Upper cretaceous and lower tertiary formations groundwater aquifers are associated with huge reserves of oil shale deposits in Harrana and Azraq Basins are evaluated in terms of water qualities and hydrochemical processes. The oil shale deposits are found within the Muwaqqar Chalk Marl Formation. The Muwaqqar Chalk Marl Formation represents the intermediate formation between the Lower Aquifer Amman Silicified Limestone and the overburden, which represents the overlying Upper Aquifers of Um Rijam Chalk and Wadi Shallala Chalk. This study aimed to improve the understanding of Muwaqqar Chalk Marl Formation as a sealing potential based on water quality and hydrochemical data of the different aquifers. Sixty water samples were collected from Amman Silicified Limestone Aquifer, High Grade Zone of Muwaqqar Chalk Marl Formation and from the overburden of Um Rijam Chalk and Wadi Shallala Chalk aquifers. The evaluations of the main hydrochemical processes affecting the groundwater quality were carried out by interpreting the ionic relationships and the water quality types using Piper and Durov diagrams. Comprehensive statistical analyses (Factor and Cluster Analyses) were conducted on the water quality parameters. The factor analyses can extract four factors from the water quality parameters of the Harrana wells Area-1 and for Azraq wells in Area-2. These factors are used to interpret the different geochemical processes affecting the groundwater quality parameters. Cluster analyses divided the Harrana wells into three groups. Cluster I included 26 wells with minimum mean concentrations of cations and anions, while cluster III included the wells with the highest concentrations in the water quality parameters. Cluster II included eight wells with intermediate concentrations. The interpretation indicated that the primary factors controlling the groundwater chemistry of Azraq and Harrana appeared to be dissolution processes of the carbonate rocks containing traces of evaporitic minerals, ion exchange and reversal ion exchange processes. Moreover, the water quality in the study areas is not suitable for drinking purposes.

The acceptable water quality standard varies based on the intended use of water. Therefore, the standard will be dramatically decreased while moving from Drinking, domestic, industrial and agricultural purposes. Water quality modeling software Aquachem and ArcGIS10.3 were used to analyze data sets of 12 samples from four different wells located around the Mafraq area in order to investigate its suitability for drinking. The results revealed that hydrochemistry of groundwater recorded a wide range in total dissolve solid (TDS) and the chloride is found to be most predominating. Generally, groundwater in the University and Zatari areas has high concentrations of nitrate. The major element's data were plotted on the Piper's diagram for working of hydrogeochemical facies. Mixed CaMgCl are the most prominent facies. The pH part of the drive diagram reveals that groundwater in the study area is alkaline and electrical conductivity of most of samples lies in the range of drinking water standards adopted in Jordan.

Acute respiratory tract infections (ARTIs) during the winter months are associated with higher morbidity and mortality compared to other seasons of the year, with children below five, elderly, and immunocompromised patients being the most susceptible. Influenza A and B viruses, rhinovirus, coronaviruses, respiratory syncytial virus, adenovirus, and parainfluenza viruses, are the most frequently identified causes of viral ARTIs. In addition, the emergence of SARS-CoV-2 in 2019 provided an additional viral cause of ARTIs. The aim of this study was to provide an overview of the epidemiological status of upper respiratory infections, their main causative agents, and reported clinical presentation in the winter months of 2021, during two important surges of COVID-19 in Jordan. Nasopharyngeal samples were collected from 339 symptomatic patients during the period from December 2021 to March 2022, followed by nucleic acid isolation using a Viral RNA/DNA extraction Kit. The causative virus species associated with the patient’s respiratory symptoms was determined utilizing a multiplex real-time PCR targeting 21 viruses, 11 bacteria, and a single fungus. SARS-CoV-2 was identified in 39.2% of the patients (n = 133/339). A total of 15 different pathogens were also identified as co-infections among these 133 patients (n = 67/133). SARS-CoV-2-Bacterial coinfections (37.6%, n = 50/133) were the most frequent, with Bordetella species being the most common, followed by Staphylococcus aureus, and H.influenzae type B. Viral coinfection rate was 27.8% (n = 37/133), with Influenza B virus and Human bocavirus being the most common. In Conclusion, Both SARS-CoV-2, influenza B virus, and Bordetella accounted for the majority of infections in patients with URTI during the winter months of 2021–2022. Interestingly, more than 50% of the patients with symptoms of URTIs were confirmed to have a coinfection with two or more respiratory pathogens, with SARS-CoV-2 and Bordetella coinfection being most predominant.

Background and Purpose: CHA2DS2-VASc score is one of the most widely used scoring systems to assess the risk of systemic embolization and stroke in patients suffering from atrial fibrillation (Afib); furthermore, it is important in guiding their treatment. This study aimed to evaluate the predictivity of this score in the Jordanian population, build a deeper understanding of patients' demographic and risk factors, and assess the usefulness of anticoagulation as a preventive measure. Methods: A total of 2020 patients with Afib registered in the Jordanian Atrial Fibrillation (JoFib) registry were enrolled in this study. All patients were followed up for 1 year to assess their susceptibility to develop cerebrovascular accident (CVA) and systemic embolism (SE). The association between CHA2DS2-VASc score and risk of development of stroke or systemic embolization was analyzed based on bivariate and adjusted multivariate analyses. The ROC curve was used to assess the predictivity of the CHA2DS2-VASc score. Results:The mean age of the study population was 67.8 years; 45.8% were males, and 81.8% were on anticoagulants. And, 71.8% had a CHA2DS2-VASc score of ≥3. During the follow-up period of 1 year; 69 developed new CVA (mean age, 72.8 years), and 9 developed SE. A total of 276 patients died; 18 patients died (6.5% out of all deceased)% from CVA. A moderate predictive power of the CHA2DS2-VASc score was demonstrated through ROC curve analysis with C statistics of 0.689 CI (0.634 to 0.744) for predicting the development of SE or CVA at 1 year. Conclusion: CHA2DS2-VASc showed a moderate predictivity of stroke, SE, and all-cause mortality at 1 year. The study suggested disregarding gender differences in deciding to initiate anticoagulant therapy.

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