in clinical genetics
represented a breakthrough that resulted in an increase in the diagnosis rate of
children with GDD. The implications and benefits of using WES in this category of
patients will be discussed in the presentation.
27
Dr. Amira Al-MasriDr. Amira Al-Masri is a Professor of Pediatric Neurology at
the University of Jordan. She completed her residency in
General Pediatrics at the Jordan University Hospital.
Following her residency, she trained in Pediatric Neurology
in Montpellier/France. Dr. Al-Masri also holds a master’s
degree in the management of epileptic patients from Sfax
University in Tunisia. Dr. Al-Masri is an active member of
several committees at the Jordan University Hospital and
the School of Medicine including the residency and
internship-training committees. Dr. Al-Masri was also the
program director of the Pediatric residency program for
several years. Dr. Al-Masri’s research uses state of the art
genomic technologies to identify genes linked with
neurological abnormalities in children including a role for
hereditary factors in explaining global developmental delay
in pediatric patients. Her research has appeared in Science,
The Journal of Biological Chemistry, the American Journal
of Human Genetics and several other prestigious journals.
Dr. Al-Masri is a member of the European Pediatric
Neurology society, the International Child Neurology
Association and several other local and international
associations.
PosterSessions
28
Poster Sessions
29
Title Presenting Author Discipline
Human aldehyde dehydrogenase 7A1 (ALDH7A1)
expression affects cancer cell proliferation, migration and
cell protection against oxidative stress
Dr. Lina Elsalem Pharmacology
Symptoms and Risk of Obstructive Sleep Apnea and the
Risk of Coronary Artery Disease: The Findings of Berlin
Sleep Questionnaire
Dr. Ali Ibnian Medicine
Iatrogenic lung collapse in a neonate after recurrent
intubations and tracheal suctioning Dr. Ahmad Al OmariENT
Primary sino-orbital peripheral T-cell lymphoma presenting
as a unilateral peri-orbital swelling
Effect of insulin on neurotrophins' levels in the muscular
wall of mice intestineDr. Mohammad Alqudah Physiology
Evaluation of swimming exercise with and without Non-
Steroidal Anti-Inflammatory Drugs on inflammatory
nociception in rats
Zain Kalha Pharmacology
The effect of different doses of androgen treatment on the
total body weight of female ratsDr. Nasr Alrabadi Pharmacology
The effect of different doses of androgen treatment on the
total body weight of male rats
An audit of cesarean sections in tertiary university hospital
in north of JordanDr. Hashem Yaseen OB/GYN
The Relationship between Type II Diabetes Mellitus and
Clinical Depression in Primary Care Practice in Northern
Jordan
Renad Abunaser Pharmacology
Paraneoplastic panniculitisKhaleel Abdul kareem
AlqararhaRadiology
Location and Histologic Features of Colonic Polyps: Review
of 6000 polyps colonoscopies and 600 polypsKhalid Rashid Al-Alawi Student
CT-measured Subcutaneous and Visceral Fat in Patients
with Colorectal Cancer
Depression, Anxiety, and Sexual Dysfunction among
Jordanian Women with Type 2 Diabetes MellitusZaina Alazawi Ministry of Health
The impact of previous cesarean section on the outcome in
patients with non-adherent placenta previaAreen Al Na’san OB/GYN
Viral Surveillance of Hospitalized Children with Acute
Respiratory Infection in Northern JordanDr. Samah Awad Pediatrics
ABO Blood Groups and Lung Cancer Anas zaitoun Pathology
Unhealthy eating habits among adolescent waterpipe
smokers
Dr. Nihaya Al-sheyab NursingAssociations of cigarette and waterpipe smoking with
asthma and wheezing among Jordanian adolescents
Abstracts
30
Name: Lina Elsalem
Title: Dr.
Primary Affiliation: Department of Pharmacology
Address: Faculty of Medicine
Email: [email protected]
Other authors: Anaxagoras Fotopoulos, Athanasios Papathanasiou, Simon
Allison, Jan Moreb, Zoe Cournia, Klaus Pors
Abstract title: Human aldehyde dehydrogenase 7A1 (ALDH7A1) expression affects cancer cell proliferation, migration and cell protection against oxidative stress
Keywords: ALDH7A1, proliferation, migration, ROS
31
Introduction ALDH7A1 has important antioxidant role against oxidative stress causedby reactive oxygen species (ROS). Abnormally high expression of ALDH7A1 has beenfound in ovarian cancer, prostate cancer and matched bone metastasis, while itsexpression in NSCLC has been linked with cancer recurrence. Most of these studiesconcern the expression of ALDH7A1 but relatively little is known about its biologicalroles in cancer. Here, we report on the implication of ALDH7A1 expression in cellproliferation, migration and protection against ROS. Materials and Methods H1299, aNSCLC cell line that has low endogenous ALDH expression was stably transducedwith ALDH7A1. The gene and protein expression was evaluated in H1299/7A1 andH1299/RFP cells using qRT-PCR and western blot, respectively. ALDH activity wasmeasured with ALDEFLUOR assay. MTT assay was used to study cell proliferation,while cell migration was measured with scratch assay. ROS generation was detectedusing carboxy-H2DCFDA and dsDNA breaks were measured using the expression ofphosphorylated H2AX protein. The anti-proliferative effect of anticancer drugs wasevaluated using MTT assay. Results and Discussion ALDH7A1 was found to be highlyexpressed in H1299/7A1 at both the gene (85-fold) and protein (9-fold) levelscompared to H1299/RFP cells. ALDH activity was 17-fold higher in H1299/7A1 thanH1299/RFP. ALDH7A1 enhanced H1299 cell proliferation and migration. In addition, itsignificantly reduced the generation of ROS (>90%). H1299/7A1 cells hadsignificantly less phosphorylated H2AX expression (>70%), indicating that ALDH7A1was protecting cells against DNA damage caused by ROS. The effect ofcomputationally designed compounds on ROS generation showed that ICT11501resulted in significant more ROS in H1299/7A1 cells, suggesting inhibition ofALDH7A1 functional activity. No difference in the cell survival of both H1299 cells wasfound upon treatment with cytotoxic and molecularly targeted drugs. Conclusion Ourdata revealed a possible role of ALDH7A1 in mediating cell proliferation andmigration. This the first study describing an antioxidant role of ALDH7A1 in thecontext of cancer.
Abstract:
Abstract:
Introduction: Obstructive sleep apnea (OSA) is the most common sleep -breathingrelated disorder and coronary artery disease (CAD) is a leading cause of morbidityand mortality. The aim of this study is to describe the prevalence of symptoms andrisk of OSA in patients undergoing cardiac catheterization (CATH) and theircontribution to CAD risk. Methods: A cross sectional study of adult patients whounderwent CATH for ischemic heart disease. Patients are considered to have CAD ifthey have ≥ 50% luminal stenosis in ≥ 1 coronary vessel. Patients with minimal orno stenosis were considered normal and served as the control group (CONTROLS).Berlin Questionnaire was used to record symptoms and risk of OSA. Snoring, daytimesleepiness and high-risk of OSA were studied as potential risk factors for CAD.Results: a total of 398 patients completed the study, their mean age was 58.7 years(range, 21-92) and 68.6% were males. Snoring was reported by 61% of patients and36% had daytime fatigue and tiredness. Almost half (44.2%) had high-risk of OSA.CAD was present in 265 (66.6) patients. Prevalence of symptoms and high-risk ofOSA was not different between patients with CAD and CONTROLS. After adjustingfor known risk factors for CAD, snoring [OR 1.2 (CI 0.75-1.88)], daytime sleepinessor fatigue [OR 1.2 (CI 0.7-2.2)] and being at high-risk for OSA [OR 0.96 (CI 0.61-1.48)] were not associated with CAD risk, p > 0.20. Conclusion: symptoms and high-risk of OSA were common among patients undergoing coronary catheterization buthas no association with CAD. These patients should be screened for OSA andappropriately diagnosed.
Name: Ali Ibnian
Title: Dr.
Primary Affiliation:Jordan university of Science and technology/Faculty of
Medicine/Internal Medicine department
Address: Suleiman Al Qanouni street/alrawdah/ Irbid/ Jordan
Email: [email protected]
Other authors: Basheer Khassawneh (Main author), Moammad Jarrah,
Rasheed Ibdah
Abstract title:Symptoms and Risk of Obstructive Sleep Apnea and the
Risk of Coronary Artery Disease: The Findings of Berlin
Sleep Questionnaire
Keywords: coronary artery disease, risk, obstructive sleep apnea,
snoring, sleepiness, Berlin questionnaire
32
Abstract:
Name: Ahmad Issa Al Omari
Title: Dr.
Primary Affiliation: JUST
Address: Amman - Jordan
Email: [email protected]
Other authors: Mohammad Alsalem, Mahmoud Tanash
Abstract title: Iatrogenic lung collapse in a neonate
after recurrent intubations and tracheal
suctioning
Keywords: Case report, Lung collapse, Bronchial
obstruction, Granulation tissue,
endotracheal tube.
Iatrogenic lung collapse due to complete main stem bronchus obstructioncaused by recurrent intubations and repetitive tracheal toileting has beenrarely reported in literatures. The early diagnosis and proper management areimperative to avoid mortality. In this case we will present a case of 1-month-old boy, weighing 3 kg, who developed a complete right main bronchusobstruction by granulation tissue leading to right lung collapse a complete rightlung collapse after multiple intubations and prolonged pediatric ICU admissiondue to respiratory distress syndrome (RDS). Removal of the granulation tissuewas completely successful using a rigid bronchoscope and cold steelinstruments. We concluded that a careful atraumatic intubation should beattempted in all patients with extra care in neonatal age group. AnExperienced doctor or experienced attentive pediatric ICU nurses shouldhandle the bronchial suctioning of neonates to avoid trauma to the trachealstructures. A bronchial obstruction that may result in lung collapse should besuspected after traumatic or prolonged intubation or frequent airwaysuctioning, where the early diagnosis and proper management are imperativeto avoid mortality.
33
Abstract:
Name: Ahmad Issa Al Omari
Title: Dr.
Primary Affiliation: JUST
Address: Amman - Jordan
Email: [email protected]
Other authors: Mohammad Alsalem, Mahmoud Tanash,
Mohammad Al amri
Abstract title: Primary sino-orbital peripheral T-cell lymphoma
presenting as a unilateral peri-orbital swelling
Keywords: Sino-orbital lymphoma, Sino-orbital tumor,
Lympho-proliferative, T-cell lymphoma,
Ophthalmoplegia.
Primary sino-orbital lymphomas are part of the lympho-proliferative lesions thataffect the nasal cavity and the para-nasal sinuses and the orbit. Sino-nasal andorbital lymphomas may co-exist, however the vast majority are lymphomas of B-cell lineage which also show more associated with orbital extension. Here wereport a 57-year-old man presented with a progressive unilateral periorbitalswelling with subsequently rapidly progressive ophthalmoplegia due to primarysino-orbital peripheral T-cell lymphoma. To our best knowledge, this is the firstcase of primary sino-orbital peripheral T-cell lymphoma to be reported in themiddle-east.
34
Abstract:
Name: Mohammad Alqudah
Title: PhD
Primary Affiliation: Jordan University of Science and Technology
Address: Jordan University of Science and Technology
Email: [email protected]
Other authors: Ayman Mustafa, Othman Al-shboul, Ahmed
Aldwairi
Abstract title: Effect of insulin on neurotrophins' levels in the
muscular wall of mice intestine
Keywords: neurotrophins, Insulin, Gut
Background: Neurotrophins are implicated in the physiology andpathophysiology of the mature gastrointestinal tract (GIT) such as motility andinflammatory bowel disease. Moreover, GIT disturbances has been attributed tohyperinsuliemia. Insulin-neurotrophins interactions in the (GIT) have not beeninvestigated yet. Aim: To test the effect of Insulin on the expression ofneurotrophins in the muscular wall of mice intestine and colon. Methods: Totalprotein extracts from intestinal and colonic muscular wall treated for 24 hourswith insulin were subjected to ELISA assays specific for different neurotrophinsand data were analyzed using suitable statistical test with graph pad. Results:insulin treatment resulted in significant reduction of neurotrophin-3 (NT-3)protein levels in the muscular wall of both mice intestine and colon. Moreover,neurotrophin-4 (NT-4) levels were significantly reduced in response to insulintreatment in muscular tissue from both intestine and clone as well.Interestingly the effect of insulin was more profound in the colon on NT-3 andNT-4. Conclusion: These results indicate that changes in GIT structure andfunction seen in hyperinsulinemia might be due to the effect of insulin onneurotrophins expression levels. However, functional studies are needed toelucidate the exact interactions between insulin and neurotrophins in the GIT.
35
Abstract:
Name: Zain Ahmad Kalha
Title: MSc.
Primary Affiliation: Department of pharmacology, School of midicine,
Jordan University of science and technology
Address: 6, Al naim street, Al Rawnaq, Amman , Jordan
Email: [email protected]
Other authors: Dr. Saddam Fuad Kana'an, Dr. Karem Hasan Al-
Zoubi, Dr. Mahmoud A. Alfaqih, Dr. Abdallah Adel
Alzoubi, Dr. Ahmad Adnan Altarifi
Abstract title: Evaluation of swimming exercise with and
without Non-Steroidal Anti-Inflammatory Drugs
on inflammatory nociception in rats
Keywords: Pain; Complete Freund’s Adjuvant; Ibuprofen;
Swimming; Exercise
Pain is a growing health problem with increasing prevalence and burden worldwide.Major approaches for pain control include pharmacological and non-pharmacologicalinterventions. Pharmacological treatment is achieved by the use of analgesics suchas non-steroidal anti-inflammatory drugs (NSAIDs) and opioids that are accompaniedwith many side effects upon prolonged use. Physical exercise is an example of non-pharmacological interventions for pain control. We studied the effect of one of themost commonly prescribed NSAIDs, ibuprofen, on nociception threshold in rats withand without the addition of swimming exercise. Nociception was induced by theintraplantar injection of Complete Freund’s Adjuvant (CFA). The goal of this studywas to determine the effect of adding swimming exercise on nociception thresholdand on ibuprofen-induced antinociception in inflammatory pain rat model. Wehypothesize that swimming exercise will enhance the ibuprofen-inducedantinociception in rats. Ibuprofen produced an antinociception effect only at thehighest dose used (32mg/kg) with inflammation lasting for 17 days. Antinociceptionwas significantly higher in swimming treatment and prophylactic swimming groupswhen compared to ibuprofen alone, at the dose of 32 mg/kg in both groups and at10 mg/kg in the prophylactic swimming group alone. The duration of inflammationdid not exceed 7 days in both swimming groups. In conclusion, the combination ofibuprofen and swimming exercise was shown to be effective in controllingnociception in a rat pain model. The combination of exercise and ibuprofen could besuggested as an effective intervention to help control chronic pain problem. Inaddition, prophylactic swimming could be added to ibuprofen to increase its effectwhile lowering its dose used thus lowering the multiple ibuprofen-induced sideeffects. 36
Abstract:
Name: Nasr Alrabadi
Title: Dr (MD, M.Phil, PhD)
Primary Affiliation: Department of Pharmacology, Faculty of Medicine, Jordan
University of Science and Technology
Address: Department of Pharmacology, Faculty of Medicine, Jordan
University of Science and Technology, Irbid, Jordan.
Email: [email protected]
Other authors: Haneen Sarairah, Rasha Maraqah, Mohammad Al-qudah
Abstract title: The effect of different doses of androgen treatment on the
total body weight of female rats.
Keywords: Androgen, Sustanon, body weight, female rats
The data presented is part of the work of a currently enrolled master students Title:The effect of different doses of androgen treatment on the total body weight offemale rats. Authors: Nasr Alrabadi, Haneen Sarairah, Rasha Maraqah, MohammadAlqudah. Background: Androgens are natural and essential hormones in thedevelopment and function of body organs. As well, these hormones can bemanufactured and administered to the body aiming to treat different pathologicalconditions. Anabolic steroids are forms of these manufactured androgens which areexcessively used by body builders aiming to gain excessive muscle weight andstrength. However, the abuse of anabolic steroids is associated with variety ofcatastrophic complications. This dose-dependent effect especially with thedifferences in the prevalence and prognosis of androgen related diseases betweendifferent sexes, can indicate to dose and sex-dependent paradoxical effects of thesehormones. Aim: To determine the effect of different doses of sustanon(manufactured androgen) on the total body weight of female rats. Methods: 36Female Wister rats were randomly housed in 6 separate groups. Each group receiveddifferent doses of sustanon treatment (1, 3.2, 10, 32 and 100 mg/kg/week) orvehicle. Each rat received 6 serial intra-muscular injections of sustanon with oneweek interval between injections. Total body weight was obtained weekly for each ofthese female rats. Results: Our data suggested that some of the sustanontreatments (1 and 100 mg/kg/week) were not able to cause any change in the totalbody weight of the female rats when compared to the control animals over thecourse of the treatment (6 weeks). However, moderate doses (3.2, 10 and 32mg/kg/week) appeared to be able to cause a significant increase in total body weightat the end of the course of the treatment. Of interest, the increase in the bodyweight was also associated with increase in the aggressiveness of the animals.Conclusions: Moderate sustanon doses (3.2, 10 and 32 mg/kg/week) appeared to beable to cause a significant increase in total body weight after one month ofcontinuous treatment. This increase appeared to be associated with increase in theaggressiveness of the animals. 37
Abstract:
Name: Nasr Alrabadi
Title: Dr (MD, M.Phil, PhD)
Primary
Affiliation:
Department of Pharmacology, Faculty of Medicine, Jordan
University of Science and Technology
Address: Department of Pharmacology, Faculty of Medicine, Jordan
University of Science and Technology, Irbid, Jordan.
Email: [email protected]
Other authors: Rasha Maraqah, Haneen Sarairah, Alaa Majd, Mohammad Al-
qudah
Abstract title: The effect of different doses of androgen treatment on the
total body weight of male rats.
Keywords: Androgen, Sustanon, body weight, male rats
The data presented is part of the work of a currently enrolled master students Title:The effect of different doses of androgen treatment on the total body weight of malerats. Authors: Nasr Alrabadi, Rasha Maraqah, Haneen Sarairah, Alaa Majd,Mohammad Alqudah. Background: Androgens are natural and essential hormones inthe development and function of body organs. As well, these hormones can bemanufactured and administered to the body aiming to treat different pathologicalconditions. Anabolic steroids are forms of these manufactured androgens which areexcessively used by body builders aiming to gain excessive muscle weight andstrength. However, the abuse of anabolic steroids is associated with variety ofcatastrophic complications. This dose-dependent effect especially with thedifferences in the prevalence and prognosis of androgen related diseases betweendifferent sexes, can indicate to dose and sex-dependent paradoxical effects of thesehormones. Aim: To determine the effect of different doses of sustanon(manufactured androgen) on the total body weight of male rats. Methods: 36 MaleWister rats were randomly housed in 6 separate groups. Each group receiveddifferent doses of sustanon treatment (1, 3.2, 10, 32 and 100 mg/kg/week) orvehicle. Each rat received 6 serial intra-muscular injections of sustanon with oneweek interval between injections. Total body weight was obtained weekly for each ofthese male rats. Results: Our data suggested that the sustanon treatment was notable to cause any change in the total body weight of the male rats when comparedto the control animals. Neither the physiological, supra-physiological or toxic doseswere able to cause any weight changes. Conclusions and future directions: Sustanontreatment may not be able to alter the total body weight. However, it is possible thatit may increase the muscle but decrease the fat proportion of the body weight whichwill be further investigated in the future.
38
Name: Hashem M Yaseen
Title: MBBS , 5th year of higher speciality in obstetrics and gynecology
Primary
Affiliation:Department of Obstetrics and Gynecology, King Abdullah
University Hospital
Address: King Abdullah University Hospital, Jordan University of Science and
Technology (JUST).
Email: [email protected]
Other
authors:N. Obeidat, H. Alchalabi
Abstract
title:An audit of cesarean sections in tertiary university hospital in north
of Jordan
Keywords: cesarean sections rate, VBAC, Audit
39
Abstract:
Objective: To analyze the rate and frequency of different indications of cesareansections in KAUH, and to determine the range and determinants of CSR.Introduction: In 2004, rate of CSR in Jordan showed increase in the period 1999-2001 (8% to 10.9%), though WHO reported in 2010 that the rate is 18.5%.Methods: This is cross sectional study from October to December 2015. A total of820 pregnant females delivered during that period were enrolled in the study. Clinicalrecord of all patients were analyzed in terms of percentage and frequency. Datapertaining to infants less than 24 weeks of gestation were excluded. Results: Thetotal number of deliveries during the three-month study period is 820 cases. Vaginaldelivery rate was 46.7 %, and CSR was 52.6 % (20% Primary and 33% repeated).The most frequently cited indication for CS is previous CS. The reported percentageof CS for this indication is around 36%. Maternal request is the second mostcommonly cited reason for performing a CS. But 51 cases of maternal request(64.6%) have one previous CS, and they asked for CS directly without trial of labor,which means that 35.4 % of cases were primarily performed for maternal request(28 of cases). The overall CSR among women who had induction of labor was about34%. Among primigravid women, the CSR was 43%, and among multiparous womenwith no previous CS it was 16%. The most influential factor in deciding to performthese CS was presumed fetal compromise (48% cases). Conclusion: The overall rateof cesarean section in our study was 52.6 % and the most common indication wasrepeat cesarean section 36%. The rate of primary cesarean section was 20% (10%from all deliveries) and the most common indication was presumed fetalcompromised 16%.
Name: Renad Abunaser
Title: Master graduate student
Primary Affiliation: Jordan University of Science and Technology
Address: Department of Pharmacology, School of Medicine, Jordan
University of Science and Technology
Email: [email protected]
Other authors: Dr. Abdallah Alzoubi, Dr. Adi Khassawsneh, Dr. Aws Khasawneh
Abstract title: The Relationship between Type II Diabetes Mellitus and Clinical
Depression in Primary Care Practice in Northern Jordan
Keywords: Depression, Type 2 Diabetes mellitus, Bidirectional
Relationship
40
Abstract:
Background: Diabetes is a major health problem that affects 8.5% of adultsworldwide, and 13.1% of adults in Jordan. Conflicting evidence exists on thebidirectional relationship between diabetes and clinical depression. Because little isknown about the bidirectional relationship between diabetes and clinical depressionin Jordan, we aimed to determine the prevalence of depression among Jordaniandiabetic patients, as well as the prevalence of diabetes among Jordanian depressedpatients, and to examine the effect of treating depression on metabolic controlparameters in diabetic patients. Methods: Jordanian patients were enrolled in across-sectional two-armed screening study to determine the link between depressionand type 2 diabetes mellitus (T2DM) in primary care practice. We screened fordepressive symptoms among T2DM patients (n=148) using the patient healthquestionnaire-9 (PHQ-9), while we screened for diabetes among depressedindividuals (n=30) by measuring their glycated hemoglobin (HbA1c). Metaboliccontrol was assessed by measurement of HbA1c, triglycerides, cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) levels. Clinicallydepressed patients who were deemed eligible for pharmacological treatment wereadministered escitalopram 10 mg orally once daily for three months (interventioncohort). Results: The prevalence of moderate to severe depressive symptoms amongT2DM patients, according to PHQ-9, was 31.76%, while the prevalence of clinicaldepression based on interview was 11.49%. The prevalence of newly diagnosedT2DM among depressed individuals was 6.67%. Baseline PHQ-9 scores correlatedsignificantly with baseline levels of HbA1c, HDL, and triglyceride levels in T2DMpatients. However, we failed to find an association between PHQ-9 scores and HbA1clevels among depressed individuals. Escitalopram treatment resulted in significantimprovement of depressive symptoms among diabetic patients, without significantlyimproving any of the metabolic control measures. Conclusion: Depression is commonamong T2DM. The relationship between clinical depression and T2DM in the contextof metabolic syndrome is plausible.
Abstract:
Name: Khaleel Abdul kareem Alqararha
Title: 4th year resident in radiology
Primary Affiliation: JUST
Address: P.O.Box 3030 Irbid 22110 Jordan
Email: [email protected]
Other authors: Dr. Ma'moon Al-Omari, A. Professor - Faculty of
Medicine
Abstract title: Paraneoplastic panniculitis
Keywords: Panniculitis , paraneoplastic, CT scan
Aim: To determine the prevalence of known malignancy in patients with CTfinding of panniculitis. Material and methods: Retrospective analysis of allpatients with evidence of panniculitis on CT scan over a period of two years(8/2015 to 7/2017). Total numbers of 170 patients with evidence of panniculitison CT scan, age (25-85) mean age 53y, 102 male (60%), 68 female (40%).Known malignancy: Lymphoma, breast CA, pancreatic CA, colon CA, BladderCA, CML. Results: On analysis of data lymphoma was appreciated in 15 patientsof our group, with prevalence = 8%. Breast CA was appreciated in 6 patients ofour group, with prevalence = 3.5%. Colon CA was appreciated in 6 patients ofour group, with prevalence = 3.5%. Bladder CA was appreciated in 2 patientsof our group with prevalence = 1.2%. Pancreatic CA was appreciated in 2patients of our group with prevalence = 1.2% CML was appreciated in 1patients of our group with prevalence = 0.5 %. No known malignancy wasappreciated in 86 patients of our group with prevalence = 81.2%. Conclusion:The prevalence of malignant tumors in patients diagnosed with panniculitis inour study was 18.8% with lymphoma being the most common type ofmalignant tumors with prevalence = 8%.
41
Abstract:
AIMS: The true prevalence of colonic polyp is unknown. We aim in this study todetermine the prevalence location and histologic features of colonic polyps.METHODS: This is a retrospective study conducted at King Abdullah UniversityHospital. Database of the histopathology department for the period (2009 – 2015)was searched for colonic polyps. Then, colonoscopy database of the endoscopy unitewas searched for their sizes and locations in the colon. Patients’ demographic dataand indication for colonoscopy were also recorded. RESULTS: 5048 consecutivepatients underwent 6098 colonoscopies between 2009-2015. At least one polyp wasfound in 570 colonoscopies (9.3%) in 439 patients (8.7%). The mean age forpatients who had polyp(s) was 57 (range 16-98) and 62% of them were males.Abdominal pain was the most common (28%) indication for colonoscopies in patientwho had polyps in general, but the least common indication in cancer polyps cases.Altered bowel habits, bleeding per rectum and follow-up were the most commonindications for colonoscopies in cancer cases. Cancer was detected in 26 (4.3%) outof total 603 polyps. The rest of polyps were classical adenomas 260/603 (43.1%),serrated lesions 315/603 (52.2%) and others 2/603 (0.3%). Adenomas weresubdivided into tubular 172/260 (66.15%), tubule-villous 59/260 (22.7%) and villous29/260 (11.15%). Serrated lesions were subdivided into hyperplastic polyps 163/315(51.7%), mixed dysplastic/hyperplastic polyps 137/315 (43.5%), and others 15/315(4.8%). Polyps were predominantly left-sided colorectal (66.6%): descending colon(13.9%), sigmoid colon (17.3%), recto-sigmoid (15.6%) and rectum (19.8%). 12%of the polyps were synchronous. 43/53 (81%) of the high grade dysplasiaadenomatous polyps and 16/26 (65.4%) of the cancer polyps were in the left-sidedcolorectal area. About one third of all polyps, two thirds of the cancer polyps and twothirds of the high grade dysplastic adenomas were 1cm or greater in size. There wasno association between age or gender and the grade of dysplasia or cancer.CONCLUSION: Left sided colorectal polyps have higher risk of ‘cancer’ and ‘highgrade dysplastic adenomas’. Left-sided colorectal polyps must be treated moreseriously, especially the larger ones. 42
Name: Khalid Rashid Al-Alawi
Title: medical student
Primary Affiliation: Jordan University of Science & Technology
Address: Jordan University of Science & Technology P.O.Box
3030, Irbid 22110, Jordan
Email: [email protected]
Other authors: Dr. Alqudha, M. Dr. Qandeel , H. Dr. Al-Manasra,
A.R. Dr. Obiedat, M. Dr. Elayyan, R. Dr. Al-Smadi, S.
Abstract title: Location and Histologic Features of Colonic Polyps:
Review of 6000 polyps colonoscopies and 600
polyps
Keywords: Colon cancer, colon polyps, polyps.
Abstract:
43
Name: Zaina Alazawi
Title: family medicine specialist
Primary Affiliation: Jordan ministry of health
Address: Aljubaiha, Amman tel # 0790858086
Email: [email protected]
Other authors: Dr Ola Alqudah tel # 0797590304
Abstract title: Depression, Anxiety, and Sexual Dysfunction
among Jordanian Women with Type 2
Diabetes Mellitus
Keywords: sexual dysfunction; diabetes mellitus type 2;
depression; anxiety
INTRODUCTION/RATIONALE: Diabetes mellitus (DM) is one of the major chronicdiseases in Jordan and it was rank as a third leading cause of death, killed 1.7thousand persons in 2012. Diabetes mellitus type 2 (DMT2) usually associated withseveral complications and sexual dysfunction is one of these complications.Therefore, the aims of this study are: (1) to determine the prevalence of sexualdysfunction among Jordanian women with T2DM; (2) to examine the relationships offemale sexual dysfunction with demographic data, duration of the diabetes mellitus,type of treatment, HbA1c, BMI, and diabetes complications; and (3) to examine therelationships among depression, anxiety, and sexual dysfunction in Jordanian womenwith T2DM. METHODS: This study employed a cross-sectional, descriptive,correlational design. Inclusion criteria were women who are over the age of 18 yearsand less than 65 years, diagnosed with T2DM, married for at least 1 year, and had astable marital relationship. Women reported the presence of sexual disorders beforedeveloping DM or had a spouse with ongoing sexual disorders were excluded.Psychometrics tools were used to assess female sexual function, anxiety, anddepression. Physiological and biological measures were collected from the patient'smedical records. RESULTS: 107 women with DMT2 were subsequently recruited witha mean of age 52.46 years (± 8.38). The prevalence of female sexual dysfunctionwas 94.4%, and the lowest mean scores were reported for arousal domain (2.44 ±1.28), and orgasm domain (2.48 ± 1.34). This study found significant inverse
relationships between the female sexual function score and age (r = -0.340, p <0.01), DM duration (r = -0.211, p = 0.029), fasting blood sugar (r = -0.234, p =0.015), anxiety (r = -0.375, p < 0.01), and depression (r = -0.480, p < 0.01).CONCLUSION: female sexual dysfunction is widely prevalent in Jordanian womenwith T2DM (94.4%). There were significant correlations between anxiety, depressionand female sexual dysfunction among women with DMT2.
Abstract:
44
Aim: An increasing number of studies have focused on the quantification ofvisceral fat and subcutaneous fat in relation to some diseases. The aim of thisstudy was to check if there is a correlation with colorectal cancer staging (TNM).Methods: 31 patients who had abdominal CT scan as part of their assessment forcolorectal cancer were reviewed. NIH Image-J software of CT images was used toquantify adipose tissue and skeletal muscle cross-sectional areas (cm2). In ourstudy, subcutaneous fat, visceral fat and rectus muscle cross-sectional areas weremeasured at the level of L3 using standard Hounsfield unit ranges (adiposetissue: -190 to -30; skeletal muscle: -29 to +150). Two observers tookmeasurements separately to check reliability. TNM staging was obtained by aradiologist for each patient. Results: Patients’ mean age was 57 (range 38-75).45.2% of patients were females. Mean of Albumin was 41 (range 24-50). TNMranged from T1,N0,M0 to T4,N2,M1. Reliability analysis for CT-measuredparameters showed high ’Interclass Correlation Coefficient (ICC) betweenobservers for subcutaneous fat area (0.968), visceral fat area (0.997) and rectusabdominis muscle area (0.879). No correlation was found between (T, N or M)and (the CTscan measured areas of visceral fat, subcutaneous fat or rectusmuscles). No correlation was found between albumin versus either visceral fatarea (P=0.80), subcutaneous fat area (P=0.63) or rectus muscle area (P=0.56).There was a correlation between age and visceral fat area (P=0.054), but nocorrelation with subcutaneous fat area (P=0.40), rectus muscle area (P=0.30), oralbumin (P=0.11). Conclusions: Image-J software of CT images is reliable methodto quantify adipose and muscle areas. No correlation between colorectal cancerstage and the areas of fat and muscles. However, further studies with largersample size are required to ascertain the above results.
Name: Khalid Rashid Al-Alawi
Title: medical student
Primary Affiliation: Jordan University of Science & Technology
Address: Jordan University of Science & Technology
P.O.Box 3030, Irbid 22110, Jordan phone
number: +962777001410
Email: [email protected]
Other authors: Qandeel , H Al Jaberi , T Al Aleet , w Al
Khateeb , A Gharaibeh , K Al manasra , A Al-
Zoubi , N
Abstract title: CT-MEASURED SUBCUTANEOUS AND
VISCERAL FAT IN PATIENT WITH
COLORECTAL CANCER
Keywords: colorectal cancer, cancer ,
Abstract:
45
Background and aim: to evaluate the impact of lower segment cesarean section(LSCS) on the maternal and fetal outcome of women with non-adherent placentaprevia (PP). Materials and Methods: This is a retrospective study of all womenwho delivered at our hospital by LSCS with or without non-adherent PP over aperiod of 10 years. Data were obtained through hospital registry and medicalrecords search. Results A total of 90 women with non-adherent placenta wereincluded, 54 women with no previous CS and 36 women with previous CS.Women with previous CS were significantly more likely to experience organ injury(p-value <0.005), transfusion of ≥ 4 units of PRBC (p-value = 0.034), transfusionof FFP (p-value = 0.034), and hysterectomy or other procedure ( B Lynch, Uterineartery ligation) use (p-value <0.005 Conclusion: There is a significant increase inthe incidence of maternal morbidities such as hysterectomy, blood transfusionand organ injury in patients with non-adherent PP with previous CS, with nodifference in perinatal outcome in the same group of patients.
Name: Areen Al Na’san
Title: 3rd year resedient
Primary Affiliation: KAUH \ OB\GYn department
Address: Ramthan Jordan
Email: [email protected]
Other authors: Nail Obeidat
Abstract title: The impact of previous cesarean section on
the outcome in patients with non-adherent
placenta previa
Keywords: CS, Previa
Abstract:
46
Background Acute lower respiratory infection (ALRI) is a major cause of morbidityand mortality worldwide. Respiratory syncytial virus (RSV) is the most commonetiology of acute respiratory infection (ARI) in young children globally. Data aboutARI/ALRI and burden of the disease in developing countries are scarce. MethodsThis study is a prospective viral surveillance using real-time RT-PCR of children < 5years old who were admitted with fever and/or respiratory symptoms to two mainhospitals in Northern Jordan during winter period of 2016. We identified virusescausing ARI/ALRI in children, determined their demographic and clinicalcharacteristics and risk factors for increased length of hospital stay (LoS) and severepresentation. Results Patients hospitalized with ARI were 479. Their age mean(standard deviation (SD)) was 10.4(11.6) months. The mean (SD) LoS was 3.56(2.4) days. Of all patients, 15.0% were premature (specifically ≥ 29 to 36 weeks),20.5% had low birth weight, 4.4% had chronic lung disease and a chronic illnesspresented in 15.9%. RSV was the most common detected virus (34%). Compared tothose who were RSV-negative, RSV-positive children were significantly younger (P =0.030) and more likely to have chronic lung disease (7.4% vs. 2.8%; P = 0.022).Prematurity, presence of a chronic illness, SpO2 < 90% and atelectasis andconsolidation findings on chest x-ray were significantly associated with increasedmeans of LoS. Patients with a history of prematurity had higher odds of severepresentation (OR = 2.6; 95% confidence interval: 1.5, 4.7; P = 0.001). Patientsaged 6.1-12 months were significantly less likely to have severe disease compared topatients 6 months old or younger. Conclusions RSV is the most common cause ofARI-associated hospitalizations in Northern Jordan. This would help implementingfuture strategies for the RSV vaccine when it is available.
Name: Samah Awad
Title: assistant Professor
Primary Affiliation: JUST
Address: JUST
Email: [email protected]
Other authors:
Samah Awad , Yousef Khader , Moa’th Mansi ,
Dawood Yusef , Salah Alawadin, Walaa Qudah ,
Ruba Khasawneh
Abstract title:Viral Surveillance of Hospitalized Children with
Acute Respiratory Infection in Northern Jordan
Keywords:Acute respiratory infection, Children, Jordan,
Respiratory syncytial virus, Surveillance
Abstract:
47
Background : The ABO blood type system is expressed by antigen on both red bloodcells and normal tissue through the body. Overall, the association between bloodgroup and incidence of various types of cancers have been previously investigated.And because lung cancer became one of the major health issues and one of themost important leading causes of cancer-related deaths worldwide, its relation toABO/RH blood type is being investigated in many centers around the world, ourinstitution being one of them. Aims : The aim of the study was to determine whetherthere is an association of ABO/RH blood type With the development of lung cancer inthe Jordanian population. Methods : The study cohort consisted of 458 patients whowere diagnosed with a primary lung cancer at both King Abdullah University Hospital(KAUH) and Jordan university hospital in Jordan between 2005 and 2015. Twopopulations were designated as unmatched control groups. These comprised 3,847healthy blood donors and 654 accidental trauma patients (admitted to theDepartments of Neurosurgery and Orthopedics) at KAUH between 2014 and 2015.Control characteristics, including ABO blood group and Rh factor, were determinedfor both groups, using hospital records. Results : The adjusted effects of Rh, but notblood group, was a significant predictor of lung cancer diagnosis. Rh positivesubjects were significantly less likely to have lung cancer than Rh negative subjects.Conclusion : Blood group was not a significant predictor of lung cancer. Furtherstudies in this field are mandatory to understand the suggested relationship.
Name: Anas zaitoun
Title: Dr.
Primary Affiliation:jordan university of science and technology -
college of medicine
Address: Jordan University of Science and Technology
Email: [email protected]
Other authors:
Nawwaf Alghamdi, Mohammad Alqudah , Mohammed Allouh ,Shadi Hamouri , NajlaDaoud, Tariq N Aladily, Khalid Kheirallah , Ismail Matalka
Abstract title: ABO Blood Groups and Lung Cancer
Keywords: Lung, Blood , Rh.
Abstract:
49
Background: The relationship between waterpipe smoking and eating habitsamong adolescents has not been investigated, thus the aim of the current studywas to compare eating habits among adolescent cigarette-only, waterpipe-only,dual smokers versus non-smokers. We hypothesize that adolescent smokerspractice unhealthy eating habits with worse habits among waterpipe smokers anddual smokers. Methods: Using a descriptive, cross-sectional design, self-reportingpatterns of waterpipe and cigarette smoking and eating habits were collected froma random representative sample of 1720 boys and girls in grades 7-10 in NorthernJordan. Results: A total of 6.9%, 23.2%, and 26.2% reported cigarette-only,waterpipe-only, and dual smoking, respectively. After covariating for gender, familyincome, and education level of the mother and father, subsequent post-hocANCOVA analyses revealed the following: weekly breakfast consumption wasgreater in non-smokers than waterpipe-only smokers (p=0.04) and dual smokers(p<0.0001). Soda consumption frequency was lower in non-smokers versuswaterpipe-only (p=0.004) and dual smokers (p=0.0001). Vegetable consumptionwas less in waterpipe-only (p=0.026) and dual (p=0.013) smokers versus non-smokers. Consumption of energy drinks was the highest among dual smokersversus non-smokers (p<0.0001), cigarette-only (p<=0.01), and waterpipe-only(p<0.0001) smokers. Conclusions: Overall, both waterpipe and dual smoking areassociated with several unhealthy eating habits in adolescents. Given the growingepidemics of tobacco smoking in the Eastern Mediterranean Region, especiallyadolescent waterpipe smoking, and its association with unhealthy eating habits,public health actions are urgently needed.
Name: Nihaya Al-sheyab
Title: Dr
Primary Affiliation: Associate Professor
Address:Jordan University of Science and
Technology
Email: [email protected]
Other authors: Prof/Dr. Mahmoud A Alomari
Abstract title:Unhealthy eating habits among
adolescent waterpipe smokers
Keywords:waterpipe smoking, adolescents,
eating habits
Abstract:
50
The prevalence of asthma in Jordanian adolescents is high (12.3%) indicating asignificant increase in asthma and asthma symptoms in this population over adecade. While cigarette smoking is a major health issue, waterpipe (WP) use is agrowing concern as well as these two tobacco products are instantly related.Adolescents with asthma often have high rates of smoking. The current data werederived from the “Irbid Tobacco Risk in Youth (Irbid-TRY)”; a prospective,longitudinal study designed to assess the health risks of tobacco consumption. Thecurrent investigation used a descriptive, cross-sectional design to examine theassociations of asthma and smoking among the adolescents in the Irbid-TRY study.Overall, our findings show a positive association between different types andfrequency of tobacco smoking and the rate of asthma and wheezing amongadolescents. In specific, current (past month) tobacco smoking more than doubledthe odds of recent (past 12 months) wheezing. This occurred for all sub-groups oftobacco smokers, including those who smoked only cigarettes (i.e, no waterpipe) inthe past month, those who smoked only waterpipe (i.e, no cigarettes) in the pastmonth, those who smoked both cigarettes and waterpipe (dual) in the past month,and those who had ever smoked either cigarettes or waterpipe but did not smokein the past month. The current study also examined the “dose” effects throughcalculating the odds of wheezing as a function of frequency of use of cigarettes,waterpipe, and dual tobacco smoking. Our findings generally showed increasedodds ratios for students who smoked most frequently. Our findings add to agrowing body of research indicating that waterpipe smoking, alone and incombination with cigarette smoking (dual smoking), increases the risk ofpulmonary disease. Several cross-sectional and case-control studies show thatwaterpipe use is associated with increased risk of COPD.
Name:0 Nihaya Al-sheyab
Title: Dr
Primary Affiliation: Associate Professor
Address: Jordan University of Science and Technology
Email: [email protected]
Other authors:
Mahmoud A Alomari, PhD1 Weiyu Chen, MPH2
Kenneth D Ward, PhD2 1Jordan University of
Science and Technology 2University of Memphis
Abstract title:
Associations of cigarette and waterpipe smoking
with asthma and wheezing among Jordanian
adolescents
Keywords: waterpipe smoking, cigarettes, asthma, wheezing
Jordan University of Science and TechnologyFaculty of Medicine
جامعة العلوم والتكنولوجيا األردنيةكليــــة الطب