The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501PREVALENCE AND ASSOCIATED FACTORS OF MUSCULOSKELETAL COMPLAINTS AMONG NURSES OF MANSOURA UNIVERSITY CHILDREN HOSPITAL151166680010.21608/ejom.2018.6800ENElsherbeny EEDepartment of Public Health and Community Medicine , Faculty of Medicine, Mansoura University, Mansoura, Egypt.Elhadidy SSDepartment of Public Health and Community Medicine , Faculty of Medicine, Mansoura University, Mansoura, Egypt.El-Masry RDepartment of Public Health and Community Medicine , Faculty of Medicine, Mansoura University, Mansoura, Egypt.El-Bahnasawy ASDepartment of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Mansoura University, Mansoura, Egypt.Journal Article20180508Introduction: Work-related musculoskeletal disorders (WMSDs) are described as discomforts experienced by the worker on the musculoskeletal and neurovascular systems. According to the Occupational Safety and Health Administration, nurses are in the 10 major occupations which have the high risk of work-related musculoskeletal disease. It is more relevant in less-developed countries because of prolonged hospital stays and increased patient loads. Aim of work: To estimate the prevalence of musculoskeletal complaints and its associated factors among nurses. Materials and Methods: A cross sectional study with comparative component was conducted among nurses working in Mansoura Children University Hospital during the period from January to May 2017. Data was collected using a questionnaire included personal, past and occupational histories. Furthermore, a Nordic Questionnaire was used to examine the prevalence of musculoskeletal complaints among the participants. Dutch Musculoskeletal Questionnaire was employed to study the possible associated ergonomic factors. Results: The prevalence of musculoskeletal complaints among nurses was 85.9 % .The most common sites were elbow (85.2%) followed by pelvis/thigh (74.9%) and wrist (64.6%). Surprisingly the least site for pain was low back pain (37%). This prevalence was statistically lower among age group (30- <40 years old) compared to younger age group (80.0% versus 91.2%). It increased for continuous working ≥ 6 hours and shift work with adjusted odds ratio (2.59, 2.19; respectively). Conclusion: Nearly 86% of the pediatric nurses reported 1-year prevalence of musculoskeletal complaints affecting mostly elbow, pelvis/thigh and wrists/hands. Ergonomic assessment and preventive intervention should be conducted to decrease the prevalence through improving associated occupational factors and implementing preventing programs as manual handling techniques.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501AN INTERVENTION STUDY ON BEHAVIORAL COMMITMENT BASED SAFETY IN SOME PETROLEUM COMPANIES IN ALEXANDRIA167180680110.21608/ejom.2018.6801ENHosny GDepartment of Environmental Studies , Division of Environmental Health, Institute of Graduate Studies and Research, Faculty of Medicine, University of Alexandria, Egypt.Omran IDepartment of Environmental Studies , Division of Environmental Health, Institute of Graduate Studies and Research, Faculty of Medicine, University of Alexandria, Egypt.Foda NDepartment of Community Medicine, Faculty of Medicine, University of Alexandria, Egypt.tJournal Article20180508Introduction: Safety problems are basically related to unsafe or careless employees. Many safety problems can be resolved, if behaviors are closely monitored and corrected. Studies found that the causes of accidents at workplace are due to workers’ negligence, failure to comply with work procedures, and poor safety attitude. Aim of work: To determine the current status of workers’ commitment for HSE (Health, Safety, and Environmental), management systems in some petroleum companies and provide evidence about the factors that should be encouraged to reduce risks and improve commitment in workers’ behavior in these organizations. Materials and Methods: It comprised two parts; part I which was an inspection-based study for measuring the percentage of applying the occupational management systems according to OHSAS 18001/2007 in three petroleum companies using Accident Compensation Cooperation (ACC’s) workplace safety management audit checklist (2017), and selection of the lowest committed company to apply the second stage, and part II which was intervention study by performing training sessions concentrating on behavioral based safety (BBS) to measure the relation of safety behavior with safety knowledge. Results: From the results of ACC’s checklist, the company that had the lowest achievement percentage was Company A which had 75% compliance with the OHSAS18001/2007. It was revealed that safety culture does not have a significant direct effect on personnel behavior before training (β=0.112, p=0.234) which was reversed after training (β=-0.112, p=0.000). Conclusion: The present study approved the significant influence of safety culture in ameliorating personnel safety behaviors in petroleum sites emphasizing the obligation of organizations for behavioral changes to decrease unsafe conducts and improve safety processes and daily application routine.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501ADVERSE HEALTH EFFECT OF OCCUPATIONAL EXPOSURE TO CISPLATIN AMONG HEALTHCARE WORKERS181194680210.21608/ejom.2018.6802ENEl Samra GHDepartment of Occupational and Environmental Medicine,Faculty of Medicine, Cairo University.Gaballah IMDepartment of Occupational and Environmental Medicine,Faculty of Medicine, Cairo UniversityRashed LADepartment of Biochemistry,
Faculty of Medicine, Cairo University.Shehata RADepartment of Occupational and Environmental Medicine, Faculty of Medicine, Cairo University.Journal Article20180508Introduction: The Cis-diaminedichloroplatinum (Cisplatin) is one of the most efficient drugs used for treating many kinds of malignant tumors. The cytotoxicity of Cisplatin was not only affecting patients treated by Cisplatin but also can have an adverse effect among health care workers exposed to that drug during its preparation and/or administration. Aim of work: To assess the deleterious effects of Cisplatin drug exposure on DNA among healthcare workers at the Oncology Department of Kasr Al Aini Hospital and estimation of early detection tools to be used as bioindicators for Cisplatin exposure. Materials and Methods: A case-control study was carried out on two groups, an exposed and a control group. The exposed group consisted of 32 nurses which represent the total number of nurses who are working in the chemotherapeutic section of the Oncology Department at Kasr Al Aini Hospital, Cairo University. The control group was composed of 37 nurses randomly selected from other departments of Kasr Al Aini Hospital and have never been exposed to antineoplastic drugs. Both groups were interviewed using specially designed questionnaire, clinical examination including general and systemic examination. Laboratory investigations were done including: blood picture, liver and kidney functions and estimation of Cisplatin DNA adduct blood levels. Results: The prevalence of menstrual disorders was significantly higher among the exposed compared to the non-exposed group (odds Ratio=8.3), there was statistically significantly higher rates of abortions outcomes among exposed female workers and wives of exposed male workers (odds ratio=1.2). Also the prevalence of frequent infections and hair loss was 37.5% and 68.8% respectively among the exposed Introduction: The Cis-diaminedichloroplatinum (Cisplatin) is one of the most efficient drugs used for treating many kinds of malignant tumors. The cytotoxicity of Cisplatin was not only affecting patients treated by Cisplatin but also can have an adverse effect among health care workers exposed to that drug during its preparation and/or administration. Aim of work: To assess the deleterious effects of Cisplatin drug exposure on DNA among healthcare workers at the Oncology Department of Kasr Al Aini Hospital and estimation of early detection tools to be used as bioindicators for Cisplatin exposure. Materials and Methods: A case-control study was carried out on two groups, an exposed and a control group. The exposed group consisted of 32 nurses which represent the total number of nurses who are working in the chemotherapeutic section of the Oncology Department at Kasr Al Aini Hospital, Cairo University. The control group was composed of 37 nurses randomly selected from other departments of Kasr Al Aini Hospital and have never been exposed to antineoplastic drugs. Both groups were interviewed using specially designed questionnaire, clinical examination including general and systemic examination. Laboratory investigations were done including: blood picture, liver and kidney functions and estimation of Cisplatin DNA adduct blood levels. Results: The prevalence of menstrual disorders was significantly higher among the exposed compared to the non-exposed group (odds Ratio=8.3), there was statistically significantly higher rates of abortions outcomes among exposed female workers and wives of exposed male workers (odds ratio=1.2). Also the prevalence of frequent infections and hair loss was 37.5% and 68.8% respectively among the exposedIntroduction: The Cis-diaminedichloroplatinum (Cisplatin) is one of the most efficient drugs used for treating many kinds of malignant tumors. The cytotoxicity of Cisplatin was not only affecting patients treated by Cisplatin but also can have an adverse effect among health care workers exposed to that drug during its preparation and/or administration. Aim of work: To assess the deleterious effects of Cisplatin drug exposure on DNA among healthcare workers at the Oncology Department of Kasr Al Aini Hospital and estimation of early detection tools to be used as bioindicators for Cisplatin exposure. Materials and Methods: A case-control study was carried out on two groups, an exposed and a control group. The exposed group consisted of 32 nurses which represent the total number of nurses who are working in the chemotherapeutic section of the Oncology Department at Kasr Al Aini Hospital, Cairo University. The control group was composed of 37 nurses randomly selected from other departments of Kasr Al Aini Hospital and have never been exposed to antineoplastic drugs. Both groups were interviewed using specially designed questionnaire, clinical examination including general and systemic examination. Laboratory investigations were done including: blood picture, liver and kidney functions and estimation of Cisplatin DNA adduct blood levels. Results: The prevalence of menstrual disorders was significantly higher among the exposed compared to the non-exposed group (odds Ratio=8.3), there was statistically significantly higher rates of abortions outcomes among exposed female workers and wives of exposed male workers (odds ratio=1.2). Also the prevalence of frequent infections and hair loss was 37.5% and 68.8% respectively among the exposed with no affection detected among the non-exposed group. Allergic symptoms were detected among 59.4% of the exposed population (Odds Ratio=12). As regard liver and kidney functions there is statistically significant increase in kidney functions (urea and creatinine) as well as aspartate aminotransferase (AST) levels of liver function among nurses exposed to Cisplatin. There was a highly statistically significant increase in Cisplatin DNA adducts level among exposed workers; that in-turn represented an indicator for serious DNA damage. Conclusion: Our study detected that occupational exposure to Cisplatin drug during preparation and administration is hazardous to the exposed workers even on using personal protective equipments.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501QUALITY OF LIFE AND WORK LIMITATION AMONG SURVIVORS OF BREAST CANCER AT ZAGAZIG UNIVERSITY HOSPITALS, EGYPT195208680410.21608/ejom.2018.6804ENHammam RAMDepartment of Community, Environmental and Occupational Medicine,Faculty of Medicine, Zagazig University.El-Shafei DADepartment of Community, Environmental and Occupational Medicine,Faculty of Medicine, Zagazig University.Abdelsalam NMDepartment of Public Health and Preventive Medicine,Faculty of Medicine, Zagazig University.Balata SADepartment of Clinical Oncology and Nuclear Medicine,Faculty of Medicine, Zagazig University.Journal Article20180508Introduction: The number of breast cancer survivors is increasing worldwide in the labor market. The average age of Egyptian women who have breast cancer is significantly younger than the average age of American and European women. Survivors of breast cancer encounter stressful experience that affect their quality of life (QOL) and work productivity. Aim of work: To assess the quality of life (QOL) and work limitations among survivors of breast cancer and to determine the medical and socio-demographic predictors of both QOL and work limitations among the studied sample. Materials and Methods: A total of 134 survivors of breast cancer attending the Oncology and Nuclear Medicine outpatient clinics in Zagazig University Hospital were studied through the EORTC QLQ-C30 and EORTC QLQ –BR23 (the Arabic versions) and a questionnaire based upon the English version of the Work Limitations Questionnaire. Results: The studied participants mean age was 48.32±8.68, and 68.66% of them work for more than forty hours per week. The studied females reported low mean scores of EROTC QLQ –C30 and BR-23 scales. The EROTC global QOL scores were significantly affected by: treatment type, years since cancer diagnosis, disease stage II and III, and working hours per week. The percentage of work productivity loss was 8.3% and it was significantly affected by: treatment type, years since cancer diagnosis, years since completing primary cancer treatment, and disease stage II and III. Conclusion: Working women with breast cancer in Egypt experience low scores of quality of life and need more attention and support programs to cope with their health status, treatment type, and work requirements.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501PREDICTORS OF BRUCELLOSIS SEROPOSITIVITY AMONG EXPOSED WORKERS209226680610.21608/ejom.2018.6806ENFarghaly RMDepartment of Community Medicine,
Faculty of Medicine, Suez Canal University, Egypt.Amer SADepartment of Community Medicine,
Faculty of Medicine, Suez Canal University, Egypt.Fahim AEDepartment of Community Medicine,
Faculty of Medicine, Suez Canal University, EgyptKishk RMDepartment of Microbiology and Immunology,Faculty of Medicine, Suez Canal University, Egypt.Abbas MF1Department of Community Medicine,
Faculty of Medicine, Suez Canal University, Egypt.Journal Article20180508Introduction: Brucellosis is a zoonotic infection which is responsible for substantial economic losses along with human morbidities. In Egypt, it is a definite cause of more than 3% of acute febrile illnesses. Brucellosis is principally affecting animals however it can be transmitted from animals to human. Many workers are at risk of infection with brucellosis as herders, hunters, agriculturalists, dairy workers, veterinarians, and slaughterhouse workers. Aim of work: to determine the prevalence of brucellosis seropositivity among occupationally exposed workers, to identify risk factors and to assess the predictors of seropositivity among the studied group. Material and Methods: Seventy five workers occupationally exposed to livestock animals were included and were subjected to an interview questionnaire about Brucellosis risk factors and blood samples were collected and analyzed by Rose Bengal plate test for B. Abortus and B. Melitensis. Results: Seropositivity for Brucella among studied workers was 43(57.3%). It was highest among high risk work activities including veterinarians 19 (44.2%) followed by animal service workers 10 (23.3%), butchers and veterinary assistants 6 (14% each) (p=0.626). The predictors of seropositivity for Brucellosis were dealing with unvaccinated animals (p=0.012) and high risk work activities (p=0.037). Conclusion: Dealing with unvaccinated animals and high risk work activities are the main predictors of seropositivity of Brucellosis among occupationally exposed group.<br /> The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501JOB SATISFACTION AMONG NURSES WORKING IN MANSOURA UNIVERSITY HOSPITAL: EFFECT OF SOCIO-DEMOGRAPHIC AND WORK CHARACTERISTICS227240680710.21608/ejom.2018.6807ENElsherbeny EEDepartment of Public Health and Community Medicine, Faculty of Medicine,
Mansoura University, Mansoura, Egypt.El-Masry RDepartment of Public Health and Community Medicine, Faculty of Medicine,
Mansoura University, Mansoura, Egypt.Journal Article20180508s one of the most vital factors that define efficiency and productivity of human resources. In Egypt, nurses are the backbone of the health care system. However, they are not well appreciated in most institutions. Nurses’ job satisfaction is a multidimensional occurrence affected by many variables. Aim of work: to assess the level of job satisfaction and its associated socio-demographic and workplace factors among nurses working in Mansoura University Hospital (MUH). Materials and Methods: A cross-sectional study was conducted among Mansoura University Hospital nurses during the period from 1March to 31May 2017. The data was collected using self-administered questionnaire formed of three parts: Socio-demographic characteristics, Work characteristics and McCloskey/Mueller Satisfaction Scale (MMSS) that having eight subscales to assess nurses’ job satisfaction level. Results: A total of 346 nurses were included, yielding a response rate of 88.49%. The majority of our group expressed low job satisfaction (61.8 %). The significant independent predictors of low job satisfaction among nurses were in the following order: lack of communication with their colleagues (OR =4.18) and deprivation from supervisor support (OR =2.32). Conclusion: The present study indicated that nearly two thirds of Mansoura University Hospital nurses expressed low job satisfaction. Lack of colleagues-communication and supervisor support at work predicted the outcome variable. Achievement of high level of job satisfaction is recommended to provide high-quality health care system. With this information, staff nurses could improve their own satisfaction by cultivating their peer communication. In addition, changing attitude of nurse supervisor towards positive relation with staff nurses is crucial to increase job satisfaction.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501ASSESSMENT OF EGYPTIAN EMERGENCY MEDICAL TECHNICIANS’ LEVEL OF EDUCATION AND TRAINING IN MANAGING MASS CASUALTIES AND DISASTER EVENTS241256680810.21608/ejom.2018.6808ENEldeh AIResearch Group on Emergency and Disaster Medicine, Vrije Universiteit Brussel, Belgium,Ewis AADepartment of Occupational Medicine, Faculty of Medicine, Minia University, Minia, Egypt , Department of Public Health, Faculty of Health Sciences, Umm Al-Quraa University, Qunfudah, KSA.Debacker MResearch Group on Emergency and Disaster Medicine, Vrije Universiteit Brussel, BelgiumJournal Article20180508Introduction: Egypt has been and continues to be at risk of a multitude of natural and man-made disasters and mass casualty incidents (MCIs). In spite of the essential and integral role of the emergency medical services in MCIs management, there is abundant literature indicating that healthcare providers lack adequate education and training in responding to MCIs. Aim of work: The objectives of the study were to assess the current level of education, training, experience, preparedness and satisfaction with knowledge and training of the Egyptian emergency medical technicians (EMTs) in responding to MCIs. Materials and Methods: A cross-sectional and questionnaire-based survey that recruited 177 EMTs working within the Egyptian Ambulance Authority. Planning, education and training scores were calculated in order to determine a possible correlation with self-confidence and preparedness in responding to MCIs. Results: The results of the study demonstrated that about one-third of the surveyed EMTs found that they had a high MCIs planning level and about two-thirds had a high MCIs training level. However, about 70% of EMTs had no training regarding terrorism response and about half of them had never participated in MCIs exercises. Both the MCIs training level and the participation in MCIs exercises were correlated with the perception of the EMTs’ confidence and preparedness for their role during MCIs response. The surveyed EMTs ranked the administrative obstacles as the most frequent barriers to MCIs medical education or training. Conclusion: The educational strategy should include mechanism that substitute for practice and experience and should ensure that the identified training needs and the required competencies are met.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501SERUM CORTISOL LEVEL AND DEPRESSION AMONG SHIFT-WORKING NURSING STAFF IN A UNIVERSITY HOSPITAL257270680910.21608/ejom.2018.6809ENAldalatony MMDepartment of Community Medicine and Public Health, Ministry of Health-Saudi Arabia,Qassim University, Saudi Arabia.Elbadry ASDepartment of Community Medicine and Public Health,Qassim University, Saudi Arabia.Al-Batanony MADepartment of Community Medicine and Public Health, Unaizah College of Medicine,
Qassim University, Saudi Arabia.Khader HFUnaizah College of Medicine,
Qassim University, Saudi Arabia.Journal Article20180508Introduction: Night shift is one of the most frequent reasons for disturbance of circadian rhythm, altering biological functions and can negatively affect physical, psychological well-being and work performance. Aim of work: To evaluate the associations between circadian rhythm differences in shift-working nurses by using serum cortisol level and depression. Materials and Methods: a cross-sectional study was conducted by means of anonymous self-administered questionnaire for one hundred ninety-two nurses working at Menoufiya University Hospital, Shebin Al-Kom City, Egypt. The study involved 96 nurses working night-shifts and 96 in day-shifts. To assess their depression levels, self-rated depression scale (SDS) was used. Serum cortisol level was measured at 8:00 am for all respondents. Results: The response rate was 97%. A significant increase in serum cortisol level was observed among night-shift respondents compared to day-shift ones. Among night-shift workers, older nurses with more years of employment and higher cortisol levels were significantly more prone to develop depression (P<0.001). Conclusion: Nurses working night-shifts need special attention due to the higher risk of depression and possibly other undesirable health effects. Systems for early identification of nurses with depression and for providing environments allowing nurses at work to take rest and relax in the early morning after night shift are necessary.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501INCIDENCE OF NEEDLE STICK AND SHARPS INJURIES AMONG HEALTH CARE WORKERS IN A TERTIARY HOSPITAL, SAUDI ARABIA271284681010.21608/ejom.2018.6810ENElsherbeny EEDepartment of Public Health and Community Medicine, Faculty of Medicine,
Mansoura University, Mansoura, Egypt.Niazy NADepartment of Public Health and Community Medicine, Faculty of Medicine,
Mansoura University, Mansoura, Egypt.Journal Article20180508Introduction: Needle Stick Injuries are common and expected among health‑care workers during execution of their patient care services. Aim of work: To estimate annual incidence of needle stick and sharps injuries among health care workers and to describe the associated factors and type of injuries in a tertiary hospital in Eastern Province, Saudi Arabia. Materials and Methods: The target group was all health care workers who obligatory reported for needle stick, sharp injuries during the period from January 2013 to December 2015. The occupational health specialist of the hospital interviewed them to take full documented history through standard questionnaire, performed examination if needed and requested for necessary investigations for the workers and the source patient if known. Results: about 30% of the injuries occurred in Emergency Rooms, followed by Operating Theater (about 20%). The commonest site of injury was fingers (70%). It was more common among female, especially nurses (33.3%). Investigating their Anti HBs antibody titre showed 90.6 % immune. The highest reported incidence occurs during blood sample collection (28.2%). Health care workers explained the cause of injury in form of being rushed (38.46%) or feeling fatigued (28.20%). Majority of them (58.12%) squeezed and cleaned the affected part with disinfectant as immediate actions following exposure. Conclusion: Occupational injuries with needles or other sharps are common among health care professionals especially nurses. It is more incident at emergency room due to high level of stress and rush at work. Training of workers and is recommended to increase their knowledge about the danger of injuries and the appropriate immediate action to be done after injury. Safety boxes, strict policy of reporting and follow up of the injured workers is mandatory for preventing further injuries and decreasing danger of blood borne diseases.The Egyptian Society of Industrial MedicineEgyptian Journal of Occupational Medicine1110-188142220180501WORK-RELATED ACCIDENTS REFERRED TO INDUSTRIAL MEDICAL CENTER, KUWAIT, FROM 2015 TO 2017285302681110.21608/ejom.2018.6811ENAl-Fajjam SMDepartment of Occupational Health, Al Shuaiba Industrial Medical Centre, Ministry of Health, Kuwait,Samir AMDepartment of Occupational and Environmental Medicine, Faculty of Medicine, Cairo University, Egypt.Journal Article20180508Introduction: Occupational accidents comprise an important health and economic burden for societies around the world especially developing countries. There are variety of factors that determine the frequency of accidents at work. Aim of work: This study aim to obtain an overall view of non-fatal occupational injuries through analyzing injury causes, types and mechanism of accidents and to propose forms of accident data collection, investigations, safety records and accident results to be followed in Shuaiba Industrial Medical Center. Materials and Methods: A record based retrospective descriptive study was conducted on non-fatal occupational-related injuries in Al Shuaiba Industrial Medical Center in Kuwait. The study included 1304 reported non-fatal occupational injuries referred to Al Shuaiba Industrial Medical Center from June 2015 to June 2017. Results: The reported injured workers were all males with mean age 35.2 ± 8.9, mainly laborers (76.7%), involved in different industrial work activities.The highest number of reported injuries came from the metal and machinery industries (44%), manufacture of wood, textile, glass, plastic and paper (23.8%), chemicals, oils and petrochemicals industries (10.2%). Upper extremities (44.1%) and eyes (26.8%) were the most frequently affected body parts injured. Sharp objects and machinery injuries (49.2%), being struck by heavy objects (32.9%), followed by falling from height (10.8%) were the commonest agent of injury. Over ninety percent of the reported injured workers (94.9%) had 4 days or more lost from work after the accident occurrence.Conclusion and Recommendations: Nonfatal occupational injuries in Shuaiba industrial area are mainly in manufacture sector. Implementation of appropriate health and safety practices, applying safety regulations at workplace are recommended.