ORIGINAL_ARTICLE
Risk Factors for Hypospadias: A Case Control Study
Despite being one of the most common congenital defects in boys, the etiology of hypospadias remains largely unknown. In this study we evaluated a spectrum of potential risk factors for hypospadias in which we focused on both paternal and maternal factors and chromosomal aberrations. Cases were selected from the Genetic Clinic, Medical Research Institute, University of Alexandria. A total of 176 cases with hypospadias were included in this study, and a matching control group of normal 300 boys for the association study. All cases were subjected to detailed family, pregnancy, genetic histories, clinical examination, and pedigree study. Chromosome analysis was performed using peripheral blood lymphocyte cultures by trypsin G-banding technique. Hormonal assays, abdominal and pelvic ultrasound were carried out according to case presentation. Both parents of cases and the control group completed written questionnaires. Abnormal karyotyes were detected in 23 cases (13.07%) associated with other anomalies, sex chromosome abnormalities were present in 69.56% and autosomal aberrations in 30.43%. Patients with chromosomal abnormalities were excluded from the association study. Logistic regression analysis was used to assess the independent contribution of different factors to the risk of hypospadias. Our data did not support an association with increased parental age. The most profound result was the increased risk of hypospadias for boys with positive family history (n=23; OR=26.36; 95% CI:5.90-164.23). Strong indications for an increased risk of hypospadias were also found with low birth weight (n=45; OR=13.47; 95% CI=6.09-30.70), preterm birth (n=6; OR=12.20; 95% CI=1.45-271.47), twin or triplet pregnancy (n=4; OR=8.03; 95% CI=0.84-190.23), and when mothers had preeclampsia (n=16; OR=11.56; 95% CI=3.11-50.77). Associations with pregnancy achieved with fertility treatment, and mother used iron supplements were also found. In conclusion, routine karyotype screening permits the diagnosis of chromosomal anomalies especially in those with the most severe forms of hypospadias and additional anomalies. Several risk factors have been identified for hypospadias which support the idea that genetic predisposition, placental insufficiency, and substances that interfere with natural hormones before conception or during fetal development play a role in the etiology of hypospadias.
https://jhiphalexu.journals.ekb.eg/article_20886_a48b27d15fe8c548b3bf0feb0e24bc88.pdf
2008-04-01
260
272
10.21608/jhiph.2008.20886
risk factors
hypospadias
Nahla
Nazmy
1
Department of Human Genetics, Medical Research Institute, Alexandria University, Alexandria, Egypt
LEAD_AUTHOR
Amal
Behery
2
Department of Human Genetics, Medical Research Institute, Alexandria University, Alexandria, Egypt
AUTHOR
ORIGINAL_ARTICLE
Identification of Drug Cost Reduction Opportunities in A University Hospital in Saudi Arabia
Background: Expenditure on medications represents significant proportion of the total hospital budget. Establishing an effective drug cost management program is a priority area for hospitals that must begin with determining the current costs and pattern of use of medications. Objectives: The aim of the present study is to determine the cost and pattern of drug utilization at the study hospital in order to identify cost reduction opportunities. Methods: A descriptive retrospective design was used to examine the cost and pattern of drug utilization for all admissions during the period from: 1st January 2006 to 30th June 2006 in a university hospital in Eastern Saudi Arabis. Electronic patient data as well as manual drug cost data were obtained and merged to create the analysis database. Results: The study revealed that the total drug cost at the study hospital was SR 11,823,666.9 (mean per admission = SR 2123.5 and median per admission= SR 357.3) during the study period. Antibiotics were responsible for 35.8% of the total inpatient drug costs followed by blood products which accounted for 20.6% of the total inpatient drug costs. Further investigation of both groups revealed that the combination of piperacillin and tazobactam represented 4.5% of prescribed drugs and accounted for almost half of the inpatient antibiotic costs (SR 2,064,916.8) and 17.4% of the total hospital’s inpatient drug costs. Human albumin and intravenous immunoglobulin were responsible for the majority of cost of blood products. Conclusions: Piperacillin and tazobactam, human albumin, and intravenous immunoglobulin other than Rho (D) immunoglobulin are responsible for high percentage of drug expenditure at the study hospital while being prescribed to a limited number of patients. Designing a drug cost management program to target these three drugs will increase the likelihood of achieving significant cost reduction.
https://jhiphalexu.journals.ekb.eg/article_20887_10f46a9c4ab18dcf0596431a0101668d.pdf
2008-04-01
273
289
10.21608/jhiph.2008.20887
Drug Cost Reduction
Opportunities
Saudi Arabia
Moustafa M.
Nour El-Din
1
Department of Health Administration and Behavioural Sciences (Hospital Administration Division), High Institute of Public Health, Alexandria University, Alexandria, Egypt
LEAD_AUTHOR
Adel
Youssef
2
Department of Health Administration and Behavioural Sciences (Health Administration, Planning and Policy division), High Institute of Public Health, Alexandria University, Alexandria, Egypt
AUTHOR
ORIGINAL_ARTICLE
Quality Assessment of Milk in Alexandria
The nutrient value, the chemical, and the microbiological quality of packaged, raw and powder milk samples were assessed. Data were obtained for fat, solid not fat, protein, and calcium contents of milk. Ash percentage, lead, and cadmium concentrations, in addition to possible microbial contamination were also determined. Results showed compliance of long life sterilized packaged milk with Egyptian standards for most of samples, especially in fat and solid not fat contents. These ranged from 3.10-3.80% and 8.24-9.07%, respectively. Lead content ranged from 0.03-0.55 ppm in liquid milk whereas cadmium ranged from 0.002-0.03 ppm. Protein and calcium contents varied (insignificantly and significantly, respectively) among different milk producing companies. Many (76.00%) had total bacterial count in milk higher than Egyptian Standards (<10 cfu/ml). Buffalo raw milk, and milk powder were complying with Egyptian Standards concerning their nutrient values, however the former had high total bacterial count (4.97´106 cfu/ml) in addition Staphylococcus aureus was detected.
https://jhiphalexu.journals.ekb.eg/article_20888_fae4c4bc1701f2ff726efcb6e89aff0d.pdf
2008-04-01
290
305
10.21608/jhiph.2008.20888
quality assessment
Milk
alexandria
Naglaa
Gomaa
1
Department of Nutrition (Division of Food Hygiene and Control), High Institute of Public Health, Alexandria University, Alexandria, Egypt
LEAD_AUTHOR
Mona
Hashish
2
Department of Microbiology, High Institute of Public Health, Alexandria University, Alexandria, Egypt
AUTHOR
Mohamed
Kassem
3
Food Hygiene and Control, Nutrition Institute, Cairo, Egypt
AUTHOR
ORIGINAL_ARTICLE
Impacts of Different Compost Types Application on Soil Fertility and Plant Growth
This study aimsat evaluating the impacts of applying different compost types produced in Alexandria city on the soil and plant. Composting is the biological decomposition and stabilization of organic substrates. It isa means of converting objectionable wastes, such as sewage sludge, garbage, organic trash, food processing wastes and farm manures into materials suitable for application to land. Sandy soils and four types of compost with different rates were applied; composted sewage sludge, Composted domestic solid waste, composted plant residues, and composted animal manure. The Tested plantwas Wheat (Giza 75). Pot experiments were carried out at lab.the results revealed that application of different types of compost to sandy soil cultivated with wheat plant increased soil salinity (EC), organic matter (OM), available nitrogen, and trace element (Fe, Mn, Zn, Cu, Cr, and Pb) contents while decreased pH and available phosphorus. As the soil treated with different compost types were enriched with macro and micronutrients, the fresh plants and oven-dried weights of the plants of treated soil were higher than those of plants of untreated control soil. It is clear that sewage sludge and domestic solid wastes composts application indicated a highest plant yield among other compost types.This study recommended Application of sewage sludge compost must be under special control, Application of domestic solid wastes could be used at the rate of 10 and 20% for sandy soil, plant residues compost could be applied on sandy soil, at the rate of 10% only for cultivation of all crops, and Application of animal manure compost could be applied at the range of 20-30% in case of sandy soil for all crops.
https://jhiphalexu.journals.ekb.eg/article_20889_40269bc232e76f6459286561289c9079.pdf
2008-04-01
306
331
10.21608/jhiph.2008.20889
compost types
Soil fertility
plant growth
Nevien
AFM
1
Department of Environmental Health, High Institute Public Health, Alexandria University, Alexandria, Egypt
AUTHOR
Anwaar
KA
2
Department of Environmental Health, High Institute Public Health, Alexandria University, Alexandria, Egypt
LEAD_AUTHOR
Magda
MA
3
Department of Environmental Health, High Institute Public Health, Alexandria University, Alexandria, Egypt
AUTHOR
Mohamed
HR
4
AUTHOR
Hesham
MG
5
Faculty of Agriculture, Alexandria University, Alexandria, Egypt
AUTHOR
ORIGINAL_ARTICLE
Women's Reaction toward Menstruation
From puberty until menopause, women’s biochemistry waxes and wanes to her own unique monthly rhythm, or menstruation cycle. Menstruation and a woman’s menstrual cycle play a very important role in her life. This study was carried out to assess woman reaction (feeling, attitude, and practice) and knowledge toward menstruation. This study was conducted in two suburban areas namely Shebin El-Kom and Quesina and 10 rural areas from Menoufyia Governorate. A convenient sample compromised 1023 women aged between 20-45 years, single and married women, educated and none educated from urban and rural areas. The results of the study showed below half of samples received knowledge about menstruation from their mothers and sisters. Regarding feeling above two-thirds of samples had something dirty and unclean about women during menstruation.
https://jhiphalexu.journals.ekb.eg/article_20890_b2c1947a02c06427288c5a57b43e92bd.pdf
2008-04-01
332
343
10.21608/jhiph.2008.20890
Women's Reaction
Menstruation
Enas
Kassem
1
Department of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Menoufia, Egypt
LEAD_AUTHOR
Maaly
Elmalky
2
Department of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Menoufia, Egypt
AUTHOR
Safaa
Abd El-Wahab
3
Department of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Menoufia, Egypt
AUTHOR
ORIGINAL_ARTICLE
Occupational Hazards and Safety in Railways Maintenance
Occupational hazards typically associated with locomotive and railcar maintenance activities may include physical, chemical, and biological hazards as well as confined space entry hazards. The aim of the present study is to assess the occupational hazards among workers involved in locomotive and railcar maintenance activities and to evaluate Occupational health and safety performance. Physical and chemical hazards are evaluated. On comparing with TLVs. Workers in welding and wood working are exposed to noise of (78.4-102.0) dB (A) with the mean of 90.96 ± 10.6, and (84.0-100.0) dB (A) with the mean of 90.98±6.7, respectively. Although workers in wood working are exposed to insufficient lighting in the range of (100-190) lux with the mean of 140±35.4, workers in thermal station and compressors station are exposed to defective lighting in the range of (60-360) lux with the mean of 164±121.2 and (70-520) lux with the mean of 248±176.8 due to improper light distribution as lighting was only adequate near gates. Exposures to chemical hazards are below the limits except for acid mists in batteries recharging process; this may be due to the limitation of the area in spite of the fact that the area is opened. Other hazards may include the potential for fire and explosion during the conduct of hot work in storage tank systems. Confined spaces may include access to railroad tank and cars during repair and maintenance. The need for improvement of occupational safety and health standards in the unorganized sector assumes very high priority. It is required to provide machinery and equipment which are safe and also to maintain guards in position and working order while a machine or equipment is in use. Specific requirements relating to protective equipment for eyes, for workers entering confined spaces or working at heights have been made. In terms of the administration of the OSH legislations, there has been a lack of educational and awareness effort. The general approach has been to make legislation and expect compliance while the need is for a proactive approach to reach out the persons responsible for compliance through well designed educational/awareness campaigns. Railway maintenance is considered one of the unorganized sectors in Egypt. Data base and health education are recommended.
https://jhiphalexu.journals.ekb.eg/article_20891_3050fcdd3cb9511ea4d7b334b51c77dd.pdf
2008-04-01
344
353
10.21608/jhiph.2008.20891
Occupational hazards
safety
Railways
maintenance
Fadia
El-Marakby
1
Department of Occupational Health and Air Pollution, High Institute of Public Health, Alexandria University, Alexandria , Egypt
LEAD_AUTHOR
ORIGINAL_ARTICLE
Enhancement of Knowledge and Attitude for Secondary School Adolescent Girls Regarding Reproductive Health
Reproductive health is a crucial part of the general health, not only as a key element of the health during adolescence and adulthood but also through sitting the stage for health beyond the reproductive years for both women and men. The aim of the study is to evaluate the effect of enhancement of knowledge and attitude of secondary school girls regarding reproductive health. The present study hypothized that most of girls had lack of knowledge and misconception about reproductive health issues which may negatively affect their attitude before providing them with guideline. The study conducted at Alshiamaa secondary school located in Benha City at Kaluobia Governorate The sample included 160 girls in adolescent period, from third year. The tools of data collection were structured demographic sheet, knowledge questionnaire sheet and modified Likert Scale. The result showed that 58.8% of secondary school girls who are included in the study had poor knowledge about reproductive health issues and 67.5% of them had negative attitude about it. The study recommended that, developing reproductive health awareness programs targeted to adolescents on large sample size, in different schools to high light this issue.
https://jhiphalexu.journals.ekb.eg/article_20892_d6818200a30bffc1dab99c1219d82585.pdf
2008-04-01
354
369
10.21608/jhiph.2008.20892
Enhancement
Knowledge
Attitude
secondary school
Adolescent girls
Reproductive health
Amel
Hassun
1
Department of Maternal and Newborn Health Nursing, Benha University, Benha, Egypt
LEAD_AUTHOR
Nadia
Fahmy
2
Department of Maternal and Newborn Health Nursing, Ain Shams University, Cairo, Egypt
AUTHOR
Hend
Saad Eldeen
3
Department of Maternal and Newborn Health Nursing, Zagazek University, Zagazek, Egypt
AUTHOR
Howyida
Abd Elhameed
4
Department of Community Health Nursing Benha University, University, Benha, Egypt
AUTHOR
Eman
Ramadan
5
Department of Community Health Nursing Benha University, University, Benha, Egypt
AUTHOR
ORIGINAL_ARTICLE
Females with Gonadal Dysgenesis: Cytogenetic and Molecular Analysis
Gonadal dysgenesis (GD) is a congenital defect in gonadal development related to abnormalities of genes controlling sexual differentiation and includes a wide spectrum of patients with variable phenotypes and chromosomal constitutions. This study aimed at studying the spectrum of chromosomal abnormalities as related to the phenotypic variability of GD cases and to detect the presence of Y-chromosome specific sequences in these patients by using molecular techniques in order to allow early prophylactic management. Seventy females presenting with female GD were referred to the Human genetic clinic, National Research Center for cytogenetic analysis and genetic counseling. Patients were subjected to clinical examination, pedigree construction, cytogenetic and molecular analysis. Hormonal studies, pelvic ultrasonogrophy, Laparoscopy and gonadal biopsy were performed whenever possible. Patients were classified according to their Karyotypes into 9 groups. The most frequent Karyotype, was 45, X (34.3%). The association of 45, X with other cell lines were found at a rate of 28.6%. The age of studied cases ranged between 15 days to 31.07 years (mean= 14:0.9 years). The total parental consanguinity rate reached 44.3%. Gonadal dysgenesis and short stature are the two cardinal signs in these patients. Skeletal features were detected among all studied groups with highest scores in patients having complete X monosomy (44.6%). Neck webbing was a characteristic sign of patients with non-mosaic 45, X karyotype. Dysmorphic features were detected in all groups with the exception of groups with 46, XX and 46, XY Karyotypes. Hirsutism and other virilizing signs were not commonly detected among the studied cases. Gonadoblastoma was detected in only one case among the 5 cases examined by Laparoscopic biopsy. Unidentified sex chromosomes markers constituted 35% of all our 45, X mosaic patterns. Molecular analysis of the markers using PCR technique proved the presence of Y specific sequences, SRY, in three cases. The over all rate of Y chromosomal material detected among these patients either by cytogenetic or molecular methods was 14,3%.
https://jhiphalexu.journals.ekb.eg/article_20893_ce9e53a47ada42f47f0e792ec1a5bdd2.pdf
2008-04-01
370
389
10.21608/jhiph.2008.20893
Female Gonadal Dysgenesis
Cytogenetic Analysis
Molecular analysis
Mona
Mekkawy
1
Department of Human Genetics, National Research Center, Cairo, Egypt
LEAD_AUTHOR
Samia
Temtamy
2
Department of Human Genetics, National Research Center, Cairo, Egypt
AUTHOR
Suzan
Ismail
3
Department of Human Genetics, National Research Center, Cairo, Egypt
AUTHOR
Ibtessam
Hussein
4
Department of Human Genetics, National Research Center, Cairo, Egypt
AUTHOR
Nargues
Hassanein
5
Department of Human Genetics, Medical Research Institute, Alexandria University, Alexandria, Egypt
AUTHOR
ORIGINAL_ARTICLE
Assessing Microbial Pollution of Surface Water Streams at Thirty Villages in Gharbia and Menofia Governorates
The management of microbial pollution sources in rural surface water is challenging. Its management programs often rely on monitoring for a large number of water quality parameters to define contaminant issues. Total coliforms, faecal coliforms, and faecal streptococci have traditionally been used to identify microbial contamination. The objective of this study was to carry out an environmental survey based on the waste drainage systems and to assess the microbial pollution of rural surface waters in thirty Egyptian villages located at Gharbia (10 villages) and Menofia governerates (20 villages). The results show that septic tanks are the most common method of sanitary drainage systems in the Gharbia Governorate villages. About 60% of the villages had both of private net work and septic tanks systems and 30% had only septic tanks systems. In Menofia Governorate the dominant system is septic tanks which covered 85% of the surveyed villages. The municipal network was found under construction in about 15% of the villages. Statistical analyses of total coliform, faecal coliform and faecal streptococci demonstrated that the maximum microbial pollution was found in Ghrbia Governorate The averages of the TC, FC, and FS concentrations were 2.11x106, 9.11x105 and 9.93x104 (MPN 100 ml-1) respectively. While in Menofia Governorate, the averages of the TC, FC, and FS concentrations were 3.25x105, 2.34x104 and 1.75x103 (MPN 100 ml-1) respectively. The stream water in all of the thirty villages sites was identified as polluted, the specific location of the contamination source has not been identified and additional microbial source tracking (MST) methods will be required.
https://jhiphalexu.journals.ekb.eg/article_20894_944a9c422f868aaa7e6b44597ce803c2.pdf
2008-04-01
390
408
10.21608/jhiph.2008.20894
Microbial Pollution
surface water
Streams
Gharbia Governorate
Menofia Governorate
Anwaar
Arafa
1
Department of Environmental Health(Division of Environmental Chemistry and Biology), High Institute of Public Health, Alexandria University, Alexandria, Egypt
LEAD_AUTHOR
Gaber
Ismail
2
Department of Environmental Health(Division of Environmental Engineering), High Institute of Public Health, Alexandria University, Alexandria, Egypt
AUTHOR
ORIGINAL_ARTICLE
BRCA1 (185delAG) Mutation among Egyptian Breast Cancer Female Patients
This study was conducted to estimate the frequency of BRCA1 (185delAG) mutation among Egyptian female patients with breast cancer. Forty selected female patients with breast cancer, 80 of their female relatives and 10 healthy females as a control group were included in this study. Result: The age of onset of breast cancer was below 40 years in 25 (62.5%) patients and above 40 years in 15 (37.5%) patients. There were significant differences among the patients regarding the age at menarche before 13 years (p=0.011, p<0.05), onset of breast cancer (p=0.000, p<0.001), parity (p=0.000, p<0.001), first delivery before 30 years of age (p=0.04, p<0.05), breast feeding (p=0.002, p<0.05), and positive family history (p=0.000, p<0.001). The frequency of BRCA1 (185delAG) mutation was found among 10% of the patients’ group. Eight percent of patients with early onset below 40 years and 13.5% of patients with onset after 40 years were heterozygotes for the mutation. Three percent of patients with unilateral breast cancer, 40% of patients with bilateral breast cancer and 50% of patients with breast ovarian cancer were carrying the mutation. Our results indicated that breast ovarian cancer and bilateral breast cancer patients were likely to have BRCA1 (185delAG) mutation than in unilateral breast cancer.
https://jhiphalexu.journals.ekb.eg/article_20895_5a4c1681951cbf72887bd9badc6ec831.pdf
2008-04-01
409
424
10.21608/jhiph.2008.20895
BRCA1 (185delAG)
Mutation
breast cancer
Egyptian Female Patients
Noha
Mahmoud
1
Department of Human Genetic, Medical Research Institute, Alexandria University, Alexandria, Egypt
LEAD_AUTHOR
Amal
Moustafa
2
Department of Human Genetic, Medical Research Institute, Alexandria University, Alexandria, Egypt
AUTHOR
Hanan
Mahrous
3
Department of Human Genetic, Medical Research Institute, Alexandria University, Alexandria, Egypt
AUTHOR
Amina
El-Gezeery
4
Department of Human Genetic, Medical Research Institute, Alexandria University, Alexandria, Egypt
AUTHOR
Hesham
Mahmoud
5
Department of Bioscience and Technology, Institute of Graduate Studies and Research, Alexandria University, Alexandria, Egypt
AUTHOR
Nadia
Abd El-Menam
6
Oncology Unit, Medical Research Institute, Alexandria University, Alexandria, Egypt
AUTHOR
ORIGINAL_ARTICLE
Study of Radiation Protection for Elekta Medical Linear Accelerator
The incidence of cancer throughout the world is increasing with the prolonged life expectancy that has resulted from improvements in standards of living. About half of all cancer patients receive radiotherapy, either as part of their primary treatment or in connection with recurrences or palliation. The International Atomic Energy Agency (IAEA) has estimated that approximately 2500 teletherapy machines were in use in 1998 in developing countries and that 10000 such machines may be needed by 2015. The preparation of this Safety paper was initiated as a result of an expected increase in the construction of radiotherapy facilities, and in response to Member States that have requested practical guidance regarding the design and shielding of such facilities. In this work, The Harshaw Model 4500 Manual TLD Reader was used for Thermo Luminescence Dosimetry (TLD) by using a set of 20 chips Dosimeter TLD-100. A comprehensive set of measurements were performed for five different sites inside and outside the accelerator. The obtained results showed agreement with published data in some location while the results of the working staff site were within the limits of the recommended permissible dose where it was about 0.5 m Sievert per year.
https://jhiphalexu.journals.ekb.eg/article_20896_4179b8ea8e298fb71f0e215225b44b52.pdf
2008-04-01
425
438
10.21608/jhiph.2008.20896
Radiotherapy
TLD
Elekta
Harshaw
Sievert
Noaman
MF
1
Medical Physics Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt
LEAD_AUTHOR
El-Khatib
AM
2
Department of Physics, Faculty of Science, Alexandria University, Alexandria, Egypt
AUTHOR
Samia
AR
3
Medical Physics Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt
AUTHOR
Daabis
WM
4
Medical Physics Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt
AUTHOR
ORIGINAL_ARTICLE
Health Education Intervention Program of Food Services Staff for Provision of Safety Food in Tanta Hospitals
Background: Food borne diseases are associated with preparation of food under unhygienic conditions or prepared and kept for several hours at ambient temperatures before it is served and left overnight without refrigeration and served the following day. Objective: This work aimed at improving knowledge and practice of food services staff regarding provision of safe food for hospitalized patients in Gharbia governorate through a health education intervention program. Methods: all food services staff working in Tanta University hospitals (n=25) and Health Insurance Hospitals (n=127) were the target of the study. They answered a questionnaire sheet that included personal data and knowledge and practices of the food services staff regarding food safety at the start of the study (pre-intervention) and at the end of a health education intervention program (Post- intervention). A health education intervention program was applied for food services staff categorized as having low (40-59%) or very low score (<40%).It had been applied in 5 sessions in the form of large group discussion. This program was conducted over a period of two and half months, one session weekly. Results: Food services staff with low and very low score regarding knowledge on food safety was 22.37 % and 17.10 respectively. Concerning Practice of food safety, 20.39% of staff had low score and 18.42% had very low score. Age, sex, years of work, place of work and job title had no statistically significant association concerning knowledge and practice of food safety measures. There was statistically significant improvement of knowledge and practice of food services staff up to six months after health education intervention program at 5% level of significance. The percent of improvement ranged from about 32-95% for knowledge and 39-72% for practice. Conclusion: Findings highlighted the importance of providing healtheducation in food and personal hygiene to food services staff andincorporating the same in existing guidelines for food establishmentslaid down by civic agencies in Tanta and elsewhere.
https://jhiphalexu.journals.ekb.eg/article_20897_77bccd2b949ea4401dc7ebe271e3eb84.pdf
2008-04-01
439
458
10.21608/jhiph.2008.20897
health education
Intervention program
Food Services Staff
Safe Food
Tanta Hospitals
El-Olemy
A
1
Department of Public Health, Faculty of Medicine, Tanta University, Tanta, Egypt
LEAD_AUTHOR
Fouda
L
2
Department of Community Health Nursing, Faculty of Nursing, Tanta University, Tanta, Egypt
AUTHOR
ORIGINAL_ARTICLE
Implementation of Computerized Physician Order Entry (CPOE) towards Patient Safety in Saudi Hospitals
In the last 10 to 15 years, the healthcare industry has clearly shifted its focus from implementing financial information systems to clinical information systems in order to improve outcomes, reduce medication errors, increase healthcare efficiency, and eliminate unnecessary costs. This paper describes the experience of one of the leading health organization in Saudi Arabia in implementing a Computerized Physician Order Entry (CPOE) solution to meet patient safety measures. The realized benefits gained from the CPOE implementation are explained and the lessons learned are discussed. The paper also explains the main Critical Success Factors (CSF) used to increase the likelihood of project success.
https://jhiphalexu.journals.ekb.eg/article_20898_af04f62a156b33eb5594bd82038dffc3.pdf
2008-04-01
459
473
10.21608/jhiph.2008.20898
CPOE
CSF
Health Information Systems
Patient Safety
CPR
Saudi Hospitals
Majid M.
Altuwaijri
1
College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
LEAD_AUTHOR
ORIGINAL_ARTICLE
Stem Cells' Informatics معلوماتية الخلايا الجذرية
يمر بناء بنوک الخلايا الجذرية العمومية بمراحل عدة يمکن إجمالها في التجميع – المعالجة – الاختبارات – التخزين – الاختيار – التبرع. وتلعب المعلوماتية دوراً رئيسياً في جميع هذه المراحل بدءاً من الإنشاء وحتى الاستفادة من محتويات هذه البنوک. ومصطلح بنوک الخلايا الجذرية يتضمن جانبين؛ الأول يتعلق بالمحتويات المادية لهذه البنوک، وهي الخلايا الجذرية نفسها المستخلصة من الحبل السري والمشيمة( سنطلق عليه دم الحبل السري في بقية المقال) أو نخاع العظم، ويتعلق الآخر، وهو مدار حديثنا في هذه المقالة، بالجانب المعلوماتي لمحتويات هذه البنوک من الخلايا الجذرية، کمعلومات عن المتبرع والخصائص البيولوجية لهذه الخلايا الجذرية وطرق استخلاصها، وخصائصها البيولوجية، وأماکن تخزينها وغيرها من المعلومات، بالإضافة إلى المعلومات المتعلقة بالخصائص البيولوجية للمستفيد. کما تلعب المعلوماتية دور المسهل أو المُمَکِن – وفي بعض الأحيان دور الضابط- للتأکد من أداء العمل بشکل احترافي ومهني، وذلک بمراعاة بنود وضوابط التشريعات الخاصة بالخلايا الجذرية عند بناء التطبيقات وعلى مستويات النظم المتعددة. وقد تکون هذه الأدوار محسوسة أو غير محسوسة، وعلى سبيل المثال فإن تطبيق شفره التعرف (Barcode) على العينة وحاويات التخزين يلعب دوراً رئيسياً في ضبط دقة ربط العينات بالمعلومات المتعلقة بها وذلک بالإقلال من عمليات الإدخال اليدوية قدر الإمکان لتجنب الأخطاء، وهو من الأنشطة غير المحسوسة، بينما يمثل اسم المستخدم وکلمة السر نشاطاً محسوساً.
https://jhiphalexu.journals.ekb.eg/article_20899_7a457b76f8aa64db258362b85e1e034d.pdf
2008-04-01
474
492
10.21608/jhiph.2008.20899
Stem Cells' Informatics
معلوماتية الخلايا الجذرية
طارق بن
الشدي
1
دکتوراه في المعلوماتية الحيوية وحوسبة الاحياء مؤهل عالٍ في حوسبة العلوم الاجتماعية
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