ACCIDENTS RELATED TO OBSTRUCTIVE SLEEP APNEA AMONG COMMERCIAL DRIVERS: A CLINIC BASED STUDY
El-Morsy
N
Department of Pulmonary Medicine, Faculty of Medicine, Mansoura University ,Mansoura, Egypt.
author
El-Hadidy
S
Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University ,Mansoura, Egypt.
author
El-Gilany
A
Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University ,Mansoura, Egypt.
author
text
article
2019
eng
AbstractIntroduction: Egypt is ranked the 3rd country in the world with the highest mortality rates due to road traffic accidents. Epidemiological studies have confirmed that obstructive sleep apnea (OSA) is associated with an increased risk of motor vehicle crashes (MVC) and early death. OSA is an important health and safety issue in the workplace because of its frequency, co-morbidities and potential to impair worker’s performance. Aim of work: To estimate the prevalence of accidents among commercial drivers with suspected OSA and to identify the risk factors of road traffic accidents (RTA) by comparing drivers with accidents versus (vs) no accidents. Materials and methods: Nested case-control study was carried upon (150) commercial drivers suspected to have OSA attended the Sleep Disordered Breathing (SDB) Unit and accepted to participate in the study during two years starting from November 2016 . Data was collected using a questionnaire included socio-demographic characteristics, occupational, medical and driving histories as well as history of sleep related accidents or near accident and mean daily sleep duration. Clinical examination, laboratory tests were done (invasive and noninvasive blood gases) and sleep questionnaires (ESS, FOSQ-10, Berlin questionnaire and STOP BANG questionnaire) were completed. Results: The prevalence of accidentswas (46.0%) among the studied drivers. The prevalence of OSA was statistically significantly higher among those with accidents (81.2%) than those without accidents (60.5%) and the significant independent predictors of accidents among drivers werehaving 1st class license, shift work, rapid eye movement sleep (REM) % and OSA. Conclusion: The prevalence of OSA was higher among those with accidents than those without accidents and OSA was independent significant predictor of RTA.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
283
296
https://ejom.journals.ekb.eg/article_31411_c4879309abd73f3fbed6fcdd1108a3b5.pdf
dx.doi.org/10.21608/ejom.2019.31411
ADVERSE HEALTH EFFECTS OF GLUTARALDEHYDE AND ITS RELATION TO WORKPLACE SAFETY MEASURES AND WORK PRACTICES OF HEALTH CARE WORKERS
Abdel-Hamid
A
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
Abbas
D
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
Elokda
E
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
El-Gwaily
S
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
text
article
2019
eng
AbstractIntroduction: Glutaraldehyde (GA) is a broad-spectrum biocidal agent for high level disinfection of heat sensitive equipments. It is widely used in hospitals especially in endoscopy units. Aim of work: This study aimed to identify adverse health effects of GA and to determine the impact of workplace safety measures and work practices on occurrence and severity of such health effects among health care workers (HCWs) at Ain Shams University hospitals. Materials and methods: A cross-sectional study was conducted including 160 HCWs from different departments of Ain Shams University hospitals divided into two groups according to exposure to GA, exposed group (No=80) and unexposed group (No =80). Both groups were interviewed using a structured questionnaire in addition to clinical examination and spirometry. An observational checklist was used to evaluate workplace safety measures where GA solution has been used and work practices of the exposed HCWs. Results: Exposed HCWs had a significantly higher frequency of nasal, lower respiratory tract, ocular, skin, headache and other symptoms than unexposed group. They also showed impairment of Pulmonary Function Tests (PFTs) which was significantly correlated to the years spent in the current occupation and the daily work hours. Regarding workplace safety measures in areas where GA was used, the availability of effective general ventilation systemwith Air Change per Hour (ACH) > 15, automatic washer and specific area for GAdisinfection had a significant effect in reduction of some adverse health effects. Unsafe work practices were associated with some adverse health effects of GA. Conclusion: Exposure to GA may lead to many adverse health effects and applying workplace safety measures together with adopting safe work practices can reduce such risks.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
297
312
https://ejom.journals.ekb.eg/article_31412_595f8696e1175c6af3652e7020996e0d.pdf
dx.doi.org/10.21608/ejom.2019.31412
BURNOUT AND HEALTH RELATED QUALITY OF LIFE AMONG RESIDENT PHYSICIANS IN ZAGAZIG UNIVERSITY HOSPITALS
AbdAllah
M
Department of Family Medicine, Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Zagazig University.
author
El-Hawy
L
Department of Family Medicine, Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Zagazig University.
author
text
article
2019
eng
AbstractIntroduction: 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 inmedical departments had better physical and mental QoL.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
189
204
https://ejom.journals.ekb.eg/article_31413_1884492bffcfed95488604d2da89c924.pdf
dx.doi.org/10.21608/ejom.2019.31413
EFFECT OF QUALITY OF WORKING LIFE ON PSYCHOLOGICAL WELL-BEING AND MARITAL SATISFACTION AMONG MARRIED RESIDENT FEMALES AT FACULTY OF MEDICINE – ZAGAZIG UNIVERSITY
Nofal
A
Department of Public Health and Preventive Medicine, Faculty of Medicine- Zagazig University.
author
EL Maghawry
A
Department of Public Health and Preventive Medicine, Faculty of Medicine- Zagazig University.
author
text
article
2019
eng
AbstractWorking women are exposed to many stressors especially in the medical field which affect their well being and marital satisfaction. Individual perception of high Work Life Balance (WLB) and sense of well being has become vital for any organization in order to ensure enhanced performance efficiency. Aim of work: To assess the effect of quality of working life on psychological wellbeing and marital satisfaction among married resident females and to assess the effect of psychological wellbeing on marital satisfaction. Materials and methods: A cross- sectional study was conducted on 100 married resident females in different clinical departments at Zagazig University hospitals. Standardized scales were used to gather information including the Quality of Work Life (QOWL) scale, Ryff ̛s Psychological Well-Being (PWB) scale and Enrich Marital Satisfaction (EMS) scale along with semi-structured questionnaire for socio-demographic data. Results: This study showed that the majority of our sample (70.0%) had low QOWL, 86.0% with low psychological well being and 75.0% with poor marital satisfaction and there were statistical significant direct correlation between QOWL and psychological wellbeing & marital satisfaction; also between psychological well being and marital satisfaction. Conclusion and recommendations: the results of thisstudy attract the attention to the high work-stress situation among medical staff and the reciprocal effects of job satisfaction, psychological well being and marital satisfaction. These results should be considered by health policy decision makers when providing facilities such as educational programs for empowering couples, encourage periodic medical and health assessments of medical staff, and providing psychological and family consulting services at the workplace.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
269
282
https://ejom.journals.ekb.eg/article_31414_26861a4b3a05f7f8933e367020509f92.pdf
dx.doi.org/10.21608/ejom.2019.31414
ENVIRONMENTAL AND OCCUPATIONAL RISK FACTORS AND PREDICTORS OF SURVIVAL AMONG MALIGNANT PLEURAL MESOTHELIOMA PATIENTS
Abdel-Hamid
A
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
Ammar
E
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
Shoman
A
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
Elhoussinie
M
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
Elwakeel
H
Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
author
text
article
2019
eng
AbstractIntroduction: Malignant pleural mesothelioma (MPM) remains a serious health problem due to the poor outcome of different therapies. In Egypt, it is mainly attributed to an environmental origin with a high incidence in women and young adults. Aim of work: To identify risk factors of malignant pleural mesothelioma and to carry out survival analysis for malignant pleural mesothelioma patients attending outpatient clinic of Clinical Oncology department at Ain Shams University hospital. Materials and methods: Ninety cases with pathologically confirmed MPM attending the outpatient clinic of clinical oncology department at Ain Shams University hospital were interviewed. Patients in critical conditions who needed hospitalization or palliative treatment were excluded. Included patients were then followed up for two years starting from the date of diagnosis. Results: Logistic regression analysis revealed that living in industrial areas, household exposure to asbestos and history of smoking were significant risk factors of MPM. The mean survival duration of all cases was 24.49 months. Cox regression analysis revealed that factors predicting survival were age and gender. The difference in survival between patients treated with different treatment modalities was not statistically significant. Conclusion: Environmental and householdexposure to asbestos as well as smoking play an important role in occurrence of MPM. Age and gender were significant predictors of survival of patients. Strict measures to reduce pollution and thus rates of MPM should be adopted in addition to communityawareness of the possible risk factors and preventive measures. Moreover, development of a national record system is required to determine the true size and scope of this environmental problem in Egypt.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
245
258
https://ejom.journals.ekb.eg/article_31415_bb032636626e6453d1ad64d529b86bfa.pdf
dx.doi.org/10.21608/ejom.2019.31415
PREVALENCE AND RISK FACTORS ASSOCIATED WITH HEALTH DISORDERS AMONG HOSPITAL CLEANING WORKERS: A CROSS-SECTIONAL STUDY
Elbadry
S
Department of Community Medicine and Public Health, Faculty of Medicine, Menoufia University,
Menoufia, Egypt.
author
text
article
2019
eng
AbstractIntroduction: Hospital cleaning workers are exposed to a variety of health hazards with little attention paid to them. Aim of work: to assess the prevalence and risk factors of work-related health disorders among hospital cleaning workers. Materials and methods: This cross-sectional study used a self-administered questionnaire to collect data on work-related risk factors and the occurrence of various health complaints among 5000 hospital cleaning workers (response rate 86.24%). The frequency of health disorders among workers was estimated by using binary logistic regression analysis to detect the risk factors. Results: Health disorders among hospital cleaning workers in decreasing order of frequency was 24.7% respiratory symptoms, 18.3% skin symptoms, 16.7% combined respiratory and skin symptoms, 14.7% musculoskeletal symptoms, 11.1% combined skin and musculoskeletal symptoms, 8.4% psycho-social problems and 6.1% needle stick and sharp object injuries. Risk factors for health complaints included duration of working >10 years (OR=0.68, CI=0.54 – 0.96), female gender (OR=1.78, CI=1.58 – 3.88), working in the operating room (OR=1.56, CI=1.26 – 2.82), working in surgical ward (OR=4.14, CI=1.82 – 8.74), number of night shifts/month>8 (OR=1.78, CI=1.24 – 4.86), absence of hard containers for needles (OR=1.96, CI=1.52 – 2.78), absence of standard hospital policies (OR=2.43, CI=1.96 – 2.86), absence of primary medical examination (OR=1.68, CI=1.12 – 3.24), absence of periodic medicalexamination (OR=0.18, CI=0.03 – 0.24), absence of protective clothes except for gloves (OR=1.42, CI=1.14 – 2.26), working hours 8-12 hours per day (OR=2.12, CI=1.42 – 3.54) and working hours >12 hours/day (OR=2.24, CI=1.19 – 3.12). Conclusion: Health and safety of hospital cleaning workers has been inadequately provided which mandates the high need for health education, diagnostic and therapeutic interventions to this work group.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
205
214
https://ejom.journals.ekb.eg/article_31417_f833ec781ab5fc261651240ea69d475f.pdf
dx.doi.org/10.21608/ejom.2019.31417
PREVALENCE OF HELICOBACTER PYLORI INFECTION AMONG FARMERS AND NON-FARMERS WITH DYSPEPSIA
Salem
E
Department of Public Heath and Community Medicine, Faculty of Medicine, Menoufia University, Egypt.
author
Sakr
A
Department of Tropical Medicine, Faculty of Medicine, Menoufia University, Egypt.
author
Younis
F
Department of Public Heath and Community Medicine, Faculty of Medicine, Menoufia University, Egypt.
author
Mohamed
A
Department of Pathology, Faculty of Medicine, Menoufia University, Egypt.
author
text
article
2019
eng
AbstractIntroduction: Helicobacter pylori (H pylori) is a gram negative spirally shaped bacterium. It is known to be the most common cause of dyspepsia especially in developing countries as Egypt. Aim of work: To identify the prevalence of H pylori among patients with dyspepsia especially farmers and the infection risk factors. Materials and methods: This is a hospital based cross-sectional study conducted on 152 patients (78 farmers and 74 non-farmers) with dyspepsia among those admitted to Gastrointestinal (GI) Endoscopy Unit at Menoufia University hospital, Menoufia, Egypt. They were recruited to this study from 1st September 2017 to the end of May 2018. Designed questionnaire, clinical examination, esophago-gastro-duodenoscopy (EGD) and histopathological evaluation were conducted to the studied patients. Results: The overall prevalence rate of H pylori among dyspeptic patients in the current study was (73.7%) and significantly higher among low levels of education (28.6%), female gender (69.6%), farmers occupation (57.1%), low socioeconomic status (28.6%), who consume tap water for drinking (76.8%) and unwashed vegetables (73.2%). Epigastric pain was more common in patients with H pylori (P <0.001). Also, acid reflux, morning vomiting and upper abdominal distention were significantly more prevalent among Hpylori positive cases. About (82.1%) of farmers were significantly positively infected than non-farmers (64.9%). Illiterate female farmers who didn’t wash vegetables and with history of peptic ulcers were more susceptible of infection. Conclusion:Farmers occupation was at risk of H pylori infection than non-farmers. Illiteracy, bad sanitation and low hygienic standard were the risk factors of infection. Health education and environmental sanitation are recommended to lower the prevalence of H pylori especially among farmers.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
229
244
https://ejom.journals.ekb.eg/article_31419_318d3d0259c6a09e3aeff28a77121b32.pdf
dx.doi.org/10.21608/ejom.2019.31419
SERUM CLARA CELL PROTEIN (CC16) IN RELATION TO PULMONARY FUNCTIONS AMONG WORKERS EXPOSED TO NAPHTHALENE IN PVC MANUFACTURE
El Shafy
S
Department of Occupational and Environmental Medicine,
Faculty of Medicine, Cairo University.
author
El-Sherif
H
Department of Occupational and Environmental Medicine,
Faculty of Medicine, Cairo University.
author
text
article
2019
eng
AbstractIntroduction: Naphthalene is a harmful environmental tox reduced in serum and/or airway lining fluid of patients with COPD, asthma, bronchopulmonary dysplasia, silicosis, and post-transplant rejection. Aim of work: This study was done to evaluate the use of serum CC16 level as a biological marker for occupational respiratory diseases in relation to pulmonary function tests among workers exposed to naphthalene in polyvinyl chloride (PVC) manufacture. Material and methods: The study included 33 exposed workers and 33 control subjects. The study groups were subjected to full history taking, clinical examination and pulmonary function testing. Serum levels of CC16 and naphthalene levels measured for both groups. Results: Pulmonary functions parameters (FVC, FEV1, FEV1/FVC, FEF 25%, FEF 50%, FEF 75%), were significantly decreased in the exposed group compared to the control and indicated obstructive ventilatory impairment among the exposed workers. Serum naphthalene was significantly higher, while serum CC16 was significantly lower among the exposed group compared to the control. Exposed smokers exhibited the highest serum naphthalene and the lowest serum CC16 among all study groups. The duration of naphthalene exposure positively correlated with the serum level of naphthalene and negatively correlated with pulmonary functions and the serum level of CC16. Also serum level of CC16 correlated negatively with the serum naphthalene level and smoking index.Conclusion: Occupational exposure to naphthalene in PVC manufacture is associated with obstructive ventilatory impairment, with corresponding decrease in the serumlevel of Clara cell protein (CC16), which can be used as a biomarker for respiratory system affection among workers exposed to naphthalene.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
175
188
https://ejom.journals.ekb.eg/article_31420_11594f3f410d1e9808f76f8ba9a85da0.pdf
dx.doi.org/10.21608/ejom.2019.31420
SMOKING AMONG ADMINISTRATIVE UNIVERSITY EMPLOYEES: PREVALENCE AND DEGREE OF NICOTINE DEPENDENCE
Gabr
M
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Egypt.
author
Allam
K
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Egypt.
author
Abdallah
R
Department of Public Health and Community Medicine, National Liver Institute, Menoufia University, Egypt.
author
text
article
2019
eng
AbstractIntroduction: The World Health Organization considers smoking as the top preventable reason of morbidity and early mortality. Tobacco smoking accounts for more than half of all deaths that can be easily avoided worldwide. Aim of work: To estimate the prevalence of smoking habit among Menoufia University administrative employees, and determine the degree of nicotine dependence among smokers. Materials and methods: A cross sectional survey has been conducted on an estimated simple cluster sample of 334 administrative employees in Menoufia University, Egypt, during the period from 1st of May to the end of August 2018. Level of addiction among smoking participants was assessed based on the validated Arabic version of Fagerstrom test for nicotine dependence (FTND) questionnaire. Results: The mean age of the participant was 39.03±9.05 years with a range of 21- 58 years. More than half of participants (62.9%) were males and 37.1% were females, cigarette and goza smoking have been reported in 68 participants (20.4%) and 17 (5.1%) of participants; respectively. All smokers were males, out of them 44.1% have low to moderate nicotine dependence, 16.2% have low dependence, 14.8% have moderate to high dependence, and 10.3% have no dependence. There is significant positive correlation between nicotine dependence and time for the first cigarette, the number of cigarettes, smoking index and the age (r=0.88,0.77 and 0.27 respectively) (P value <0.001, <0.001, <0.001 and <0.026 respectively). Conclusion: Cigarette and goza smoking have been reported among 20.4% and 5.1% of participants; respectively. Out of them, 44.1% have low to moderate dependence. This study showed that 63.2% of the smokers start to smoke their first cigarette within 30 minutes after waking up .There is significant positive correlation between nicotine dependence and time for the first cigarette, the number of cigarettes, smoking index and the age.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
259
268
https://ejom.journals.ekb.eg/article_31423_4d65174f063fedf8b4de7bc5c7c0d15e.pdf
dx.doi.org/10.21608/ejom.2019.31423
VIOLENCE AGAINST HEALTH CARE WORKERS IN EMERGENCY HOSPITAL, TANTA UNIVERSITY, EGYPT
Kabbash
A
Department of Public Health and Community Medicine, Department of Occupational Medicine, Faculty of Medicine, Tanta University, Egypt.
author
El-Sallamy
R
Department of Public Health and Community Medicine, Department of Occupational Medicine, Faculty of Medicine, Tanta University, Egypt.
author
text
article
2019
eng
AbstractIntroduction: 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.
Egyptian Journal of Occupational Medicine
The Egyptian Society of Industrial Medicine
1110-1881
43
v.
2
no.
2019
215
228
https://ejom.journals.ekb.eg/article_31424_4c5da13eb6b4edb2aeb7bbeb33a3fe51.pdf
dx.doi.org/10.21608/ejom.2019.31424