Food Security in the Middle East

The Middle East region has been faced with various challenges that are associated with food security. These are perpetuated by water scarcity, an increase in the population numbers in the region, climate change and unemployment. Notably, these factors are intricate and self augmenting and thus, the problem is very complex. Most recently, the theory of virtual water has been proposed as the best approach of addressing this scenario. However, this study found out that various social, cultural, economic and political factors undermine its implication. The present trends indicate that the region is highly dependent on food imports and that the trend is set to increase in future. Besides highlighting the various challenges that the region faces in a bit to attain food security, this study presents viable approaches like the population control and the increased education levels and awareness creation that can be used to address the challenges in a sustainable manner. Keywords: Middle East, food security, virtual water, trends

Mitigating the risk of extreme water scarcity and dependency: the case of Jordan

Jordan faces great internal water scarcity and pollution, conflict over trans-boundary waters, and strong dependency on external water resources through trade. This paper analyzes these issues and subsequently reviews options to reduce the risk of extreme water scarcity and dependency. Based on estimates of water footprint, water availability, and virtual water trade, we find that groundwater consumption is nearly double the groundwater availability, water pollution aggravates blue water scarcity, and Jordan’s external virtual water import dependency is 86%. The review of response options yields 10 ingredients for a strategy for Jordan to mitigate the risks of extreme water scarcity and dependency. With respect to these ingredients, Jordan’s current water policy requires a strong redirection towards water demand management. Actual implementation of the plans in the national water strategy (against existing oppositions) would be a first step. However, more attention should be paid to reducing water demand by changing the consumption pattern of Jordanian consumers. Moreover, unsustainable exploitation of the fossil Disi aquifer should soon be halted and planned desalination projects require careful consideration regarding the sustainability of their energy suppl

Mitigating the Risk of Extreme Water Scarcity and Dependency: The Case of Jordan

Jordan faces great internal water scarcity and pollution, conflict over trans-boundary waters, and strong dependency on external water resources through trade. This paper analyzes these issues and subsequently reviews options to reduce the risk of extreme water scarcity and dependency. Based on estimates of water footprint, water availability, and virtual water trade, we find that groundwater consumption is nearly double the groundwater availability, water pollution aggravates blue water scarcity, and Jordan’s external virtual water import dependency is 86%. The review of response options yields 10 ingredients for a strategy for Jordan to mitigate the risks of extreme water scarcity and dependency. With respect to these ingredients, Jordan’s current water policy requires a strong redirection towards water demand management. Actual implementation of the plans in the national water strategy (against existing oppositions) would be a first step. However, more attention should be paid to reducing water demand by changing the consumption pattern of Jordanian consumers. Moreover, unsustainable exploitation of the fossil Disi aquifer should soon be halted and planned desalination projects require careful consideration regarding the sustainability of their energy supply

Springs Water Quality Assessment for Drinking Purposes: A Case Study of Bsaira, Jordan

Water scarcity is one of the biggest challenges to Jordan. Jordan is considered one of the poorest countries in the world in terms of freshwater availability. The protection of freshwater springs from pollution is among the possible solutions that can help in mitigating the water scarcity problem. In this study, the quality and quantity of water flowing from three springs namely Um Sarab, Dana, and Gharandl within Bsaira area that is located in Tafilah governorate in Jordan were evaluated as potential drinking water sources. During the spring period (March to June 2021), several water samples from the springs were collected and tested for biological, physical, and chemical parameters. Spring water samples were tested for (Ni, Co, Cr, Cu, Fe, Pb, Mn, Zn, Na+, K+, Mg2+, Ca2+), pH, total dissolved solids, chemical oxygen demand, turbidity, total solids, total coliforms, and E-coli. Results indicated that all the physical and chemical parameters of water in the three springs are within the acceptable standard limits according to Jordanian standards for drinking water. However, the biological parameters (i.e. total coliforms and E-coli) exceeded the permissible limits, and this is more significant in Gharandl spring. The field investigation of the study area showed that the main sources of pollution are the presence of many septic tanks and agricultural activities in the surrounding areas of the springs. Therefore, applying Jordanian regulations for the protection of groundwater resources can significantly improve the quality of water in these springs. The total quantity of water from these springs exceeds 1300 m3/day which is considered a significant source of drinking water after local treatment and disinfection

The Variations in the Level of Angiotensin II Between Subjects in Ajloun City and the Dead Sea Impact Hypertension Parameters

Introduction: Jordan has a unique array of diversity among which having the deepest level in the world, the Dead Sea and an area with high attitudes in Ajloun City which gives us a great chance to study the biological effects on hypertension and possible impacts in selecting the appropriate treatment. Study objectives: to explore the impacts of variations of attitudes in hypertension and the level of beta blockers through studying the level of angiotensin II among study participants and to investigate if the patterns of anti-hypertensive treatments are impacted. Methods and subjects: a cross-sectional study design was carried out among participants from the two different areas. From each area, a total of 500 participants were recruited and surveyed through a questionnaire. Blood pressure was measured for all participants and blood samples were withdrawn to carry out the testing of angiotensin II. Data were analyzed statistically based on the appropriate software including excel and SPSS. The relationships were examined according to independent T-Test. Significance was considered according to p0.05). On the other hand, heart parameters including SBP, DBP, MBP, pulse, and PCV all of which were significantly higher in Ajloun than in the Dead Sea (p=0.001) for all selected variables. The level of angiotensin II was 12.08 ± 5.19 pg/ml in Ajloun and this was higher than that of the Dead Sea (8.84 ± 4.65 pg/ml). The difference in the mean of angiotensin II was statistically significant (p=0.039). Conclusion: the results of the present study showed that living in high altitude compared with the lowest area in the world (the Dead Sea) exposes persons for the risks of hypertension and other cardiovascular diseases. Our findings may lead to better therapeutic strategies particularly when to prescribe angiotensin II based therapies

Quality of life among patients with supraventricular tachycardia post radiofrequency cardiac ablation in Jordan

Background Supraventricular tachycardia (SVT) is a common arrhythmia with associated symptoms such as palpitation, dizziness, and fatigue. It significantly affects patients’ quality of life (QoL). Radiofrequency cardiac ablation (RFCA) is a highly effective treatment to eliminate arrhythmia and improve patients’ QoL. The purpose of this study was to assess the level of QoL among patients with SVT and examine the difference in QoL before and after RFCA. Methods One group pre-posttest design with a convenience sample of 112 patients was used. QoL was assessed by 36-Item Short Form (SF-36). Data were collected at admission through face-to-face interviews and 1-month post-discharge through phone interviews. Results There was a significant difference between QoL before (33.7±17.0) and 1 month after (62.5±18.5) the RFCA. Post-RFCA patients diagnosed with atrioventricular nodal reentrant tachycardia had higher QoL than other types of SVT. Moreover, there were significant negative relationships between QoL and the number and duration of episodes pre- and post-RFCA. There were no significant differences in QoL based on: age, sex, working status, marital status, smoking, coronary artery disease, diabetes mellitus, and hypertension. Conclusions After RFCA, the QoL of patients with ST improved for both physical and mental component subscales

Overweight and Obesity and Associated Factors among School-Aged Adolescents in Ghana and Uganda

The aim of this study was to assess overweight and obesity and associated factors in school-going adolescents in low income African countries (Ghana, Uganda). The total sample included 5,613 school children aged 13 to 15 years from nationally representative samples from two African countries. Bivariate and multivariable analyses were conducted to assess the relationship between dietary behavior, substance use, physical activity, psychosocial factors and overweight or obesity. The prevalence of overweight and obesity was determined based on self-reported height and weight and the international child body mass index standards. Results indicate a prevalence of overweight or obesity of 10.4% among girls and 3.2% among boys, and 0.9% and 0.5% obesity only among girls and boys, respectively. Among girls smoking cigarettes and loneliness and among boys smoking cigarettes were found to be associated with overweight or obesity in multivariable analysis. Overweight status was not associated with the intake of fruits, vegetables, and sedentary behavior. Low prevalence rates of overweight or obesity were found in Ghana and Uganda. Smoking cessation and social programs could be integrated into strategies to prevent and treat overweight and obesity in youth

A critical review of complementary and alternative medicine use by women with cyclic perimenstrual pain and discomfort: a focus upon prevalence, patterns and applications of use and users' motivations, information seeking and self-perceived efficacy

© 2016 Nordic Federation of Societies of Obstetrics and Gynecology Introduction: Complementary and alternative medicine (CAM) is used for treating cyclic perimenstrual pain and discomfort. This critical review examines women's reported CAM use, its perceived effectiveness and information relating to women's attitudes, behaviors, motivations and patterns of CAM use in its treatment. Material and methods: An extensive search of the main medical databases EBSCO, CINAHL, Medline, AMED and SCOPUS, as well as additional hand searches, was conducted. Papers included were confined to those that had been peer-reviewed, written in English and that contained original research into CAM use for cyclic perimenstrual pain and discomfort among adult women. Results: CAM, particularly herbal medicine, nutritional supplements and massage, is widely used for a range of cyclic perimenstrual pain and discomfort symptoms. A large number of CAM modalities are adopted, often simultaneously and with little professional oversight. Women's assessment of efficacy of different CAM modalities is positive, though the majority of users are self-prescribing apparently without professional guidance. Although the uptake of CAM for cyclic perimenstrual pain and discomfort is widespread, few empirical data are available regarding which women are using CAM, their motivations for doing so and, importantly, the sources through which women receive information about CAM. Conclusions: This review highlights the extensive use of (often self-prescribed) CAM in a number of countries to alleviate the widespread symptoms of cyclic perimenstrual pain and discomfort. An understanding of all health care use by women with perimenstrual pain and discomfort is vital to help ensure safe, effective and coordinated health care that can lead to optimal patient outcomes

Knowledge and Practices of Menstrual Hygiene among Adolescent Schoolgirls in Jordanian Badia Region: A Field Study

  Abstract   Background: Normal menstrual cycle is associated with physiological and pathological changes throughout the girls’ lives. It involves physical changes in a girl's body designed to prepare her for pregnancy each month. Significant changes in a girl’s life take place during adolescence and the onset of menstruation. Aims: The study aims to assess the level of knowledge and practices of menstrual hygiene among adolescent schoolgirls in the Jordanian Badia Region. Methods: A cross-sectional study was conducted from February to March 2022. The total number of participants was 550 from six schools for girls in the Badia region. Data was collected using a questionnaire that assessed knowledge and practices of the menstrual cycle. Descriptive statistics (mean, standard deviation, frequency, percentage) and multivariable logistic regression analysis were used to determine the predictors of the level of knowledge and practice of the menstrual cycle. Results: The adolescent schoolgirls have adequate level of knowledge, represented by a percentage of 65. Furthermore, the results show that the overall level of girls’ practices was at a poor level (58%), the highest score was for”Schoolgirls should have a discussion with their mothers about menstruation and what to do during their periods”, and the lowest score was for “If she has to, she will have to change the pads at school”. Moreover, age, mothers’ highest level of education, and family income were the predictors of safe knowledge and practices of the menstrual cycle. Conclusion: Overall, the adolescent schoolgirls are reasonably knowledgeable. Additionally, the girls' overall level of practice was poor and menstrual hygiene knowledge and practices need to be improved. Therefore, health programs concerning knowledge and safe practices of menstrual cycles should be conducted in a school setting

Stres na radu i zdravlje medicinskih sestara u jedinicama intenzivne njege u Srbiji

The aim of this study was to identify and analyse professional stressors, evaluate the level of stress in nurses in Intensive Care Units (ICU), and assess the correlation between the perception of stress and psychological and somatic symptoms or diseases shown by nurses. The research, designed as a crosssectional study, was carried out in the Intensive Care Units (ICU), in health centres in Serbia. The sample population encompassed 1000 nurses. Expanded Nursing Stress Scale (ENSS) was used as the research instrument. ENSS revealed a valid metric characteristic within our sample population. Nurses from ICUs rated situations involving physical and psychological working environments as the most stressful ones, whereas situations related to social working environment were described as less stressful; however, the differences in the perception of stressfulness of these environments were minor. Socio-demographic determinants of the participants (age, marital status and education level) significantly affected the perception of stress at work. Significant differences in the perception of stressfulness of particular stress factors were observed among nurses with respect to psychological and somatic symptoms (such as headache, insomnia, fatigue, despair, lower back pain, mood swings etc.) and certain diseases (such as hypertension, myocardial infarction, stroke, diabetes mellitus etc). In view of permanent escalation of professional stressors, creating a supportive working environment is essential for positive health outcomes, prevention of job-related diseases and better protection of already ill nurses.Cilj je ovoga rada bio identifi cirati i analizirati profesionalne stresore, procijeniti razinu stresa kod medicinskih sestara u jedinicama intenzivne njege te procijeniti korelaciju između percepcije stresa i prisutnosti psiholoških i somatskih simptoma ili bolesti kod medicinskih sestara. Istraživanje je provedeno u obliku studije presjeka u Jedinicama intenzivne njege u zdravstvenim centrima u Srbiji. Uzorak se sastojao od 1000 medicinskih sestara-tehničara. Za procjenu i analizu profesionalnih stresora korišten je upitnik Expanded Nursing Stress Scale (ENSS), koji je pokazao validne metrijske karakteristike na našoj ispitanoj populaciji. Medicinske sestre u Jedinicama intenzivne njege ocijenile su situacije iz fizičkoga i psihološkoga radnog okruženja kao izrazito opterećujuće, a situacije iz socijalnoga radnog okruženja kao manje opterećujuće. Razlika u percepciji stresogenosti navedenih radnih okruženja nije bila statistički značajna. Sociodemografske determinante ispitanika (dob, bračno stanje i stupanj obrazovanja) značajno utječu na percepciju stresa na radnom mjestu. Utvrđena je statistički značajna razlika u opažanju stresogenosti pojedinih stresnih situacija na radnom mjestu između medicinskih sestara u odnosu na postojanje psihosomatskih simptoma (kao što su glavobolja, nesanica, umor, očaj, bol u leđima, česte promjene raspoloženja) ili određenih bolesti (kao što su povišena hipertenzija, infarkt miokarda, cerebrovaskularni inzult, šećerna bolest). Zbog sve izraženije prisutnosti profesionalnih stresora nužno je poduzeti određene strateške mjere kod medicinskih sestara u Jedinicama intenzivne njege. Strateške mjere podrazumijevaju unaprjeđenje psihosocijalne radne klime, što bi unaprijedilo njihovo zdravlje i spriječilo nastanak bolesti u svezi s radom, ali i omogućilo bolju zaštitu već oboljelim medicinskim sestrama