High Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001Chemical, Technological and Biological Evaluation of Raw and Germinated Flax and Pumpkin Seed Mixtures981111999310.21608/jhiph.2013.19993ENRehab MoustafaFood Technology Research Institute, Agricultural Research Center (ARC), El-Sabhia, Alexandria, EgyptJournal Article20181128<strong>Background: </strong>Flax seeds are rich in linolenic acid (omega-3) which possess antioxidant, antiinflammatory, and anti-carcinogenic effects. Pumpkin seeds are good sources of Omega 6 fatty acids which have antioxidant, anti-inflammatory and hypolipidemic effects. Seed germination, as a method of food processing, improves its nutrient value.
<strong>Objectives: </strong>to investigate some biological and biological effects of complementary foods of mixed raw and/or germinated flax and pumpkin seeds on rats.
<strong>Methods: </strong>In a 35-day experimental study, five groups (5 rats/ each) of male albino rats were fed on basal control diet [control group] and 4 combined mixtures of raw flax and pumpkin seeds (FNPN) and/or germinated flax and pumpkin seeds (FGPG) [experimental groups]. The (FNPN)/(FGPG) mixtures were chemically analyzed. Rats were biologically and histologically investigated as well.
<strong>Results: </strong>Crude ether extract, protein & fibers; nitrogen free extract; minerals (except Mg); β-carotene and riboflavin contents were significantly higher in FGPG mixture compared to others. The sensory properties of the biscuits and cakes products in terms of colour, texture, taste, odour and overall acceptability were not significantly different in biscuits compared to the control. However, in case of cakes, there were slight significant differences but still accepted by the panelist. Additionally, FNPN was the best in LDL-ch, TG and Tch values, respectively (2.67, 37.00 and 50.00 mg/dl). There was no significant difference between different groups in the ratio of HDL-ch/LDL-ch. But the FGPN and FNPN, respectively recorded the lowest values of AIP (31.67 and 39.33 IU/L, respectively) and ALT (228.00 and 232.33 IU/L, respectively), as liver function indicators, whereas, the FNPG and FGPG groups were the best in creatinine (0.427 and 0.440 mg/dl, respectively) and urea (32.00 and 46.33 mg/dl, respectively) parameters compared to others. Finally, the histobathological effects on the liver tissues of rats revealed that FGPG had beneficial effects for the liver compared with the other mixtures which showed multiple focal areas of hepatic necrosis, some vacuolations in the intra-cytoplasm and enlargement in some hepatocytes.
<strong>Conclusion: </strong>Using germinated mixtures of flax and pumpkin seeds for fortifying some food products seemed to produce good beneficial effects on the nutritional and biological parameters.https://jhiphalexu.journals.ekb.eg/article_19993_0e53e51426c3a2a49eba9ab6ecd833a7.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001Health Related Quality of Life of Rheumatic Heart Disease Patients in Alexandria: An Intervention Approach1121201999710.21608/jhiph.2013.19997ENDalia MonibFellow of Epidemiology, High Institute of Public Health, Alexandria University, EgyptIman WahdanDepartment of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria, EgyptAli HasabDepartment of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria, EgyptSalah ZaherDepartment of Pediatrics, Faculty of Medicine, Alexandria University, Alexandria, EgyptJournal Article20181129
<strong>Background:</strong> Rheumatic heart disease (RHD) is a chronic illness resulting from one or more attacks of acute rheumatic fever and characterized by permanent heart valve damage. RHD affects the health related quality of life (HRQOL) of patients. <strong>Objective:</strong> to describe the HRQOL of RHD cases in Alexandria. <strong>Methods:</strong> A retrospective descriptive study and an intervention (one group pretest post - test) approach were used to study RHD and its effect on the HRQOL of the patients registered at the RHD unit in the Main University Hospital and Heart Clinic of El-Shatby University Children's Hospital in Alexandria. Data were collected using a pre-designed structured interviewing questionnaire and the generic form of HRQOL questionnaire (SF-36). An intervention program was designed based on the results and perception was reassessed using the same study tools. <strong>Results:</strong> Regarding the mean scores of HRQOL subscales of RHD cases, scores related to physical components and general health were lower compared to the emotional and social ones. Studying the effect of the personal characteristics of the RHD cases on HRQOL, oneway MANOVA indicated a significant impact of age, diagnosis, complications, attacks, period between treatment and injection. The general perception score was 87.505 ±6.935 and 76.477 ±11.575 pre and post intervention with a highly significant difference. After intervention, RHD patients were about seven and half times more likely to have good level of perception compared to RHD cases before intervention. <strong>Conclusion:</strong> RHD cases of 30 years and above were found to be statistically associated with poorer HRQOL in all domains except the role limitations due to emotional problems. RHD with valve affection had significant influence on the worst HRQOL in social functioning only. RHD cases receiving treatments every month had a significant poorer HRQOL in all domains in comparison with other periods of treatment. The intervention program had a significant effect on the general perception score among RHD patients.
https://jhiphalexu.journals.ekb.eg/article_19997_f0c697e1adf29877a1d5e065bb54fbd0.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001The Prevalence of Helicobacter Pylori Infection among Medical Sciences' Students of Hodeidah University-Republic of Yemen1211261999810.21608/jhiph.2013.19998ENAhmed Al-kadassyDepartment of Medical laboratory, Faculty of Medical Science. Hodieda University, El-Hodieda, YemenMohamed SuhailDepartment of Medical laboratory, Faculty of Medical Science. Hodieda University, El-Hodieda, YemenOmar BaraheemDepartment of Medical laboratory, Faculty of Medical Science. Hodieda University, El-Hodieda, YemenJournal Article20181129<strong>Background</strong>: The prevalence of Helicobacter pylori (H. pylori) infection worldwide varies greatly among countries and among population groups within the same country. The aim of this study was to evaluate the prevalence of H. pylori infection among Medical Sciences' students of Hodeidah University, Yemen.<br /> <strong>Methods: </strong>A total of 150 students were recruited (50 males [33.3%] and 100 females [66.7%]) with a mean age of 21.6±1.6 years (age varied from 19 to 27 years).<br /> General characteristics and other relevant information of the students in this study were collected using pre-designed questionnaire, which included information such as demographic data, clinical symptoms and socioeconomic status.<br /> Serum samples were collected from all volunteers and then blood rapid qualitative serologic test was used for the diagnosis of H. pylori by detecting H. pylori antibodies.<br /> <strong>Results: </strong>The prevalence of H. pylori was 68% (102 of the volunteers showed positive results). The higher infection rate was reported in females (69.6% of positive results= 71 female volunteers) with no significant difference between the positive and negative results.<br /> <strong>Conclusion</strong>: There was a high prevalence of H. pylori infection in our young university Medical Sciences' students' population This high prevalence in this young population may have both important clinical and economic implications.https://jhiphalexu.journals.ekb.eg/article_19998_0f5dc6c1e72859a5df9d56eb0575382d.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001Psychological Assessment of Postgraduate Students in One of the Academic Institutions of Alexandria University, Egypt1271351999910.21608/jhiph.2013.19999ENMedhat AttiaFamily Health (Mental Health) Department, High Institute of Public Health, Alexandria University, EgyptZeinab ShataFamily Health (Mental Health) Department, High Institute of Public Health, Alexandria University, EgyptJournal Article20181129 <br /> <strong>Background:</strong> Several researches indicated an increase in the frequency of depression, anxiety and stress in postgraduate students, stressing the need to improve their mental resilience and the academic climate.<br /> <br /> <strong>Objective(s):</strong> This study aimed to determine the frequency of depression, anxiety, and stress symptoms as well as some of their correlates among postgraduate students in the High Institute of Public Health (HIPH).<br /> <br /> <strong>Methods:</strong> cross-sectional study was conducted in the HIPH targeting postgraduate students over three consecutive academic years. The sample constituted 35% of the enrolled students (n=155) and were subjected to psychological testing using the Arabic Version of Depression Anxiety Stress Scales (DASS). In addition, a pre-designed structured self-administered questionnaire was used to collect socio-demographic, personal, and academic data, as well as stressful life events.<br /> <br /> <strong>Results:</strong> Severe to extremely severe symptoms among students were highest for stress (26.4%), followed by anxiety (20.7%) and least for depression (18%). Results of logistic regression analysis revealed that being a female, an Egyptian citizen or having a study decision imposed by others were significant predictors of depression symptoms (Model X<sup>2</sup>= 15.690, p= 0.001). Practicing less than two hobbies or being a caregiver were significant predictors of anxiety (Model X<sup>2</sup>= 12.541, p= 0.002), while, the presence of life stressors in past 6 months was the only predictor for stress symptoms (Model X<sup>2</sup>= 9.546, p= 0.002).<br /> <br /> <strong>Conclusion:</strong> Observable levels of depression, anxiety, and stress symptoms were recorded among postgraduate students in the HIPH. Providing supportive and counseling services deemed essential to achieve sustained sound mental health for the students.<br /> https://jhiphalexu.journals.ekb.eg/article_19999_b96e14b517dcc654ab208cb2f431f64b.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001Survey of the Application of HACCP in Some Food Organizations1361512000210.21608/jhiph.2013.20002ENNabil El-ShimyDepartment of Public Health Sciences “Food Analysis", Faculty of Tourism & Hotel Management-Pharos University, Alexandria, EgyptGaber Abd ElkaderGeneral Manager-Edfina Company for Preserved Foods - Quality systems consultant for UNION company for training & quality systems, Alexandria, EgyptJournal Article20181129<strong>Background</strong>: Hotel industry is basically hospitality process, which in turn are closely linked to food safety for guests, who represent the consumers. It has been estimated that each year 1.8 million people die as a result of diarrheal diseases and most of these cases can be attributed to contaminated food or water, since more than 200 known diseases are transmitted through food. Hazard Analysis and Critical Control Points (HACCP) is now recognized as a systematic and preventive approach for identifying and controlling hazards in the food chain. It is a preventive risk management approach that has been extensively used by food industries to increase product safety and protect public health.
<strong>Objectives:</strong> This study was undertaken to evaluate the extent of verification of the application of HACCP in some food industry companies which can provide hotel establishments in Egypt its needs from different products.
<strong>Methods:</strong> The study relied on the descriptive analytical method depending on the nature of the study, which provides descriptive approach to find out how to verify the application of HACCP in many food industry companies that can provide institutions of hotel in Egypt its needs of different products and also considered this research analytical through statistical analysis.
<strong>Results:</strong> Hazards analysis & preventive measures had the highest impact on the application of HACCP, followed by the impact of verifications procedures. Correlations between various categories and questions among categories were found statistically significant, and differed as positive / negative from low to strong.
<strong>Conclusion:</strong> The present study proved that all food industry companies, which were represented in the community of the sample, were highly qualified for HACCP application.<br /> <strong> </strong>https://jhiphalexu.journals.ekb.eg/article_20002_da6eaf169d5d368f72442fb85ab5d33c.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001Evaluation of the Level of the Adopted Hygienic Requirements in Some Food Organizations1521632000510.21608/jhiph.2013.20005ENNabil El-ShimyDepartment of Public Health Sciences "Food Analysis", Faculty of Tourism & Hotel Management- Pharos University, Alexandria, EgyptGaber Abd ElkaderGeneral Manager-Edfina Company for Preserved Foods - Quality systems consultant for UNION company for training & quality systems, Alexandria, EgyptJournal Article20181129<strong>Background:</strong> Food safety is a significant aspect for any food product, which is related directly with the hospitality process that is represented in Hotel industry. Assessment of the level and quality of applied hygienic requirements is thus of utmost importance. <strong>Objectives:</strong> This study was carried out to evaluate level of the adopted hygienic requirements in some food organizations which can provide hotel establishments in Egypt their needs of different products. <strong>Methods:</strong> A descriptive study was conducted to describe the applied hygienic requirements during food processing in 25 food industry companies. The selected food industry companies were categorized into three groups; public, private and joint-stock companies. <strong>Results:</strong> The results clarified that the construction layout had the highest impact on the application of hygienic requirements. Training came second and followed by water safety. All categories and related questions showed statistical significance, which highlight their importance to be included in the adopted classifications in the questionnaire tool. Different correlations between various categories and related variables were studied and were varied between positive / negative relationships that ranged between weak to strong. <strong>Conclusion:</strong> The present study proved that all food industry companies, which were represented in the sample, adopted standard hygienic requirements that were applied at a high quality level.https://jhiphalexu.journals.ekb.eg/article_20005_dac5992bd5f9adab1263dbba051a43c3.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001Effect of Evidence Based Nursing Practice Module on Faculty Staff’s Skills in Obstetrical and Gynecological Units1641742000110.21608/jhiph.2013.20001ENAmel HassanDepartment of Maternal and Newborn Health Nursing, Faculty of Nursing, Benha University, Benha, EgyptManal AhmedDepartment of Obstetrical and Gynecological Nursing, Faculty of Nursing, Tanta University, Tanta, EgyptHend MohamedMaternal and Newborn Health Nursing, Faculty of Nursing, Zagazig University, Zagazig, EgyptJournal Article20181129<strong>Background: </strong>Evidence-Based Practice is the integration of the best research evidence with clinical expertise and patient values in health decision making. Hence, Evidence based nursing practice ensures the use of current best available evidence to aid in decision making about the care of the patients to provide better outcomes.
<strong>Objectives: </strong>to evaluate the effect of evidence based nursing practice module on faculty staff’s skills in obstetrical and gynecological units.
<strong>Methods: </strong>A pre-post quasi-experimental study was carried out on forty one faculty nursing staff at the Obstetrical and Gynecological nursing departments in Benha, Tanta and Zagazig Faculties of Nursing were included in the study. A pre-designed structured questionnaire was used to assess the participant skills: knowledge, practice, and attitude regarding evidence based nursing practice (EBNP) as well as the patient problem, intervention, comparison and outcome (PICO) model and perceived barriers hindering application of the EBNP.
<strong>Results: </strong>The faculty nursing staff had deficient skills (knowledge& practice) and attitude regarding EBNP before implementation of the teaching module which led to significant improvement in their skills with improvement in their attitudes and their perception of barriers after applying the intervention, where the mean practice score increased from a pretest level of 4.1 to a post test level of 5.1, p<0.001.
<strong>Conclusion: </strong>Application of the EBNP teaching module in other nursing departments for further confirmation of the results is recommended. In addition, evaluate the impact of EBNP application on the patient outcome.https://jhiphalexu.journals.ekb.eg/article_20001_2ffabed1bdd8a93c74c5aa1a18cbbb31.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001Impact of Alexandria Corniche Road Widening on Mediterranean Sea Water Quality, Egypt1751842000310.21608/jhiph.2013.20003ENRim HusseinEnvironmental Health Department, High Institute of Public Health, Alexandria University, Alexandria, EgyptMona Abd El-AzizEnvironmental Health Department, High Institute of Public Health, Alexandria University, Alexandria, EgyptAnwaar ArafaEnvironmental Health Department, High Institute of Public Health, Alexandria University, Alexandria, EgyptOlfat El-SebaieEnvironmental Health Department, High Institute of Public Health, Alexandria University, Alexandria, EgyptJournal Article20181129<strong>Background</strong>: The Corniche is the main road that runs along Alexandria's coastline. Since 1998, certain developmental activities have been undertaken along this road, aiming at widening it in order to overcome the traffic congestion and to compensate for the erosion of some beaches.
<strong>Objectives</strong>: to assess the impact of such developmental activities on the Mediterranean Sea water quality.
<strong>Methods</strong>: During the period from July 2011 to March 2012, a single water sample was collected monthly during summer and winter seasons from four chosen beaches. Sea water samples were subjected to physical, chemical and microbiological examination. Wilcoxon signed-rank test was used to determine the variation in sea water quality following Corniche Road Widening Project. Besides, an assessment of the quality of sea water in the selected beaches was carried out by comparing different measured characteristics with national and/or international standards.
<strong>Results</strong>: Results of the study revealed that Corniche Road Widening Project did not cause any statistically significant difference in any physicochemical characteristic of sea water in both Sidi-Bishr and Cleopatra beaches. As for Stanly beach, dissolved oxygen (DO) and nitrate increased significantly (to 7.7 ml O2/L and 3.9μmole/L respectively) and, in Shatby, DO increased while turbidity and alkalinity decreased significantly. They were found to be 7.7 ml O2/L, 0.045 NTU, and 1.6mEq/L respectively. Concerning the biological characteristics of sea water, there was a statistically significant difference in four parameters measured in Shatby beach. With respect to sea water quality, beaches under study were all complying with Egyptian guidelines, WHO and USEPA as regards physicochemical properties. Concerning microbiological quality, all samples were complying with WHO and EPA levels for enterococci except in August.
<strong>Conclusion</strong>: The study recommends the use of best management practices for all construction projects with possible impacts on water bodies, and emphasizes the importance of environmental impact assessment studies and continuous monitoring of sea water quality for public health protection.https://jhiphalexu.journals.ekb.eg/article_20003_3188e337bfb18afe16f264084ac570db.pdfHigh Institute of Public Health, Alexandria UniversityJournal of High Institute of Public Health2357-060143220131001The Relation between Medical Student Life, Study Habits, and their Final Year Grade: A Single Centre Study in Egypt1851922000410.21608/jhiph.2013.20004ENNoha EladawiDepartment of Public Health, Faculty of Medicine, Mansoura University, Mansoura, EgyptDoaa Abdel-HadyFaculty of Medicine, Mansoura University, Mansoura, EgyptBasem El-deekDepartment of Public Health, Faculty of Medicine, Mansoura University, Mansoura, EgyptJournal Article20181129<strong>Background: </strong>Undergraduate medical education in many developing nations is facing new challenges today and the performances of students as well as physicians in the community are perceived to have largely declined.
<strong>Objectives: </strong>to determine the association between life; study habits and the final year grades of the medical students in Mansoura University.
<strong>Methods: </strong>This was a Comparative Cross-Sectional Study. It was carried out from May to August 2013 among the total of 802 students, who were registered in the practical course that follows their latest years. The data of which was collected using a self-administrated questionnaire. The questionnaire included four parts; the first part covered the personal data. The second part of the questionnaire included the life-style of medical students, and the third part included the studying habits of medical students.
<strong>Results: </strong>30.3% of students were ranked as excellent according to latest year grades (2012- 2013). The most important life-style significant factors affecting the final year grades were internet use and sleeping hours, and the most significant study habits' factors were English proficiency, and study motivation.
<strong>Conclusion: </strong>In this study internet using, sleeping hours, English proficiency, attending tutorials and study motives are the most related factors to the study performance of medical students.https://jhiphalexu.journals.ekb.eg/article_20004_29a8475b9e81908d1669d8e41d440cc1.pdf