Women in southern Jordan experienced multiple menopause-related symptoms and morbidities. The majority of them did not receive any health education about this phase of life. Preventive health practices and health-promoting behaviors are relatively uncommon. Effective health-care delivery systems responsive to menopausal women's health needs are highly recommended.

We conducted a prospective study of48 children, aged 2 to 14 years, who had persistent bilateralotitis media with effusion, enlarged adenoids, and a bilateral conductive hearing loss. Halfofthese patients underwent adenoidectomy and the other halfadenotonsillectomy. All patients were followed every 2 weeks for up to 6 months. At 2 months postoperatively, the overall success rate in terms of the resolution of middle ear effusion was 85.1 %. Success rates were 82.6% in the adenoidectomy group and 87.5 % in the adenotonsillectomy group; the difference was not statistically significant. Our findings demonstrate that both adenoidectomy and adenotonsillectonty are effective for the treatm ent of persistent otitis media with effusion, and they confirm the findings of other studi es. Based on ourfindings and those ofother investigators, we offer a four-step approach to the management of these children.

This study was conducted with the aim of finding the prevalence rate of hypertension and the relationship between hypertension and selected socioeconomic and dietary parameters in females aged 15-49 years in a disadvantaged community in Jordan. A household survey was carried out, using a questionnaire as an instrument for interviewing subjects. About 19% of females had hypertension, ranging between 7.5% in the very young to 58% in women aged 45-49 years. Hypertension was significantly associated with almost all variables studied such as age, education, marital status, parity, obesity, and dietary patterns. Some strategies were suggested to improve the situation in the future.

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This study was performed to find out the effectiveness of three different treatments of patients having acute tonsillopharyngitis. Three groups of patients were selected (50 patients in each group). Group I received one antibiotic according to the result of culture and sensitivity test, while groups II and III received two antibiotics or one antibiotic respectively without a culture and sensitivity test. Diagnosis was based on the acutely subjective symptoms of sore throat and positive clinical examination findings. The effectiveness of treatment in group I (96 per cent) was statistically significant (p<0.05) and higher than group II (82 per cent) and group III (74 per cent), while the difference between group II and III was not statistically significant (p>0.05). Our findings demonstrate that a culture and sensitivity test of the throat swab is necessary before treating acute tonsillopharyngitis. It was suggested that there should be appropriate selection of antibiotics to preserve normal flora, avoidance antibiotics for viral infections, patient compliance with prescription and educational programmes directed at patients and physicians. All of these measures would assist in reducing the volume of antibiotic use, bacterial resistance and the overall cost of treatment of tonsillopharyngitis.