@article { author = {}, title = {Smear Positive Versus Smear Negative Tuberculosis: An Audit of Some Aspect Related to Management Practices in Mahalla Al-Kobra Chest Hospital, Gharbia Governorate, Egypt.}, journal = {The Egyptian Journal of Community Medicine}, volume = {33}, number = {3}, pages = {1-18}, year = {2015}, publisher = {Egyptian Community Medicine Association}, issn = {1110-1865}, eissn = {2090-2611}, doi = {10.21608/ejcm.2015.699}, abstract = {The aim was to determine the difference in distribution of biomedical factors between smear positive and smear negative TB and to audit some aspects of management practices in Mahalla Chest Hospital, Egypt. A retrospective analysis for tuberculous records admitted during 2013. Smear positive and smear negative TB cases were similar regarding biomedical profile. Time needed to reach diagnosis among smear negative TB patients was significantly prolonged than positive one. TB screen is not asked directly in 88.9% once the patients suffered from chest symptoms for > two weeks. 16.4% of diagnosed TB cases were done without making x ray in the hospital. In spite of 25.7% and of smear negative was not subjected to antibiotic therapy and 37.8% of them were not perform sputum smear or perform only one smear sample; the TB committee decided to treat these cases as TB. Ongoing audit to find service gaps and a medical training program as well as regular supervision of all processes of TB management were recommended.}, keywords = {}, url = {https://ejcm.journals.ekb.eg/article_699.html}, eprint = {https://ejcm.journals.ekb.eg/article_699_8423bd70c5a05257b82ddb46ab608fd4.pdf} } @article { author = {}, title = {An Interventional Study for Osteoporosis Prevention among Female Employees of Faculty of Medicine, Ain Shams University.}, journal = {The Egyptian Journal of Community Medicine}, volume = {33}, number = {3}, pages = {19-31}, year = {2015}, publisher = {Egyptian Community Medicine Association}, issn = {1110-1865}, eissn = {2090-2611}, doi = {10.21608/ejcm.2015.700}, abstract = {Background: Osteoporosis is a debilitating and silent metabolic disorder that millions of people suffer from .It is considered preventable by means of adequate nutrition, sufficient physical activity and healthy lifestyle. Participation in "Health educational intervention programs" is effective in osteoporosis prevention and treatment.Objective: To measure the level of knowledge, attitude and practice about osteoporosis prevention among female employees of faculty medicine at Ain-Shams University before and after implementation of health education intervention program.Methodology: An Interventional study was conducted in January till the end of May 2014. All female employees in Ain Shams University – Faculty of Medicine fulfilling the inclusion criteria were included (n= 260) in the study. A self-administered questionnaire was completed by the study subjects before, immediately after and two months after a health education intervention program. This program was a lecture in the form of power point presentation to raise the awareness and improve the attitude and practice towards osteoporosis prevention.Results: There was a significant increase in the mean scores of the participants’ knowledge (from 2.7 ±2.8 pretest to 12.4 ±1.3 post-test as regard knowledge about risk factors. Also from 1.1 ±1.4 pretest to 5.4 ±0.9 post-test as regard knowledge about preventive and diagnostic practices) attitude, and preventive practice after implementation of health education program.Conclusion: The health education intervention was effective in increasing knowledge, attitude and practice as regards osteoporosis prevention.}, keywords = {}, url = {https://ejcm.journals.ekb.eg/article_700.html}, eprint = {https://ejcm.journals.ekb.eg/article_700_0cb96cc95e4f992e176cc92c6e474dc3.pdf} } @article { author = {}, title = {Compliance of health care providers with perioperative patient safety guidelines in a general hospital in Cairo}, journal = {The Egyptian Journal of Community Medicine}, volume = {33}, number = {3}, pages = {33-47}, year = {2015}, publisher = {Egyptian Community Medicine Association}, issn = {1110-1865}, eissn = {2090-2611}, doi = {10.21608/ejcm.2015.701}, abstract = {Background: Perioperative patient safety became an utmost priority all over the world. Commitment of the health care providers (HCPs) to patient safety guidelines can decrease the rate of perioperative morbidity and mortality. Objective: This work aims to assess the degree of compliance of health care providers - in Police hospital in Cairo- with the patient safety guidelines and to study the effect of work load on degree of compliance. Materials And Methods: A descriptive study was conducted on 305 patients who had undergone surgeries in 3 operating rooms of Police hospital in Cairo during duration 3 months from 16-4-2014 till 14-7-2014.WHO safe surgery checklist was used to check if health care providers were compliant to its items or not. Results: Health care providers in operation rooms of Police hospital in Cairo showed compliance with the WHO safe surgery checklist items as the following: mean compliance of the Sum ―Total score‖ is (73.85 %) while the stage of the highest mean was stage I ―sign in‖ with mean (81.66%) and the stage with the lowest mean was stage II ―SSI bundle‖ with mean (52%). Stage III ―time out‖ & stage IV ―sign out‖ shows mean compliance of 74.94 % & 67.05% respectively. Providers with higher work load had lower compliance with some safety items. Conclusion: Health care providers working in the operation rooms of police hospital in Cairo show aspects of low compliance with the WHO safe surgery checklist , they need to be aware of the importance of patient safety guidelines and to put a plan to increase their compliance in Police hospital in Cairo with the WHO safe surgery checklist. Decreasing workload can improve compliance regarding some safety items}, keywords = {Patient Safety,Compliance,workload,WHO Safe Surgery Checklist}, url = {https://ejcm.journals.ekb.eg/article_701.html}, eprint = {https://ejcm.journals.ekb.eg/article_701_cf454fced481350a3f52925aa3154497.pdf} } @article { author = {}, title = {Effectiveness of community based health education intervention about safe motherhood among pregnant females in Sharkia Governorate, Egypt}, journal = {The Egyptian Journal of Community Medicine}, volume = {33}, number = {3}, pages = {49-68}, year = {2015}, publisher = {Egyptian Community Medicine Association}, issn = {1110-1865}, eissn = {2090-2611}, doi = {10.21608/ejcm.2015.702}, abstract = {Background: knowledge about safe motherhood practices could help not only to reduce pregnancy related health risks but also helps in improving maternal and child health. Aim: The aim of our study was to measure the effectiveness of health education intervention on the knowledge and attitude of different safe motherhood domains among pregnant women. Methods: a community based interventional study was conducted on 122 pregnant women in El- Nakhas village, Sharkia Governorate over a period of 6 months using structured questionnaire asking about the knowledge and attitude towards antenatal, natal, post natal care, breastfeeding and family planning. Results: Our results revealed significant improvement in the total knowledge and attitude score regarding; antenatal care (from 13.80±3.47 to 21.96±4.32) and (from 11.26±1.20 to 12.92±1.80) respectively, post natal care total score (from 5.62±0.74 to 9.10±0.70) and from (7.68±1.76 to 10.86±2.60) respectively, total Family planning (from 6.88±1.28 to 10.86±1.72) and (5.64±1.26 to 6.38±2.54) respectively, Breast feeding total score (from 16.92±2.30 to 22.42±2.74 ) and ( from 6.82±1.44 to 9.30±1.52) respectively. The age and education of the participants were the main factors affecting the post interventional knowledge. Conclusion: Health education intervention succeeded in improving the knowledge and attitude of safe motherhood different domains. Rural women need continuous health education programs about safe motherhood for improving their knowledge and attitude.}, keywords = {safe motherhood,Knowledge,Attitude,Pregnant women,Intervention}, url = {https://ejcm.journals.ekb.eg/article_702.html}, eprint = {https://ejcm.journals.ekb.eg/article_702_a4b11a4b39d7366b9eb26ba742125fd8.pdf} } @article { author = {}, title = {Serum Manganese, Serum Iron and Ferritin Concentrations among Welders of Shipyard of Arab Contractors in Ismailia City}, journal = {The Egyptian Journal of Community Medicine}, volume = {33}, number = {3}, pages = {69-80}, year = {2015}, publisher = {Egyptian Community Medicine Association}, issn = {1110-1865}, eissn = {2090-2611}, doi = {10.21608/ejcm.2015.703}, abstract = {Background: Cutting and welding metal pieces in industry increase chances for welders to be exposed to manganese emitted in welding fumes. There is raising concern about the potential neurotoxic effects of manganese inhalation in welders. Interactions between manganese and iron occur and impact the toxicokinetics of iron with subsequent alteration in blood levels of iron and iron regulating proteins. Aim: To assess the burden of manganese exposure on serum level of manganese and on iron metabolism for early detection of manganese toxicity among welders. Methods: The study was carried out in the shipyard of Arab contractors in Ismailia on 30 welders and 30 office workers. Blood samples were collected for measuring serum concentration of manganese, iron and ferritin in all subjects. Results: Mean ± SD of serum manganese in welders and control group were 1.4 ± 1.3 μg/dl and 0.7 ± 0.6 μg/dl respectively, while mean ± SD of serum iron in welders and control were 69.5 ng/dl ± 17.5 and 77.8 ± 22.6 ng/dl respectively (P= 0.118). Serum ferritin was significantly higher among control than among welders (P = 0.000). Both serum iron and serum ferritin showed significant negative correlation with serum manganese. Multiple linear regression analysis showed that serum manganese significantly predicted serum ferritin. Conclusion: Exposure to welding fumes among welders disturbs serum homeostasis of manganese, iron, and the proteins associated with iron metabolism. Serum manganese may serve as a reasonable biomarker for assessment of recent exposure to airborne manganese.}, keywords = {welding fumes,Manganese,iron,ferritin}, url = {https://ejcm.journals.ekb.eg/article_703.html}, eprint = {https://ejcm.journals.ekb.eg/article_703_04560f9dd2822c3e1ce594f56980878e.pdf} } @article { author = {}, title = {Prevalence and risk factors of work related stress among residents at Ain Shams University Hospitals}, journal = {The Egyptian Journal of Community Medicine}, volume = {33}, number = {3}, pages = {81-98}, year = {2015}, publisher = {Egyptian Community Medicine Association}, issn = {1110-1865}, eissn = {2090-2611}, doi = {10.21608/ejcm.2015.704}, abstract = {Background: Work related stress is an increasingly important occupational problem and a significant cause of economic loss. Objectives: To measure the prevalence and to determine the risk factors of work related stress among residents working in Ain Shams University Hospitals. Subjects and Methods: A cross-sectional study was conducted in which the study population consisted of residents working in different departments in the four main Ain Shams University Hospitals. In this study, 488 residents from a total of 557 accepted to participate, their age ranged from 24 to 29 years old (mean ± SD = 26.9 ± 1.3 years), 49.6% of them were males and 50.4% were females. Self- administered questionnaire was used including general health questionnaire-12 items (GHQ) and questionnaire for stress risk factors. Results: 58% of the residents were stressed, 28.1% of them scored mild stress and 29.9% scored severe stress. Regarding stress risk factors, being a female, difficulty in taking vacation, uncomfortable work environment, problems in communication with supervisors and perception of doing work of no value were the most important independent predictors for work related stress by using logistic regression model. Conclusion: Stress is prevalent among residents working at Ain Shams University Hospitals which imply that immediate intervention programs are needed to overcome these problems and to keep residents physically and mentally healthy.}, keywords = {}, url = {https://ejcm.journals.ekb.eg/article_704.html}, eprint = {https://ejcm.journals.ekb.eg/article_704_b3a6c3d39e57d19f59e64fdeaa7111d4.pdf} }