Quality of Life and its Relation to Self-Esteem for a Sample of Drugs Addicts

The study aimed to identify the quality of life and its relation to self-esteem for a sample of drug addicts, as well as the differences between returning to addiction once and returning to addiction more than once in these variables. The study sample consisted of 70 male drug addicts using tramadol, cannabis, and alcohol who frequented the drug treatment center of the anti-narcotics program in Jordan. Two scales were used to assess the quality of life and self- esteem. The study results showed a significant correlation between quality of life and self-esteem. Moreover, the results showed that there were statistically significant differences between the means of drug addicts in favor of addiction once and those returning to addiction more than once in both quality of life and self-esteem for the drug addicts returning to addiction once

Hierarchical Risk Communication Management Framework for Construction Projects

Risk, as an effect of uncertainty, is associated with every human activity. Like any other industry, construction companies are eager to reduce the uncertainty of reluctant events. A well-planned risk communication system could contribute to the success of a construction project. A proper announcement protocol could be a mitigating lever for identified or unidentified risks during planning and monitoring processes. This research aims to present a risk communication management system (RCMS) for construction companies involved in large projects. The proposed model includes a step-by-step communication procedure considering the authority level within the organisational hierarchical structure. The model aims to remove the ambiguity of risk communications during the construction process under uncertain conditions. It leaves no or little room for the emergence of unplanned risks. The proposed communication structure has been implemented in GRC cladding construction projects, and the risk communication time and response have been significantly improved

SIMVASTATIN TREATMENT AMELIORATES DIABETIC TYPE 2 CONDITIONS THROUGH LOWERING THE CONCENTRATION OF PLASMA ICAM LEVELS

Diabetes type 2 is associated with other diseases including cardiovascular diseases. Obesity is a link between diabetes and cardiovascular diseases and associated with insulin resistance. Statins are used to reduce lipids and to lower the risk of cardiovascular diseases. The objective of the present study was to explore the effect of statin treatment on plasma levels of ICAM among diabetics. The study design was a prospective cohort clinical study. The study included 62 diabetic patients who were recruited from the Diabetes/Endocrine Clinics of the Prince Rashed Hospital. Data were collected from participants through a prepared questionnaire and laboratory findings of lipid profiles, glucose and ICAM levels. Study findings showed no significant variations between study and control groups at baseline level. At the end of the experiment, in study group, there were significant changes in some biochemical parameters such as ICAM level (p=0.005), cholesterol (0.019), and TG (0.025). The mean difference of study and control groups showed that significant variations were observed for the following variables ICAM (p<0.005), cholesterol (p=0.008), TG (p<0.005), and HDDL (p<0.005). Taken together, the present study showed that simvastatin therapy benefits diabetic patients even without hyperlipidemia through decreasing levels of ICAM-1, which have an inflammatory action and increase insulin resistance. It can be concluded that simvastatin is insulin sensitizer and works as anti-inflammatory agent

SIMVASTATIN TREATMENT AMELIORATES DIABETIC TYPE 2 CONDITIONS THROUGH LOWERING THE CONCENTRATION OF PLASMA ICAM LEVELS

Diabetes type 2 is associated with other diseases including cardiovascular diseases. Obesity is a link between diabetes and cardiovascular diseases and associated with insulin resistance. Statins are used to reduce lipids and to lower the risk of cardiovascular diseases. The objective of the present study was to explore the effect of statin treatment on plasma levels of ICAM among diabetics. The study design was a prospective cohort clinical study. The study included 62 diabetic patients who were recruited from the Diabetes/Endocrine Clinics of the Prince Rashed Hospital. Data were collected from participants through a prepared questionnaire and laboratory findings of lipid profiles, glucose and ICAM levels. Study findings showed no significant variations between study and control groups at baseline level. At the end of the experiment, in study group, there were significant changes in some biochemical parameters such as ICAM level (p=0.005), cholesterol (0.019), and TG (0.025). The mean difference of study and control groups showed that significant variations were observed for the following variables ICAM (p<0.005), cholesterol (p=0.008), TG (p<0.005), and HDDL (p<0.005). Taken together, the present study showed that simvastatin therapy benefits diabetic patients even without hyperlipidemia through decreasing levels of ICAM-1, which have an inflammatory action and increase insulin resistance. It can be concluded that simvastatin is insulin sensitizer and works as anti-inflammatory agent

Multiple Myeloma Baseline Immunoglobulin G Level and Pneumococcal Vaccination Antibody Response

Infections are a major cause of morbidity and mortality in multiple myeloma (MM), a cancer of the immune system. Vaccination clinical efficacy endpoints have not been demonstrated, and there are limited data on surrogate markers of efficacy. This pilot study evaluated sequential immunologic markers after standard pneumococcal vaccination (PV) in patients with MM and non-MM controls. Vaccination was standard for PV (PCV13 or PPV23), with laboratory testing at baseline and at 2, 4, 12 and 24 weeks after vaccination. Immunoglobulin G (IgG) antibodies to pneumococcal antigens were detected by ELISA. Prevaccination total IgG levels and IgG subclass levels were also measured by ELISA. Four of 6 controls responded with at least a 2-fold increase in antibody concentration; only 2 controls had a sustained increase in concentration. Six of 8 patients with MM had at least a 2-fold antibody increase; however, only 2 of these patients showed a sustained increase of antipneumococcal antibody. Response rate differences were not statistically significant in this small pilot, and there was no relationship between responsiveness to PV and initial serum total IgG levels or IgG subclasses at study entry. Future prospective studies are needed to ascertain the immunological and clinical efficacy and effectiveness of various vaccines and vaccination strategies in MM

Coping Strategies of Jordanian Adolescents With Cancer: An Interpretive Phenomenological Analysis Study

Interpretive phenomenological analysis methodology was used to explore coping strategies used by hospitalized Jordanian adolescents with cancer. In-depth face-to-face interviews were conducted with 10 Jordanian adolescents, aged 13 to18 years, who were receiving chemotherapy for cancer. During treatment, participants were confronted with physical, psychosocial, and emotional distresses resulting from the disease process, the treatment, and its associated side-effects. To cope with the impact of their illness, participants utilized 4 coping strategies: "Strengthening spiritual convictions," "Being optimistic and rebuilding hope," "Enhancing appearance," and "Finding self again." The findings of this study can assist health team members to promote positive psychological care to Arab Muslim adolescents with cancer in a supportive and therapeutic treatment environment

An Analysis of Pedestrian Waiting Time at Uncontrolled Crosswalks Using Discrete Choice Model

A study of pedestrians crossing behavior is conducted at an uncontrolled mid-block crosswalk in Istanbul Turkey, to model the pedestrians waiting time, related to their behavior for making the crossing decision. This article focused on the issues encountered in the modeling of the operational behavior of pedestrians. The discrete choice framework is used because of its capacity to deal with individuals’ choice behavior. Pedestrians waiting time is classified into three levels, including low, medium, and high levels based on the level of service of pedestrians waiting time. The pedestrians’ behavior prediction has been improved by analyzing, taking into account three levels for pedestrian behavior

New leadership model for family physicians in the Eastern Mediterranean region: a pilot study across selected countries

Background: Family Medicine is growing rapidly across the Eastern Mediterranean Region. However, it needs support in terms of overall health system development. This will require strong leadership in family medicine to implement the change required to improve current conditions. Objective: To collect data that will support the development of a leadership program for the future family physicians in the region. Methods: A cross-sectional study was conducted from July 2016 to September 2016 in eight countries of the Eastern Mediterranean Region, (Bahrain, Egypt, Iraq, Jordan, Kuwait, Qatar, Pakistan, and Saudi Arabia). These countries were selected to obtain perceptions of Family Physicians (FPs) regarding the current leadership model and to explore the need for a new future innovative model in Family Medicine (FM) across the region. Results: The information of 68 family physicians was included in the final analysis. The majority of the FPs was females as compared to males (71% vs. 29%). Forty-four percent of the FPs had 10 to 19 years of experience. Almost all of the FPs (96%) had completed some training in family medicine after graduation. About three fifths of the FPs had completed postgraduate qualifications and out of those, 64% had passed Board or Membership Examinations. Twenty-one percent of them are currently in a leadership role and 45% who were not in any leadership role responded that the current situation of FM in their country is poor. All of the leaders believed that it is important to develop strong leadership in FM to take the specialty forward. Almost similar proportions (67% and 64%) of leaders and non-leaders thought that establishing regional associations would enhance the FM practice model. Approximately two thirds of leaders (67%) responded that the current role of decision makers in the Ministry of Health (MOH) regarding capacity building in FM is not effective. The majority of the FPs (54% and 38%) considers that the existing postgraduate curriculum does not address leadership skill development in FM. Eighty-eight percent of the FPs both from leadership and non-leadership groups agreed that academic institutions and practicing FPs can play an effective leadership role in taking FM forward. Conclusion: The Family Medicine specialty will have to develop leadership capabilities in line with today’s fast-moving changes in healthcare for it to obtain the due recognition in the healthcare delivery system