High Institute of Public Health, Alexandria University
Journal of High Institute of Public Health
2357-0601
2357-061X
46
1
2016
04
01
Parents’ Satisfaction with Antibiotics Prescription for Under 5 children in Family Health Facilities in Alexandria
1
7
EN
Bothaina
Deghedi
Primary Health Care Specialty, High Institute of Public Health, Alexandria University
Noha
Moustafa
Primary Health Care Specialty, High Institute of Public Health, Alexandria University
nohashawky14@yahoo.com
Manal
Meky
Primary Health Care Specialty, High Institute of Public Health, Alexandria University
10.21608/jhiph.2016.20200
<strong>Background: </strong>Improving antibiotic use is a public health imperative. One of the most important reported factors influencing inappropriate antibiotic prescription is patients’ insistence on prescribing antibiotic.
<strong>Objective (s)</strong><strong>:</strong> The aim of present study was to assess parents’ satisfaction with antibiotics prescription for under 5 children in family health facilities in Alexandria governorate.
<strong>Methods:</strong> A cross sectional study was conducted in four randomly selected family health facilities on a sample of 126 parents of under 5 children by using an interview questionnaire.
<strong>Results & Conclusion:</strong> The results revealed that most of the parents (96.8%) were satisfied with the overall offered services to their sick children in the family health facilities and 98.6% would comply with the family physicians management, even if antibiotics were not prescribed, whereas the rest would seek a second medical advice at a private health facility
antibiotics,parents’ satisfaction,under 5 children
https://jhiphalexu.journals.ekb.eg/article_20200.html
https://jhiphalexu.journals.ekb.eg/article_20200_13bfeabf33fd9fa3ce85aca066ec98da.pdf
High Institute of Public Health, Alexandria University
Journal of High Institute of Public Health
2357-0601
2357-061X
46
1
2016
04
01
Effect of Moringa Oleifera on Lipid Profile in Rats
8
14
EN
Samar
Aborhyem
Food Analysis Specialty, Department of Nutrition, High Institute of Public Health, Alexandria University, Egypt
mrmr_world@yahoo.com
Hanaa
Ismail
Food Analysis Specialty, Department of Nutrition, High Institute of Public Health, Alexandria University, Egypt
Neveen
Agamy
Food Analysis Specialty, Department of Nutrition, High Institute of Public Health, Alexandria University, Egypt
Dalia
Tayel
0000000168129271
Nutrition Specialty, Department of Nutrition, High Institute of Public Health, Alexandria University, Egypt
dalia2tayel@yahoo.com
10.21608/jhiph.2016.20201
<strong>Background:</strong> Coronary heart disease, stroke, atherosclerosis and hyperlipidemia are primary causes of death worldwide. Moringa Oleifera tree was used as a health supplement introduced to Africa from India. Its leaves have various biological activities, including hypolipidemic effect.
<strong>Objective(s):</strong> The aim of present study was to assess the effect of Moringa Oleifera consumption on lipid profile and histopathology of the liver in hyperlipidemic rats.
<strong>Methods:</strong> A total of 50 male albino rats were divided into five equal groups. Group I was left as control and fed on standard diet only. Group II was fed on standard diet and orally injected with 400 mg/kg of rat body weight extract of Moringa Oleifera. Hyperlipidemia was induced in the remaining 30 rats by feeding an atherogenic diet for four weeks. Group III was fed on atherogenic diet only. Group IV was fed on atherogenic diet and orally injected with 400 mg/kg of rat body weight extract of Moringa Oleifera. Group V was fed on atherogenic diet with 2mg/kg of rat body weight Atorvastatin drug. Lipid profile of rat blood was measured including total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), high density lipoprotein (HDL), and very low density lipoprotein (VLDL). Liver tissue was evaluated by carrying out histopathological examination.
<strong>Results:</strong> The rats fed on Moringa Oleifera showed a significant decrease in total cholesterol and LDL by 26.8% and 40.6% respectively compared to baseline values after 4 weeks. Although VLDL and TG showed slight increase by 5.6% and 5.1% respectively, they were still within the normal range. Otherwise, there was a significant increase in LDL, VLDL, TC, and total TG levels in rats fed on atherogenic diet only by 17.13%, 195.4%, 29.2%, and 193% respectively compared to baseline values after 4 weeks. Atorvastatin drug affected the HDL level, as it increased by 16.4% % 28% from baseline after two and four weeks respectively. Atorvastatin and Moringa Oleifera decreased VLDL level by 53.9% & 36.5% respectively when compared to rats fed on atherogenic diet.
Conclusion: Moringa Oleifera was comparable to hypolipidemic medication (Atorvastatin) in improving the lipid profile of rats fed on atherogenic diet. Moringa Oleifera intake is more effective in prevention than in treatment of hyperlipidemia.
Lipid profile,Atherosclerosis,Moringa oleifera,atherogenic diet,Atorvastatin
https://jhiphalexu.journals.ekb.eg/article_20201.html
https://jhiphalexu.journals.ekb.eg/article_20201_9c74205f3978d397d62520a89a22f234.pdf
High Institute of Public Health, Alexandria University
Journal of High Institute of Public Health
2357-0601
2357-061X
46
1
2016
04
01
Treatment Response of Chronic Hepatitis C Patients and Health-Related Quality of Life
15
24
EN
Doaa
Mohamed
Technical Institute of Health, Health Insurance Organization, Egypt
Ali
Hasab
Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt
Mohamed
El-Hassafy
Department of Internal Medicine and Hepatology, Faculty of Medicine, Alexandria University, Egypt
Nessrin
El-Nimr
0000-0003-1976-4847
Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt
dr.elnimr@gmail.com
10.21608/jhiph.2016.20218
<strong>Objective(s): </strong>The objectives of present study were to investigate the response of chronic hepatitis C (CHC) patients to pegylated interferon alpha plus ribavirin (PEG-INF/RBV) combination therapy, to identify factors that could predict their response to treatment and to assess their health-related quality of life (HRQOL) before, during and after PEG-INF/RBV combination therapy.
<strong>Methods:</strong> An intervention study (one group pre-test - post-test design) was used. Data were collected from 300 CHC patients who attended the Hepatology and Interferon Therapy Unit at Gamal Abd El Naser Insurance Hospital using a pre-designed structured interviewing questionnaire and viral hepatitis C quality of life questionnaire. Review of the patients’ medical records and their laboratory investigations was also carried out.
<strong>Results: </strong>The cumulative seronegativity rate of treated patients was 74%. The proportion of CHC patients who survived seronegativity was 0.270 at the 12<sup>th</sup> week, 0.261 at the 24<sup>th</sup> week and 0.250 at the 48<sup>th</sup> week of treatment. Patients’ age and viral load significantly affected seronegativity. Significant univariate main effects for age were statistically associated with poor HRQOL in the domains of physical functioning, role limitations due to physical health, emotional problems and pain. Presence of chronic diseases and HC viral load had a significant effect on physical functioning, role limitations due to physical health problems, emotional problems and pain. All domains of the HRQOL short form (SF36) decreased by the end of the 4<sup>th</sup> week and started to increase at the 24<sup>th</sup> and 48<sup>th</sup> weeks of the follow up period.
<strong>Conclusion:</strong> The proportion of CHC patients who survived seronegativity was 0.250 at the 48<sup>th</sup> week of treatment. Factors associated with seroconversion were age and hepatitis C virus (HCV) load. CHC patients aged 55 years and above, those with chronic diseases and those with HC viral load of ≥ 900,000 IU/ml were found to be statistically associated with poor HRQOL. All the domains of the SF36 decreased by the end of the 4<sup>th</sup> week and started to increase at the 24<sup>th</sup> and 48<sup>th</sup> weeks of follow up period.
hepatitis C,Treatment,quality of life
https://jhiphalexu.journals.ekb.eg/article_20218.html
https://jhiphalexu.journals.ekb.eg/article_20218_2057771e5f8b70f6a9351fa92c60f60d.pdf
High Institute of Public Health, Alexandria University
Journal of High Institute of Public Health
2357-0601
2357-061X
46
1
2016
04
01
Prevalence and Other Correlates of Ever Smoking in Saudi Arabia: Results of a National Survey
25
30
EN
Lamiaa
Abuzaid
Department of Public Health, Community & Occupational Medicine and Environmental Heath, Faculty of Medicine,
Suez Canal University, Ismailia, Egypt
labuzaid@kfmc.med.sa
Abdelshakour
Abdalla
Department of Community Medicine, Faculty of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.
10.21608/jhiph.2016.20223
<strong>Background:</strong> Updated information on prevalence of ever smoking and its related factors is necessary for planning smoking control programs.
<strong>Objective(s): </strong>The current study aimed at assessing the prevalence and identifying the associated factors and predictors of ever cigarette smoking among the Saudi adult population.
<strong>Methods:</strong> The current study was a secondary analysis of the cross-sectional community-based survey conducted by the WHO in collaboration with the Saudi Ministry of Health in 2005 using WHO STEP wise approach. A multistage, stratified, cluster random sampling was applied to select a total sample of 5000 Saudi adults aged 15 to 64 years. The interview questionnaire included socio-demographic characteristics, status of smoking, and physical activity pattern. Blood pressure, weight and height were measured. Blood samples were drawn for assessment of fasting blood sugar, total and HDL cholesterol.
<strong>Results:</strong> The prevalence of ever smoking was 21.6%. Just over half of the subjects were females, about 23% less than 25 years, while about 11% more than 55 years of age. Ever smoking was significantly associated with male gender, younger age, and lower education and income levels. Of all study subjects 12.5% were categorized as ever smokers and practicing low level of physical activity. Additionally, 15.2% were categorized as ever smokers and non-obese. Ever smoking was significantly associated with low physical activity and non-obesity. No significant association between ever smoking and hypertension, diabetes mellitus or cholesterol level was found. The significant predictors of ever smoking were male gender and lower educational level.
Conclusion: Ever smoking was prevalent among Saudi adult population indicating a need to develop community-based and effective tobacco control programs to reduce this risk.
Ever smoking,prevalence,Socio-demographic characteristics,adults,Saudi Arabia
https://jhiphalexu.journals.ekb.eg/article_20223.html
https://jhiphalexu.journals.ekb.eg/article_20223_05a822bf8d516e6df0ed2c36a1ab0e5b.pdf
High Institute of Public Health, Alexandria University
Journal of High Institute of Public Health
2357-0601
2357-061X
46
1
2016
04
01
Correlates of Quality of Life of Older Adults with Dementia, Alexandria, Egypt
31
37
EN
Zeinab
Shata
Family Health (Mental Health) Department, High Institute of Public Health, Alexandria University, Egypt
zeinab.shata@yahoo.com
Heba
Elkady
Family Health Department (Geriatric Health), High Institute of Public Health, Alexandria University, Egypt
Hala
Ibrahim
Family Health Department (Public Health Nursing), High Institute of Public Health, Alexandria University, Egypt
10.21608/jhiph.2016.20593
<strong>Objective(s)</strong><strong>:</strong> To determine factors associated with quality of life (QoL) of older adults with dementia in Alexandria, Egypt.
<strong>Methods</strong>: A total of 102 dementia patient-caregiver participated in a cross-sectional study at the psychogeriatric outpatient clinic in Almaamora Psychiatric Hospital in Alexandria (2013). Community dwelling older adults (≥ 60 years), and having scores of 10-20 on the Mini Mental State Examination (MMSE), were recruited. They were assessed using Quality of Life-Alzheimer’s Disease (QoL-AD)-combined report, Patient Health Questionnaire-9 (PHQ-9) for depression, and Katz Index for Activities of Daily Living (ADL).
<strong>Results</strong>: The higher scores on the QoL-AD correlated significantly with younger ages of patients (r = –0.270, p < 0.001) and caregivers (r = –0.254, p = 0.01), higher scores on the MMSE (r = 0.208, p = 0.03) and ADL (r = 0.551, p < 0.001), and lower PHQ-9 scores (r = –0.506, p < 0.001). Better QoL associated significantly with adequate monthly income (p = 0.04), AD type of dementia (p = 0.002), absence of co-morbid physical diseases (p < 0.001), and caregivers not living with the patient in same residence (p = 0.02). Regression analysis revealed only two predictors of QoL namely the person's level of independence in ADL, and lower depressive symptoms (<em>B</em> = 0.644, <em>B</em> = –0.303, respectively, p < 0.001).
Conclusion: <strong>QoL of patients with moderate dementia was significantly predicted by the severity of depressive symptoms and level of functional dependence. Dementia care plans should include regular screening and early management of depression, as well as patient and caregiver psycho-education to increase patients' functional independency.</strong>
ADL,community dwelling older adults,Dementia,depression,QoL-AD
https://jhiphalexu.journals.ekb.eg/article_20593.html
https://jhiphalexu.journals.ekb.eg/article_20593_c8c5bd370a8fe9942cf9f34006a44b8d.pdf