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Sixty Balb/c mice (Mus musculus) were used in the present study. It was conducted out in the animal house of the Department of Biology/College of Education for Women. The mice were infected with Entamoeba histolytica isolated from positive stool samples obtained from children in pediatric hospital in Kirkuk city governorate followed by treatment with aqueous extract of Cyperus rotundus and Thymus serpyllum. Results revealed a significant increase of P < 0.05 in immunoglobulin A, immunoglobulin G,, and immunoglobulin M antibody levels among infected mice when it was compared with the control and treated groups of aqueous extracts of studied plant. This indicates the efficacy of these extracts as treatment.

Interconnected food, energy, and water (FEW) nexus systems face many challenges to support human well-being (HWB) and maintain resilience, especially in arid and semiarid regions like New Mexico (NM), United States (US). Insufficient FEW resources, unstable economic growth due to fluctuations in prices of crude oil and natural gas, inequitable education and employment, and climate change are some of these challenges. Enhancing the resilience of such coupled socio-environmental systems depends on the efficient use of resources, improved understanding of the interlinkages across FEW system components, and adopting adaptable alternative management strategies. The goal of this study was to develop a framework that can be used to enhance the resilience of these systems. An integrated food, energy, water, well-being, and resilience (FEW-WISE) framework was developed and introduced in this study. This framework consists mainly of five steps to qualitatively and quantitatively assess FEW system relationships, identify important external drivers, integrate FEW systems using system dynamics models, develop FEW and HWB performance indices, and develop a resilience monitoring criterion using a threshold-based approach that integrates these indices. The FEW-WISE framework can be used to evaluate and predict the dynamic behavior of FEW systems in response to environmental and socioeconomic changes using resilience indicators. In conclusion, the derived resilience index can be used to inform the decision-making processes to guide the development of alternative scenario-based management strategies to enhance the resilience of ecological and socioeconomic well-being of vulnerable regions like NM.

To determine the prevalence of Toxocara canis and T. cati eggs in public places and children playgrounds, 783 soil samples were collected from 15 different regions in Saladdin provinces during July 2012 to June 2013 . Toxocara species eggs are found in 192 samples 24.52% . The Contamination with these eggs is observed in all sites like Tikrit &Baiji & Samaraa & Al-Dujail district , Al-Alam & Amerli &Al-Senia & Al-Ouja region ,the village of Albu-Ajil . The soils of Gardens have more contaminated than bare soils . Higher contamination rate noticed in February 55.71% and March 52.30% while it decreased to lower level in June 2013 14.75%

Accurate estimation of land use/land cover (LULC) areas is critical, especially over the semi-arid environments of the southwestern United States where water shortage and loss of rangelands and croplands are affecting the food production systems. This study was conducted within the context of providing an improved understanding of New Mexico’s (NM’s) Food–Energy–Water Systems (FEWS) at the county level. The main goal of this analysis was to evaluate the most important LULC classes for NM’s FEWS by implementing standardized protocols of accuracy assessment and providing bias-corrected area estimates of these classes. The LULC data used in the study was based on National Land Cover Database (NLCD) legacy maps of 1992, 2001, 2006, 2011, and 2016. The analysis was conducted using the cloud-based geospatial processing and modeling tools available from System for Earth Observation Data Access, Processing, and Analysis for Land Monitoring (SEPAL) of the Food and Agricultural Organization. Accuracy assessment, uncertainty analysis, and bias-adjusted area estimates were evaluated by collecting a total of 11,428 reference samples using the Open Foris Collect Earth tool that provided access to high spatial and temporal resolution images available in Google Earth. The reference samples were allocated using a stratified random sampling approach. The results showed an overall accuracy that ranged from 71%–100% in all six study counties. The user’s and producer’s accuracy of most LULC classes were about or above 80%. The obtained bias-adjusted area estimates were higher than those based on pixel counting. The bias-adjusted area estimates simultaneously showed decreasing and increasing trends in grassland and shrubland, respectively in four counties that include Curry, Roosevelt, Lea, and Eddy during the 1992–2016 period. Doña Ana county experienced increasing and decreasing trends in grassland and shrubland areas, respectively. San Juan county experienced decreasing trends in both grassland and shrubland areas. Cultivated cropland areas showed decreasing trends in three counties in southeast NM that rely on groundwater resources including Curry, Roosevelt, and Lea. Similarly, cultivated cropland areas showed increasing trends in the other three counties that rely on surface water or conjunctive use of surface and groundwater resources including San Juan, Doña Ana, and Eddy. The use of SEPAL allowed for efficient assessment and production of more accurate bias-adjusted area estimates compared to using pixel counting. Providing such information can help in understanding the behavior of NM’s food production systems including rangelands and croplands, better monitoring and characterizing NM’s FEWS, and evaluating their behavior under changing environmental and climatic conditions. More effort is needed to evaluate the ability of the NLCD data and other similar products to provide more accurate LULC area estimates at local scales.

In this report, guidelines for the evaluation, medical and surgical management is presented. It is categorized according to the stage of the disease using the tumor node metastasis staging system, 7 th edition. The recommendations are presented with supporting level of evidence.

The diagnosis and management of CRLM is complex and requires a multidisciplinary team approach for optimal outcomes. Over the past several decades, the 5-year survival following resection of CRLM has increased and the criteria for resection have broadened substantially. Even patients with multiple, bilateral CRLM, previously thought unresectable, may now be candidates for resection. Two-stage hepatectomy, repeat curative-intent hepatectomy, and even selected resection of extrahepatic metastases have further increased the number of patients who may be treated with curative intent. Multiple liver-directed therapies exist to treat unresectable, incurable patients with adequate survival benefit and morbidity rates.

Abstract Background 17.9 million deaths worldwide were attributable to cardiovascular diseases. Basic life support is one of the crucial strategies that could increase chances of cardiac arrest victims’ survival rate by nurses and other healthcare providers. Aim The aims of this study was to examine the retention of the BLS knowledge among nurses in Palestine. Methods A descriptive cross-sectional design was used to collect data from 108 nurses between February 2022 and April 2022 from two AHA-ITCs in Palestine. The instrument consisted of two sections; demographics and knowledge test which was developed by the researcher and contain a written examination containing 25 multiple-choice questions. Results Out of 160 distributed questionnaires, 108 were completed by nurses as a convenience sampling technique. Over half of the participants were male (54.6%), and the majority had a bachelor’s degree in nursing (75%). Analysis identified that there was a significant difference (t (107) = 18.02, p

Abstract Background The current outbreak of war in Palestine on the 7th of October 2023, heightened concerns about mental health and well-being of individuals, particularly undergraduate students in Palestine. Such traumatic experiences and political conflict did affect the social, economic, psychological, and academic status of university students in Palestine, in particular, nursing students. However, resilience is one of the moderators which may positively decrease the severity of those negative war-related symptoms. Aim The study aimed to examine the moderation effect of resilience on the relationship between sociodemographic and personal characteristics and depression, anxiety, and stress among undergraduate nursing students in Palestine. Design and methods A quantitative, descriptive-correlational design utilized to investigate anxiety, depression, stress, and resilience among nursing students. A convenience sample of 325 nursing students recruited from Al-Quds University were asked to respond to a self-administered questionnaire. Results A total of 325 nursing students participated in this study. The analysis showed that the majority of the participants were experiencing extremely severe anxiety levels (43.7%, n = 142), while 25.5% (n = 83) were experiencing extremely severe depression and 14.5% (n = 47) were experiencing high-stress levels compared to 60% (n = 195) of the students were at their normal resilience level. There were statistically significant differences in the resilience based on sex (t323 = 2.994, p = .003). Knowing that males have higher resilience mean scores (M = 3.06, SD = 0.35) than females (M = 2.93, SD = 0.41) indicates higher resilience in males than females. After performing two steps of hierarchical regression, the results revealed that resilience negatively moderated the relationship between sociodemographics and depression, and anxiety. Conclusion This study offers valuable insights into the mental health status of undergraduate nursing students in Palestine during the war. The results indicated that resilience is one of the pivotal moderators that may buffer anxiety and depression. The findings underscore the need for targeted interventions to address the diverse mental health needs of this population, considering the complex interplay of individual, demographic, and contextual factors. Future research should continue to explore these dynamics and evaluate the effectiveness of interventions promoting mental well-being during conflict.

Global tourism demand is vulnerable to pandemics such as the COVID-19 pandemic, which made international travel difficult if not impossible. To improve the robustness of global tourism in the advent of pandemics, this article explores an epidemiological passport system (EPS), which is reported on in this article. To attain different perspectives regarding the use of EPS, this research used a qualitative method approach. It carried out 32 detailed interviews with executive leaders in organizations of different sectors to obtain their views about the main requirements for an EPS. An international EPS could provide traceability to better share important information about such aspects of COVID-19 as testing, contact tracing and vaccination. This research identified the main requirements for a new system that will help with international health and border control organizations’ collaboration. The findings of this research study hold significant practical implications for the development and implementation of EPS. This system is designed to address the multifaceted challenges posed by the COVID-19 pandemic, particularly concerning testing and vaccination requirements imposed by various governments. The practical contributions of this research are pivotal in ensuring seamless international travel while maintaining health security and regulatory compliance.

In the healthcare field, diagnosing disease is the most concerning issue. Various diseases including cardiovascular diseases (CVDs) significantly influence illness or death. On the other hand, early and precise diagnosis of CVDs can decrease chances of death, resulting in a better and healthier life for patients. Researchers have used traditional machine learning (ML) techniques for CVD prediction and classification. However, many of them are inaccurate and time-consuming due to the unavailability of quality data including imbalanced samples, inefficient data preprocessing, and the existing selection criteria. These factors lead to an overfitting or bias issue towards a certain class label in the prediction model. Therefore, an intelligent system is needed which can accurately diagnose CVDs. We proposed an automated ML model for various kinds of CVD prediction and classification. Our prediction model consists of multiple steps. Firstly, a benchmark dataset is preprocessed using filter techniques. Secondly, a novel arithmetic optimization algorithm is implemented as a feature selection technique to select the best subset of features that influence the accuracy of the prediction model. Thirdly, a classification task is implemented using a multilayer perceptron neural network to classify the instances of the dataset into two class labels, determining whether they have a CVD or not. The proposed ML model is trained on the preprocessed data and then tested and validated. Furthermore, for the comparative analysis of the model, various performance evaluation metrics are calculated including overall accuracy, precision, recall, and F1-score. As a result, it has been observed that the proposed prediction model can achieve 88.89% accuracy, which is the highest in a comparison with the traditional ML techniques.

Introduction: The National AIDS Program in Jordan has faced numerous challenges, including insufficient funding, limited resources, and complexities brought on by refugee influxes. The absence of a reliable HIV/AIDS surveillance system further complicates tracking and responding to the epidemic. This study aimed to evaluate the performance and functionality of the National AIDS Program and the HIV/AIDS surveillance system. Methods: A qualitative study was conducted to evaluate the National AIDS Program and the HIV/AIDS Surveillance System in Jordan. The study involved 14 key informants specialized in HIV/AIDS Surveillance Systems. Interviews were guided by an interview guide based on the Updated Centers for Disease Control and Prevention Guidelines for Evaluating Public Health Surveillance Systems. Data analysis was performed through directed content analysis. Results: The Voluntary Counseling and Testing Center in Jordan confronts multiple challenges, including poor infrastructure, limited accessibility, and inadequate facilities. Additionally, there is a lack of effective coordination between the Voluntary Counseling and Testing center and the Chest Diseases and Migrant Health Directorate, particularly regarding testing for Tuberculosis. HIV screening in Jordan is hindered by various factors, including disease sensitivity. Voluntary Counseling and Testing lacks HIV/AIDS specialists AND staff adequate training and fails to adhere to updated treatment guidelines. Persistent deficiencies in human resources, equipment, and training continue to plague the HIV/AIDS Surveillance System. Key informants expressed dissatisfaction with the data’s usefulness, citing concerns over poor data quality. The data were seldom used for prioritizing resources, identifying at-risk individuals, assessing HIV/AIDS risk factors, or evaluating prevention and control measures. Conclusion: The National AIDS Program and HIV/AIDS Surveillance System activities in Jordan are unstructured, poorly coordinated, and inefficient. Many gaps related to National AIDS Program and HIV/AIDS Surveillance System performance and data were identified. Recommendations include developing an electronic surveillance system for data collection, notification, and reporting, and building the capacities of HIV/AIDS healthcare providers in screening, diagnosis, and management.

Abstract Background Pain is alleviated in one of the two common approaches, pharmacological or non-pharmacological intervention. Using non-pharmacological methods may have beneficial effect and priority on decreasing patients’ level of pain and decreasing the side effects of pharmacological methods in ICU patients. This study aimed to assess ICU Palestinian nurses use and barriers of non-pharmacological pain management. Methods A quantitative descriptive cross-sectional design was used to collect responses from a convenient sample of 215 nurses working in six hospitals in Plaestine. The timeframe for data collection was from August 2022 to December 2022. This study had three instrument packages. The first part is demographic data. The second is a tool that used 4-point Likert scale to examine ICU nursing use of non-pharmacological pain methods and it consisted of 16 items. The third is six items of perceived barriers to use non-pharmacological pain methods. All statistical procedures were analyzed using Statistical Package of Social Science (SPSS) version 28. Results More than two-thirds of the nurses used non-pharmacological pain methods in ICU. 60% of the nurses have high levels of use, 10.2% have very high levels. The two highest perceived barriers to use nonpharmacological method were the lack of time, workload, and patient instability with 83.7% (n = 180), and 77.2% (n = 166), respectively. Demographic variables were not significantly associated with the use of non-pharmacological pain management methods, except age. Conclusion Adopting culturally sensitive non-pharmacological pain methods to decrease ICU patients’ level of pain, may positively reflected on patients’ outcome and on healthcare system. Developing, implementing and continuous monitoring of guidelines regarding using nonpharmacological for nurses and physicians are recommended which will be reflected positively on patients’ outcomes. Great efforts to overcome the barriers of lack of time and workload is impertive to increase the clinical usage of nonpharmacological pain methods.

The major purpose of this study is to investigate the characteristics that contribute to visitor happiness, with an emphasis on Aqaba, Jordan's one-of-a-kind setting. Rather than selecting volunteers at random, the researchers took into account the entire community of Aqaba tourists. About 237 of the 500 surveys returned were usable for statistical purposes. In order to categorize the responses, a seven-point Likert scale was used. We use of Smart PLS 4 forms the basis of the analytical framework. There is strong statistical support for the findings of the study. Satisfaction (SA) is heavily influenced by the elements of Availability of Activities (AA), Intends to Participate (IP), and Reason for Visiting (RV). The T value for AA is 4.128 (p 0.001), which indicates statistical significance. IP also has a high T value (7.505, p 0.001), indicating a significant impact. The T value of 4.502 for RV (p 0.001) further demonstrates its statistically significant influence. Add the moderating variable TV to the research design to see how it affects the results. With a T-value of 1.971 (p = 0.049), we see that there is an interaction effect between (AA) and (SA), with (TV) serving as a moderator. The moderate influence of (IP) on (SA) results in a T value of 0.822 (p = 0.411), which is not statistically significant. However, the T value of 4.144 (p 0.001) demonstrates the significance of the interaction between RV and SA, indicating that TV has a moderating effect on the relationship between the two variables.

Background: There is a paucity of data on Healthcare Providers (HCPs) caring for people living with HIV in Jordan. Objective: We aimed to understand HCPs’ knowledge, attitude, stigma, and practices, to assess the gaps in HIV care in Jordan. Methods: We conducted recorded in-depth interviews with all five HCPs working at the only HIV Service Center in Jordan, using semi-structured questions in 2021. Content analysis was performed. Results: Several organizational challenges were identified. Only one had received HIV training. All were uncertain of updated recommendations with little knowledge of international guidelines, vertical transmission, contraception, sexually transmitted infections (STIs), non-communicable diseases (NCDs), and prophylaxis. Four HCPs perform counseling, focusing on easing anxieties, risk modification, and the importance of treatment adherence. However, their counseling on contraception, risk of transmission, STIs, and NCDs is inadequate, and they have little-to-no experience with prophylaxis. Most had a positive attitude towards people living with HIV, especially HCPs working at the center the longest, encouraging marriage and reproduction. Most do not approve of mandatory testing, or of breaching patient confidentiality. They repetitively described risky behavior as ‘immoral behavior’, empathizing more with patients who caught HIV through blood transfusion or birth, and demonstrating embedded stigmatized beliefs. They reported people living with HIV experience anticipated stigma and stigma by their general community including by other HCPs. Conclusion: This is the first study on HCPs caring for people living with HIV in Jordan. It highlights the suboptimal knowledge, practices, and stigma which improve with greater participatory exposure to HIV care. HCPs had an overall positive attitude, more evident in HCPs working at the clinic the longest.

The research included a study of bloody parasites in cows in some areas of Salah Al-Din Governorate (Al-Alam, Al-Buajil) during the period from the beginning of September 2018 to the end of August 2019 and it included examining 137 cows of different ages and from both genders. Results recorded the highest infection rate during summer was 39.655% and the lowest infection rate in winter 13.793% and it was found that all ages groups are infected with blood parasites, with different severity of infection, as infected animals, less than one-year-old showed severe clinical symptoms 18.965%, It was followed by a group of animals whose ages are more than one year and up to four years, at 44.827%. As for animals over the age of four years, they showed resistance against bloody parasitic infections and their percentage reached 36.206%. Mixed infections with Theileria and Babesia were recorded at 27.586%. No statistically significant differences were recorded between males and females, The males had a percentage of 40.677% and females 41.025%. In conclusion, the results showed several positive samples for single blood parasites Theileria, Babesia was 58 cases with a percentage of infection 42.335% and the highest incidence of Theileria was 62.068% followed by Babesia 37.931% and several double infections were 27.586% and the highest infection appeared during summer, reaching 39.655%. The lowest rate was during winter, as it reached 13.793%. And their ages less than one year was 18.965%, animals aged from one year to less than four years was 44.827%. As the last group, they are over the age of four years was 36.206%. Percentage of females was 41.025%, while the male was 40.677%. [ABSTRACT FROM AUTHOR]