A cross-sectional study confirms temporary post-COVID-19 vaccine menstrual irregularity and the associated physiological changes among vaccinated women in Jordan

BackgroundCOVID-19 vaccines continue to save people’s lives around the world; however, some vaccine adverse events have been a major concern which slowed down vaccination campaigns. Anecdotal evidence pointed to the vaccine effect on menstruation but evidence from the adverse event reporting systems and the biomedical literature was lacking. This study aimed to investigate the physiological changes in women during menstruation amid the COVID-19 vaccination.MethodsA cross-sectional online survey was distributed to COVID-19 vaccinated women from Nov 2021 to Jan 2022. The results were analyzed using the SPSS software.ResultsAmong the 564 vaccinated women, 52% experienced significant menstrual irregularities post-vaccination compared to before regardless of the vaccine type. The kind of menstrual irregularity varied among the vaccinated women, for example, 33% had earlier menstruation, while 35% reported delayed menstruation. About 31% experienced heavier menstruation, whereas 24% had lighter menstrual flow. About 29% had menstruation last longer, but 13% had it shorter than usual. Noteworthy, the menstrual irregularities were more frequent after the second vaccine shot, and they disappeared within 3 months on average. Interestingly, 24% of the vaccinated women reported these irregularities to their gynecologist.ConclusionThe COVID-19 vaccine may cause physiological disturbances during menstruation. Luckily, these irregularities were short-termed and should not be a reason for vaccine hesitancy in women. Further studies are encouraged to unravel the COVID-19 vaccine adverse effect on women’s health

Biological-Based Produced Water Treatment Using Microalgae: Challenges and Efficiency

Produced water (PW) is the most significant waste stream generated in the oil and gas industries. The generated PW has the potential to be a useful water source rather than waste. While a variety of technologies can be used for the treatment of PW for reuse, biological-based technologies are an effective and sustainable remediation method. Specifically, microalgae, which are a costeffective and sustainable process that use nutrients to eliminate organic pollutants from PW during the bioremediation process. In these treatment processes, microalgae grow in PW free of charge, eliminate pollutants, and generate clean water that can be recycled and reused. This helps to reduce CO2 levels in the atmosphere while simultaneously producing biofuels, other useful chemicals, and added-value products. As such, this review focuses on PW generation in the oil and gas industry, PW characteristics, and examines the available technologies that can be used for PW remediation, with specific attention to algal-based technologies. In addition, the various aspects of algae growth and cultivation in PW, the effect of growth conditions, water quality parameters, and the corresponding treatment performance are presented. Lastly, this review emphasizes the bioremediation of PW using algae and highlights how to harvest algae that can be processed to generate biofuels for added-value products as a sustainable approach.Scopu

Randomised controlled trial of pharmacist-led patient counselling in controlling hypoglycaemic attacks in older adults with type 2 diabetes mellitus (ROSE-ADAM): A study protocol of the SUGAR intervention

Introduction Hypoglycaemia is one of the most serious adverse effects of diabetes treatment. Older adults are at the highest risk to develop hypoglycaemia. Several studies have established the important positive role of educational interventions on achieving glycaemic control and other clinical outcomes, however, there is still a lack in studies that evaluate the impact of such type of interventions on hypoglycaemia risk in elderly patients with type 2 diabetes. The purpose of this research is to evaluate the effectiveness of pharmacist-led patient counselling on reducing hypoglycaemic attacks in older adults with type 2 diabetes mellitus. Methods and analysis: This study is an open-label, parallel controlled randomised trial, which will be conducted in the outpatient clinics at the largest referral hospital in the north of Jordan. Participants who are elderly (age ≥ 65 years), diagnosed with type 2 diabetes mellitus, and taking insulin, sulfonylurea, or any three anti-diabetic medications will be randomly assigned to intervention (SUGAR Handshake) and control (usual care) groups. The SUGAR Handshake participants will have an interactive, individualised, medications-focused counselling session reinforced with a pictogram and a phone call at week six of enrolment. The primary outcome measure is the frequency of total hypoglycaemic events within 12 weeks of follow up. Secondary outcomes include the frequency of asymptomatic, symptomatic, and severe hypoglycaemic events, hypoglycaemia incidence, and time to the first hypoglycaemic attack. We will also conduct a nested qualitative study for process evaluation

Effect of tube diameter and capillary number on platelet margination and near-wall dynamics

The effect of tube diameter $D$ and capillary number $Ca$ on platelet margination in blood flow at $\approx 37\%$ tube haematocrit is investigated. The system is modelled as three-dimensional suspension of deformable red blood cells and nearly rigid platelets using a combination of the lattice-Boltzmann, immersed boundary and finite element methods. Results show that margination is facilitated by a non-diffusive radial platelet transport. This effect is important near the edge of the cell-free layer, but it is only observed for $Ca > 0.2$, when red blood cells are tank-treading rather than tumbling. It is also shown that platelet trapping in the cell-free layer is reversible for $Ca \leq 0.2$. Only for the smallest investigated tube ($D = 10 \mu\text{m}$) margination is essentially independent of $Ca$. Once platelets have reached the cell-free layer, they tend to slide rather than tumble. The tumbling rate is essentially independent of $Ca$ but increases with $D$. Tumbling is suppressed by the strong confinement due to the relatively small cell-free layer thickness at $\approx 37\%$ tube haematocrit.Comment: 16 pages, 10 figure

The assessment of public perception towards chronic kidney disease in Jordan: a cross-sectional study

Objectives Kidney diseases are considered silent killers due to the lack of well-defined symptoms. Public knowledge about chronic kidney disease (CKD) management has been shown to decrease the risk of CKD onset and progression to end-stage renal disease and renal failure. The main objective of this study was to assess the knowledge of kidney function, CKD symptoms, etiology, prevention and treatment in the general population.Methods A cross-sectional study using a validated questionnaire was conducted in Jordan to assess public knowledge of CKD. Public knowledge of CKD was assessed using a questionnaire consisting of 32 knowledge questions, including risk factors, symptoms, treatment, protective measures and kidney function. The knowledge level was classified according to the total score: poor (0–50%), intermediate (51–70%) and good/high (71–100%). Multiple regression analysis was performed to compare knowledge scores (KS) and predict associations with the participants’ baseline characteristics.Results The level of knowledge about CKD among the 2181 participants was intermediate. The KS was significantly higher among participants with health issues such as hypertension, diabetes and heart problems, first-degree relatives working in the medical field, majors relevant to health, married, employed, highly educated, high-income and smokers. The main sources of knowledge about CKD were health professionals, TV shows, books and magazines. Multiple regression analysis showed an association between KS and age, sex, functional status, educational level and field, income, smoking status, having a family member/spouse work in the medical field, and knowledge source.Conclusions The public level of knowledge about CKD management is greatly influenced by participants’ health and social factors. Thus, improving public knowledge and perception through education and the media will significantly reduce CKD prevalence and incidence

Health risk assessment induced by trace toxic metals in tap drinking water: Condorcet principle development

Acute exposure to trace metals (TMs) in water is hazardous to human health. The average concentrations (Cavg.) and carcinogenic (CAR) and non-carcinogenic (non-CAR) risks of eight TMs to World Health Organization's (WHO) guidelines and national standard limits (NSLs)were determined. The Cavg. and (the range) of As, Hg, Cd, Pb, Co, Cr, Ni, and Zn were measured as 4.29 ± 0.57 μg L−1 (1.12–10.27 μg L−1), 0.22 ± 0.10 μg L−1 (ND-1.05 μg L−1), 0.31 ± 0.18 μg L−1 (ND-1.80 μg L−1), 4.66 ± 0.32 μg L−1 (0.10–14.22 μg L−1), 24.61 ± 4.65 μg L−1 (3.11–67.25 μg L−1), 16.86 ± 5.54 μg L−1 (5.12–34.61 μg L−1), 14.07 ± 4.37 μg L−1 (3.79–31.39 μg L−1), and 268.42 ± 75.82 (87.29–561.22 μg L−1), respectively. The Cavg. of Co and Hg exceeded the WHO and NSLs. The non-CAR risk assessment was used to order the TMs according to the total target hazard quotient (TTHQ) As > Pb > Cr > Co > Zn > Hg > Ni > Cd. None of the investigated age groups are at risk As there is a low Cavg of all trace metals (i.e., the THQ is > 1). The age groups were ranked based on THQ and incremental lifetime cancer risk (ILCR) As 1–10 years, > 11–19 years, and > + 20 years. The ILCR of As for all the age groups was >10−4, whereas for Pb it was 10−4) for all the age groups.Scopu

Recent advances in MXene-based nanomaterials for desalination at water interfaces

The best exceptional Physico-chemical attributes of MXenes including high conductivity, high surface area, high functionalization, hydroxide site, and other interesting properties have attracted recently the attention of scientists in the applications of MXene (Mn+1XnTx)-based nanomaterials for water treatment. To provide a full and comprehensive vision of the current state of the art, and improve the treatment performance, and motivate new researches in this area, this review focused on the uses of these novel 2D transition metal carbides for desalination of water and the general methods of fabrication of MXenes; thus, MXene-based nanomaterials are very efficient candidates in water desalination processes, in this review, the main properties of previous and current works about MXenes applications in this area were properly investigated. Moreover, a particular overview about the different properties of MXenes in desalination such as etching method, hydrophobicity, structural modification, and chemical modification has been performed; meanwhile, the investigation of MXenes and MXenes-based composites would be an excellent candidate in the future of water purification and environmental remediation fields, since they have several good properties compared to the other 2D materials.Scopu

Artificial neural networks for predicting hydrogen production in catalytic dry reforming: A systematic review

Dry reforming of hydrocarbons, alcohols, and biological compounds is one of the most promising and effective avenues to increase hydrogen (H2 ) production. Catalytic dry reforming is used to facilitate the reforming process. The most popular catalysts for dry reforming are Ni-based catalysts. Due to their inactivation at high temperatures, these catalysts need to use metal supports, which have received special attention from researchers in recent years. Due to the existence of a wide range of metal supports and the need for accurate detection of higher H2 production, in this study, a systematic review and meta-analysis using ANNs were conducted to assess the hydrogen production by various catalysts in the dry reforming process. The Scopus, Embase, and Web of Science databases were investigated to retrieve the related articles from 1 January 2000 until 20 January 2021. Forty-seven articles containing 100 studies were included. To determine optimal models for three target factors (hydrocarbon conversion, hydrogen yield, and stability test time), artificial neural networks (ANNs) combined with differential evolution (DE) were applied. The best models obtained had an average relative error for the testing data of 0.52% for conversion, 3.36% for stability, and 0.03% for yield. These small differences between experimental results and predictions indicate a good generalization capability.Qatar UniversityScopu

Graphene derivatives in bioplastic: A comprehensive review of properties and future perspectives

The research and technological advancements observed in the latest years in the nanotechnology field translated into significant application developments in various areas. This is particularly true for the renewable polymers area, where the nano-reinforcement of biobased materials leads to an increase in their technique and economic competitiveness. The efforts were predominantly focused on materials development and energy consumption minimization. However, attention must also be given to the widespread commercialization and the full characterization of any particular potential toxicological and environmental impact. Some of the most important nanomaterials used in recent years as fillers in the bioplastic industry are graphene-based materials (GBMs). GBMs have high surface area and biocompatibility and have interesting characterizations such as strangeness and flexibility. In this paper, the current state of the art for these GBMs in the bioplastics area, their challenges, and the strategies to overcome them are analyzed.Scopu

A comprehensive review on MXenes as new nanomaterials for degradation of hazardous pollutants: Deployment as heterogeneous sonocatalysis

MXene-based nanomaterials (MBNs) are two-dimensional materials that exhibit a series of sought after properties, including rich surface chemistry, adjustable bandgap structures, high electrical conductivity, hydrophobicity, thermal stability, and large specific surface area. MBNs have an exemplar performance when applied for the degradation of hazardous pollutants with various advanced oxidation processes such as heterogeneous sonocatalysis. As such, this work focuses on the sonocatalytic degradation of various hazardous pollutants using MXene-based catalysts. First, the general principles of sonocatalysis are examined, followed by an analysis of the main components of the MXene-based sonocatalysts and their application for pollutant degradation. Lastly, ongoing challenges are highlighted with recommendations to address the issues.Scopu