maha magdy - Academia.edu (original) (raw)
Papers by maha magdy
Toxicologie Analytique et Clinique
Research Square - Research Square, Nov 17, 2022
Counseling and psychological support services were influenced by the pandemic. To reach those who... more Counseling and psychological support services were influenced by the pandemic. To reach those who seek mental health services, the General Secretary of Mental Health and Addiction Treatment (GSMHAT) has devised a strategy plan and approaches that have been placed in a timetable (2015-2016) and sent to hospital administrators and departments. The objectives of Hotline are to evaluate the national hotline for psychosocial assistance during the COVID-19 pandemic, identify concerns with data collection, and offer stakeholders with a comprehensive hotline profile that identifies improvements and obstacles. This Review intends to illustrate the significance of internet technology to the Egyptian public-health response to the COVID-19 epidemic in terms of mental health problem management. This assessment demonstrates how our nation maintains alignment with international strategies for the regulation, evaluation, and application of digital technology to boost pandemic management and future preparedness for COVID-19 and other infectious illnesses. Introduction: Countless dimensions of life have changed because of the technological revolution. In 2019, 67% of people worldwide had mobile device registrations, with 65% of those being smartphones. Sub-Saharan Africa experienced the fastest growth in this area (Budd et al,2020). For instance, (ProMED-mail20), (GPHIN21), (HealthMap), and (EIOS) use natural language processing and machine learning to filter online data and provide epidemiological insight. (EPI-BRAIN) combines meteorological and environmental data for infectious disease emergency planning
QJM: An International Journal of Medicine, 2018
CERN European Organization for Nuclear Research - Zenodo, Dec 7, 2022
Background: A low-fermentable oligosaccharide, disaccharides, monosaccharides, and polyols (FODMA... more Background: A low-fermentable oligosaccharide, disaccharides, monosaccharides, and polyols (FODMAP) diet has been reported to be associated with improving the symptoms of irritable bowel syndrome (IBS); however, comparison between low FODMAP and the UK National Institute for Health and Clinical Excellence (NICE) dietary guideline for IBS still limited. Objectives: to determine the impact of low a FODMAP diet on symptom control and satisfaction of improvement in patients with IBS according to ROME IV criteria and IBS related quality of life and disability before and after participation; and to compare the impact of low FODMAP diet and NICE guidelines on symptoms control and quality of life among IBS patients. Methods: A randomized two-arm clinical trial had been conducted on 60 IBS patients who were randomized either to an intervention group (n=30) followed low FODMAP diet or a control group (n=30) followed NICE dietary guideline. Results: After 12 weeks of intervention, there was a statistically significant difference in (QOL) score and improvement of IBS symptoms (p<0.001) between the intervention group and the control group, and there was a significant reduction (p<0.001) in waist circumference among the intervention group versus the control group. In addition, patients in the intervention group were strongly satisfied (p<0.001) than the control group Conclusion: a low FODMAP diet can improve global symptoms of IBS and quality of life more than NICE dietary guideline among group of Egyptian patients at
Toxicology and Environmental Health Sciences
Due to an unfortunate oversight during the correction process, it was missed to align the columns... more Due to an unfortunate oversight during the correction process, it was missed to align the columns in Table 5. The original article has been corrected.
Global Pediatric Health
Recurrent infections and weak immunity were found to be linked with zinc deficiency especially in... more Recurrent infections and weak immunity were found to be linked with zinc deficiency especially in children. The goal of this study is to measure the level of blood zinc in children aged 6 months to less than 5 years old, and to assess the effect of 4 months of daily zinc supplements on the incidence and the severity of diarrheal morbidity. A randomized controlled trial study was conducted in Pediatric Outpatient Clinic in Ain Shams University Hospital on 140 children less than 5 years old who are apparently healthy. Random assignment of the sampled children to group receiving zinc (70 children) or group receiving placebo (70 children) was done. A questionnaire containing questions about occurrence of diarrhea was used during follow up. Serum zinc at baseline was measured. The mean age was 25.26 ± 15.7 months. Mean of serum zinc was 51.08 μg/dL, with 70% had low baseline serum zinc level. Cumulative incidence of diarrhea, number of diarrhea episodes per child and frequency of stools/...
Toxicology and Environmental Health Sciences
Introduction Poisoning is regarded as a significant threat to public health all over the world. D... more Introduction Poisoning is regarded as a significant threat to public health all over the world. Determining the poisoning trend and its causative agents is essential for developing effective poisoning prevention and targeted intervention programs. Methods A hospital-based retrospective observational study was conducted using electronic databases and medical records of acutely poisoned patients presented to the Poison Control Center of Ain Shams University Hospitals (PCC-ASUH) for the period from 2015 to 2019. Demographics and types of the poisoning exposures of all included patients were extracted, and descriptive analysis was performed to investigate the outcomes. Results From 2015 to 2019, we collected data from 115402 patients. The current findings revealed that the majority of poisoned patients were between the ages of 15 and 25 across all studied years. The number of male and female patients was not significantly different. The oral route was the most common poisoning route. Suicidal and accidental modes of poisoning were the most common poisoning modes. Greater Cairo governorates had more patients than other Egyptian regions. Drug exposure was significantly more prevalent than non-drug poisoning. In all studied years, the mild degree of poisoning was the most pervasive. The majority of presented cases required hospitalization and poisoning management in less than 6 hours. Enhanced elimination was the most frequently used toxicological management measure used across all study years, followed by antidotes. Conclusion The current study investigated the main intoxicated patients' demographics and characteristics of poisoning exposures in Egyptian people. We highlighted the impact of intentional, or accidental exposure, in addition to demonstrating the utility of specific poison centers in the management of various cases and the different strategies that can be implemented to decrease fatality and improve health care.
Eastern Mediterranean Health Journal
Background: Caesarean section (CS) is a life-saving operation when vaginal delivery is risky to t... more Background: Caesarean section (CS) is a life-saving operation when vaginal delivery is risky to the mother or baby. However, if not medically indicated or performed under suboptimal conditions, it can be harmful and resource-intensive. Aims: To estimate the prevalence of CS in 6 Egyptian governorates and identify possible risk factors (including demographic, social and healthcare services factors) stratified according to geographical areas. Methods: We used secondary data collected from a large survey to investigate the sociodemographic and health indicators of 6 purposefully selected Egyptian governorates with suboptimal health indicators: 3 from Upper Egypt (Sohag, Assiut and Menia) and 3 from Lower Egypt (Sharkia, Beheira and Ismailia). The survey data were gathered using an interview questionnaire that targeted household members. Results: The CS rate was estimated at 55.1% for the 3 years preceding the study, and the highest rate was 67.8% in Behira and the lowest was 49.0% in A...
Journal of High Institute of Public Health, 2021
Background: During clinical training, medical students may have close contact with COVID-19infect... more Background: During clinical training, medical students may have close contact with COVID-19infected patients. Lack of proper knowledge about COVID-19 dynamics and prevention makes them more liable to infection. Objective: To evaluate the level of awareness, precautionary behavior, and risk perception regarding COVID-19 and identify the factors motivating and hindering medical students to take preventive measures.
Eman M. Ahmed, Maha M. Wahdan, Essam M. Bayoumy, Diaa Marzouk Family Medicine Department, Faculty... more Eman M. Ahmed, Maha M. Wahdan, Essam M. Bayoumy, Diaa Marzouk Family Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt Community, Environmental and Occupational Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt Internal Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt Abstract: Background: One of the obstacles to diabetes management is delayed insulin initiation in uncontrolled type 2DM patients. Objectives: To measure the frequency of insulin opposition among Egyptian type 2 diabetes patients, uncontrolled, on two or more oral hypoglycemic combination therapy and to assess factors associated with insulin opposition. Methods: Cross-sectional study was conducted in outpatient clinics at Ain Shams University hospitals, on purposive sample of 103 type 2 diabetic patients, uncontrolled, on two or more oral hypoglycemic combination therapy, using a structured questionnaire. Results: Uncontrolled type 2DM pa...
Background: Osteoporosis (OP) is a bone condition that weaken bone over time, making it easier to... more Background: Osteoporosis (OP) is a bone condition that weaken bone over time, making it easier to break. Objectives: The study aimed to assess knowledge level about symptoms and risk factors for osteoporosis among adult women in Cairo, and to identify factors influencing their knowledge level.Method: Cross-sectional study was carried out among sample of Egyptian women aged 18 and more, living in Cairo who agree to participate and fulfill an online structured questionnaire using Osteoporosis Knowledge Assessment Tool (OKAT)Results: A sample of 414 adult women answered the on-line questionnaire with mean age (35.6 ± 10.6). All surveyed women were familiar with OP, the predominant source of information was mass media (48.3%), followed by friends (37%), academic study (32.9%), lastly from physicians (21.3%). Mean total OKAT score was 10.5 ±3.4 (0.0 – 18.0); and the total knowledge percent score was 52.3 ± 17.1 (0.0 – 90.0). Less than half of the surveyed women(41.5%) scored a percentage...
Background: Marriage timing is one of the important determinants of birth rates and health profil... more Background: Marriage timing is one of the important determinants of birth rates and health profile of both the mothers and infants. Child marriage is recognized as a major development issue that affects girls in many developing countries. The practice has been linked to a number of health risks, higher fertility, and lower education attainment. Objective: To estimate the rate of child marriage in some underdeveloped Egyptian governorates and identify its correlates. Subjects and Methods: The study was part of a large survey, which was conducted in six purposefully selected Egyptian governorates and defined as developing; three from upper Egypt (Sohag, Assuit and Menia) and three from lower Egypt (Sharkia, Behira and Ismalia) aiming to measure the prevalence of child marriage and assess the impact of the different social and economic factors that affect the occurrence of the phenomena. Data were collected from 15279 females using an interview questionnaire targeting households’ membe...
Egyptian Journal of Pediatrics, 2019
QJM: An International Journal of Medicine, 2021
Background Patient Safety Indicators (PSIs) were developed as a tool for hospitals to identify po... more Background Patient Safety Indicators (PSIs) were developed as a tool for hospitals to identify potentially preventable complications and improve patient safety performance. Aim the study aimed to measure the association between the AHRQ patient safety indicator PSI9 (Perioperative hemorrhage or hematoma) and the clinical outcome including death, readmission within 30 days and length of stay at the cardiothoracic surgery hospital Ain Shams University. Methods exploratory prospective cohort study was conducted to follow up patients from admission till 1 month after discharge at the cardiothoracic surgery hospital who fulfills the inclusion criteria. Data were collected for 330 patients through basic information sheet and follow-up sheet. Results the incidence rate of PSI9 was 49.54 per 1000 discharges. Demographic data was not significantly associated with increased incidence of PSI9. The risk of development of PSI9 was significantly higher in patients admitted directly to ICU [relati...
QJM: An International Journal of Medicine, 2021
Background Asthma accounts for about one in every 250 deaths worldwide. Many of the deaths are pr... more Background Asthma accounts for about one in every 250 deaths worldwide. Many of the deaths are preventable, being due to suboptimal long-term medical care and delay in obtaining help during acute exacerbation. Aim to assess knowledge, attitude and practice of Egyptian physicians about childhood asthma exacerbation treatment guidelines and to identify the barriers against application of guidelines in different hospital settings in Egypt. Methods a written questionnaire with different topics were added aiming at assessment of four important aspects about the involved physicians; physician's knowledge, practice, attitude and barriers against application of guidelines. This questionnaire was fulfilled by 200 pediatricians, all of them deal with childhood asthmatics. As regards Academic degrees, 94 (47.7%) had the Bachelor degree, 70 (35.5%) had Master degree, 23 had Diploma degree (11.7%), and 10 (5.1%) had Doctorate. As regards Hospital settings, 102 (51.8%) of the pediatricians we...
Journal of Hepatology, 2020
Journal of the Egyptian Public Health Association, 2020
Background Physical inactivity is considered a problem with great impact on morbidity and mortali... more Background Physical inactivity is considered a problem with great impact on morbidity and mortality. There is a necessity to combat this behavior through an assessment of barriers and benefits perceived by subjects. Objectives The current study aimed to measure exercise intention, in addition to identifying physical exercise predictors, including perceived barriers and benefits among healthcare providers (HCPs) in Ain Shams University Hospitals. Methods A cross-sectional study was performed on a sample (n = 327) of healthcare providers (physicians and nurses) in Ain Shams University Hospitals in Cairo, Egypt, using anonymous self-administrated questionnaires and relevant scales. Results Out of 327 healthcare providers approached, 52.6% of them were males and the mean age of participants was (29.34 ± 7.84 years). Physical exercise was reported by 44.6% of participants. The most significant factors associated with physical exercise engagement were male gender, participants with lower ...
QJM: An International Journal of Medicine, 2020
Background The world is currently facing a pandemic of vitamin D deficiency especially women in c... more Background The world is currently facing a pandemic of vitamin D deficiency especially women in child bearing age, during pregnancy and nursing mothers. One of the major reasons for the worldwide spread of this nutritional disorder has been lack of awareness about the importance of vitamin D and prevention of deficient states across populations. Objectives To assess the knowledge and attitude of mothers attending primary health care center in Cairo towards vitamin D importance, to identify mothers' practices towards vitamin D, its supplementation & sun light exposure. Subjects & Methods A cross sectional study was conducted among mothers attending “100 meters” primary health care center in El-Sherouk city in Cairo. A sample of 195 mothers were interviewed using structured questionnaire to collect data including socio-demographic characteristics, mother’s knowledge about the importance of Vitamin D, mother’s attitude and practices towards taking vitamin D, its supplementation and...
The Egyptian Family Medicine Journal, 2019
Background: Hepatitis C virus has global burden, but it is a potentially curable disease, with su... more Background: Hepatitis C virus has global burden, but it is a potentially curable disease, with sustained virologic response among the majority of treated patients. In recent years, new treatments for hepatitis C have been approved and represent a major advancement in treatment. Objectives: This study was conducted to assess knowledge, opinions and perceived barriers to hepatitis c direct-Acting Antivirals (DAAs) based regimen among a sample of hepatitis C virus (HCV) treatment providers. Methods: A Cross-sectional study on HCV treatment providers at El-Demerdash, Ain Shams University Hospital was conducted. A total of 69 physicians responded to self-administered questionnaire about their knowledge, opinions on the services provided and perception towards treatment barriers. Results: Most of physicians' opinions agreed with the current state of HCV care as exist of guidelines, patients have adequate access to HCV treatment providers; but they disagreed about that the general public is aware of HCV and know that it is a curable disease. Most of physicians (81%) had high Knowledge level of HCV treatment principles. The most perceived barriers to care were Payer-related barriers followed by government-related barriers and patient-related barriers. Conclusion: The study highlights the most perceived barriers that may impede the prompt and appropriate treatment of hepatitis C virus infection reported by treating physicians. Therefore, it is important to engage HCV treatment providers in Educational programs that can help to modify their knowledge about HCV treatment and related services, and their communication and practice in guiding patients in their treatment course.
Toxicologie Analytique et Clinique
Research Square - Research Square, Nov 17, 2022
Counseling and psychological support services were influenced by the pandemic. To reach those who... more Counseling and psychological support services were influenced by the pandemic. To reach those who seek mental health services, the General Secretary of Mental Health and Addiction Treatment (GSMHAT) has devised a strategy plan and approaches that have been placed in a timetable (2015-2016) and sent to hospital administrators and departments. The objectives of Hotline are to evaluate the national hotline for psychosocial assistance during the COVID-19 pandemic, identify concerns with data collection, and offer stakeholders with a comprehensive hotline profile that identifies improvements and obstacles. This Review intends to illustrate the significance of internet technology to the Egyptian public-health response to the COVID-19 epidemic in terms of mental health problem management. This assessment demonstrates how our nation maintains alignment with international strategies for the regulation, evaluation, and application of digital technology to boost pandemic management and future preparedness for COVID-19 and other infectious illnesses. Introduction: Countless dimensions of life have changed because of the technological revolution. In 2019, 67% of people worldwide had mobile device registrations, with 65% of those being smartphones. Sub-Saharan Africa experienced the fastest growth in this area (Budd et al,2020). For instance, (ProMED-mail20), (GPHIN21), (HealthMap), and (EIOS) use natural language processing and machine learning to filter online data and provide epidemiological insight. (EPI-BRAIN) combines meteorological and environmental data for infectious disease emergency planning
QJM: An International Journal of Medicine, 2018
CERN European Organization for Nuclear Research - Zenodo, Dec 7, 2022
Background: A low-fermentable oligosaccharide, disaccharides, monosaccharides, and polyols (FODMA... more Background: A low-fermentable oligosaccharide, disaccharides, monosaccharides, and polyols (FODMAP) diet has been reported to be associated with improving the symptoms of irritable bowel syndrome (IBS); however, comparison between low FODMAP and the UK National Institute for Health and Clinical Excellence (NICE) dietary guideline for IBS still limited. Objectives: to determine the impact of low a FODMAP diet on symptom control and satisfaction of improvement in patients with IBS according to ROME IV criteria and IBS related quality of life and disability before and after participation; and to compare the impact of low FODMAP diet and NICE guidelines on symptoms control and quality of life among IBS patients. Methods: A randomized two-arm clinical trial had been conducted on 60 IBS patients who were randomized either to an intervention group (n=30) followed low FODMAP diet or a control group (n=30) followed NICE dietary guideline. Results: After 12 weeks of intervention, there was a statistically significant difference in (QOL) score and improvement of IBS symptoms (p<0.001) between the intervention group and the control group, and there was a significant reduction (p<0.001) in waist circumference among the intervention group versus the control group. In addition, patients in the intervention group were strongly satisfied (p<0.001) than the control group Conclusion: a low FODMAP diet can improve global symptoms of IBS and quality of life more than NICE dietary guideline among group of Egyptian patients at
Toxicology and Environmental Health Sciences
Due to an unfortunate oversight during the correction process, it was missed to align the columns... more Due to an unfortunate oversight during the correction process, it was missed to align the columns in Table 5. The original article has been corrected.
Global Pediatric Health
Recurrent infections and weak immunity were found to be linked with zinc deficiency especially in... more Recurrent infections and weak immunity were found to be linked with zinc deficiency especially in children. The goal of this study is to measure the level of blood zinc in children aged 6 months to less than 5 years old, and to assess the effect of 4 months of daily zinc supplements on the incidence and the severity of diarrheal morbidity. A randomized controlled trial study was conducted in Pediatric Outpatient Clinic in Ain Shams University Hospital on 140 children less than 5 years old who are apparently healthy. Random assignment of the sampled children to group receiving zinc (70 children) or group receiving placebo (70 children) was done. A questionnaire containing questions about occurrence of diarrhea was used during follow up. Serum zinc at baseline was measured. The mean age was 25.26 ± 15.7 months. Mean of serum zinc was 51.08 μg/dL, with 70% had low baseline serum zinc level. Cumulative incidence of diarrhea, number of diarrhea episodes per child and frequency of stools/...
Toxicology and Environmental Health Sciences
Introduction Poisoning is regarded as a significant threat to public health all over the world. D... more Introduction Poisoning is regarded as a significant threat to public health all over the world. Determining the poisoning trend and its causative agents is essential for developing effective poisoning prevention and targeted intervention programs. Methods A hospital-based retrospective observational study was conducted using electronic databases and medical records of acutely poisoned patients presented to the Poison Control Center of Ain Shams University Hospitals (PCC-ASUH) for the period from 2015 to 2019. Demographics and types of the poisoning exposures of all included patients were extracted, and descriptive analysis was performed to investigate the outcomes. Results From 2015 to 2019, we collected data from 115402 patients. The current findings revealed that the majority of poisoned patients were between the ages of 15 and 25 across all studied years. The number of male and female patients was not significantly different. The oral route was the most common poisoning route. Suicidal and accidental modes of poisoning were the most common poisoning modes. Greater Cairo governorates had more patients than other Egyptian regions. Drug exposure was significantly more prevalent than non-drug poisoning. In all studied years, the mild degree of poisoning was the most pervasive. The majority of presented cases required hospitalization and poisoning management in less than 6 hours. Enhanced elimination was the most frequently used toxicological management measure used across all study years, followed by antidotes. Conclusion The current study investigated the main intoxicated patients' demographics and characteristics of poisoning exposures in Egyptian people. We highlighted the impact of intentional, or accidental exposure, in addition to demonstrating the utility of specific poison centers in the management of various cases and the different strategies that can be implemented to decrease fatality and improve health care.
Eastern Mediterranean Health Journal
Background: Caesarean section (CS) is a life-saving operation when vaginal delivery is risky to t... more Background: Caesarean section (CS) is a life-saving operation when vaginal delivery is risky to the mother or baby. However, if not medically indicated or performed under suboptimal conditions, it can be harmful and resource-intensive. Aims: To estimate the prevalence of CS in 6 Egyptian governorates and identify possible risk factors (including demographic, social and healthcare services factors) stratified according to geographical areas. Methods: We used secondary data collected from a large survey to investigate the sociodemographic and health indicators of 6 purposefully selected Egyptian governorates with suboptimal health indicators: 3 from Upper Egypt (Sohag, Assiut and Menia) and 3 from Lower Egypt (Sharkia, Beheira and Ismailia). The survey data were gathered using an interview questionnaire that targeted household members. Results: The CS rate was estimated at 55.1% for the 3 years preceding the study, and the highest rate was 67.8% in Behira and the lowest was 49.0% in A...
Journal of High Institute of Public Health, 2021
Background: During clinical training, medical students may have close contact with COVID-19infect... more Background: During clinical training, medical students may have close contact with COVID-19infected patients. Lack of proper knowledge about COVID-19 dynamics and prevention makes them more liable to infection. Objective: To evaluate the level of awareness, precautionary behavior, and risk perception regarding COVID-19 and identify the factors motivating and hindering medical students to take preventive measures.
Eman M. Ahmed, Maha M. Wahdan, Essam M. Bayoumy, Diaa Marzouk Family Medicine Department, Faculty... more Eman M. Ahmed, Maha M. Wahdan, Essam M. Bayoumy, Diaa Marzouk Family Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt Community, Environmental and Occupational Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt Internal Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt Abstract: Background: One of the obstacles to diabetes management is delayed insulin initiation in uncontrolled type 2DM patients. Objectives: To measure the frequency of insulin opposition among Egyptian type 2 diabetes patients, uncontrolled, on two or more oral hypoglycemic combination therapy and to assess factors associated with insulin opposition. Methods: Cross-sectional study was conducted in outpatient clinics at Ain Shams University hospitals, on purposive sample of 103 type 2 diabetic patients, uncontrolled, on two or more oral hypoglycemic combination therapy, using a structured questionnaire. Results: Uncontrolled type 2DM pa...
Background: Osteoporosis (OP) is a bone condition that weaken bone over time, making it easier to... more Background: Osteoporosis (OP) is a bone condition that weaken bone over time, making it easier to break. Objectives: The study aimed to assess knowledge level about symptoms and risk factors for osteoporosis among adult women in Cairo, and to identify factors influencing their knowledge level.Method: Cross-sectional study was carried out among sample of Egyptian women aged 18 and more, living in Cairo who agree to participate and fulfill an online structured questionnaire using Osteoporosis Knowledge Assessment Tool (OKAT)Results: A sample of 414 adult women answered the on-line questionnaire with mean age (35.6 ± 10.6). All surveyed women were familiar with OP, the predominant source of information was mass media (48.3%), followed by friends (37%), academic study (32.9%), lastly from physicians (21.3%). Mean total OKAT score was 10.5 ±3.4 (0.0 – 18.0); and the total knowledge percent score was 52.3 ± 17.1 (0.0 – 90.0). Less than half of the surveyed women(41.5%) scored a percentage...
Background: Marriage timing is one of the important determinants of birth rates and health profil... more Background: Marriage timing is one of the important determinants of birth rates and health profile of both the mothers and infants. Child marriage is recognized as a major development issue that affects girls in many developing countries. The practice has been linked to a number of health risks, higher fertility, and lower education attainment. Objective: To estimate the rate of child marriage in some underdeveloped Egyptian governorates and identify its correlates. Subjects and Methods: The study was part of a large survey, which was conducted in six purposefully selected Egyptian governorates and defined as developing; three from upper Egypt (Sohag, Assuit and Menia) and three from lower Egypt (Sharkia, Behira and Ismalia) aiming to measure the prevalence of child marriage and assess the impact of the different social and economic factors that affect the occurrence of the phenomena. Data were collected from 15279 females using an interview questionnaire targeting households’ membe...
Egyptian Journal of Pediatrics, 2019
QJM: An International Journal of Medicine, 2021
Background Patient Safety Indicators (PSIs) were developed as a tool for hospitals to identify po... more Background Patient Safety Indicators (PSIs) were developed as a tool for hospitals to identify potentially preventable complications and improve patient safety performance. Aim the study aimed to measure the association between the AHRQ patient safety indicator PSI9 (Perioperative hemorrhage or hematoma) and the clinical outcome including death, readmission within 30 days and length of stay at the cardiothoracic surgery hospital Ain Shams University. Methods exploratory prospective cohort study was conducted to follow up patients from admission till 1 month after discharge at the cardiothoracic surgery hospital who fulfills the inclusion criteria. Data were collected for 330 patients through basic information sheet and follow-up sheet. Results the incidence rate of PSI9 was 49.54 per 1000 discharges. Demographic data was not significantly associated with increased incidence of PSI9. The risk of development of PSI9 was significantly higher in patients admitted directly to ICU [relati...
QJM: An International Journal of Medicine, 2021
Background Asthma accounts for about one in every 250 deaths worldwide. Many of the deaths are pr... more Background Asthma accounts for about one in every 250 deaths worldwide. Many of the deaths are preventable, being due to suboptimal long-term medical care and delay in obtaining help during acute exacerbation. Aim to assess knowledge, attitude and practice of Egyptian physicians about childhood asthma exacerbation treatment guidelines and to identify the barriers against application of guidelines in different hospital settings in Egypt. Methods a written questionnaire with different topics were added aiming at assessment of four important aspects about the involved physicians; physician's knowledge, practice, attitude and barriers against application of guidelines. This questionnaire was fulfilled by 200 pediatricians, all of them deal with childhood asthmatics. As regards Academic degrees, 94 (47.7%) had the Bachelor degree, 70 (35.5%) had Master degree, 23 had Diploma degree (11.7%), and 10 (5.1%) had Doctorate. As regards Hospital settings, 102 (51.8%) of the pediatricians we...
Journal of Hepatology, 2020
Journal of the Egyptian Public Health Association, 2020
Background Physical inactivity is considered a problem with great impact on morbidity and mortali... more Background Physical inactivity is considered a problem with great impact on morbidity and mortality. There is a necessity to combat this behavior through an assessment of barriers and benefits perceived by subjects. Objectives The current study aimed to measure exercise intention, in addition to identifying physical exercise predictors, including perceived barriers and benefits among healthcare providers (HCPs) in Ain Shams University Hospitals. Methods A cross-sectional study was performed on a sample (n = 327) of healthcare providers (physicians and nurses) in Ain Shams University Hospitals in Cairo, Egypt, using anonymous self-administrated questionnaires and relevant scales. Results Out of 327 healthcare providers approached, 52.6% of them were males and the mean age of participants was (29.34 ± 7.84 years). Physical exercise was reported by 44.6% of participants. The most significant factors associated with physical exercise engagement were male gender, participants with lower ...
QJM: An International Journal of Medicine, 2020
Background The world is currently facing a pandemic of vitamin D deficiency especially women in c... more Background The world is currently facing a pandemic of vitamin D deficiency especially women in child bearing age, during pregnancy and nursing mothers. One of the major reasons for the worldwide spread of this nutritional disorder has been lack of awareness about the importance of vitamin D and prevention of deficient states across populations. Objectives To assess the knowledge and attitude of mothers attending primary health care center in Cairo towards vitamin D importance, to identify mothers' practices towards vitamin D, its supplementation & sun light exposure. Subjects & Methods A cross sectional study was conducted among mothers attending “100 meters” primary health care center in El-Sherouk city in Cairo. A sample of 195 mothers were interviewed using structured questionnaire to collect data including socio-demographic characteristics, mother’s knowledge about the importance of Vitamin D, mother’s attitude and practices towards taking vitamin D, its supplementation and...
The Egyptian Family Medicine Journal, 2019
Background: Hepatitis C virus has global burden, but it is a potentially curable disease, with su... more Background: Hepatitis C virus has global burden, but it is a potentially curable disease, with sustained virologic response among the majority of treated patients. In recent years, new treatments for hepatitis C have been approved and represent a major advancement in treatment. Objectives: This study was conducted to assess knowledge, opinions and perceived barriers to hepatitis c direct-Acting Antivirals (DAAs) based regimen among a sample of hepatitis C virus (HCV) treatment providers. Methods: A Cross-sectional study on HCV treatment providers at El-Demerdash, Ain Shams University Hospital was conducted. A total of 69 physicians responded to self-administered questionnaire about their knowledge, opinions on the services provided and perception towards treatment barriers. Results: Most of physicians' opinions agreed with the current state of HCV care as exist of guidelines, patients have adequate access to HCV treatment providers; but they disagreed about that the general public is aware of HCV and know that it is a curable disease. Most of physicians (81%) had high Knowledge level of HCV treatment principles. The most perceived barriers to care were Payer-related barriers followed by government-related barriers and patient-related barriers. Conclusion: The study highlights the most perceived barriers that may impede the prompt and appropriate treatment of hepatitis C virus infection reported by treating physicians. Therefore, it is important to engage HCV treatment providers in Educational programs that can help to modify their knowledge about HCV treatment and related services, and their communication and practice in guiding patients in their treatment course.