Pulmonary function tests in Egyptian schoolchildren in rural and urban areas

Background: Previous studies have shown a negative association between urban environments and pulmonary function. Objectives: This longitudinal study examined the effect of an urban environment on pulmonary function tests of children by comparing children from an urban and a rural area in Egypt. The effect of other factors on pulmonary function, including obesity, breastfeeding and parental atopy, was also examined. Methods: Children aged 7−12 years from rural Shibin El-Kom and urban Cairo were enrolled in the study. Forced expiratory volume in the frst second (FEV1), forced vital capacity (FVC), forced expiratory rate and peak expiratory flow rate (PEFR) were measured 5 times over a period of 2 years, at 6-monthly intervals. Factorial repeated measures analysis of variance was used to evaluate the differences in the rate of change in FEV1 predicted%, FVC predicted% and PEFR between the children in Cairo and Shibin El-Kom. Generalized linear mixed models were used to analyse factors associated with pulmonary function test results. Results: Generalized linear regression showed that living in Cairo decreased log(FVC), log(FEV1) and log(PEFR). Significant differences were found in the changes occurring between the 2 locations in the last 3 visits; children in Cairo showed a smaller increase in pulmonary function. Conclusions: Differences in pulmonary function in the 2 locations increased significantly with time, indicating a negative effect on lung function of living in urban Cairo. The findings could be used to help in the development of policies in Egypt and other developing countries to improve respiratory health, including promoting breastfeeding and reducing outdoor air pollution

Triglyceride Glucose Index as an Indicator of Cardiovascular Risk in Syrian Refugees

Ameerah Hasan Ibrahim,1 Alaa Mahmoud Hammad,1 Walid Al-Qerem,1 Hakam Alaqabani,1,2 F Scott Hall,3 Fawaz Alasmari4 1Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan; 2Strathclyde Institute of Pharmacy and Biomedical sciences, University of Strathclyde, Glasgow, UK; 3Department of Pharmacology and Experimental Therapeutics, College of Pharmacy and Pharmaceutical Sciences, University of Toledo, Toledo, OH, USA; 4Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaCorrespondence: Alaa Mahmoud Hammad, Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, P.O. Box 130, Amman, 11733, Jordan, Tel +962-6-4291511, Fax +962-6-4291432, Email [email protected]: The triglyceride glucose (TyG) index is a quick and inexpensive approach to measure insulin resistance. The aim of this study was to evaluate the TyG index’s ability to predict cardiovascular risk and determine the TyG index cutoff values in Syrian refugees.Methods: A retrospective research study was conducted with 756 Syrian refugees. Data on demographics and clinical laboratory assessments were obtained from refugee’s files. The formula Ln [fasting triglycerides (mg/dL) × fasting plasma glucose (mg (dL)/2] was used to calculate the TyG index. The Framingham risk score was used to calculate ten-year cardiovascular risk. The TyG index cutoff point was determined using the receiver operating characteristic curve (ROC).Results: Included participants had a mean age of 56.76 ± 10.78 years and a mean body mass index (BMI) of 27.42 ± 4.03 kg/m2. 28.57% of the subjects were smokers, and the majority were female (56.75%). A significant moderate correlation was observed between TyG index and Framingham score (r = 0.428, p < 0.001). ROC curve analysis for TyG index and Framingham score showed an area under the curve (AUC) of 0.741 (95% CI = 0.691– 0.791; p < 0.001). The cutoff value of the TyG index to recognize intermediate/high risk Framingham risk score was 9.33, with a sensitivity of 64.3%, and specificity of 75.0%.Conclusion: Our findings determine that, given a TyG index cutoff value of 9.33, the TyG index has a predictive ability to assess ten-year cardiovascular risk by comparison to the Framingham risk score in a high-risk group of Syrian refugees and can be used as an independent indicator of cardiovascular risk.Keywords: TyG index, Framingham risk score, ROC, Syrian refugees, cardiovascular ris

Validation of the Arabic version of the Childhood Illness Attitudes Scales

Abstract Background: Excessive health anxiety can lead to significant disorders such as hypochondriasis. In children, assessment of the severity of health anxiety has been performed using the Childhood Illness Attitudes Scales (CIAS); however, no validated Arabic version of this tool exists. Aims: This study developed and validated an Arabic version of the CIAS questionnaire in Jordan in 2017 to provide a tool to measure the severity of health anxiety in the Arabic-speaking world. Methods: The CIAS was translated from English to Arabic then back-translated by a different translator and the 2 versions were compared before cognitive interviews were conducted. The final version of the questionnaire was circulated to 597 children. Of these, 200 were asked to retake the questionnaire after 10–15 days to evaluate test–retest reliability. Confirmatory factor analysis (CFA) on the 4-factor model suggested by the original questionnaire version was performed. Internal consistency and test–retest reliability were evaluated. Results: The CFA showed good fit (goodness of fit index=0.92) with the 4-factor model of fears, help seeking, treatment experience, and symptom effects. Test–retest reliability was high and the model had good discriminant validity and internal consistency. Conclusions: The Arabic version of the CIAS provides a suitable tool to investigate the prevalence and severity of childhood anxiety in the Middle East. Keywords: Arabic, Childhood Illness Attitudes Scales, confirmatory factor analysis, health anxiety, Jorda

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Development and validation of medication storage and disposal questionnaire

The attached data was gathered by a questionnaire that was used to develop a tool to measure knowledge and practice about medication storage and disposal and measure it among the Jordanian population

Applicability of GLI 2012 spirometry equation among preschool aged Jordanians

The attached data were gathered from Jordanian preschool-age children and include their characteristics and spirometric measures. It also includes the results of the statistical analysis of the spirometric measures

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Lung function Equation

This data was used to produce pulmonary function reference equations for adult Jordania

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Organ donationTHIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV