Jaundice among Pregnant Women in Alexandria – Egypt: A Descriptive Study
Sherif
Omar
Tropical Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt
author
Ezzat
Hassan
Tropical Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt
author
Mohamed
El-Samra
Obstetrics and Gynecology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
author
Moahamed
Hassan
Specialist of Hepatogastroentrolgy, Alexandria Fever Hospital, Ministry of Health, Alexandria, Egypt
author
text
article
2007
eng
Objectives: To describe causes, sociodemographic characteristics, and prevalence of some factors that could participate in the occurrence of jaundice during pregnancy in Alexandria - Egypt. Methods: A descriptive study started January 2005 for one year duration, included 20 cases (all cases admitted to Alexandria Fever Hospital and Shatby University Hospital for Obstetrics and Gynecology with the clinical and laboratory diagnosis of jaundice). Questionnaire sheet administered through an interview with each patient includes demographic data, known risk factors, and medical history. Full clinical and obstetric examination was done, with an ultra-sound review, estimation of serum ALT, AST, alkaline phosphatase, bilirubin (total and direct), and serological screening against virus hepatitis A, B, C and E. Results: Most cases (n=17) were admitted to the Fever Hospital. Of them; 11 cases (55%) were due to HAV infection, 5 cases resulted from other virus hepatitis. Remaining 4 cases were due to conditions related to pregnancy. Age between 20 and 30 represented 80% of cases. Low social score accounts for 70% of cases. Only 7 cases presented during the 1st trimester. Most cases got no previous history of jaundice (95%); only 4 cases got family history of jaundice. The majority of cases (65%) reported one or more virus known hepatitis risk factors; suffers anaemia (55%), hepatomegaly (90%), and got abnormal levels in blood chemistry. Conclusions: The study is an update in current causes, demographic pattern, and risk factors associated with clinical jaundice during pregnancy. It documents that many factors are implicated in the causation of this relatively uncommon clinical condition.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
260
269
https://jhiphalexu.journals.ekb.eg/article_22519_ba26adf10e79c14915d39e4ff374d12a.pdf
dx.doi.org/10.21608/jhiph.2007.22519
Three-Year Surveillance of Chickenpox among the Military Community in Taif – KSA: Primary Reporting of an Epidemic Situation
Sherif
Omar
Epidemiology Unit, Department of Preventive Medicine, Al-Hada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia
author
Tawfiq
Al-Hussaini
Vaccination Unit, Department of Preventive Medicine, Al-Hada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia
author
text
article
2007
eng
Objectives: To study the current epidemiology of varicella (chickenpox), and to document the presence of a recent epidemic situation occurring among members of the military troops and their families in Taif area; Kingdom of Saudi Arabia. Methods: A descriptive study was done to evaluate epidemiological data related to chickenpox over the period of three years starting May 1st 2005 till April 30th 2008. Data were recorded regularly complying with the infectious diseases surveillance protocol set by the Saudi Ministry of Health that considers varicella as one of the notifiable diseases. Results: 205 cases were recorded in the first year, 257 during the second year, and more than 5 fold increase up to 1395 cases during the third year; males constituted 54.7% of the total number of cases, all age groups were affected mainly between 5-14 years (46.9%) and between 15-44 years (32.9%), cases over the age of 15 comprised 35.16% of the total number. Conclusions: Reported cases of chickenpox increased dramatically in numbers during the third year of the surveillance indicating an epidemic situation. The disease seams to cease being a childhood exclusive disease; as more than one-third of the reported cases were above the age of 15. The newly introduced childhood compulsory live-attenuated vaccine started nationally in January 2008 is a new hope to reduce burden of the disease within the Saudi community.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
270
278
https://jhiphalexu.journals.ekb.eg/article_22520_302f769915b5d449b61d9102e0a923cf.pdf
dx.doi.org/10.21608/jhiph.2007.22520
Impact of a Psycho-Education Intervention on Insight of Hospitalized Schizophrenic Patients
Ghada
Ghazi
Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
Magdala
Maximos
Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
Sanaa
Imam
Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
Severely impaired insight is one of the main characteristics of psychotic disorders that present a major obstacle for treatment. Traditionally, insight has often been viewed as a simple or unitary construct. Recently, it is considered as a complex phenomenon with multiple components. A general lack of insight is widespread and very common in many patients with schizophrenia. Psycho-education is a form of mental health intervention which focuses on educating patients about their disorders, emotional responses, and treatments, as well as supporting positive coping mechanisms. The main purpose of this study was to determine the impact of psycho-education intervention on insight development among hospitalized schizophrenic patients. A structured frame of psycho-education intervention was developed by the researchers. The intervention aimed at increasing patients’ awareness about their mental disorder, their symptoms as well as its attribution, the social consequences of mental disorder and the achieved effects of medication. Before the implementation of psycho-education intervention, the total Scale to Assess Unawareness of Mental Disorder (SUMD) mean scores for current awareness and attribution were 13.78±2.95 for the intervention group and 15.04±2.73 for the control group (mild to moderate degree lack of insight). These results changed after the implementation of the psycho-education intervention to 7.96±2.81 and 15.67±2.39 respectively, with a statistical significant improvement (t=14.731, p<0.0001) on the part of the intervention group. This was also true when comparing the two groups’ SUMD subscale mean scores.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
279
304
https://jhiphalexu.journals.ekb.eg/article_22521_7e397bb7d982e3b1a1157a88c68465f7.pdf
dx.doi.org/10.21608/jhiph.2007.22521
Sleeping Pattern of Depressed Elders Living in Elderly Homes
Magdala
Maximos
Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
Rasha
Fouad
Department of Gerontological Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
Sleep disorders are common and significant complaints of depressed older people. A large proportion of depressed older people are at risk for sleep disturbances, which may be caused by many factors. It was thus the intent of this study to assess the sleeping pattern of depressed elders living in elderly homes. Results of the present study revealed that, the majority of the studied depressed elders had sleeping difficulties and more than half of them took more than 60 minutes in bed to fall asleep. Almost all the subjects woke up more than 3 times during the night, and the most frequently reported causes were frequency of micturition, anxiety, and pain. Three-quarters of the studied elders did not feel comfortable when waking up in the morning, and this affected their ability to perform their daily living activities. It is thus recommended to encourage elderly clients to establish a routine sleep schedule, to stick to rituals that help to relax before bed time and to suggest consultation with appropriate specialist depending on the underlying causes of the sleep disorder.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
305
326
https://jhiphalexu.journals.ekb.eg/article_22522_7ee6da17b14d7590c167e8140a28a96a.pdf
dx.doi.org/10.21608/jhiph.2007.22522
Self-rated Health and some of its Determinants among the Elderly in Rural Areas in Egypt
Mohamed
Makhlouf
Department of Family Health (Division of Geriatric Health), HIPH, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
Self-rated health (SRH) is a subjective assessment of individual health status that has been well documented as a reliable predictor of functional disability and mortality in aged populations. A house to house survey conducted aiming to investigate self-rated health and some of its determinants among the elderly in two rural areas in Egypt; Dhayf and Carabigo Villages. A pre-designed interviewing questionnaire was utilized to collect information about socio-demographic data, social relations, health related variables, lifestyle, and functional abilities of the elderly. A single-item measure was utilized to assess SRH. The total number of the available elderly in the 2 villages was 99. Results revealed that poor SRH was reported among 41.4% of all elderly in the 2 villages while good SRH was reported among 58.6%. The independent predictors of poor SRH among the elderly were being principally cared by others, higher number of utilized medications, insufficient income, and lack of practicing physical exercise. Being cared principally by others was independent predictor of poor SRH among both sexes, while insufficient income and dependency in one function or more of activities of daily living (ADL) were independent predictors among elderly females only. Further studies are recommended. Socioeconomic development, health promotion and protective interventions should be accomplished to enhance functional independence and physical activities among the elderly. Preventive activities should be adopted to deal with chronic diseases and to prevent polypharmacy among the elderly.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
327
346
https://jhiphalexu.journals.ekb.eg/article_22523_351a114b7106ebf7ac6fcf26a22c0123.pdf
dx.doi.org/10.21608/jhiph.2007.22523
Water Quality in Selected Parts of the Distribution System in Kafr El-Sheikh Governorate
Magda
Abd El-Salam
Department of Environmental Health (Division of Environmental Chemistry and Biology), High Institute of Public Health, Alexandria University, Alexandria, Egypt
author
Engy
El-Ghitany
Department of Tropical Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
Drinking water safety is one of the most fundamental and critical responsibilities of public health authorities. There are several challenges facing water resources development in Egypt including upgrading water quality from current degradation. Sanitation service is inadequate in Kafr El-Sheikh’s main cities and in the majority of the villages, and constitutes a major environmental concern for the whole Governorate, as it is for all over Egypt. The water quality in the distribution system itself may not be the same as the treated water entering the system. So, protecting and maintaining water distribution systems are crucial for ensuring high quality drinking water. This study is planned to perform a sanitary survey of a municipal water treatment plant and its distribution system in a rural area located in Kafr El-Sheikh Governorate and to examine their water quality as an example for the growing dependence on small water treatment plants in providing quality water to rural areas and alleviae the burden of water borne diseases. The biological and physico-chemical parameters of 100 water samples from a Mutubis plant and its distribution system represented by tap water, and stored water (roof tanks and reservoirs) were examined using standard methods. El Khadra treatment plant is one of the 13 minor plants supplying the rural areas in Mutubis. It supplies 25 Ezbas covering a population of about 160,000 and produces 80 Liters/second. Transport and storage of water are common practice in this area using different unhygienic reservoirs. Moreover, 60% of the studied roof tanks had unsatisfactory sanitary score. Although most of physico-chemical parameters were in compliance with the Egyptian drinking water standards, approximately all biological parameters were violating the recommended limits. 67% of all water samples were contaminated with total coliform counts, but surprisingly fecal coliforms were detected only in roof water tanks. Moreover, Coagulase & DNase- positive Staphylococci were isolated from 18.75% of all water samples. Co-incidental occurrence of Cryptosporidium oocysts and Giardia lamblia cysts has been found in 19% of samples, while co-incidental absence of the two parasites has been found in 60% of samples. These results suggest a possibility of inadequate performance of the plant in addition to post-treatment contamination and possible risk of infection from these water supply sources. Regular monitoring and enhancement of microbial and physico-chemical parameters of water quality served by different water treatment plants till reaching the population are recommended to gauge their safety for human consumption.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
347
371
https://jhiphalexu.journals.ekb.eg/article_22524_0d35144e646dda8c4bfb65023de9e76c.pdf
dx.doi.org/10.21608/jhiph.2007.22524
Self-administration and Reliability of Computerized Neurobehavioral Tests among Egyptian Pesticide Workers
Fayssal
Farahat
Department of Community Medicine and Environmental Health, Faculty of Medicine, Menoufia University, Menoufia, Egypt
author
text
article
2007
eng
Background: Behavioral Assessment and Research System (BARS) is a computer-based test system designed to assess neurobehavioral function and neurotoxicity in humans. This system is available in 5 languages including Arabic. Objectives: To assess the potential use of the Arabic version of computerized neurobehavioral system (BARS) and to compare performance of Egyptian pesticide workers to non-exposed populations using the same computerized battery. Methods: This study involved the administration of eight neurobehavioral tests from the Arabic computerized neurobehavioral test battery (BARS) to Egyptian workers occupationally exposed to pesticides (n= 25) as compared to non-exposed Egyptian workers (n= 25). One-week test-retest reliability of the computerized battery was measured among non-exposed participants. Results: Performance of pesticide non-exposed Egyptian workers did not show any significant differences between test and re-test (i.e. after one week). Performance of pesticide exposed workers was significantly lower in most of the administered computerized tests as compared to non-exposed Egyptian and US populations. Conclusions: The current findings demonstrate the potential utility of the Arabic computerized BARS in occupational epidemiological research especially in the short-term intervals. Stability of the administered Arabic BARS tests over the short-term interval makes it broadly applicable in assessing exposures at different workplaces and with different cultural and educational levels.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
372
384
https://jhiphalexu.journals.ekb.eg/article_22525_94f59a7b1184f4ea806d7c7799a52b97.pdf
dx.doi.org/10.21608/jhiph.2007.22525
Challenges Facing Female Physicians in Egypt
Fayssal
Farahat
Department of Community Medicine and Environmental Health, Faculty of Medicine, Menoufia University, Menoufia, Egypt
author
text
article
2007
eng
Background: Female physicians allover the world have grown considerably and yet little is known about these women. Objectives: This study was conducted to explore challenges faced by Egyptian female physicians as they pursue their careers and different ways of coping with these challenges. Methods: Identification of challenges faced by the study participants was done through self administered questionnaire including both open and closed ended questions. It included relevant personal details, work characteristics, social circumstances, career development choices and opportunities, family life achievements, and barriers, and personal goals. Results: Total number of participants was 300 female physicians. Their mean age was 31.09 years. Most of them were married (76.7%), and 40% of the families were dual-doctor (both partners are physicians). Fifty-three percent of participants were clinicians, 22% academicians, and 25% house officers. Challenges reported by physicians were either work- or family-related. While overt discrimination was rare, many complained of subtle forms of bias. All participants reported that balancing work and family was more difficult than they ever expected. Participating physicians have dealt with challenges in different ways including: decision of small family size (82.3%), recruitment of babysitter/housekeeper (76.3%), and sharing in family income (62.0%). Conclusion: Physician training programs, workforce policy, and public expectations should recognize and adapt to the diverse and changing needs of physicians.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
385
398
https://jhiphalexu.journals.ekb.eg/article_22526_066dfe64e5f643e1f96ee58b6ead22d7.pdf
dx.doi.org/10.21608/jhiph.2007.22526
Evaluation of the Impact of Educational Program on Elderly Knowledge about Osteoporosis
Nahed
Ayoub
Department of Gerontological Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt
author
Sahar
Soliman
Department of Community Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt
author
text
article
2007
eng
Osteoporosis is a major public health affects or threatens an estimated 150 million women and men worldwide. Approximately 7% of all women aged 35-40 years and 33% of women older than 65 years have involutional osteoporosis. The World Health Organization define osteoporosis as "a skeletal disorder characterized by compromised bone strength predisposing to an increased risk of fracture." The aim of this study was to assess the elderly knowledge about osteoporosis and to evaluate the impact of educational program on elderly knowledge about osteoporosis. The study was carried out in El-Saada elderly club at Talkha, Mansura district. The study subject comprised 31 elderly visiting El-Saada elderly club regularly. A quasi experimental study was used in the study through evaluating the elderly knowledge about osteoporosis prior to the development of the educational program by using structured interview questionnaire sheet, after implementation of the program the same questionnaire was used to reassess the elderly knowledge immediately after program implementation and after one month of implementation. The results revealed a lack of knowledge which improved in the immediate post test but the knowledge declined after one month in some items. The study recommended that regular educational program should be held to increase their awareness, which helps them to catch the sign of the disease and prevent it. Key words: osteoporosis, elderly knowledge and educational program.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
399
414
https://jhiphalexu.journals.ekb.eg/article_22527_967976ec808f14e4bb3779ab9389b072.pdf
dx.doi.org/10.21608/jhiph.2007.22527
Effect of the Carbamate (Physostigmine) on the Activity of Nitric Oxide Synthase in Different Parts of Rat Brain (In Vivo Studies)
Hassan
Osman
Department of Biochemistry, Medical Research Institute, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
Physostigmine (eserine) is the methyl carbamic ester of phenolic trimethyl ammonium compound. It is a powerful inhibitor of acetylcholinesterase enzyme activity and used in some therapeutic preparation. In this work, experiments were carried out in-vivo to study the intraperitoneal (i.p.) infusion of eserine on the activity of nitric oxide synthase (NOS) enzyme, obtained from whole and five different parts of rat brain, namely: basal ganglia, frontal cortex, medulla oblongata, pons, and cerebellum. In this work ,two experiments were carried out. Experiment A: to study the dose dependence of i.p. infusion of eserine on NOS activity. Experiment B: to study the time dependence post-infusion of constant dose of eserine (the dose which caused 50% inhibition of the enzyme activity: I50). The results showed that the inhibition of the enzyme occurred in each part studied, and the inhibition increased with increasing the infused dose of eserine, and the time post i.p. infusion, i.e., the inhibition is dose and time dependent. The highest inhibition occurred in the pons and medulla oblongata extracts; these parts are responsible for the reflex centers of cough and vital centers.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
415
423
https://jhiphalexu.journals.ekb.eg/article_22528_2e240446a9d88d283c91aa75b58f8731.pdf
dx.doi.org/10.21608/jhiph.2007.22528
Utilization of Antenatal Care Services in Maternity Hospitals in Alexandria
Jilan
Al-Battawi
Department of Gynecologic and Midwifery Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
Care during pregnancy is a major issue of women’s health. The objective of such care is the birth of a healthy baby without any complications to mothers. However, adequate antenatal care can have serious impact on the current and future health of the mother and her off springs. This study aimed at assessing pregnant women utilization of antenatal care facility in maternity hospitals in Alexandria. This study was carried out in four maternity hospitals in Alexandria. The hospitals represent the different agencies involved in the provision of antenatal care. Ministry of health (Alexandria Governorate Hospital), University (El-Shateby Maternity Hospital), Medial Care Organization (Dar Elwelada Hospital), Health Insurance Organization (Gamal Abd El-Naser Hospital). A simple random sample consisting of 200 women were selected, 50 pregnant women from each hospital. The result of the present study revealed that in spite of improvement in antenatal care services, pregnant women utilization of antenatal care facility was still low. Poor quality of care was the most commonly reported reason (49%), followed by the cost of service (39.5%) and long waiting time (11.5%).
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
424
439
https://jhiphalexu.journals.ekb.eg/article_22529_5b1b8d111595f0992af0155c293359f3.pdf
dx.doi.org/10.21608/jhiph.2007.22529
Serum Epidermal Growth Factor in Cancer Breast
El-Attar
HA
Department of Chemical Pathology, Medical Research Institute, Alexandria University, Alexandria, Egypt
author
Moghazy
TF
Department of Chemical Pathology, Medical Research Institute, Alexandria University, Alexandria, Egypt
author
Fadaly
GA
Department of Pathology, Medical Research Institute, Alexandria University, Alexandria, Egypt
author
Abou Diba
MI
Department of Experimental and Clinical Surgery, Medical Research Institute, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
Several prognostic factors are evaluated in the breast carcinoma and there is a need for new markers for better discrimination of the biologic differences in the primary tumor. Epidermal growth factor (EGF) is presumed to play an important role in the local regulation of breast cell proliferation so, the aim of the current study, was to evaluate the serum level of EGF in breast cancer female patients in comparison with other prognostic parameters. It was carried out on fifty-seven females divided into two groups. A control group of twenty healthy women of comparable age and socioeconomic status with a group of thirty-seven breast cancer patients. All females were chosen non-pregnant, not on contraceptive therapy, not previously exposed to radiation, and have no previous history of cancer. To all patients, thorough clinical examination, plain X-ray for the chest and ultrasonography of the abdomen and pelvis were done. Preoperative fine needle aspiration cytology was also done for their breast lumps. In addition, blood samples were collected and analyzed for hemoglobin, fasting serum glucose, urea, and creatinine levels, aspartate and alanine aminotransferase activities, and also the epidermal growth factor level. The breast cancer tissues, removed by surgery, were subjected to histopathologic examination. The median of serum EGF in breast cancer patients group was relatively lower than that in control group but it did not reach the level of significance. No significant differences between the serum EGF levels were found in relation to the change in tumor size, type, grade, and stage. However, there was positive correlations between EGF level and tumor size (r=0.341, p=0.039) and AJCC stages (r=0.354, p=0.032). Also, in patients without lymph node metastasis, there were positive correlations between serum EGF level and both tumor size (r=0.596, p=0.024) and AJCC stages (r=0.596, p=0.024). In patients having lymph node metastasis, there was significant negative correlation between serum EGF level and the number of lymph node metastasis (r=-0.859, p<0.001).There was significant increase in EGF level in patients having lymph node metastasis ( £3 LN) when compared to patients having no LN metastasis (p=0.004) and its level in patients having ( >3 LN) metastasis was significantly decreased than that in both patients having no LN metastasis (p=0.019) and patients having £3 LN metastasis (p<0.001). In addition, EGF level was significantly increased in patients with estrogen receptor (ER) negative than in patients with ER positive (p=0.049). Also, there was a negative correlation between EGF level and ER positivity (r=-0.454, p=0.005). Similar correlation was also found in patients having LN metastasis (r=-0.680, p<0.001). But there was no significant relationship between serum EGF level and the state of progesterone receptor. In conclusion, determination of serum EGF in combination with certain histological parameters could be useful in determining tumor prognosis and in deciding the selection of treatment modality, however, more better results could be obtained on adding the determination of Epidermal growth factor receptor (EGRF) level in resected tumors.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
440
463
https://jhiphalexu.journals.ekb.eg/article_22530_9358429b7367ce59f15b4009ec6f261c.pdf
dx.doi.org/10.21608/jhiph.2007.22530
Impact of Nursing Intervention on Urostomy Patients Outcome Regarding Practicing Self-Care
Zienab
Mohamed
Department of Medical Surgical Nursing, Faculty of Nursing, Assiut University. Assiut, Egypt
author
Amal
Ahmad
Department of Medical Surgical Nursing, Faculty of Nursing, Assiut University. Assiut, Egypt
author
text
article
2007
eng
Urinary diversion operations (urostomy) patients require a great deal of emotional and physical adjustment. They usually face many problems such as loss of body function and relationship with others, and change in lifestyle. They need to adapt to the external appliance, stoma alteration in toileting habits, skin irritation problems, infection, and odor problems. Self-care for these patients is considered the most important factor that can minimize the complaints and complications. The aim of this study was to evaluate the impact of nursing intervention among urostomy patients regarding practicing self-care. The sample comprised 100 urostomy patients, divided into two groups: 50 study, and 50 control. For both groups, patients’ knowledge about urostomy and related self-care performance were assessed before intervention, immediately after, and after six-months follow-up at outpatient clinic. Data were analyzed using Epi-info 6.04 computer software package. Findings revealed statistically significant improvements in knowledge and performance among patients in the study group, compared to the control group. The study group became more knowledgeable about the definition, function, anatomy, and physiology of urostomy, and in self-care performance. The rates of complaints and complications were found to be lower in the study group than in the control one. The study suggests that urostomy patients should receive their self-care training regarding urostomy during hospitalization. Follow-up at outpatient clinic is highly recommended as well.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
464
483
https://jhiphalexu.journals.ekb.eg/article_22531_3a841ab5c1cd30763641dda8ffebfd89.pdf
dx.doi.org/10.21608/jhiph.2007.22531
The Relationship between Breastfeeding Position and Level of Postpartum Fatigue
Wafaa
Rashad
Department of Maternity and Gynecologic Nursing, Alexandria University, Alexandria, Egypt
author
Wafaa
Alarousy
Department of Maternity and Gynecologic Nursing, Alexandria University, Alexandria, Egypt
author
text
article
2007
eng
A quasi-experimental study was conducted at Postpartum Unit of King Fahd University Hospital in Al-Khobar, Kingdome of Saudi Arabia to investigate the relationship between breastfeeding position and level of postpartum fatigue. The study sample consisted of 100 postpartum women who accepted to participate in the study. Level of fatigue was initially assessed before breastfeeding the baby using the Iowa fatigue scale, then the study subjects were randomly divided into two groups, group I (n =50) began breastfeeding their newborns for 10 minutes in high Fowler's position on the bed with back supported and a pillow under the arm to support the newborn and to reduce the tension on the muscle and a pillow under the newborn to raise him to sufficient height to reach the breast easily. After the 10 minutes, they were assisted to reposition themselves to side lying position with the arm raised on the head, comfortably supported, and the newborn lying supported on side so can grasp the breast easily, and the mother feeding the newborn for another 10 minutes. Group II (n =50) started breastfeeding their newborn in side lying position for 10 minutes and then shifted to high Fowler's position and breastfed for another 10 minutes. Each subject was instructed to mark the Iowa fatigue scale after breastfeeding in each position to determine the level of fatigue. Side lying position, for those during breastfeeding was the most comfortable position for the whole studied women aged less than 25 years old, were pregnant for less than three times, had less than three living children, received antenatal care, and who did not receive any information about breastfeeding. Increased emphasis on the advantages of the side lying position for breastfeeding can easily be included in routine postpartum nursing practice with minimal risk and cost.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
484
498
https://jhiphalexu.journals.ekb.eg/article_22532_7ea7058da2441b921f674e7e75385499.pdf
dx.doi.org/10.21608/jhiph.2007.22532
Menopausal Symptoms and Quality of Life
Wafaa
Rashad
Department of Maternity and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
Shadia
Yassin
Department of Maternity and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
author
Ahmed
Bahnassy
Department of Family and Community Medicine, College of Medicine, King Faisal University, KSA
author
text
article
2007
eng
The aim of this study was to assess the association between menopausal symptoms and the women’s quality of life (QOL). An exploratory descriptive study was conducted at Faculty of Nursing, university of Alexandria. Subjects of the study included all employees of the previously mentioned setting aged between 40 to 55 years old. Assessment sheet, Menopause Rating Scale and Quality of Life scale are the tools for data collection. Findings revealed that those who had no psychological symptoms reported better quality of life (X=94.50±11.475) than those who had severe psychological symptoms (X=62.64±12.549). The same results were observed with the somatic symptoms and urogenital symptoms, as the mean score of quality of life of those who had no somatic (X=88.00±11.314) or urogenital symptoms (X=83.14±12.104) was higher than who had severe somatic (X=75.31±11.026) or sever urogenital symptoms (X=68.50±12.021). In relation to the total score of menopause rating scale and the total score of quality of life, it was found that better quality of life was reported among those who had no symptoms (X=88.00±11.314) or mild symptoms (X=88.04±11.314). The results also revealed that there were statistically significant differences between the total score of quality of life and the number of living children (p<0.028), medical history of the woman (p<0.041), housing condition (p<0.001), and income (p<0.001). It can be concluded that severity of menopausal symptoms has a negative association with overall quality of life. Increased number of children, presence of health problems, not suitable housing condition, and not enough income were negatively associated with QOL. Most of the quality of life domains are adversely affected by the presence of menopausal changes. Further researches are required to assess the intervention for peri-and post-menopausal women in context of their needs and expectation.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
499
512
https://jhiphalexu.journals.ekb.eg/article_22533_c13203bdd82b2eb685f99200935ac430.pdf
dx.doi.org/10.21608/jhiph.2007.22533
Impact of Peridontitis Education Program on Peridontitis Patients' Knowledge, Beliefs and Behavior in Riyadh City
Ebtisam
Fetohy
Department of Health Administration and Behavioral Sciences (Division of Health Education and Behavioral Sciences), High Institute of Public Health, Alexandria, Egypt
author
text
article
2007
eng
An intervention experimental study was conducted to assess the impact of Peridontitis education program (PEP) for Peridontitis patients in King Abdel Aziz University Hospital (KAAUH) in Riyadh City. The program was administered to 103 patients through one session and one immediate assessment. Another 103 patients formed the control group. The results showed that the mean knowledge score, the mean scores of the perceived seriousness (p. seriousness), p. benefits, and p. barriers of intervention group were significantly higher than the control group. Stepwise multiple regression models revealed that total knowledge, perceived benefits, patients' work, and family size were predictors of patients' practice of control group (β=0.287, 0.218, 0.194, and 0.192). Total knowledge, patients' work and total health beliefs model (HBM) score were predictors of patients' practice of the intervention group (R²=0.303). The study recommended the replication of such program and a more long term one to have more improvement in patients' knowledge, all beliefs, and practice.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
513
526
https://jhiphalexu.journals.ekb.eg/article_22534_596a96cf2a46556635430c954c9a0432.pdf
dx.doi.org/10.21608/jhiph.2007.22534
Civil Identification as a Unique Patient Identifier for Hospitals in Kuwait
Kamel
Alsaleh
Department of Medical Records, College of Health Sciences, The Public Authority for Applied Education and Training, State of Kuwait
author
Faisal
Alsharifi
Department of Environmental Health, College of Health Sciences, The Public Authority for Applied Education and Training, State of Kuwait
author
Bader
Al-Khalaf
Department of Environmental Health, College of Health Sciences, The Public Authority for Applied Education and Training, State of Kuwait
author
Samy
Elewa
Department of Basic Health Sciences, College of Health Sciences, Applied Medical sciences, State of Kuwait
author
text
article
2007
eng
Background: A unified patient identifier is an essential item in improving the quality of health care delivery. This is the trend and major progress has been achieved in many developed and developing countries. In Kuwait each hospital had its own identifier and linking the patient data is rather difficult. The Public Authority for Civil Identification (PACI) Civil Identification number (CID) is the most promising candidate and all the hospitals have been instructed and persuaded to include the CID in the discharge forms, this was stressed since 1995. Objective: The aim of the study is to find out the availability of the PACI ICD on the hospital discharge forms. Methods: The data-bases storing hospital discharge data for the government hospitals were reviewed for the presence of CID number during the period 1996-2005. A retrospective approach using the discharge summary data-base of the Statistical and Medical Record Department, MOH, Kuwait was used. Results: The rate of inclusion of the CID was very small in 1996 (13.6%.) increased in 1997 to 30.2% and, remained approximately at that level until 2002. Since 2003 the rates increased substantially and amounted in 2005 to 68.1%. Marked variability was seen between the hospitals, Sabah and Ibn Sina were the least reporting, being around 7%, Mobarak and the Chest Hospital scored above 66%. Getting a unified patient identifier is not a goal by itself; it is a step on the road to improve the health services. A major advantage, which was not addressed in this survey, is the inclusion of the CID in the Death certificate. This will provide the potential of linking the 2 data bases at a later stage. Conclusions: PACI CID includes the basic information that can make it an appropriate deterministic identifier. The response of the hospitals is favorable and the system should be field tested.
Journal of High Institute of Public Health
High Institute of Public Health, Alexandria University
2357-0601
37
v.
2
no.
2007
527
541
https://jhiphalexu.journals.ekb.eg/article_22535_6f4b304ab2a547a89ae0573546b48567.pdf
dx.doi.org/10.21608/jhiph.2007.22535