Hala Elsabagh - Academia.edu (original) (raw)

Papers by Hala Elsabagh

Indian journal of respiratory care, Jan 17, 2024

rise to further use of tobacco. Tobacco not only hurts the brain growth of teenagers and young ad... more rise to further use of tobacco. Tobacco not only hurts the brain growth of teenagers and young adults, but its aerosol may contain other harmful matters, including cancer-producing agents, vaporous organic compounds, and heavy metals such as lead. 7,8 Various studies showed conflicting findings when assessing the E-cigarettes' effectiveness as a smoking cessation aid. A research synthesis proved that utilizing E-cigarettes as a support to stop IntroductIon The electronic cigarettes (E-cigarettes) or vape pens is an electrically-charged device that produces inhaled atomizer containing nicotine. 1 Vape composed of an electronic dispersal substructure, secondary cells and charger, electronic commander, and cartridges that are capable of being replaced containing nicotine and a variety of fabricated substances. 2 The heater contains a combination of different fluids, such as vegetable glycerin and propylene glycol, and favors accepting nicotine. It is operated manually or by absorption, acting by converting the nicotine fluid into an evaporated form. 3 Electronic cigarettes (E-cigarettes) were developed when 80% of smokers in the United States failed in their trial to stop smoking by themselves. This was one of the most important causes that led to the use of vape pens. 4 Other reasons include decreasing tobacco craving and reducing harm when it replaces regular cigarettes. Also, it is cheaper and has an intensified taste and smell compared to the usual cigarettes. 5 Nowadays, the utilization of E-cigarettes has grown, especially among adolescents and those in their early years. Its consumption keeps increasing since they are offered for sale as a healthier substitute for tobacco smoking. 3 Although E-cigarettes may help ongoing smokers to leave smoking, 6 little investigations are made about the probable harm of E-cigarettes in the longterm. Its harm may be increased when used by nonsmokers recreationally because nicotine is compulsive and may give

Ethics, Medicine and Public Health, Feb 1, 2022

African Journal of Gastroenterology and Hepatology (Print), Sep 12, 2022

Non-alcoholic fatty liver disease (NAFLD) is a broad category for a disease spectrum that include... more Non-alcoholic fatty liver disease (NAFLD) is a broad category for a disease spectrum that includes simple steatosis, which can proceed to non-alcoholic steatohepatitis, cirrhosis, and, finally, hepatocellular carcinoma. Owing to the invasive nature of liver biopsy, the need for non-invasive tools were required for diagnosis. Objective: To compare the performance of simple biochemical scores (fibroblast) FIB-5 and (fibrosis-4) FIB-4 with fibroscan to differentiate mild to moderate fibrosis (MF; F0 to F2) from advanced fibrosis (AF; F3 to F4) in patients with NAFLD.

National journal of community medicine, Apr 1, 2016

Background: Adolescence coincides with major changes that affect the determinants of adult health... more Background: Adolescence coincides with major changes that affect the determinants of adult health. Many adult health conditions are related to factors that develop during adolescence. Aim: This study aimed to investigate the impact of dietary habits and physical activity on BMI of late adolescent college students. Methodology: Cross sectional study was conducted in the first three years of medical and nursing students, Tanta University. A self-administered questionnaire was used. It included questions on socio-demographic, dietary habit, physical activity and perception of healthy lifestyle. Results: Out of 524 students 55.5% were rural residents and 67.9% were females and 31.3% were having overweight. Drinking soda /sugared beverages (juices) is significantly high in obese students. More than half (53.1%) of OB students and (44.5%) of OW students usually eat snacks between meals. Physical activity is low among studied students, 45% of them did not have routine exercise. Obese and overweight students had negative attitude towards healthy lifestyle. Lack of time is the main barrier to adopt healthy lifestyle. Conclusion: Fault dietary habits, lack of physical activity and high sedentary practice affect the BMI. Negative perception of healthy lifestyle and lack of time constitute the main barriers against healthy lifestyle.

PubMed, Sep 1, 2021

Objective: Stroke is a medical emergency that may lead to permanent neurological damage, complica... more Objective: Stroke is a medical emergency that may lead to permanent neurological damage, complications, and disability. It is the second leading cause of death worldwide and one of the main causes of adult-acquired disabilities. Stroke can be prevented by controlling modifiable risk factors and the early detection of stroke warning signs. The current study aimed to assess the knowledge of the general population in the Riyadh region of Saudi Arabia about stroke. Materials and methods: A cross-sectional and community-based design was employed in this study. The sample was calculated as 432. A pre-tested structured questionnaire was used to collect data. The data was analyzed by SPSS software, version 23. Descriptive statistics were used. The Chi-square test was employed to test differences between qualitative variables, and a p-value less than 0.05 was considered significant. Results: Results showed that 26.6 % of the population had good knowledge about stroke. Population with average and poor knowledge were 50.5% and 22.9%, respectively. The level of stroke knowledge is related to age; the older population aged 45 and more acquired the highest level of knowledge (50%) compared to the other groups. Age group 35-44 years received the least level of stroke knowledge (19.9%). The school teaching had the highest level (40.0%) of stroke knowledge than the other occupations. Conclusions: Stroke knowledge among the population of Saudi Arabia is inadequate. The stroke knowledge is related to age and occupation.

Vaccines

Hesitancy about receiving vaccines has been deemed a global danger to public health by WHO. The s... more Hesitancy about receiving vaccines has been deemed a global danger to public health by WHO. The sociocultural backgrounds of the people have an impact on vaccine acceptance. The purpose of this study was to examine the effect of sociodemographic factors on COVID-19 vaccination hesitancy as well as to identify the factors that contributed to COVID-19 vaccine hesitancy. Methods: A cross-sectional study was carried out to determine the primary variables causing COVID-19 vaccination hesitancy among residents of Pune. The general population was sampled through simple random sampling. The minimum sample size was determined to be 1246. The questionnaire inquired about the individuals’ sociodemographic information, vaccination status, and reasons for vaccine hesitancy. Results: In total, there were 5381 subjects, 1669 of whom were unvaccinated and 3712 of whom were partially vaccinated. Fear of adverse effects (51.71%), fear of losing a few days of work (43.02%), and inability to secure a v...

The Egyptian Family Medicine Journal

Background: Consanguineous marriages occur in most of populations, with different percentages amo... more Background: Consanguineous marriages occur in most of populations, with different percentages among all marriages. The consanguinity rates in the Middle East, North Africa, Southwest Asia, and South India range between 20-50% or more of all marriages. (3) Objective: To assess the prevalence of consanguineous marriage among family members of medical students', knowledge, and attitude of students towards consanguineous marriages. Methods: A descriptive cross-sectional study was conducted in Faculty of Medicine, Tanta University, Egypt with a sample size 750 students. Results: The prevalence of consanguineous parents was 12%. The prevalence of consanguineous marriage among the married sisters or brothers of the participants was 25%. Most of the participants were unmarried females and Muslims (99.2% and 98.10%, respectively). A significantly higher knowledge score was present among urban females. Married participants have significantly positive attitude compared to non-married ones. Most of the participants (82%) prefer offering information to couples about consanguineous before marriage and they preferred to have the information from: clinical geneticist, followed by mass media, then gynecologist, or general practitioner. Conclusions: The prevalence of consanguineous marriage is high. The level of knowledge is satisfactory but the attitude for those accepting consanguineous marriage still approximate to half of the participants. Premarital health education programs are needed to improve the youth knowledge level on consanguineous marriages, better by physicians in the medical health centers or through mass media.

Journal of Nutrition Education and Behavior, 2017

Objective: To examine the role of socioeconomic variables on middle-aged adult men's knowledge an... more Objective: To examine the role of socioeconomic variables on middle-aged adult men's knowledge and health beliefs about osteoporosis. Methods: An anonymous survey used validated scales to assess osteoporosis knowledge and health beliefs in a sample of 262 men aged 36-55 years. Descriptive and group-differences statistics (MANOVA and ANOVA) were used. Results: Total osteoporosis knowledge was low (mean, 11.1 of 22) and mean scores on perceived susceptibility and seriousness health belief domains were also low: 13.2 and 17.2, respectively out of 30. Multivariate ANOVA revealed that perceived seriousness, barriers to calcium intake, and health motivation varied significantly with level of formal education attained (P < .05). There was no significant difference with income. Conclusions and Implications: Results of this convenience sample of predominantly white men found that level of osteoporosis knowledge and perceived susceptibility were low. Given the increased prevalence of osteoporosis-related fracture in men, methods to increase knowledge and awareness are needed.

African Journal of Gastroenterology and Hepatology

Delta Journal of Ophthalmology, 2018

Purpose The aim of this study was to evaluate the effect of visual display terminals (VDTs) use a... more Purpose The aim of this study was to evaluate the effect of visual display terminals (VDTs) use among primary school children. Patients and methods A school-based prospective observational cross-sectional comparative study was carried out on two groups of primary school children in Egypt, in the period between January and April 2016. History of using VDTs in different patterns was documented together with the associated different eye complaints, whether visual or nonvisual. External eye examination, red reflex, visual acuity, and noncycloplegic refraction were performed. Results The current study included 1075 children in grades 3–6 of primary schools. Their age ranged from 9 to 13 years. The usage of different types of VDTs in private school children was highly significant than in governmental ones (P=0.00001). The computer vision syndrome was significantly higher in private school students (P=0.01). However, the detected visual errors had a nonsignificant association with children using VDTs (P=0.25). Conclusion There was a high significant association between certain patterns of VDTs usage in primary school children and certain ocular complaints such as headache and eye fatigue. Visual errors could be measured easily in children, with nonsignificant association with VDTs users.

Keywords: AflatoxinB1; Hepatocellular carcinoma (HCC); Fungal toxins. (ClinicalTrials.gov Identif... more Keywords: AflatoxinB1; Hepatocellular carcinoma (HCC); Fungal toxins. (ClinicalTrials.gov Identifier: NCT02461966). Background and Aim: The burden of hepatocellular carcinoma (HCC) has been increasing in Egypt. This fact raises the question, does the high prevalence of HCC in Egypt is related only to HCV? or is it augmented by AFB1 exposure in our patients? The aim of this study was to identify the role of aflatoxin as an environmental risk factor attributable to liver cancer in Nile delta in Egypt. Patients and Methods: This cross sectional study was carried out in tropical medicine department in Tanta university hospital on 160 patients with HCC, 80 cirrhotic patients. Sixty individuals were invited to share in the study as a control group. All patients and control were evaluated for age, sex, residence, occupation, viral markers, liver functions and serum level of aflatoxinB1. Results: Aflatoxin level in serum was significantly higher in HCC patients when compared to cirrhotics a...

Infectious Disorders - Drug Targets, 2020

Background &Aims: With the introduction of sofosbuvir based regimens, there have been achieved hi... more Background &Aims: With the introduction of sofosbuvir based regimens, there have been achieved high cure rates and decreased duration. Several studies showed variances in SVR rates between different genotypes, with lower rates of SVR among cirrhotic patients . The aim of our study was to assess the safety and effectiveness of sofosbuvir-based antiviral regimens for the treatment of HCV-infected Egyptian cirrhotic patients. Methods: This was a retrospective observational comparative study. Nine hundred forty six cirrhotic patients with chronic HCV genotype 4 infection who were eligible for direct acting drugs (DAAs) therapy were enrolled. The primary outcome measures were the number of patients with successful eradication of the virus evidenced by SVR at 12 Weeks After discontinuation of therapy (SVR12) and the secondary outcome measures were the incidence of adverse effects associated with the tested HCV therapy. Results: Among the 946 patients enrolled in the study; 527 patients (5...

International Journal of Current Microbiology and Applied Sciences, 2016

The Open Biomarkers Journal

Background: Screening of Esophageal Varices (EV) in liver cirrhosis is highly recommended in all ... more Background: Screening of Esophageal Varices (EV) in liver cirrhosis is highly recommended in all consensus reports. The standard screening procedure is endoscopy. Insulin resistance (IR) and the quantitative insulin sensitivity check index (QUICKI) are reliable predictors of portal hypertension. Objective: The study aimed to assess and compare the validity of insulin sensitivity/insulin resistance markers and other non-invasive markers for the detection of EVs in post chronic hepatitis C virus cirrhotic patients. Patients and Methods: In this cross-sectional study, 76 patients were screened by esophagogastroduodenoscopy and abdominal ultrasonography. Estimation of fasting serum insulin by ELISA technique was carried out. Homeostasis model assessment of insulin resistance (HOMA-IR) and QUICKI was performed. Results: The patients with an advanced grade of EV had higher insulin resistance and lower QUICKI. A cut-off value of HOMA-IR ≥ 3.4 could significantly predict EVs with 72% sensit...

International Journal of Community Medicine and Public Health, 2016

Epidemiologic Methods

ObjectivesThis study aimed to assess the sleep quality (habits and disorders) and the daytime sle... more ObjectivesThis study aimed to assess the sleep quality (habits and disorders) and the daytime sleepiness among medical students.MethodsA cross-sectional questionnaire-based study was conducted during September 2018, through November 2018 at the Faculty of Medicine, Tanta University, Egypt. The study recruited undergraduate Egyptian and Malaysian students and applied a modified form of two questionnaires, namely the Sleep Habits and Life Style and the Epworth Sleepiness Scale (ESS)”. Statistical analysis was done using SPSS. The results were expressed as frequency, percentage, and mean ± standard deviation (SD). Chi-square test was used to explore associations between categorical variables. An independent sample t-test was used to detect the mean differences between groups. Ordinal regression analyses were done on the ESS findings in relation to demographics and sleep habits. p-values<0.05 were accepted as statistically significant.ResultsThe study included 899 medical students. M...

Egyptian Rheumatology and Rehabilitation, 2021

One of the most important and dangerous complications of rheumatoid arthritis (RA) is bone loss, ... more One of the most important and dangerous complications of rheumatoid arthritis (RA) is bone loss, which manifested by erosions and juxta-articular or systemic bone loss. Anti-carbamylated protein (anti-CarP) antibodies which are also called anti-homocitrulline antibodies have recently been found in RA. Increase anti-CarP antibody titres may lead to severe disease and increase the progression of bone loss. Osteoprotegrin and receptor activator for nuclear factor kappa B and its ligand (RANKL) are the main players in the pathogenesis of osteoporosis. Thus, we aimed to investigate and detect the presence and prevalence of anti-CarP in rheumatoid arthritis and their association with disease severity and osteoporosis, as well as with OPG/RANKL in 80 Egyptian RA patients to highlight this relationship which could be useful in managing RA patients with osteoporosis. Serum anti-CarP levels were significantly increased in the RA group compared with the control group (P< 0.001). We found a ...

International Journal of Research in Medical Sciences, 2016

Background: Egypt lies among the world’s highest prevalence rates of HCV and intermediate levels ... more Background: Egypt lies among the world’s highest prevalence rates of HCV and intermediate levels of HBV infection. The objectives of the study were detection of the knowledge, attitude and practice of Medical Students of Tanta University towards hepatitis B and C. Methods: This was a cross-sectional study, conducted in The Faculty of Medicine, Tanta University, Egypt; from 15th October 2013 to 15th of January 2014. Results: The study included 185 Students; their ages ranged between 17 to 28 years with a mean 20±1.731years. Sixty percent of students were males and 65% were urban residents. 50.8% of the participants were in the basic level of the academic study. More than half (57.85%) of the participants had sufficient knowledge, 77.3% of them had a positive attitude towards hepatitis C and B and more than two-thirds (68.1%) showed good practice. A significant association occurred between a positive attitude and good practice. Sufficient knowledge was significantly recorded among old...

Background: Elderly people face series of challenges such as chronic illnesses and some kind stre... more Background: Elderly people face series of challenges such as chronic illnesses and some kind stressors which have direct impact on the body functionality. A lot of the illnesses, disability and even death are associated with chronic diseases. It is more important to adapt with these stressors. Successful coping play an important role in helping the elderly people to manage their stress. Aim: to investigate the effect of disability and related stress level of chronically ill elderly on their coping strategy. Methodology: A convenient sample of 200 elderly persons 60 years old or above who were suffering from one or more of chronic physical illness for the duration of at least one year or more were included in this study. They were selected from the health insurance hospitals in El-Mahaha Alkobra and Tanta city. An interview questionnaire sheet was developed by the researchers to collect the data. It included five parts: 1) Sociodemographic data, 2) Past medical history, 3) World Heal...

*Correspondence to: Hala M. Elsabagh, MD, Public Health and Community Medicine, Tanta Faculty of ... more *Correspondence to: Hala M. Elsabagh, MD, Public Health and Community Medicine, Tanta Faculty of Medicine, Tanta University Tanta, Egypt. elsabaghhala@yahoo.com ABSTRACT Background: Personal hygiene aids in the disease prevention and health promotion. It is vital in every phase of life, but good cleanliness behavior starts in childhood. Purpose: To appraise the KAP of the personal hygiene and also to assess the association between proper knowledge and the attitude and practice of personal hygiene among preschool children. Methods: This is a cross-sectional study conducted in Tanta city, Gharbia governorate in the middle of Delta region in Egypt from October 2013 to March 2014. Results: The study included 231 preschool children most of them were males 128 (55.4%), the majority were rural resident 205 (88.7%) with their age ranged between 3-6 years and median age 5 years. More than three quarters of the children (77.1%) knew the requirement of personal hygiene. On the other hand more than half of them had a special towel and comb. About two thirds of children (65.4%) had good to moderate knowledge with nearly three quarters (73.6%) had positive attitudes and more than half (55.4%) had good practice. There was a moderate positive correlation between knowledge score with both the attitude and practice scores. Male and older children had a significant better knowledge, attitude and practice than female and younger ones. Residence had no significant effect on children knowledge, attitude and practice. Conclusions: Preschool children knowledge, attitudes, and practices about personal hygiene were deficient in some aspects.