Hanan Salem - Academia.edu (original) (raw)

Papers by Hanan Salem

Research paper thumbnail of Legal Response of Physicians Towards Workplace Violence during COVID-19 Pandemic in Egypt: A Cross Sectional Study

Zagazig Journal of Forensic Medicine

Workplace violence (WPV) is defined by World Medical Association as "an international emergency t... more Workplace violence (WPV) is defined by World Medical Association as "an international emergency that undermines the very foundations of health systems and impacts critically on patient's health". The physicians are specifically vulnerable for such these acts from patients or even their relatives. WPV has detrimental effects on both health professionals and the quality of health care services administered. Aim: to highlight the problem of assault against doctors and their legal response towards it, generally in medical practice and specifically during COVID 19 pandemic. Subjects and methods: A cross sectional study was done through anonymous self-structured internet-based questionnaire survey on 300 physicians. It included different data as regards sociodemographic data, occurrence of bullying, type of assault and response of the physician towards such assault. Results: About 55% of responders claimed previous exposure to verbal or physical violence, nearly 19% faced verbal violence and 14% faced physical violence, about 15% notified head of the department while only 9.7% notified police. Almost 80% of the responders were not satisfied by actions taken after notification, and 23% were exposed to bullying due to working during COVID era. All responders (100%) believe that media affect how people deal with physicians. Conclusion: Workplace violence against doctors is escalating vigorously. Under-reporting and lack of security support are the main issues in solving this catastrophic health system problem.

Research paper thumbnail of Sex determination by morphometric analysis of the mental foramen from digital panoramic radiography

Egyptian Dental Journal

Aim: to assess the mental foramen as a landmark for sex determination through morphometric analys... more Aim: to assess the mental foramen as a landmark for sex determination through morphometric analysis done on digital panoramic images. Materials and methods: 100 digital panoramic images of dentulous and partially edentulous Egyptian patients (50 males and 50 females) of age over 18 years old were included in the present study. Morphometric analysis of the mental foramen was conducted on all images concerning one side of the images. The measurements of the distances from the superior border of the mental foramen to the alveolar crest of the mandible (D1), from the superior border of the mental foramen to the inferior border of the mandible (D2), from the inferior border of the mental foramen to the inferior border of the mandible (D3), from the mesial border of the mental foramen to the distal border of the mental foramen (D4) and from the superior border of the mental foramen to the inferior border of the mental foramen (D5) were performed on each digital panoramic image. The data obtained were subjected to statistical analysis and discriminant function analysis was used to estimate the efficiency of each variable for sex determination. Results: Both (D2) and (D3) were significantly higher in males than in females and they showed the greatest contribution as predictors for sex determination. The cutting score was zero, therefore, discriminant scores greater than zero were classified as male and less than zero (negative scores) were classified as female. Accordingly, 70 % of the cases of the cross-validated group were classified correctly. Conclusion: Both (D2) and (D3) exhibit sexual dimorphism and can be used in sex determination.

Research paper thumbnail of Medicolegal Aspects of Suicidal Attempts by Drugs in Cases admitted to Poison Control Center of Ain Shams University Hospitals (2019-2020)

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

Background: A suicide attempt is an act by which the person wants to end his own life, but mostly... more Background: A suicide attempt is an act by which the person wants to end his own life, but mostly it is non-fatal. In Egypt people struggle in many aspects of life urging them to desperation and suicidal attempts. Aim of the study: To assess the medicolegal aspects of suicidal attempts through analysis of socio-demographical data, risk factors, common drugs used and outcome. Methods: a cross-sectional study was conducted in the Poison Control Center of Ain Shams University hospitals, Egypt from the first of September 2019 till the end of February 2020. Data were collected from through direct interviewing of patients. Results: The total number of patients in the study were 580 patients aged from 6 to more than 45 years old. Most of the attempters were females (77.24%), aged 19 to 44 years (62.59%), singles (69.31%), students (51.55%), had university educational level (42.59%), living in urban areas (70.69%) and had low-income status (62.07%). About (86.55%) of them had no history of previous attempts with psychiatric problems as the most common cause (55.18%). Patients who used mixed poisons had the highest prevalence (27.24%). (43.28%) of cases were admitted to the ICU of whom (56.57%) were notified to the police station. (74.31%) of cases completely recovered while (24.14%) refused treatment. Conclusion: Suicide attempts by drugs is a serious medical health problem especially among young adults and single females. Psychiatric and family problems are the most common causes.

Research paper thumbnail of A Triage for Disposition of Poisoned Patients with Cardiovascular Therapeutic Agents Presented to Poison Control Center of Ain Shams University Hospitals

Ain Shams Journal of Forensic Medicine and Clinical Toxicology, 2022

Background: According to the 2016 annual report of the Poison Control Center of Ain Shams Univers... more Background: According to the 2016 annual report of the Poison Control Center of Ain Shams University Hospitals (PCC-ASUH), toxicity of cardiovascular drugs represented 7.8% of all intoxicated cases. There is a great variability in the disposition of the poisoned patients with cardiovascular therapeutic agents between poison control centers depending on triage guidelines, compliance to these guidelines and the current practice. Objective: To compare the triage for disposition of intoxicated patients with cardiovascular therapeutic agents in PCC-ASUH with the American Association of Poison Control Centers (AAPCC). Methods: This study was a comparative cross-sectional study. Patients were divided into; retrospective group in which disposition was based on PSS and local PCC protocols, and a prospective observational group using the AAPCC guidelines. Results: Eight hundreds and six patients were included. Retrospectively, (37.2%) of the studied patients were observed in ER then discharged, (36.7%) were admitted to ICU, (8.37%) were admitted to inpatient unit, and (17.73%) were referred to another toxicology center. Prospectively, most of poisoned cases (57.39%) observed in ER then discharged, (11.78%) of patients were admitted to ICU, (27.82%) were admitted to inpatient unit, and (3.01%) were referred to another toxicology center, with no apparent adverse effects during follow up. Conclusion: Application of the AAPCC triage method can reduce the unnecessary admissions of poisoned patients with cardiovascular therapeutic agents through increasing the percent of observed patients in ER and reducing ICU admissions and the need for referral to other health care facility.

Research paper thumbnail of Legal Response of Physicians Towards Workplace Violence during COVID-19 Pandemic in Egypt: A Cross Sectional Study

Zagazig Journal of Forensic Medicine

Workplace violence (WPV) is defined by World Medical Association as "an international emergency t... more Workplace violence (WPV) is defined by World Medical Association as "an international emergency that undermines the very foundations of health systems and impacts critically on patient's health". The physicians are specifically vulnerable for such these acts from patients or even their relatives. WPV has detrimental effects on both health professionals and the quality of health care services administered. Aim: to highlight the problem of assault against doctors and their legal response towards it, generally in medical practice and specifically during COVID 19 pandemic. Subjects and methods: A cross sectional study was done through anonymous self-structured internet-based questionnaire survey on 300 physicians. It included different data as regards sociodemographic data, occurrence of bullying, type of assault and response of the physician towards such assault. Results: About 55% of responders claimed previous exposure to verbal or physical violence, nearly 19% faced verbal violence and 14% faced physical violence, about 15% notified head of the department while only 9.7% notified police. Almost 80% of the responders were not satisfied by actions taken after notification, and 23% were exposed to bullying due to working during COVID era. All responders (100%) believe that media affect how people deal with physicians. Conclusion: Workplace violence against doctors is escalating vigorously. Under-reporting and lack of security support are the main issues in solving this catastrophic health system problem.

Research paper thumbnail of Sex determination by morphometric analysis of the mental foramen from digital panoramic radiography

Egyptian Dental Journal

Aim: to assess the mental foramen as a landmark for sex determination through morphometric analys... more Aim: to assess the mental foramen as a landmark for sex determination through morphometric analysis done on digital panoramic images. Materials and methods: 100 digital panoramic images of dentulous and partially edentulous Egyptian patients (50 males and 50 females) of age over 18 years old were included in the present study. Morphometric analysis of the mental foramen was conducted on all images concerning one side of the images. The measurements of the distances from the superior border of the mental foramen to the alveolar crest of the mandible (D1), from the superior border of the mental foramen to the inferior border of the mandible (D2), from the inferior border of the mental foramen to the inferior border of the mandible (D3), from the mesial border of the mental foramen to the distal border of the mental foramen (D4) and from the superior border of the mental foramen to the inferior border of the mental foramen (D5) were performed on each digital panoramic image. The data obtained were subjected to statistical analysis and discriminant function analysis was used to estimate the efficiency of each variable for sex determination. Results: Both (D2) and (D3) were significantly higher in males than in females and they showed the greatest contribution as predictors for sex determination. The cutting score was zero, therefore, discriminant scores greater than zero were classified as male and less than zero (negative scores) were classified as female. Accordingly, 70 % of the cases of the cross-validated group were classified correctly. Conclusion: Both (D2) and (D3) exhibit sexual dimorphism and can be used in sex determination.

Research paper thumbnail of Medicolegal Aspects of Suicidal Attempts by Drugs in Cases admitted to Poison Control Center of Ain Shams University Hospitals (2019-2020)

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

Background: A suicide attempt is an act by which the person wants to end his own life, but mostly... more Background: A suicide attempt is an act by which the person wants to end his own life, but mostly it is non-fatal. In Egypt people struggle in many aspects of life urging them to desperation and suicidal attempts. Aim of the study: To assess the medicolegal aspects of suicidal attempts through analysis of socio-demographical data, risk factors, common drugs used and outcome. Methods: a cross-sectional study was conducted in the Poison Control Center of Ain Shams University hospitals, Egypt from the first of September 2019 till the end of February 2020. Data were collected from through direct interviewing of patients. Results: The total number of patients in the study were 580 patients aged from 6 to more than 45 years old. Most of the attempters were females (77.24%), aged 19 to 44 years (62.59%), singles (69.31%), students (51.55%), had university educational level (42.59%), living in urban areas (70.69%) and had low-income status (62.07%). About (86.55%) of them had no history of previous attempts with psychiatric problems as the most common cause (55.18%). Patients who used mixed poisons had the highest prevalence (27.24%). (43.28%) of cases were admitted to the ICU of whom (56.57%) were notified to the police station. (74.31%) of cases completely recovered while (24.14%) refused treatment. Conclusion: Suicide attempts by drugs is a serious medical health problem especially among young adults and single females. Psychiatric and family problems are the most common causes.

Research paper thumbnail of A Triage for Disposition of Poisoned Patients with Cardiovascular Therapeutic Agents Presented to Poison Control Center of Ain Shams University Hospitals

Ain Shams Journal of Forensic Medicine and Clinical Toxicology, 2022

Background: According to the 2016 annual report of the Poison Control Center of Ain Shams Univers... more Background: According to the 2016 annual report of the Poison Control Center of Ain Shams University Hospitals (PCC-ASUH), toxicity of cardiovascular drugs represented 7.8% of all intoxicated cases. There is a great variability in the disposition of the poisoned patients with cardiovascular therapeutic agents between poison control centers depending on triage guidelines, compliance to these guidelines and the current practice. Objective: To compare the triage for disposition of intoxicated patients with cardiovascular therapeutic agents in PCC-ASUH with the American Association of Poison Control Centers (AAPCC). Methods: This study was a comparative cross-sectional study. Patients were divided into; retrospective group in which disposition was based on PSS and local PCC protocols, and a prospective observational group using the AAPCC guidelines. Results: Eight hundreds and six patients were included. Retrospectively, (37.2%) of the studied patients were observed in ER then discharged, (36.7%) were admitted to ICU, (8.37%) were admitted to inpatient unit, and (17.73%) were referred to another toxicology center. Prospectively, most of poisoned cases (57.39%) observed in ER then discharged, (11.78%) of patients were admitted to ICU, (27.82%) were admitted to inpatient unit, and (3.01%) were referred to another toxicology center, with no apparent adverse effects during follow up. Conclusion: Application of the AAPCC triage method can reduce the unnecessary admissions of poisoned patients with cardiovascular therapeutic agents through increasing the percent of observed patients in ER and reducing ICU admissions and the need for referral to other health care facility.