Lamiaa Elhawy | Zagazig University (original) (raw)

Papers by Lamiaa Elhawy

Open Journal of Obstetrics and Gynecology, 2021

Aim: Clinical audit is a tool to improve quality of care and to reduce maternal and perinatal mor... more Aim: Clinical audit is a tool to improve quality of care and to reduce maternal and perinatal morbidity and mortality. Auditing the CS according to a standard parameter will lead to strategies to avoid unnecessary intervention and to advice uniform practice. The aim was to evaluate the current practice and audit against international standards for various parameters relating to elective lower segment caesarean section and to assess compliance of physicians to audit standards. Subject and methods: This is a cross-sectional study which was in a tertiary hospital in Kuwait from 1 st October 2019 until 1 st October 2020. The hospital medical, electronic records and case notes of three hundred and twenty-six (326) cases of elective caesarean sections were reviewed for study participants. Those women were booked under the care of internal and external physicians. Demographic data and primary outcomes were collected. Results: Outcome was measuring the compliance to the recognized Caesarean Section international standards: consent form, grade of LSCS, antacid and anti-emetics, type of anesthesia, uses of antibiotics, umbilical cord blood PH, and thromboprophylaxis. The compliance for a signed consent form and cord blood PH was (100%), the use of preoperative antacid and antiemetic was (99.4%), combined regional anesthesia was given in (53.4%) of cases, preoperative antibiotics prophylaxis of second generation cephalosporin was to (61.3%) of cases, post-operative thromboprophylaxis was given in (78.5%) of cases of which (33.6%

The Egyptian Journal of Community Medicine (EJCM) , 2024

Background: Food insecurity, (FI) a significant public health issue, can have a serious detriment... more Background: Food insecurity, (FI) a significant public health issue, can have a serious detrimental effect on controlling diabetes. Objective: to assess the frequency of household FI in the type 1 diabetes mellitus (T1D) families attending the diabetes clinic and to determine the relation between FI and glycemic control among T1D children. Methods: A cross-sectional study was conducted in the period from November 2021 to October 2022 0n 237 parents of TIDM children who come to receive periodic insulin therapy and routine checkups using a structured questionnaire consisting of three parts; socioeconomic level, medical history, and food security questionnaire. Body mass index (BMI) and Hemoglobin A1c levels were assessed in all children. Results: According to glycemic control, 50.6% had poor glycemic control and 59.6% of studied patients belonged to food insecure families. Low socioeconomic standard (SES), maternal basic education, secondary education, and comorbid celiac disease significantly increased risk of food insecurity by 5.308, 4.176 and 10.406 folds respectively. Comorbid celiac disease, thyroid diseases, low SES, low mother education, hospitalization in the last year, were significantly associated with poor glycemic control. Low BMI, obese, comorbid celiac disease, FI significantly increase risk of poor glycemic control by 12.349, 19.313, 6.39 and 2.353 folds respectively. CONCLUSION: Low SES, poor glycemic control, and lower maternal education were predictors of food insecure patients. FI prevailed in a larger percentage of studied patients, and it is independently associated with poor glycemic control in patients with T1DM.

The Egyptian Journal of Hospital Medicine, 2022

Background: The realization of the profession's role in both of global and personal concept affec... more Background: The realization of the profession's role in both of global and personal concept affected the self-identification among 2020 medical students. COVID-19 pandemic can hinder, accelerate, or change medical students' professional identity formation. Objective: To assess the level of satisfaction about blended learning among undergraduate medical students at Zagazig University and to determine challenges, which face the medical students during blended learning education in Faculty of Medicine. Patients and Methods: This cross-sectional study was performed during the period from September 2020 to July 2021 at Zagazig University, Egypt. This research included 277 undergraduate medical students. Results: The current study reported that interaction satisfaction score ranged from 18 to 53 with median 37 and 53.1% of students reported high satisfaction with interaction domain. There was statistically significant correlation between total satisfaction score and both age and technology barrier. There was statistically non-significant correlation between total satisfaction score and communication barrier. Conclusion: The results show that the majority of our sample students were highly satisfied with blended learning and reported low barriers to e-learning. Students still prefer face-to-face courses despite their satisfaction with their grades and performance in blended learning courses.

The Egyptian Journal of Community Medicine (Print), Mar 27, 2022

Background: Childhood vaccination has a great role in major worldwide reductions in morbidity and... more Background: Childhood vaccination has a great role in major worldwide reductions in morbidity and mortality and is considered to be one of the most effective public health interventions in terms of numbers of infections and deaths avoided per year. Objectives: To assess knowledge and practice regarding the new children's obligatory vaccination schedule (2018) and to identify barriers of incomplete vaccination and the sources of their information. Method: A cross-sectional study was conducted on 290 mothers. Through a multistage sampling technique, four health facilities were selected to represent Sharkia governorate whereas the sample units were proportionally allocated. The study included mothers of children younger than one year of age. Mothers were interviewed using the Fahmy questionnaire to assess the socioeconomic status and a modified semi-structured questionnaire to assess mothers' knowledge and practice and to identify sources of their information and possible barriers of incomplete vaccinations. Results: The studied mothers showed an inadequate total knowledge score (61%) and poor total practice (59%). Mothers' age, education, and occupation affected the total knowledge. Mothers' education, occupation, and social class were the determinants affecting the total practice score. Health care providers (71%) and family relatives (67%) were the commonest sources of information. Sick baby (63%) and presence of family problems (31%) were the commonest barriers for none or incomplete immunization. Conclusion: The knowledge and practice of the studied mothers were unsatisfactory. Continuous health education should be provided to overcome the found barriers and encourage complete immunization.

The Egyptian Family Medicine Journal, May 1, 2021

Background: Family Medicine, a very important emerging specialty, is intended to provide continui... more Background: Family Medicine, a very important emerging specialty, is intended to provide continuing, comprehensive health care for individuals and families. Large numbers of family physicians are needed for the overall integrate health-care system. Factors affecting the choice of this specialty were personal preferences, an interest in the field, and practical experience of the subject. Objectives: To assess attitude of interns toward Family Medicine as a future specialty, and to determine association between some personal factors and their attitudes. Methods: A cross sectional study on was conducted on (116) interns working at Zagazig university hospitals (from June to September 2019). All interns were interviewed using semi-structured questionnaire to identify their sociodemographic data, future specialty and attitude towards Family Medicine as a future specialty. Results: About 9% of interns wanted to be family physicians and (43.1%) had positive attitude about Family Medicine. Most common reasons of not choosing it as a future specialty were lack of knowledge (55%), lower social respect (43.2%) and low financial gain (39.2%). There was significant relation between attitude and all of gender, marital status and their knowledge about Family Medicine. On multivariate analysis, male gender and lack of knowledge were significant independent risk factors for this negative attitude. Conclusion: Interns had a negative attitude towards Family Medicine. Lack of knowledge, lower social respect and lower financial gain were most common causes of not choosing Family Medicine as a future specialty.

Egyptian Journal of Occupational Medicine, May 1, 2019

Introduction: Burnout syndrome (BO) is an increasingly serious problem among physicians. It is hi... more Introduction: Burnout syndrome (BO) is an increasingly serious problem among physicians. It is highly prevalent in health care settings .The impact of burnout not only affects physicians but extends to their patients if the quality of medical care delivered had been affected. Quality of life (QoL) is a multidimensional concept affected by all life aspects of individuals. Aim of work: To assess the prevalence of BO syndrome among resident physicians working in Zagazig University hospitals, to assess their quality of life (QoL), to identify some risks factors of BO and to study the effect of BO on QoL. Materials and methods: A cross sectional study was conducted at Zagazig University hospitals on one hundred sixty eight resident physicians. Socio-demographic characteristics, Maslach BO scale and 12-Item Short-Form Survey Instrument version 2 (SF-12v2) questionnaires were collected from studied physicians. Results: the largest percentage of studied physicians had emotional exhaustion (EE), depersonalization (DP), loss of personal accomplishment (PA) and high total BO score (53, 64.3, 75 and 67.3%) respectively. There are significant differences between gender, social class, marital status, department and total BO score. Physicians with higher BO reported lower QoL score. Physicians working in surgical departments reported significantly lower score in each domain. Male gender and single physicians reported significantly lower Mental Component Summary score (MCS) of QoL. Conclusion: All resident physicians suffered from moderate to high BO syndrome. Being male resident, single and working in surgical departments were the predictors of BO. Residents working in medical departments had better physical and mental QoL.

The Egyptian Journal of Community Medicine

Pediatric Nephrology

Background Nutritional status assessment in children with nephrotic syndrome (NS) is critical for... more Background Nutritional status assessment in children with nephrotic syndrome (NS) is critical for identifying patients who are at risk of protein-energy wasting (PEW) and for determining their nutritional needs and monitoring nutritional intervention outcomes. Methods In a case–control study, we enrolled 40 children (age range: 2–16 years) with NS and 40 apparently healthy children (age and sex-matched) as a control group. Anthropometric data, as well as demographic, clinical, and laboratory data, were collected. A dietary intake assessment using a 3-day food intake record was done, and the quadriceps rectus femoris thickness (QRFT) and quadriceps vastus intermedius thickness (QVIT) were assessed using B-mode ultrasound and compared between both groups. Results Children with NS had lower QRFT and QVIT measurements than control groups (p < 0.001). Inadequacy in protein intake occurred in 62.5% and 27.5% of the NS and control groups, respectively (p = 0.002). The thickness of the r...

Journal of Obstetrics and Gynaecology

Zagazig University Medical Journal, 2022

Background: Type I diabetes mellitus (T1DM) is a lifelong disease that affects all aspects of dis... more Background: Type I diabetes mellitus (T1DM) is a lifelong disease that affects all aspects of diseased children’s life and thus can negatively affect their mental, physical health and their health-related quality of life. Effective self-management of type 1 diabetes in pre-adolescent and adolescent years is important to prevent diabetes-related complications later in life. Objectives: to assess self-management patterns among caregivers of type 1 diabetic children pre and post health education about management of pediatric Type 1 diabetes mellitus and to assess glycemic control pre and post health education among children attending Zagazig university diabetes clinic. Method: An educational intervention (pre-test/post-test) study was carried out from the first of August 2019 to the end of March 2020 for Caregivers of Type 1 Diabetes children who attend Zagazig diabetes clinic for receiving periodic insulin therapy and regular checkup. Results: Self-Management patterns had significantl...

The Egyptian Journal of Community Medicine, 2020

Background: Proper nutrition is essential to promote good health and wellbeing. Adolescence has b... more Background: Proper nutrition is essential to promote good health and wellbeing. Adolescence has been identified as an important period for establishing healthy eating behaviors. A healthy diet plan should aim for a weight-loss goal of no more than one kilogram (kg) per week. Objective: to assess weight loss practice among adolescents and to determine association between some personal factors and weight loss practice. Method: A cross sectional study was conducted among (842) adolescent students from governmental preparatory and secondary schools in some Lower Egypt governorates (Cairo-Daqahliyah), during the academic year (2018-2019) by multistage cluster sampling technique. The students completed a structured questionnaire about weight loss practices. The anthropometric measurements (weight and height) were measured. Results: The percentage of obese and overweight students were 23.6% and 14.4% respectively. Prevalence of weight loss practice was 25.4% in all studied sample. only 11.7% of them visited nutritionist to decrease their weights. There was statistical significant relation between age and education with reducing number of meals to two or one, taking Herbs or un-prescribed medicines, Fasting and Induce vomiting where these practices were more among older age groups and Secondary educated students (p<0.001, p<0.001, p=0.001and p=0.009) respectively. Conclusion: Prevalence of weight loss practice was twenty five percent among studied adolescent students. Visiting dietitian was not a common weight loss practice.

Authorea

Background Auditing the CS according to a standard criterion will lead to avoid many complication... more Background Auditing the CS according to a standard criterion will lead to avoid many complications. Clinical audit is a tool to improve quality of care and to reduce maternal and perinatal morbidity and mortality. Objective: to evaluate the current practice and audit against international standards for various parameters relating to elective lower segment caesarean section and to assess compliance of physicians to audit standards. Design: A cross-sectional study. Setting: New Mowasat Hospital in Kuwait from 1st October 2018 until 1st October 2019. Sample: Three hundred and twenty six (326) cases of elective caesarean sections. Methods: The hospital medical, electronic records and case notes were reviewed for study participants. Those women were booked under the care of internal and external physicians. Demographic data and primary outcomes were collected. Outcome: measuring the compliance to the recognized Caesarean Section international standards: consent form, grade of LSCS, antacid and anti-emetics, type of anesthesia, uses of antibiotics, umbilical cord blood PH, and thrombopropylaxis. Results: compliance for a signed consent form (100%) ,cord blood PH(100%),use of preoperative antacid and antiemetic (99.4%) , combined regional anesthesia(53.4%), second generation cephalosporin(61.3%) , thrombopophylaxis ( 78.5 %)of which (33.6%) completed a 10 days duration . There was a statistically significant difference between internal and external physicians compliance regarding, type of anesthesia 2.3 (95%CI, 1.3-4.1p=0.004), type and timing of antibiotics 0.42(95%CI 0.22-0.79, p=0.007) and 0.33 (95%CI 0.172-0.63, p=0.0006) and thrombopophylaxis 8.1 (95%CI 2.80-23.23, p=0.000). Conclusion: the results are encouraging, but suboptimal compliance was noticed mainly among external physicians. Funding: None