Knowledge, attitude, practice and satisfaction of patients using analgesic patches in Jordan

Purpose: To investigate the knowledge, attitude, practice (KAP) and satisfaction of Jordanian patients using analgesic patches. Methods: This cross-sectional descriptive study was conducted in four urban centers in Jordan (Amman (capital), Irbid (northern Jordan), Zarqa (central Jordan), and Karak (southern of Jordan)) using a validated closed and open-ended questionnaire. The questionnaire was delivered by hand to a target sample of 250 patients. Results: A total of 178 patients were recruited with a response rate of 71.2 %. Only 40 % of patients had previously been prescribed or recommended to take analgesic patches by a physician or pharmacist. The overall proportion of patients who were aware of the correct use of patch was only of 31 %. Conclusion: The use of patches in Jordan is limited due to lack of patients’ knowledge about the proper use of patches. Further studies should be carried out to evaluate healthcare providers’ perceptions and knowledge towards the use of patches

A case analysis of partnered research on palliative care for refugees in Jordan and Rwanda

© 2021, The Author(s). Background: This case analysis describes dilemmas and challenges of ethical partnering encountered in the process of conducting a research study that explored moral and practical dimensions of palliative care in humanitarian crisis settings. Two contexts are the focus of this case analysis: Jordan, an acute conflict-induced refugee situation, and Rwanda, a protracted conflict-induced refugee setting. The study’s main goal was to better understand ways humanitarian organizations and health care providers might best support ethically and contextually appropriate palliative care in humanitarian contexts. An unintended outcome of the research was learning lessons about ethical dimensions of transnational research partnerships, which is the focus of this case analysis. Discussion: There exist ongoing challenges for international collaborative research in humanitarian conflict-induced settings. Research partnerships were crucial for connecting with key stakeholders associated with the full study (e.g., refugees with life limiting illness, local healthcare providers, aid organization representatives). While important relationships were established, obstacles limited our abilities to fully attain the type of mutual partnership we aimed for. Unique challenges faced during the research included: (a) building, nurturing and sustaining respectful and equitable research partnerships between collaborators in contexts of cultural difference and global inequality; (b) appropriate ethics review and challenges of responding to local decision-maker’s research needs; and (c) equity and fairness towards vulnerable populations. Research strategies were adapted and applied to respond to these challenges with a specific focus on (d) research rewards and restitution. Conclusions: This case analysis sheds light on the importance of understanding cultural norms in all research roles, building relationships with decision makers, and developing teams that include researchers from within humanitarian crisis settings to ensure that mutually beneficial research outcomes are ethical as well as culturally and contextually relevant

Decolonizing Decoloniality: Decentering Art History and Comparative Literature Classrooms outside Europe and the United States

We hear calls to globalize, internationalize, decolonize, and diversify higher education from all corners of the world. What changes do they actually seek? Who is behind them and whose interests do they serve? How much are curricula actually changing? In this article, we explore these questions from outside Europe and the United States by examining art history and comparative literature syllabi from Argentina, Lebanon, and South Korea. We find that despite a broad interest in globalizing the university, stark differences characterize what that means on the ground. Content and theory produced in Europe and North American are still overrepresented in classrooms outside these regions. While a regional focus offsets this somewhat in Argentina, it is a less effective counterpoint in South Korea and Lebanon, where regionalization projects are weaker and contested. The global distribution of intellectual and cultural power still mimics the distribution of geopolitical and economic power.Fil: Levitt, Peggy. Wellesley College; Estados UnidosFil: Saferstein, Ezequiel Andres. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de San Martín. Instituto de Altos Estudios Sociales; ArgentinaFil: Jaber, Rania. University of Adelaide; AustraliaFil: Shin, Doyeon. University of Illinois; Estados Unido

Critical Care Nurses’ Knowledge of Correct Line Types for Administration of Common Intravenous Medications: Assessment and Intervention Study

BackgroundThere is a paucity of information in the literature on core nursing staff knowledge on the requirements of specific intravenous administration lines for medications regularly given in critical care. There is also a lack of well-researched and appropriate information in the literature for intravenous administration line selection, and the need for filtration, protection from light, and other line-material selection precautions for many critical and noncritical medications used in these settings to maintain their potency and efficacy. ObjectiveWe aimed to assess the knowledge gap of clinicians with respect to intravenous administration line set material requirements for critical care medications. MethodsData were drawn from a clinician knowledge questionnaire, a region-wide database of administered infusions, and regional data on standard and special intravenous administration line consumption for 1 year (2019-2020) from an enterprise resource planning system log. The clinician knowledge questionnaire was validated with 3 groups (n=35) and then released for a general survey of critical care nurses (n=72) by assessing response dispersal and interrater reliability (Cronbach α=.889). Correct answers were determined by referencing available literature, with consensus between the team’s pharmacists. Percentage deviations from correct answers (which had multiple possible selections) were calculated for control and test groups. We reviewed all 3 sources of information to identify the gap between required usage and real usage, and the impact of knowledge deficits on this disparity. ResultsPercentage deviations from correct answers were substantial in the control groups and extensive in the test group for all medications tested (percentage deviation range –43% to 93%), with the exception of for total parenteral nutrition. Respondents scored poorly on questions about medications requiring light protection, and there was a difference of 2.75% between actual consumption of lines and expected consumption based on medication type requirement. Confusion over the requirements for low-sorbing lines, light protection of infusions, and the requirement for filtration of specific solutions was evident in all evidence sources. The consumption of low-sorbing lines (125,090/1,454,440, 8.60%) was larger than the regional data of medication usage data would suggest as being appropriate (15,063/592,392, 2.54%). ConclusionsThere is no single source of truth for clinicians on the interactions of critical care intravenous medications and administration line materials, protection from light, and filtration. Nursing staff showed limited knowledge of these requirements. To reduce clinical variability in this area, it is desirable to have succinct easy-to-access information available for clinicians to make decisions on which administration line type to use for each medication. The study’s results will be used to formulate solutions for bedside delivery of accurate information on special intravenous line requirements for critical care medications

Artificial Neural Network for Classifying Financial Performance in Jordanian Insurance Sector

Over the past few decades, financial performance has attracted researchers’ attention, especially in the insurance sector. Insurance is a tool for the growth and sustainability of both rising and developing economies. It promotes economic stability for people, organizations, and governments by taking on risk and spreading it across the market. We intend to classify insurance companies’ financial performance in Jordan’s Amman Stock Exchange (ASE). The sample size is 15 out of 22 selected insurance firms from 2008 to 2020. We apply the Multi-Layer Perceptron (MLP) model for the detection of (high/low) total asset turnover (TAT) as output, while we select the subrogation (SB), claims paid (CP), market capitalization (MC), and total shareholders’ equity (SE) as input to the MLP model. The performance of the MLP model is evaluated using different criteria, namely the false positive rate (FP rate), false negative rate (FN rate), F-measure, precision, and accuracy (ACC). The results show that MLP is efficient and performs well in multiple criterion tests through iteration growth. Based on our knowledge, the paper assesses the financial performance of Jordanian insurance firms, which has not been investigated previously. Furthermore, this study gives valuable information to regulators and policymakers to improve asset management efficiency in the insurance sector

Language intensive exposure in EFL curriculum:Attitudes towards the unlock textbook series at Birzeit University as a case study

AbstractLanguage-intensive exposure and immersion can be regarded as key factors in developing proficient language learners. In the context of teaching English as a foreign language (EFL), the current research was conducted to compare two modes of teaching English using the Unlock Textbook Series published by Cambridge University Press at Birzeit University, Palestine. This research effort aimed at investigating the intensive and non-intensive students’ attitudes towards the Unlock Textbook Series in addition to the effectiveness of the intensive and non-intensive modes of teaching based on EFL instructors’ perspectives. In a descriptive design, two quantitative instruments were utilized to obtain data; a student questionnaire was implemented with students from the two tracks; intensive and non-intensive, whereas an attitudinal scale was used to examine the effectiveness of the two modes of teaching according to EFL instructors’ perspectives. The participating students were (182) non-intensive and (100) intensive students. As for the instructors, fifteen (15) BZU instructors of English participated on the condition of teaching the two tracks. The findings revealed that there were statistically significant differences in the intensive and non-intensive students’ attitudes towards the Unlock Textbook Series based on students’ perspectives in favor of the intensive students. Additionally, it was shown that the intensive mode was more effective than the non-intensive based on instructors’ perspectives. Accordingly, some recommendations were suggested

4 SECTION 1. Macroeconomic processes and regional economies management

P PP PP Ps s i in n P Pa al le es st ti in ni ia an n m mu un ni ic ci ip pa al l a ac ct ti iv vi it ti ie es s a as s p pe er rc ce ei iv ve ed d b by y s st ta ak ke eh ho ol ld de er rs s Abstract This research aims to examine the possibility of applying the concept of private participation in managing the municipal business activities including utilities' services in the Palestinian local government units. In order to fulfill the stated purposes of this study, two special questionnaires were articulated and directed to one hundred municipal citizens and 140 municipal stakeholders from local governments and other related agencies. The study found that almost all forms of PPP experiences existed in the Palestinian municipalities at a low scale level. The study found that the majority of municipal citizens still prefer that the municipalities own and operate the majority of municipal activities and projects, while private participation should be limited to operating some selected municipal projects in yearly or long-term contracts. Finally, this study concluded that the majority of municipal officials including municipal directors are less enthusiastic compared to other stakeholders regarding the partnership with the private sector for both operating the essential services as well as other business projects

Feigning Acute Intermittent Porphyria

Acute intermittent porphyria (AIP) is an autosomal dominant genetic defect in heme synthesis. Patients with this illness can have episodic life-threatening attacks characterized by abdominal pain, neurological deficits, and psychiatric symptoms. Feigning this illness has not been reported in the English language literature to date. Here, we report on a patient who presented to the hospital with an acute attack of porphyria requesting opiates. Diligent assessment of extensive prior treatment records revealed thirteen negative tests for AIP