Prevalence of Dry Eye Disease Among Medical Students and Its Association with Sleep Habits, Use of Electronic Devices and Caffeine Consumption: A Cross-Sectional Questionnaire.

Introduction: Dry eye disease (DED) is a common and multifactorial disease of the ocular surface which causes visual disturbance and feelings of discomfort among patients. The prevalence rate among medical students is an important issue to consider. This study investigates the relationship between caffeine consumption, sleeping habits, use of electronic devices, and DED among a convenient sample of medical students in Jordan. Methods: This cross-sectional online survey enrolled medical students from all six medical schools in Jordan. The questionnaire, which was shared via social media platforms, assessed socio-demographics, caffeine consumption amounts and patterns, sleep quality, and the use of electronic devices and their relation to ocular discomfort, DED, and related symptoms. The ocular surface disease index (OSDI) questionnaire was also administered to quantify the symptoms of DED. Results: A total of 1223 students participated in this study (RR=24.46%); 64% were females, and 43% were in their clinical placement years. Of the participants, 317 (25.92%) had normal eyes, and 906 (74.08%) had symptomatic DED. Of the students, 1206 (98.6%) used electronic devices directly before bed, and only 399 (32.62%) used blue-light-protective glasses. Lower DED risk was linked to male gender (OR=0.535, 95% CI 0.392-0.73, p <0.01), clinical years of medical school (OR=0.564, 95% CI 0.424-0.75, p<0.01). Poor sleep quality corresponded to more incidence of DED, regardless of sleeping for 5-6 hours (OR=3.046, 95% CI 1.299-7.139, p=0.01) or for less than 5 hours (OR=3.942, 95% CI 1.824-8.519, p<0.01). Also, caffeine consumption only marginally affected its incidence, but the results were statistically insignificant. Conclusion: Female gender, basic science years, and spending more than 6 hours looking at screens were significantly associated with symptomatic DED. Caffeine consumption did not pose any significant risk to the incidence of DED.

Characterization of ESKAPE pathogens in urinary tract infections among Jordanian patients.

INTRODUCTION: ESKAPE pathogens are a small group of pathogens of remarkable importance. The present study was carried out to determine the prevalence of ESKAPE pathogens in urinary tract infections (UTIs) and their antibiotic susceptibility patterns at the Jordan University of Science and Technology Health Center in Irbid, Jordan. METHODOLOGY: A one-year retrospective study was conducted from April 2021 to April 2022. A total of 444 samples of "clean-catch" (midstream) urine from outpatients were studied. RESULTS: Our study showed that the vast majority of urinary tract infected patients were females (92%) compared to males (8%) and were most frequent in the age group 21-30 years old. The most associated co-morbidities with UTIs were hypertension followed by diabetes mellitus and hypothyroidism. ESKAPE pathogens were responsible for about 87.4% of the UTIs in this study, and all were identified in the urine samples except Acinetobacter baumannii. In this study, isolates were most sensitive to levofloxacin, ciprofloxacin, and third-generation cephalosporin's and least sensitive to doxycycline, amoxicillin, and clindamycin. CONCLUSIONS: This research work has shown that patients with UTI-associated ESKAPE pathogens in Jordan are at high risk of antibiotic resistance. To the best of our knowledge, this is the first study in the region that studies the association between ESKAPE pathogens and UTIs.

Renal efficiency underlies adaptive heterothermy of heat-stressed hypohydrated goats.

We investigated the thermotolerance of the F1 progeny (Black Bedouin × Damascus crossbreed) to summer conditions alongside that of two pure breeds. Male goats (n = 7 per breed) were used to conduct a summertime 28-day trial along with hypohydration. The animals were fitted with miniscule thermologgers, intraperitoneally and subcutaneously, to measure core (Tc) and peripheral (Tp) body temperatures (BT), respectively. All goats were kept under shaded housing for a 7-day basal period before being switched to unshaded pens for the next 21 days. During the first 14 days, animals had free access to water. However, during the third 7-day period, access to water was time-restricted (4 h/day). Finally, it was restricted to 40% of the third week's average daily intake over the last 7 days. Exposure to the unshaded conditions resulted in pronounced heat stress in all animals, as reflected by 0.42 and 1.44 °C rises for Tc and Tp, respectively. The F1 goats displayed a clear heterothermic adaptive response, especially after the water restriction bouts' initiation. Interestingly, the F1 goats displayed higher ratios of renal relative medullary thickness (77.7, 73.3, and 72.6 ± 1.1%) along with higher circulating concentrations of antidiuretic hormone (44.6, 31.6, and 11.6 ± 3.7 ng/mL), respectively, which suggested an improved water metabolism.