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Fertility and family planning in Jordan: results from the 1985 Jordan Husbands' Fertility Survey.

The 1985 Jordan Husbands' Fertility Survey (JHFS) was designed to assess husbands' attitudes and behavior toward fertility and family planning. The 1985 JHFS was a follow-up survey to obtain data from husbands of women who were currently married in the 1983 Jordan Fertility and Family Health Survey (JFFHS). The results from the 1985 JHFS point to the usefulness of collecting fertility and family planning information from husbands. These findings showed that nearly 40 percent of the husbands do not believe in practicing contraception, and more than 50 percent of the husbands report that family size should be "up to God." How program officials address these issues will be important for the future success of the family planning program in Jordan.

Adolescent

[Seroepidemiological investigations in domestic ruminants from Egypt, Somalia and Jordan for the demonstration of complement fixing antibodies against Rickettsia and Chlamydia (author's transl)].

1450 random serum samples of domestic ruminants from Egypt, Somalia and Jordan were investigated for complement fixing antibodies against Rickettsia and Chlamydia. Between 1.5 and 3.4% of the samples from the animals investigated had antibodies against the RMSF-group of Rickettsia, with exception of the sera from Somalian cattle and sheep from Jordan. Antibodies against Rickettsia of the Typhus-group were found in 4 cattle and 1 goat from Jordan and 2 sheep from Egypt; by agglutination test with type-specific antigen they were identified as antibodies against R. typhi. Using 2 different antigens, antibodies against Coxiella burnetii were found in every population tested. The prevalence was 2.0 to 12.2%, with the exception of cattle in Somalia, where only 1 positive serum (0.2%) was found. 27% of the serum samples from Jordan and 22% from Egypt but none of the 802 samples from Somalia had antibodies against Chlamydia. The results are discussed under an epidemiological point of view.

Animals

Cutaneous leishmaniasis in Jordan: biochemical identification of human and Psammomys obesus isolates as Leishmania major.

As part of a series of epidemiological and ecological studies of leishmaniasis in Jordan, we have made functional studies of four isolates from human lesions and from ear lesions of three field-collected Psammomys obesus. Primary isolates were subcultured, frozen stabilates prepared and BALB/c mouse infectivity experiments initiated. Each mouse was inoculated with 4-8 x 10(4) promastigotes into a hind footpad. Quantitative evaluation of the footpads showed enlargement three to four weeks postinoculation. Amastigotes were readily identified in smears from footpad lesions and promastigotes in culture. At 47 days, liver and spleen samples grew out promastigotes. Biochemical characterization of these seven isolates was made by isozyme analysis using cellulose acetate membrane electrophoresis of fructokinase, phosphoglucose isomerase, phosphoglucomutase, aspartate aminotransferase, malate dehydrogenase, glucose-6-phosphate dehydrogenase and 6-phosphogluconate dehydrogenase. Reference isolates used for comparison were Leishmania major, L. tropica minor, L. donovani, L. aethiopica and L. m. mexicana. All seven Jordan isolates showed enzyme electromorphs identical to L. major, confirming our ecological/epidemiological studies that P. obesus is a major reservoir for human cutaneous leishmaniasis in Jordan.

Animals

Maternal health care utilization in Jordan: a study of patterns and determinants.

This article analyzes the patterns and determinants of maternal health care utilization in Jordan, using data from the Jordan Fertility and Family Health Survey of 1983. The study focuses on the 2,949 women who had a child in the five years preceding the survey. Through multivariate analyses of differentials in the utilization of prenatal care and health care at delivery, the study assesses the effect of sociodemographic factors, including residence, education, parity, and standard of living. The coverage of maternal health care in Jordan is discussed in relation to the overall organization of health services, the various providers of care, and the role of cultural factors.

Adolescent

[Scorpions and scorpion stings in Jordan].

The scorpion fauna of Jordan consists of fourteen species belonging to three families (Buthidae, Scorpionidae and Diplocentridae), of which three species are poisonous: Leiurus quinquestriatus, Adroctonus crassicauda and Buthus occitanus. A key to all species is included. Five hundred and forty-seven cases of scorpion stings were reported during 1982-1985, including two fatalities. Clinical data for sixteen cases treated at the Jordan University Hospital are summarized. In Jordan human and cultural customs are related to scorpion stings. Sting accidents according to age groups and seasons are given.

Adolescent

The changing epidemiology of diphtheria in Jordan.

Outbreaks of diphtheria used to occur regularly in Jordan, the last such outbreak being in 1977-78. Since that time, a massive immunization programme targeted at pre-school-age children has been markedly successful. Hence, when an outbreak of diphtheria occurred in 1982-83, it was unexpected. Of the 35 patients who were treated at the Jordan University Hospital, two died and the remaining 33 recovered uneventfully. Contrary to our findings in previous diphtheria epidemics in Jordan, this outbreak largely involved adolescents and young adults.

Adolescent

Cancer patterns in Jordan 1975-1979.

A total of 3,604 primary malignant tumours diagnosed histologically at the Departments of Pathology in Jordan during the period 1975-1979 were analysed. The relative frequency by age, sex and site of these tumours and age-standardised incidence rate are presented. Truncated standardised incidence rates for selected tumours were compared in Jordan and other countries. Except for the urinary bladder tumours, there is a striking resemblance between Jordan and other Middle Eastern countries in the pattern of tumour-occurrence in most sites. Skin malignancies are the dominant tumours in the general and male population, breast in female population and lymphomas in children. Noteworthy are the histologically advanced bladder cancers and the relatively young females affected by breast cancer at first diagnosis. Childhood tumours comprised 7.4% of the total cancers in the present study.

Adolescent

Preliminary study of the occurrence and distribution of DDT residues in the Jordan watershed, 1971.

Data obtained from the Jordan watershed in 1971 revealed the presence of DDT and its metabolites at various levels along the food chain. Detectable levels of sigmaDDT in water of the Jordan River and two fish ponds ranged from 0.019 to 0.500 ppb, which is 1/10 to 1/500 the maximum level permitted in water by the U.S. Government. Mean residue in phytoplankton was 0.906 mug/g; in zooplankton the mean was 6.49 mug/g. SigmaDDT residue in fish of the Jordan watershed averaged 0.37 mg/kg in carp, 2.59 mg/kg in benith, and 3.34 mg/kg in sardines.

Animals

Consanguineous marriage in Jordan.

We conducted a population-based study of consanguineous marriages in Jordan. About two thousand households were interviewed. First cousin marriages were encountered in 32.03%, second cousin in 6.8%, distant relation in 10.5%, and no relation in 50% of all marriages, respectively. Inbreeding coefficients were compared with those of other countries. The most important variables affecting inbreeding were social tradition, religion, education, and place of residence--urban vs. rural. Secular trends appear rather stable since the early decades of the twentieth century, especially for first cousin marriages. Jordan society showed a deeply rooted traditional behavioral pattern when inbreeding is considered.

Adult

A study of von Willebrand's disease in Jordan.

This work reports on the results of a 9-year study of von Willebrand's disease and its subtypes in Jordan, a country with a predominantly Arab population. There were a total of 65 patients in 32 families. Detailed study of 61 patients including von Willebrand factor multimers was done for the purpose of subtyping them. Type I and variants were seen in 36 patients (59%). Type II A and variants with decreased ristocetin response accounted for seven patients (11.5%), while 11 (18%) were of type II B. The severe type (type III) accounted for seven patients (11.5%). Von Willebrand's disease was the second most commonly seen inherited bleeding disorder after hemophilia A. It is concluded that although the observed frequency of von Willebrand's disease in this study in Jordan is lower than that in Europe and the USA, the true prevalence cannot be ascertained since many of the mild cases presumably were missed because of referral patterns. Type I and its variants was the most common type found, but the observed frequency of types II B and III was more than that reported in Europeans and Americans.

Humans

A diagnostic dilemma in Jordan: two child abuse case studies.

Child abuse was diagnosed in two Jordanian children. The first was a 15-month-old female infant admitted with a history of convulsions and loss of consciousness. The child had previous head and limb injuries resulting in bilateral subdural hematomas and fractures at different stages of healing of femur and pelvis. The second was a 3-year-old male admitted with history of head injury due to an alleged fall. Examination revealed fractured ribs, bruised eye and face, hemothorax, subperiosteal and subdural hematomas. Both children have sustained physical and mental handicaps. This is the first report of child abuse in Jordan. In Jordan, as in the rest of the world, a high index of suspicion is needed to diagnose child abuse early enough to save the affected child its serious sequelae.

Battered Child Syndrome

Maxillofacial injuries at Jordan University Hospital.

In the Jordanian Society many factors contributed to the occurrence of maxillofacial injuries. Analysis of 131 cases of maxillofacial injuries indicated higher involvement of males. The most susceptible age group was 0-5 years; mandibular fractures were commoner than those of the middle third of the face. In Jordan the incidence of violence is less frequent than that of road traffic accidents. Shattered automobile glass is by far the most common cause of facial injuries. The use of seat-belts notably reduced the frequency of severe facial injuries. The findings of this study should alert the authorities to the need for the establishment of a maxillofacial unit in every city, as major problems concerning the identification and management of such cases still exist in developing countries like Jordan.

Adolescent

Development, growth, and migration of Philophthalmus gralli (Trematoda) from Jordan in the eyes of chicks.

The growth of Philophthalmus gralli from Jordan was studied experimentally by inoculating 10 excysted metacercariae around the right eye of 47 day-old chicks. The growth rate was slow in the first three days during which flukes did not exceed 0.30 mm long. Then growth became rapid reaching 2.70 mm long on day 24. This was followed by a low growth rate during which the flukes grew from 2.70 mm to 2.90 mm on day 40. The flukes started to appear in the left eye on day 12 post-inoculation of metacercariae in the right eye. The recovery of flukes in the left eye increased from 5% on day 12 to 30% on day 32. The development of P. gralli from Jordan was the same as of other species of Philophthalmus. However, a sixth stage, post-maturation stage, is suggested in addition to the 5 developmental stages of Philophthalmus. The ratio of the transverse diameter of the ovary to that of testes in the post-maturation stage was 1:1.1-1:1.2.

Animals

The distribution of phlebotomine sandflies in the principal ecological zones of Jordan.

A survey of the sandflies (Diptera: Psychodidae) of Jordan increased the number of species known from the country from three to thirteen. Composition of the phlebotomine fauna and the relative abundance of sandfly species differ among the six climatic zones, with a general distinction between the dry desert zones and the more humid Mediterranean zones. Species of Phlebotomus predominate in the former and Sergentomyia in the latter. Within the desert zone some species are restricted to the eastern desert and others to the Jordan Valley in the west.

Animals

Genetic variants of factor B in a population of Jordan.

BF phenotyping was performed in a population of Jordan. The observed allele frequencies were as follows: BF*S = 0.5457, BF*F = 0.3744, BF*SO7 = 0.0763, BF*F1 = 0.0075. These values are in agreement with the geographic position and the ethnic composition of Jordan.

Complement Factor B

Inherited bleeding syndromes in Jordan.

This paper presents data on the occurrence and pattern of inherited bleeding syndromes (IBS) in Jordan, a hitherto unexplored problem. In 1978, during the first 12 months of a prospective study at a major medical center, 91 patients from 51 families were diagnosed as having IBS. All patients were referred because of moderate-to-severe bleeding diatheses; they included 52 hemophiliacs, 27 patients with von Willebrand's disease, 4 with hemophilia B (IX-deficit), 2 with afibrinogenemia, 1 with prothrombin deficiency, and 4 were thought to have platelet dysfunction. The clinical and laboratory features of the patients observed in Jordan do not seem to be significantly different from those of patients in Western Europe or North America.

Adolescent

Prevalence of Salmonella, Shigella and intestinal parasites in food handlers in Irbid, Jordan.

During a one-year period, 283 food handlers in Irbid, Jordan were investigated for the presence of potential enteropathogens in their stools. The prevalence rate of enteropathogens among non-Jordanian food handlers (48.0%) was significantly higher (p less than 0.05) than that of the Jordanian group (12.3%). The isolation rates of Salmonella and Shigella were 6% and 1.4% respectively. Multi-drug resistance was frequent among isolates of Salmonella group B and Shigella spp. Intestinal parasites detected in the stools of food handlers included Ascaris lumbricoides (4.9%), Giardia lamblia (3.9%), Schistosoma mansoni, (2.8%), hookworms 2.5%, Hymenolyepis nana (1.8%), Trichuris trichiura (1.1%), Entamoeba histolytica (0.7%), and Taenia saginata (0.4%). This study emphasises the importance of food handlers, particularly the non-Jordanians, in Jordan, as potential source of food-borne infection.

Adult