Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
34
4
2016
10
01
Determinants of Adherence to Medications in Geriatrics in Serse Elian City , Menoufia Governorate , Egypt .
1
12
EN
10.21608/ejcm.2016.1416
Background: Adherence to therapies is a corner stone of treatment success. Medication non adherence in geriatric patients leads to substantial worsening of disease, increased health care costs and death. A variety of factors are likely to affect adherence. Barriers to adherence could be addressed for each patient to deal with. Objective: To assess the determinant factors of medication adherence in old patients living in their own houses. Methods: This is a cross-sectional study of random sample of 438 geriatric patients where aged 70-85 years -old , living in their own homes in Serse Elian City , Menoufia Governorate . Patients’ information were collected from the prescriptions in the file of the patient and home visits were done to examine their daily drug consumption. Results: Male geriatric patient were found to be more adherent to their medications than female (63.9 % versus 36.1%). Functional complain, living alone, low perceived health, cognitive impairment and patients satisfaction of their management plan were found to be significant factors in restrict following their prescribed drugs. Conclusions: Medication non adherence is not a rare event in elderly patients and is associated with functional complains and cognitive impairment.
adherence,geriatric,medications
https://ejcm.journals.ekb.eg/article_1416.html
https://ejcm.journals.ekb.eg/article_1416_9e5c14b513013cbaa16b0f731decc7ae.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
34
4
2016
10
01
Health Risky Behaviors Among University Students: Prevalence And Effect Of Health Education Program.
13
33
EN
10.21608/ejcm.2016.1417
Background: University students are at high risk of health-risky behaviors that could lead to serious physical complications, social dysfunction, and psychological disturbances which require different treatment approaches. Also they face social, emotional and educational challenges when entering the University. Well organized health education programs can change such behaviors by increasing knowledge and influencing attitude and behavior. Objectives: The main objective of this study is to rate the most frequent health risky behaviors among university students and to evaluate the effect of health education program on the level of changing the health risky behaviors among university students. .Methods: An interventional study was used; the study was conducted on a sample of 853 randomly selected students at Zagazig University, during the 2nd term of the academic year 2014 -2015. A structured questionnaire to assess types and prevalence of health risky behaviors before and after intervention was used. Additionally anthropometric measurements were calculated. Results: unhealthy dieting behavior took the lowest satisfactory score (10%), followed by unhealthy nutritional behavior (17%) and smoking behavior (33.3%).The implementation of the educational program was effective in improving unhealthy behavior especially dieting behavior. Conclusion: health risk behaviors are common among college students, and raising awareness by regular health education programs can dramatically change the profile of these behaviors.
University colleges,Health,risky behaviors,health education
https://ejcm.journals.ekb.eg/article_1417.html
https://ejcm.journals.ekb.eg/article_1417_f253d2cfe4a9eb026bfbb3c8b3e491b8.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
34
4
2016
10
01
Utilization of Maternal Health Care Services Among Women in ELSheikh Zaid City
35
49
EN
10.21608/ejcm.2016.1418
Background: Maternal health care encompasses the health of women in the childbearing years, including those in the pre-pregnancy period, those who are pregnant, and those who are caring for young children. The objective of the maternal care is prevention of maternal morbidity and mortality which can be achieved through health care for women before pregnancy, during pregnancy, during and after labor and inter pregnancy period. Aim of work: To measure the utilization of maternal health care services among a sample of Egyptian women in EL-Sheikh Zaid city. Methodology: Descriptive cross- sectional study was done on 385 women who came to receive service from the EL-Sheikh Zaid primary health care center and were pregnant within one year duration; those women were interviewed by a questionnaire asking about their socio-demographic data like the age, work and education, antenatal, natal and postnatal care services provided to them during the last pregnancy. Results: Most of mothers (81%) had adequate (four or more) antenatal care (ANC) visits. About (34.9%) of mothers had their ANC in the private sector. 92.5% of mothers delivered under supervision of skilled medical team and 45.7% had postpartum medical counseling. Recommendations: Health center should prepare a health education plan involving the messages to be given to mothers at each stage of pregnancy and properly implement this plan. Also, direct attention to the quality of care provided should be done in order to increase utilization.
Maternal health care,utilization,antenatal care,Natal care,Postnatal care
https://ejcm.journals.ekb.eg/article_1418.html
https://ejcm.journals.ekb.eg/article_1418_2bf9e26af78517a498ce66dbfbd06c1c.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
34
4
2016
10
01
Computer Vision Syndrome and Musculoskeletal Disorders among call center workers of a private company
51
57
EN
10.21608/ejcm.2016.1419
bjectives: to determine the self-reported computer vision syndrome (CVS) and musculoskeletal disorders (MSD) symptoms among a call center workers and to identify the relation between their occurrence and adherence to ergonomics in the call center settings. Research design and methods: an observational cross-sectional study was conducted on 202 workers in a private company call center in Abbasia – Egypt; A self-administrated questionnaire including questions about: workers' sociodemographic data, Occupational data, the call center working environment (lighting, temperature …etc.), used devices (monitor, keyboard…etc.) and workers selfreported computer vision syndrome and musculoskeletal symptoms. In addition, OSHA computer workstation evaluation checklist was used Results: forty eight percent of the workers have musculoskeletal pain since they started working in the center. Neck pain (53%) and low back pain (52.5%) were the most reported musculoskeletal symptom. Eye strain (72.4%) and headache (64.4%) were the commonest reported computer vision syndrome symptoms .The ergonomic evaluation revealed a problem in the working posture in (87.6%), a problem in (98.5%) related to the seating, (81.7%) related to the keyboard and the input device usage and an ergonomic problem in monitors in (68.8%) of the workers. Conclusion: Low back pain and neck pain were the highest reported musculoskeletal complains. Headache and eye strain were the highest reported computer vision syndrome symptoms. Although there were ergonomic defects in the work station setting, they were not the significant cause behind workers' symptoms of MSD or CVS.
call center,Ergonomics,Musculoskeletal disorders,computer vision syndrome
https://ejcm.journals.ekb.eg/article_1419.html
https://ejcm.journals.ekb.eg/article_1419_ce285125699a118c8ee423219da4959b.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
34
4
2016
10
01
Health care Providers practice toward Patient Safety in El-Ebor family health centers, Egypt.
59
68
EN
10.21608/ejcm.2016.1420
Background and purpose: Safety is an area of inquiry that emphasizes the identification of risk, reporting, analysis and the prevention of unintended or potential harm associated with healthcare. According to WHO International Classification for Patient Safety, it is defined as: an event or circumstance which could have resulted in unnecessary harm to a patient. Objectives: Identify the frequency of patient safety errors among health care providers (HCP) and risk factors allied with error. Methods: A descriptive cross sectional study was conducted in El-Ebor family health centers, Qalyubia Governorate, Egypt. All the health care providers (172) were recruited for the study .Medical group was 123(family physicians, dentists and pharmacist) and Paramedical group 49(nurses, social workers and chemists). The participants' practice regarding patient safety was assessed using an observational checklist adopted from the Ministry of Health and Population (MOHP) checklist after modification. The checklist included items about: patient identification, Laboratory & pharmacy measures, Infection control measures, Provider compliance and Safety climate. According to the observational checklist, participants were classified as having accepted or non- accepted practice (practice medical errors). Results: This study showed that nearly half of the health care providers were less than 30 years old (51.7%). The majority of them were females (91%). About 71% of the studied group had non-accepted practice (medical errors) regarding patient safety. Nearly 33% of the medical personnel had an accepted practice while 81.6% of the paramedical had non-accepted practice. There was statistically significant difference in the accepted practice concerning the patient's safety that interrelated to infection control and patient identification among paramedical group than medical category group. Group having experience less than five years showed more accepted practice regarding providers' compliance to guideline and policy than the other group Conclusion: Paramedical staff had an accepted safety practice regarding patient identification and infection control compared to medical staff. Provider's compliance to guideline was significant better between whom with less experience than with long experience.
https://ejcm.journals.ekb.eg/article_1420.html
https://ejcm.journals.ekb.eg/article_1420_10137c331060f7f908d4680b3146af4b.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
34
4
2016
10
01
Patterns, Prevalence and Impact of Violence against Health Care Workers in Beni-Suef Governmental Hospitals.
69
82
EN
10.21608/ejcm.2016.1421
Background: Violence against HCWs is an unethical aggressive behavior posing a problem that affects health care professionals' performance. Workplace Violence are incidents of abuse, threat or assault in the work related environment. Aim of the work: To assess the magnitude and patterns of violence against HCWs in Beni-Suef Governmental hospitals, exploring the reporting, consequences and impact of these aggression incidents on daily health service performance. Subjects and Methods: A cross sectional study was conducted from December 2013 to October 2014 using a self-administered questionnaire addressed for 672 physicians, nurses and technicians working in the Beni-Suef University, General and Health Insurance Organization hospitals with a response rate of 72% (484/672). Results: Mean age of the participants was 32.5 ±9.8 years. Violence was most against nurses (92.5%) followed by physicians (80%) with external violence being more prevalent in university hospital. External verbal violence was the most frequent pattern (82%) against nurses. Reporting was higher for verbal (56%) and psychological (52%) external violence among nurses; and no actions taken after reporting was the commonest leading to passive attitude of the HCW's. Depression and Stress had negative consequences on work performance. Conclusion and Recommendations: Workplace Violence against HCWs is a growing health care facility problem; most common against nurses being the first line contact person with the patients and their relatives. Hospitals should enhance programs for training and incident reporting, particularly for nurses at higher risk of exposure. In addition; it is important to implement security and safety measures to protect HCWs from perpetrators.
violence,hospital,Health Care Workers,reporting,impact
https://ejcm.journals.ekb.eg/article_1421.html
https://ejcm.journals.ekb.eg/article_1421_778ec4235d41fa7b3dab49f2049421bc.pdf
Egyptian Community Medicine Association
The Egyptian Journal of Community Medicine
1110-1865
2090-2611
34
4
2016
10
01
Measuring Tuberculosis related stigma and its determinants in Egypt: A community based study
83
93
EN
10.21608/ejcm.2016.1422
Background: Tuberculosis is still an important public health problem in Egypt. The condition is highly stigmatised, with considerable discrimination towards sufferers. The objectives of our research were therefore to take the first steps towards determining the magnitude and determinants of stigma associated with TB. Methods: A multistage stratified cluster random sample was employed in this house to house survey which targeted adult males and females from 15-65 years old in 6 randomly selected governorates. An interview questionnaire covering 5 sections of questions about socio-demographics, tuberculosis knowledge, attitude, stigma and gender discrimination was used. Fifteen indicators of stigma were used and a stigma index was calculated. Results: The prevalence of stigma among the studied sample was below the average = 44.9%. The significant predictors were the presence of gender discrimination, level of participant’s knowledge and attitude towards TB, gender, residency and having a job or not as depicted from logistic regression analysis. Conclusion: Females, jobless population and rural residents are the most important target groups for health education programs
tuberculosis,Stigma,prevalence,gender discrimination
https://ejcm.journals.ekb.eg/article_1422.html
https://ejcm.journals.ekb.eg/article_1422_70464186bddb7bc8f630bf1a0d000a4e.pdf