Ibrahim Kabbash - Academia.edu (original) (raw)

Papers by Ibrahim Kabbash

Clinical oral investigations, May 27, 2024

International Journal of Health Sciences (IJHS), Jul 16, 2022

Background: Gastroenteritis, also known as infectious diarrhea, is inflammation of the gastrointe... more Background: Gastroenteritis, also known as infectious diarrhea, is inflammation of the gastrointestinal tract the stomach and small intestine. Symptoms may include diarrhea, vomiting and abdominal pain. The aim of this work was to reduce morbidity and mortality from chronic gastroenteritis among preschool children. Methods: This case control study was carried out on 100 study children < five years having chronic gastroenteritis and 100 control children were healthy children chosen randomly from children attending nurseries and from the same family health care unit, they were matched by age and sex with cases. Results: Age of child, residence, fathers education and job and mothers age and education were not found to significantly affect occurrence of chronic diarrhea among studied children. Crowding index and family size had high odds ratio whereas the odds of exposure to a high crowding index (more than or equal to 2) among cases were double that among the control. Odds of exposure to a large family size (more than or equal to 5) among cases were double that among the control (p>0.05). Fathers age >40 years in cases was 25% which was higher than 13% of control (OR=2.231). Regarding mothers' job, housewife mothers' percentage in 4267 cases was 64% which was significantly higher than 49% of control (OR=1.850). Regarding type of housing, rented housing in cases was reported by 11% which was higher than 3% of control (OR= 3.996). So that fathers age >40 years, housewife mothers and rented housing were found significant risk factors for chronic diarrhea.Conclusions: This study identified some possible risk factors of chronic gastroenteritis as: Fathers age >40 years, regarding mothers' job, housewife mothers were risk factor for chronic diarrhea in children and regarding housing, rented housing was a significant risk factor for chronic diarrhea in children. Keywords-risk factors, chronic gastroenteritis, preschool children, rural area.

Zagazig Nursing Journal, Jul 1, 2017

Background: Brucellosis is a pervasive problem throughout the world, especially in developing cou... more Background: Brucellosis is a pervasive problem throughout the world, especially in developing countries. It has a great impact on human health and animals, these all affect on social income. Aim of the study: To evaluate the effect of health educational intervention for brucellosis among slaughterhouse workers at Gharbia Governorate. Subjects and Methods: Research design: Aquasi-experimental design was in this study used to collect data. Setting: This study was conducted at four slaughterhouses in Tanta, Kfer El-Zayat, Bassioun and El-Mahala El-Koubra in Gharbia Governorate .Subjects: Eighty five workers' was selected randomized as a study sample. Tools of data collection: Data were collected using three tools. Tool I: A structured interview questionnaire to collect data about slaughterhouse workers. Tool II: An observation checklist, to assess workers practices throughout work process. Tool III: Blood analysis to slaughterhouse workers for brucellosis disease. Results: Results: revealed that the mostly of workers were males, and married, nearly half of them reside rural areas, and more than half of workers reside in urban areas. About three quarter of workers was drinking non boiled milk, and one quarter of them was infected by brucellosis. Slightly more than of workers were veterinaries also more than one quarter from manual workers, less than one fifth from butchers and skinners. Conclusion: One quarter of slaughterhouse workers were exposed to brucellosis infection during work. The training program was effective and increased the level of workers' knowledge and practices about brucellosis disease. Recommendations: A booklet containing information about brucellosis should be available at all slaughterhouses in Gharbia Governorate.

Endocrine Regulations, 2023

Objective. Chronic kidney disease (CKD), metabolic syndrome (MetS) and insulin resistance (IR) ar... more Objective. Chronic kidney disease (CKD), metabolic syndrome (MetS) and insulin resistance (IR) are the major health problems associated with the increasing risk of cardiovascular and cerebrovascular complications. Methods. This cross-sectional study included 209 CKD patients of stage (3-5) on conservative treatment to assess the usage of lipid accumulation product (LAP) and visceral adiposity index (VAI) to predict both MetS and IR in CKD patients. Results. In males, from the anthropometric measurements, LAP was the best predictor of MetS with 94.4% sensitivity and 77.8% specificity. VAI was the next one with 83.3% sensitivity and 69.4% specificity. The same results were obtained in females. The receiver operating characteristic (ROC) curve showed LAP as the best predictor of MetS with the highest 92.6% sensitivity and 60.6% specificity followed by VAI with 83.6% sensitivity and 83.6% specificity. In addition, LAP was a good predictor of IR with more than 70% sensitivity in both males and females. VAI as a predictor of IR showed 62.2% sensitivity in males and 69.9% in females. Conclusion. The present data indicate that both LAP and VAI can serve as predictors of MetS and IR in CKD patients, whereas LAP is the best anthropometric measure to predict MetS and LAP is more sensitive and specific than VAI in IR predicting in both males and females.

Journal of advances in medicine and medical research, Apr 10, 2023

Background: Overt hypothyroidism is associated with Insulin resistance (IR), accelerated arterios... more Background: Overt hypothyroidism is associated with Insulin resistance (IR), accelerated arteriosclerosis and cardiovascular disease (CVD). Although SCH (SCH) is also associated with CVD risk remains controversial.

Annals of medicine and surgery, Jul 1, 2021

Purpose: laparoscopic splenectomy (LS) gained popularity during the last years among pediatric su... more Purpose: laparoscopic splenectomy (LS) gained popularity during the last years among pediatric surgeons. Benign hematological diseases represent the main indications of that procedure. There are some score systems of difficulty of the technique. Most of them are for adult patients. The aim is to develop a prognostic score system of LS in children with benign hematological diseases. Methods: LS was performed in all children with benign hematological diseases. The children were operated in lateral decubitus position. The control of pedicle was achieved using bipolar sealing devices, polymer clips or endoscopic linear stablers. Preoperative, operative, and postoperative data were recorded and analyzed. Children were divided into two groups A and B according to the onset of complications. Results: 137 successive children were operated. The mean age of patients was 8.7 (4-15) years. The main indications of LS were thalassemia, spherocytosis, idiopathic thrombocytopenic purpura (ITP), and sickle cell anemia (SCA). The mean length of splenic axis in thalassemia and spherocytosis cases was15.6 ± 2.3 cm. The mean amount of estimated blood loss (EABL) was 149 ± 43.2 ml in group A while it was 185 ± 44.4 ml in group B. The mean operative time in group A was 75.5 ± 22.5 min while it was 89.2 ± 20.6 min in group B. Conclusion: the development of prognostic score of LS in children with benign hematological diseases can predict children who are more susceptible for complications. It helps to minimize these complications and improve the outcome of LS.

Journal of Infection and Public Health, Jun 1, 2011

Background: STIs can lead to acute symptoms, chronic infection and serious delayed consequences s... more Background: STIs can lead to acute symptoms, chronic infection and serious delayed consequences such as infertility, ectopic pregnancy, cervical cancer and the untimely death of infants and adults. Objectives: To identify the points of strength and weakness in the system for management of sexually transmitted infections (STIs) and pattern of distribution of reported cases in Saudi Arabia. Methods: Data of 5377 reported cases of STIs from all regions of the kingdom during the year 2009 were collected. The original data collection sheets were collected from primary health care centers in all regions of the kingdom, entered into Epi-Info software computer program, organized and statically analyzed. Results: Average monthly reporting was variable between 163.4 cases and 3.3 cases. Age group of 20-40 represented 70.7% of reported cases with the majority Saudis (92%), females (92.9%), literate (59.2%) and married (91.0%). Housewives represented 62% followed by the unemployed (17.3%). The age at first sexual experience ranged from 15 to 25 (81.0%) which was mostly with other sex (95.1%). HIV testing was performed by only 3.0% of reported cases. Vaginal discharge was the most frequent diagnosis (77.6%) followed by lower abdominal pain (42.3%). Urethral discharge and lower abdominal pain differed significantly in relation to sex while scrotal swelling and lower abdominal pain were statistically different in relation to nationality. Vaginal discharge, cervical inflammation and abdominal pain differed significantly in relation to age. Conclusion: Syndromic surveillance of STIs is essential to decrease STIs and control human immunodeficiency virus (HIV) infections. There is a need to build capacity of primary health care workers to collect accurate and valid data. Monitoring and evaluation activities are essential to promote program activities.

Journal of Public Health, Jul 23, 2021

BACKGROUND Increasing concerns are rising over women and adolescence in Arabic societies generall... more BACKGROUND Increasing concerns are rising over women and adolescence in Arabic societies generally, and in Egyptian society specifically. OBJECTIVES To identify the profile and reasons of the problem of sexual harassments among female college students. METHODS A cross-sectional study including randomly selected 976 female students from different faculties of Kafrelsheikh University using a predesigned questionnaire sheet. RESULTS The main perceived concept of sexual harassment was touching body (63.9%) followed by uncomfortable behaviors by the assault (51.8%). Among urban students, 47.1% reported frequent sexual harassment as compared to 26.5% among rural students. The main motives to harassment were absence of sanctions (42.8%) followed by masculine culture. Absence of punishment ranked first (54.1%) as one of reasons for the phenomenon of harassments in the community followed by wrong concepts about women (46%). The main reaction to harassment was feeling bad and wishing to act (32.9%) followed by feeling bad but helpless (26.0%). Only 25.5% reported taking proper action. Experience of harassment was significantly more reported by urban students compared to rural ones (12.6% and 4.1%, respectively (P = 0.001). CONCLUSION Sexual harassment is not uncommon from of violence especially in urban areas mainly due to absence of sanctions and majority did not have capacity to take proper actions.

Egyptian Journal of Occupational Medicine, May 1, 2019

Introduction: Workplace violence (WPV) among the healthcare workers is an alarming phenomenon wor... more Introduction: Workplace violence (WPV) among the healthcare workers is an alarming phenomenon worldwide. Personnel at Emergency departments are particularly at risk and are more exposed to violence in their workplace from patients and their relatives or friends compared with other departments. Aim of work: To identify the prevalence of workplace violence at Tanta University Emergency Hospital and its impact on affected workers. Materials and methods: A cross sectional study was conducted at Tanta University Emergency Hospital during the period from September 2017 to April 2018. The total sample size was 340 physicians and nurses. Data were collected using a structured questionnaire. Results: Physical violence was reported by 30.6% while verbal violence by 76.5% and 16 participants reported sexual violence (4.7%). Exposure to more than one type of violence was declared by 28.8%. The main perpetrators were patients' relatives (85.6%) while 50% of sexual violence was by unknown visitors to the hospital. Nearly one quarter of victims of physical and sexual violence need vacation after the assault while only 6.9% of victims of verbal violence asked for vacation. Psychological, work and physical troubles were reported by victims. Conclusion: verbal violence came first followed by physical and sexual violence. The victims suffered from psychological, work related and physical effects.

Disaster Medicine and Public Health Preparedness, Jun 7, 2021

Background: Medical students are vulnerable to infection by the coronavirus. Their awareness of t... more Background: Medical students are vulnerable to infection by the coronavirus. Their awareness of the disease is crucial for their safety and for the management of the epidemic by spreading supportive information in their communities. The aim of this study was to assess coronavirus disease 2019 (COVID-19)-related knowledge, attitude, and preventive practices among Egyptian medical students. Methods: We conducted a cross-sectional study from the beginning of April to June 2020; a total of 439 undergraduate medical students (1st to 6th academic years) were assessed using an online questionnaire. The questionnaire consisted of 33 questions, including 5 items regarding socio-demographic features, 23 items concerning COVID-19 related knowledge, 2 items regarding attitude, and 3 items related to preventive measures. Results: We observed an acceptable level of knowledge (74.3%) among the sample studied. Preclinical and female students were significantly more optimistic as 69.1% expected successful control of COVID-19, and 48.9% predicted that Egypt will win the fight against COVID-19. The majority of participants reported wearing a facemask in public places as a preventive measure (56.7%). Conclusions: Egyptian medical students had an acceptable level of knowledge, positive attitude, and good practices of preventive measures regarding the COVID-19 virus. There is no significant difference in almost all items of knowledge, attitude, and practices in relation to gender or academic grade. Coronavirus disease 2019 (COVID-19) is an evolving contagious respiratory disease caused by a new coronavirus. China first identified the virus, in December 2019, and infection started to spread rapidly in China and many other countries to represent a global health crisis. 1 The main clinical symptoms of COVID-19 include fever, fatigue, dry cough, myalgia, and shortness of breath. The International Committee on Taxonomy of Viruses (ICTV) named the virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). 2 Egypt identified its first COVID-19 case on February 14, 2020. According to daily reported statistics of the Ministry of Health and Population in Egypt, the total confirmed cases have reached 100,557 by September 10, 2020, with total deaths of 5590 in Egypt. 3,4 The World Health Organization (WHO) declared the novel coronavirus a public health emergency in response to the alarming situation and rapidly increasing number of cases all over the world. The WHO warned all countries to undertake emergency preparedness measures to face the current situation through many means, including active surveillance, early detection, and isolation. 5 Although medical education has been affected because of the wide spread of the COVID-19 pandemic, opinions differ regarding the convenient participation of medical students in clinical care among different institutions. 6 However, medical students had a salient role in care of patients during the Spanish flu pandemic in 1918 and the polio epidemic in 1952 in Denmark. 7,8 The Egyptian government adopted preventive measures to control COVID-19 spread in all governorates. These measures included self-isolation at home; closure of public places, such as shopping centers, restaurants, sport clubs; and isolation of suspected cases and infected patients. In addition, schools and universities were closed. 9 Moreover, despite suspending medical education in Egypt for many weeks, authorities advocated streamed online lectures to keep students on track with teaching. 10 We conducted the current study to assess knowledge, attitudes, and practices regarding COVID-19 among medical students at Tanta University, Faculty of Medicine, and to detect any gender and academic grade difference among participants.

Mansoura Medical Journal

Background: Migraine is manifested by recurrent headache attacks, with variable characteristics a... more Background: Migraine is manifested by recurrent headache attacks, with variable characteristics and associated symptoms. Oral beta-blockers are widely used to prevent and reduce the frequency of these attacks. However, the use of topical beta-blockers for acute treatment is still controversial. Aims: In this randomized double-armed study, we aim to compare the efficacy of timolol 0.5% eye drops compared with other over-the-counter (OTC) medications used for the acute treatment of migraine. Patients and methods: Fifty-seven patients were randomly allocated to group A (treatment group: timolol 0.5% eye drops) and group B (control group: OTC drugs including NSAIDs, caffeine, aspirin, and acetaminophen). The primary outcome was pain reduction. Secondary outcome measures included reducing nausea, vomiting, photophobia, and phonophobia. Results: Median pain reduction for the OTC group was higher than for timolol (6, 4 prospectively) with a significant U test (P < 0.001). We found a significant correlation between pain severity and degree of pain reduction (r ¼ 0.480, P < 0.001). Twenty-six (89.6%) patients in the control group compared with eight (28.6%) patients in the timolol group reported pain reduction by 5 or more. Both timolol and OTC were effective on headache associations: nausea, photophobia, and phonophobia. Conclusion: Both timolol and OTC are equally effective in acute migraine attacks. But OTC drugs are still preferred due to their superior abortion effect.

Journal of advances in medicine and medical research, Apr 18, 2023

Aims: Determine the level of out-of-pocket expenditure incurred by hypertensive patients at Tanta... more Aims: Determine the level of out-of-pocket expenditure incurred by hypertensive patients at Tanta University Hospitals. Identify different determinants of out-of-pocket health expenditure among hypertensive patients in Tanta University Hospitals. Study Design: A cross sectional study. Place and Duration of Study: The study was conducted from July 2020 up to July 2022, at Tanta University Hospitals, Cardiovascular medicine department. Methodology: Collection of data was conducted by a questionnaire-based interview. The study included 195 hypertensive patients attending outpatient clinics. Their ages ranged from 36.0 to 75.0 years old. Males represented 57.4% while females' percentage was 42.6%. Expenditure was estimated over the last three months, then the monthly average was calculated.

International Journal of Pediatric Otorhinolaryngology

This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

Vacunas (English Edition)

Tropical Medicine and Health

Current Pediatric Reviews

Background & Aim of the work: β-Thalassemia (βT) is highly prevalent in some countries like Egypt... more Background & Aim of the work: β-Thalassemia (βT) is highly prevalent in some countries like Egypt. Accurate data about actual disease prevalence and heavily prevalent geographic locations are essential to help in early detection and in setting up effective preventive programs. We aim for screening of βT carriers among Egyptian high school students in the Delta region. Subjects and Methods: A cross-sectional multicenter study was carried on 4320 randomly selected students from four governorates of the Nile Delta region, Egypt. All patients were to be tested for their complete blood count. Those with microcytic hypochromic anemia not caused by iron deficiency were tested for βT carrier status using high-performance liquid chromatography. Results: The total prevalence of βT carrier rate was 6.13%. The highest prevalence was detected in Al-Sharkia Governorate, reaching 7.89%, followed by 6.90% in Al-Gharbia Governorate. Al-Dakahilia and Al-Menoufia showed lower rates of 4.86% and 3.73%,...

Clinical Oral Investigations

Objectives The complex root canal anatomy of primary teeth keeps it very tricky to attain appropr... more Objectives The complex root canal anatomy of primary teeth keeps it very tricky to attain appropriate cleansing by biomechanical instrumentation, so obtaining an obturating material with excellent antimicrobial properties is a challenge in current clinical pulpectomy practice. So, this study aimed to assess the clinical and radiographic performance of zinc oxide-ozonated olive oil as a primary root canal filling material. Materials and methods Ninety non-vital primary molars in children ranging from 4 to 8 years were allocated into three groups in which root canals were filled with zinc oxide-ozonated olive oil, zinc oxide-olive oil, and zinc oxide-eugenol (ZOE) according to each group after pulpectomy procedure. Clinical and radiographic evaluations were done at 3-, 6-, and 12-month follow-up periods. Statistical analysis was performed for the collected data. Results All study groups showed a significant improvement regarding clinical signs and symptoms during follow-up periods. Oz...

International Journal of Health Promotion and Education, 2022

BMC Pharmacology and Toxicology

Background Poisoning is a major health problem especially in developing countries and leads to hi... more Background Poisoning is a major health problem especially in developing countries and leads to high morbidity and mortality. Aim To identify the profile of acute poisoning in the Toxicology Unit at Tanta University Hospital, Egypt (2017-2021). Methods A cross-sectional study using data extracted from medical records from beginning of January 2017 to end of December 2021. Data including demographic data, Glasgow coma scale, type of poisons, manner of poisoning, time of admission and discharge and state at discharge. Results This study included 9713 cases. Rodenticides represented the most frequent cause of poisoning among both males (30%) and females (27%). Pharmaceutical drugs, CNS abused pharmaceutical drugs, and chemicals represent the most common categories (24%, 22%, and 21%, respectively) among children (up to 12 years). Rodenticides and pharmaceutical drugs represent the highest categories among other age groups. Evening admissions represented 52% of cases. Glasgow coma scale ...

Journal of Substance Use, 2022