Background Irritable bowel syndrome (IBS) is one of the commonest diagnosed gastrointestinal disorders (GI) in primary care and gastroenterology practices. This study aimed to explore the prevalence of IBS, and identify associated factors, among university students in Jordan. Methods A cross-sectional study was conducted among students at the Hashemite University in Jordan. A validated, confidential, self-administered data collection questionnaire was used for the collection of personal and sociodemographic data, and the Rome III criteria were used to define IBS. Logistic regression analysis was done to identify factors associated with IBS. Results A total of 198 students participated in the study, of whom 163 had complete data and could be assessed by the Rome III criteria. The age range of the students was 18 to 35 years, and 91 (55.8%) were women. Overall, 26 (16.0%) of the respondents were diagnosed with IBS. Poor sleep (Adjusted Odds Ratio [AOR] 3.9; 95% confidence interval [CI] 1.5-10.4; p<0.01), being married (AOR 7.6; 95% CI 2.0-28.8; p<0.01) and a family history of IBS (AOR 2.9; 95% CI 1.1-7.7; p=0.03) were independently associated with IBS in multivariable analysis. Conclusion IBS was common among otherwise healthy university student in Jordan. Lifestyle factors such as poor sleep appeared to be associated with IBS symptoms.

Hypoglycemia is a clinically significant disorder with a wide variety of underlying causes. We report an unusual case of hypoglycemic episodes caused by an iatrogenic infection in a 17-year-old white female who presented to our emergency department complaining of 2-3 episodes of syncope per week in the previous year, which started after an appendectomy in 2016. She was hypoglycemic and a vague painless abdominal mass was found upon palpation. An abdominal CT revealed a large, well-defined heterogeneous lesion. The excised mass was surrounded by pieces of gauze that had remained in her abdomen since the appendectomy. An asymptomatic infection was the cause of her hypoglycemic episodes. After antibiotic therapy, the abdominal symptoms resolved within the first week and at follow up at 6 months after surgery, her glucose level was back to normal. This is the first reported case of iatrogenic occult infection with episodic hypoglycemia as a cardinal feature. This case illustrates that infection should remain in the differential diagnosis although cardinal signs are absent.SIMILAR CASES PUBLISHED: 0

This study was conducted to investigate the effect of addition the different levels of Hayicinth (Einhhornia Crassipes) instead of barely in diet on Jejunum of villi of broilers, The experiment was carried out in the Animal Prodcction Department, Faculty of Agriculture, University of Kufa, associated with the department of medical laborites Sciences / laboratory of Histology and Anatomy. A total of 300 broiler Ross type, one day age, were divided into 5 groups, each group contain 60 birds. They were subjected to five treatments as following:-group (T1): control in which they were given normal diet without any additions, Group (T2): were given 25 % of Hayicinth (Einhhornia Crassipes ) in diet daily, Group (T3): were given 50 % of Hayicinth (Einhhornia Crassipes ) in diet daily, Group (T4): were given 75 % of Hayicinth (Einhhornia Crassipes ) in diet daily and Group (T5): which were given 100 % of Hayicinth (Einhhornia Crassipes ) in diet daily. The treatment started at the beginning of one day old of age till 5 weeks. At the end of treatment a portion of Jejunum was taken for histological examination of villi. The histological examination revealed that Group (T1) control showed normal structure for the villi in the 4 main layer, while, Group (T2) had long villi, mucosa had damage in some metaplasia, epical villi was damaged and serosa with smooth muscle was regular and edematous. Group (T3) revealed long, thick hypertrophy villi, mucosa and sub mucosa was edematous and damaged, while, serosa had irregular fiber smooth muscle, intestinal glands was irregular in shape and epical villi was damaged. However, Group (T4) deducted long thin lamina properia with complete damage of mucosa, Filamentous sub mucosa without muscle fiber and intestinal glands were irregular in shape, while, Group (T5) showed sever damage of mucosa and sub mucosa, filamentous lamina properia, intestinal glands showed sever hypertrophy and irregularity in shape with some glands were damaged with cytoplasm lost its appearance and nucleus lost its shape while, serosa showed irregular muscle fiber and edematous. It was concluded that the addition of Hayicinth (Einhhornia crassipes) had adverse effect on the structure of villi of Jejunum of broiler chicks which was a dose dependent.

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