The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
OCCUPATIONAL INJURIES AMONG WORKERS IN A NITROGENOUS FERTILIZERS COMPANY, EGYPT
1
17
EN
Kamel
NM
Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University
Abou El-Wafa
Abou El-Wafa HS
Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University
Al-Wehedy
A
Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University
10.21608/ejom.2017.958
Introduction: During manufacturing of fertilizers, workers may be exposed to several occupational accidents. Fertilizers industry is one of the most important industries in Egypt. It is considered a subsector of the chemical industries which is based on the usage of numerous types of chemicals in large quantities. Aim of work: to estimate the frequency and severity rates of occupational injuries among workers in a nitrogenous fertilizers company and to describe their pattern and possible risk factors. Materials and methods: The study comprised two parts; part I which was a record-based study<br />of occupational injuries during a period of three years and part II which was a casecontrol study of the occupational injuries during the same period. Results: Having job strain, absence of past jobs, non using of gloves, and sometimes using of gloves and helmet were independently associated with the likelihood of having occupational injuries (OR= 1.9, 1.9, 7.7, 5.3, and 2.4, respectively). Conclusion: Workers at Fertilizers Company face many occupational injuries that could be ameliorated through environmental, administrative and personal measures by the implementation of an<br />effective occupational health and awareness programs.
Occupational injuries,Chemicals industry,Nitrogenous fertilizers,Fertilizers Company and Job strain
https://ejom.journals.ekb.eg/article_958.html
https://ejom.journals.ekb.eg/article_958_cb5637b84ae51501a97f3b879f5ed1e4.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
PREVALENCE AND RISK FACTORS OF MUSCULOSKELETAL DISORDERS AMONG NATURAL GAS FIELD WORKERS
19
33
EN
Abo Salem
MA
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University
Mahrous
OA
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University
Kasemy
ZA
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University
Allam
HK
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University
Mohsen
M
The Egyptian Natural Gas Holding Company (EGAS)
10.21608/ejom.2017.959
Introduction: Workers at natural gas fields are continuously exposed to numerous hazardous materials and working conditions that place them at continuous risk of injury or death. Aim of work: To study the prevalence of musculoskeletal disorders among workers in a natural gas field and the risk factors for it as well as relationship between the resultant health disorders and the working conditions. Materials and methods: a cross-sectional study carried out in “The Egyptian Natural Gas Holding Company “on 172 workers distributed into 109, 32 and 31 workers from Operational, Administrative<br />and Support services departments respectively. An equal number (172 subjects) waschosen randomly from the factory workers’ relatives as controls. All participants were ubjected to a pre-designed questionnaire fulfilling personal, ccupational history and clinical examination. Cases detected by clinical examination were subjected to radiological investigations ( X ray and MRI). Results: About 47.7 % of the workers had regional musculoskeletal pain. Low back pain was the most prevalent one (30.5%) followed by knee pain (17.1%). The percentage of musculoskeletal pain was<br />significantly higher among workers with over 9 years work duration (P=0.00). Of all workers with pain, abnormal findings detected in X ray accounted for 35.4% and those detected in MRI imaging were 40.2%. In MRI results, muscle affection was the most prevalent finding (39.4%). The highest rates of all of MSDs were found among workers in Operation department. Conclusion: Musculoskeletal manifestations were prevalent among studied workers. X ray and MRI results detected many cases with diseasesaffecting the joints and intervertebral discs that needed an urgent treatment.
Musculoskeletal disorders,Natural gas Workers,Low back pain,Knee pain and Risk factors
https://ejom.journals.ekb.eg/article_959.html
https://ejom.journals.ekb.eg/article_959_bfbaa9ea4c06fa362dcea1a5a1a2faaf.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
PREMENSTRUAL SYNDROME AND WORK AMONG FEMALE ACADEMIC TEACHING STAFF IN AGOVERNMENTAL FACULTY OF MEDICINE IN EGYPT
35
53
EN
Hammam
RAM
Department of Community, Environmental and Occupational Medicine
Zalat
MM
Department of Community, Environmental and Occupational Medicine
Sadek
SM
Department of Community, Environmental and Occupational Medicine
Soliman
BS
Department of Obstetrics and Gynecology
Ahmad
RA
Department of Obstetrics and Gynecology
Mahdy
RS
Department of Psychiatry, Faculty of Medicine, Zagazig University, Egypt
Hardy
C
Department of Psychology, Institute of Psychiatry, King’s College London, UK
10.21608/ejom.2017.960
Introduction: Premenstrual syndrome (PMS) affects many women during their work life. PMS in working’ Egyptian women, however, are less well researched. Aim of work: To determine the prevalence of PMS in a sample of academic female teaching staff in Zagazig University and explore PMS in the work context. Materials and methods: One hundred and eighty six academic female from Zagazig University (mean age=30.74 years) participated in a comparative cross-sectional study involving a semistructured interview and completing prospective premenstrual symptom questionnaire<br />between April and December 2015. Results: The results showed a high prevalence rate (66%, n=122) had PMS. Student’s t-tests, chi-square tests were used to examine group differences and multiple regression analyses to explore relationships between background variables and PMS symptom types (behavioral, physical, and psychological)and work outcomes of interest (job performance, work capacity, coping with work,and whether work made symptoms worse). Compared to staff without PMS, women with PMS experienced greater impaired work capacity, job performance, and perceived work to exacerbate their PMS symptoms. Conclusion: This study showed that PMS is highly prevalent among female academic teaching staff in Zagazig University and is more likely to show greater perceptions of impaired work capacity, erformance, aswell as perceiving work to make symptoms worse.
Premenstrual syndrome (PMS),prevalence,Zagazig University,Working female and Academic female staff members
https://ejom.journals.ekb.eg/article_960.html
https://ejom.journals.ekb.eg/article_960_d3f57915f8cdee94049e4353e769b1f5.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
MUSCULOSKELETAL DISORDERS AMONG DENTISTS AND PHYSICIANS AT MINIA UNIVERSITY HOSPITALS; A COMPARATIVE STUDY.
55
70
EN
Hassan
EE
Department of Public Health and Preventive Medicine
Elkhateeb
AS
Department of Industrial Medicine and
Occupational Health, Faculty of Medicine, Minia University, Minia, Egypt
Ewis
AA
Department of Industrial Medicine and
Occupational Health, Faculty of Medicine, Minia University, Minia, Egypt
Ali
2Ali AN
Department of Industrial Medicine and
Occupational Health, Faculty of Medicine, Minia University, Minia, Egypt
10.21608/ejom.2017.961
Introduction: Dentistry is a high risk profession for developing MSDs (musculoskeletal disorders) because of the high visual demands, prolonged static posture, repetitive motion, inadequate lighting and mental stress that result in prolonged and affixed aswell as uncomfortable postures. Aim of Work: To study the occurrence of MSDs among dentists in comparison to physician at Minia University Hospitals. Materials and methods: A cross-sectional study was conducted among 328 participants; 164 dental and 164 medical practitioners recruited, interviewed and examined during the period from February, 2015 to December, 2015. Every participant completed a questionnaire that included his socio-demographic data, full occupational history and lifestyle factors as well as information about any job-related MSDs. Describing and<br />determining the site of pain was performed by using the Modified Standard Nordic Musculoskeletal Questionnaire (NMQ), while the severity of pain was assessed by using the Visual Analog Scale (VAS). Results: However, both the dentist and physician groups were matched regarding their age and sex, MSDs were significantly higher among dentists (88.4%) than physician (58.5%), (p=0.001), (OR=5.4). Neck (63.4%), low back (54.3%), shoulder (53%), wrist (49.4%) and upper back (44.5%) were the most common MSDs among dentists. The most common factors that lead to the occurrence of MSDs were prolonged static posture, long duration of employment and increased work load and working hours. Conclusion: MSDs are much higher among dentists than physicians. Neck and low back are the most common sites of MSDs among dental personnel. MSDs risk factors include prolonged static posture, long duration of employment and increased work load and working hours.
Musculoskeletal disorders,dentists,Minia,Dentistry Hospital,Nordic questionnaire
https://ejom.journals.ekb.eg/article_961.html
https://ejom.journals.ekb.eg/article_961_2c0ee1b42c0e15024825d0a8e190210c.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
PHYSICAL THERAPIST PERFORMANCE IN INTENSIVE CARE UNIT VERSUS OUTPATIENT CLINIC
71
79
EN
Saleh
AM
Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Elsayed
SB
Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Metawee
SM
Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
10.21608/ejom.2017.962
Introduction: Physiotherapy (PT) is an important allied health profession whereby physiotherapists contribute an essential part to the care of individuals. Aim of work:To compare between the performance of physical therapist in ICU and outpatient clinic.Materials and methods: One hundred physical therapists were recruited from ICU and outpatient clinics from both gender of graduation year ranged from 2000 to 2009.Group (A) consists of fifty physical therapists recruited from ICU departments. Group(B) consists of fifty physical therapists recruited from outpatient clinic departments.<br />Both groups were assessed for their performance by their supervisors using the Assessment of Physical therapy Practice tool (APP tool) (form C – Supervision report) then comparison was done between both groups. Results: The total means and standard deviations for group (A) was (3.249±0.113) and (B) was (3.146 ±0.217). There was no statistically significant difference between groups (A) and (B) as a total and for all dimensions (p-value >0.05), except for evidence based practice (EBP) dimension (p-value=0.0001) as it’s mean and standard deviation for group (A) was (2.54 ±0.88)<br />and group (B) was (3.32 ±0.76) and for the demographic characteristics (experience year) (p-value=0.01). Conclusion: There was no significant difference between physical therapist’s performance in ICU and outpatient clinic in all dimensions except in EBP dimension and experience level as a demographic characteristics.<br />
Physical therapist performance,Performance assessment,Intensive Care Unit,Outpatient clinic and Assessment of Physical therapy Practice tool
https://ejom.journals.ekb.eg/article_962.html
https://ejom.journals.ekb.eg/article_962_71247ebdb8b9c58d1f38be94cacc16ba.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
JOB STRESS AMONG POLICE OFFICERS IN MANSOURA CITY, EGYPT
81
95
EN
Abou-ElWafa
HS
Department of Public Health and Community Medicine
El-Gilany
A
Department of Public Health and Community Medicine
Rashed
IH
Department of Psychiatry, Faculty of Medicine,Mansoura University, Mansoura, Egypt
10.21608/ejom.2017.963
Introduction: Police officers experience frequent and ongoing stressors in their work.Exposure to violence, suffering, and death is inherent to their profession. Aim of work: To describe the level of job stress, risk factors, and coping strategies adopted to reduce it in police officers in Mansoura city, Egypt. Materials and methods: Police officers completed a self-administered questionnaire covering the socioeconomic and occupational data, occupational stress index scale and coping inventory for stressful situations. Results: A high average total Occupational Stress Index (OSI) score (133.7)<br />was found with role overload having the highest subscale mean (20.9). The significant factors associated with level of stress were rank of officers, nature and sector of work, shift work, smoking and other habits. Coping strategies to overcome stress were mainly task-oriented. Conclusion: Pre-employment and periodic medical examination and psychological assessment of officers is required together with implementation of stress management program and counseling. Further large scale multicenter research is recommended.
Police officers,Job stress,Occupational Exposure,Coping,Workplace and mental health
https://ejom.journals.ekb.eg/article_963.html
https://ejom.journals.ekb.eg/article_963_1a46449c0f1b79c22f00b833672199e5.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREAS: AN INTERVENTIONAL STUDY AMONG HEALTH CARE WORKERS OF SURGICAL ICU AT ZAGAZIG UNIVERSITY HOSPITAL, EGYPT
97
113
EN
Abdelsalam
NM
Department of Public Health and Preventive medicine
Bakry
HM
Department of Public Health and Preventive medicine
Bolbol
SA
Department of Community, Environmental and Occupational Medicine
Abdelsalam
AE
Department of Public Health and Preventive medicine
Atef
DM
Department of Clinical Pathology ,
Faculty of Medicine, Zagazig University, Egypt
10.21608/ejom.2017.964
Introduction: Methicillin-Resistant Staphylococcus Aureas (MRSA) is largely a hospital-acquired infection that is capable of causing severe infections. Comprehensive MRSA control programs, have reported success in controlling transmission and reduced acquisition of MRSA in high-risk units in hospitals. Aim of work: To measure the current prevalence of MRSA colonization and measure the effect of health education program on knowledge and attitude about MRSA infection and control among health care workers. Materials and methods: An intervention study was conducted over 8<br />months upon 54 working staff in the Surgical ICU at Zagazig university hospital and 144 isolates were taken from the health care workers, patients and the environment.Results: Out of 144 isolates, 36 were positive for MRSA with a rate of 61% was on the side of the health care workers. Our findings revealed significant improvement in the knowledge and attitude after application of the educational program in health care workers. Conclusion: Further targeted health education programs for health care workers are needed to increase their awareness and understanding of the microorganism and the importance of the adherence to the infection control guidelines to break the chain of transmission in the health care setting.
Attitude,Infection control,Knowledge,MRSA and Health education
https://ejom.journals.ekb.eg/article_964.html
https://ejom.journals.ekb.eg/article_964_d8f59bd4aa6b7eb19940552399a40716.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
WORK RELATED MUSCULOSKELETAL DISORDERS AMONG PREPARATORY SCHOOL TEACHERS IN EGYPT
115
126
EN
El Gendy
M
Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University
Korish
MM
Sixth District Medical Center, Nasr City, Cairo, Egypt
10.21608/ejom.2017.965
Introduction: Preparatory school teachers represent an occupational group who are prone to work related musculoskeletal disorder but its prevalence among teachers in Egypt has not been reported. Aim of work: To determine the prevalence of upper limb,lower limb, neck and back musculoskeletal disorders, to determine the relationship between teachers characteristics and musculoskeletal disorders and to investigate the relationship between physical risk factors and musculoskeletal disorders amongpreparatory governmental school teachers in Cairo, Egypt in the previous12 months.<br />Materials and methods: Convenience sample of 200 preparatory school teachers were selected from governmental schools in Cairo, Egypt, their mean age value was (35.9± 3.34) years, they were asked to answer a modified Nordic estionnaire which assisted musculoskeletal disorder due to their work in last 12 months. Results: The prevalence of work related musculoskeletal disorders among Egyptian preparatory school teachers were 96% in the previous 12 months. The prevalence was significantly higher among females compared to males. The neck and back (83.5%) were the<br />most commonly affected parts followed by upper limb. Standing for long periods of time and high workload were significantly related to upper limb, lower limb, neck and back injuries. About 18.9% of teachers took sick leave (from 1to 7 days) due to their injuries. Conclusion: the prevalence of work related musculoskeletal disorders among preparatory school teachers in Cairo, Egypt is high as in comparison to their counterparts around the world.
Work related musculoskeletal disorder,Modified Nordic questionnaire,upper limb,lower limb,Neck and back injuries
https://ejom.journals.ekb.eg/article_965.html
https://ejom.journals.ekb.eg/article_965_4b0d9ddc0cdf6969b3dfc2bb7bd2098c.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
AUTOIMMUNE THYROIDITIS AMONG IONIZING RADIATION EXPOSED WORKERS IN CARDIAC CATHETERIZATION UNITS.
127
141
EN
Farahat
SA
Department of Occupational and Environmental Medicine
Mansour N
N
Department of Occupational and Environmental Medicine
Sheta
MM
Department of Clinical pathology
Alramlawy
SA
Department of Critical Care, Faculty of Medicine, Cairo University
Ramadan
M
Department of Occupational and Environmental Medicine
10.21608/ejom.2017.966
Introduction: It is well known that ionizing radiation (IR) exposure increases the risk of thyroid cancer; however less is known about its role in development of autoimmune thyroiditis. Aim of work: to investigate the thyroid gland functions,<br />level of anti TPO among interventional cardiology team members searching for an association between the level of their occupational exposure to ionizing radiation and the thyroid gland integrity. Materials and methods: This work was carried out in Cardiac Catheterization Unit in National Heart Institute Center. The study comprised two groups, an exposed group of 47 cardiac catheterization workers (19 physicians, 15 nurses and 13 technicians) and a control group of 47 workers matched with the exposed group as regards age and sex. The studied groups were subjected to a detailed questionnaire, full clinical examinations. laboratory investigations in the form of serum thyroid stimulating hormone (TSH), Triiodothyronine (T3), Thyroxine (T4) and antithyroxiperoxidase antibodies (anti-TPO). Radiation exposure was monitored by digital dosimeter. Results: Dosimeter readings were higher among physicians followed by nurses and technicians. Statistically significant higher level of serum TSH, anti-TPO along with statistically significant lower levels of T3, were found among the exposed compared to control groups (P<0.05). Significant positive correlation was detected<br />between the level of anti-TPO and TSH (r= 0.876 P<0.001). Moreover, a significant negative correlation was found between anti-TPO and each of T3 (r= -0.814 P<0.001) and T4 (r= -0.324 P<0.05). ANOVA and Post Hoc tests showed significantly higher level of anti-TPO with significantly lower levels of T3 among the physicians compared to control group. Conclusion: Autoimmune thyroiditis may be considered as one of the adverse health hazards of occupational exposure to ionizing radiation in cardiac catheterization units. Recommendations: We recommend the regular measurement of thyroid hormone especially TSH and anti-TPO to detect early affection of thyroid gland<br />among radiation exposed workers.
Ionizing radiation,Autoimmune thyroiditis,T3,T4,TSH and Anti-TPO
https://ejom.journals.ekb.eg/article_966.html
https://ejom.journals.ekb.eg/article_966_3587243b8a281c76f54836915de86dae.pdf
The Egyptian Society of Industrial Medicine
Egyptian Journal of Occupational Medicine
1110-1881
2357-058X
41
1
2017
01
01
JOB BURNOUT AMONG EMPLOYEES IN NATIONAL BANK OF EGYPT AT MANSOURA CITY
143
155
EN
El-Hadidi
NM
Department of Public Health and Community Medicine, Faculty of Medicine,
El-Mansoura University, Egypt
Abdel Hamied
AM
Department of Public Health and Community Medicine, Faculty of Medicine,
El-Mansoura University, Egypt
El-Bestar
S
Department of Public Health and Community Medicine, Faculty of Medicine,
El-Mansoura University, Egypt
10.21608/ejom.2017.967
Introduction: Burnout is the clinical manifestation of occupational stress most frequently encountered in bank employees who have direct and intensive demanding relationship with customers of banks. Aim of Work: to study the prevalence and risk factors of the phenomenon of job burnout among employees in National Bank of Egypt (NBE) at Mansoura city. Materials and methods: a cross sectional study, included 127 total bank employees (111 males, 16 females) who fulfilled the inclusion criteria participated in the study. Results: NBE employees who experienced burnout were 8.7%.<br />Those who had a high level burnout as regards emotional exhaustion, depersonalization and personal achievement were 23.6%, 35.4% and 89.0% respectively. About 63.6% of those experienced burnout was ≥40 years, 90.9% were males, 72.7% were from urban areas, 100.0% were married, 72.7% had completed university education, 36.4% were smokers, 90.9% were physically inactive and 72.7% were obese. NBE employees who experienced burnout were financial managers (54.5%) and customer services representatives (45.5%). About 63.6% of NBE employees suffered from burnout had<br />duration of employment ≥ 15 years, 100.0% worked > 8 hours / day and 72.7 did not take rest break. Conclusion: There was a small percentage of employees (8.7%) who were experienced burnout that can be easily reduced by task variation, work shift, coping strategies, time and workload management.
NBE employees,Job Burnout,Emotional exhaustion,Depersonalization and Personal achievement
https://ejom.journals.ekb.eg/article_967.html
https://ejom.journals.ekb.eg/article_967_558fa8b0f2a95a9059601df8d4b0d8d2.pdf