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Violence against Physicians and Nurses in a University Hospital’s Emergency Departments in Egypt: A Cross - Sectional Study 埃及一所大学医院急诊科对医生和护士的暴力:一项横断面研究
Pub Date : 2019-10-01 DOI: 10.21608/misrj.2019.53608
Yahia Bakr, Yasmeen Mohammed Abd-El Fattah, Yasmeen Ahmed, Y. Salem, A. Mokhtar
Background: Violence against health care workers negatively affects their performance and the quality of care provided to the patients. Objective: To measure the prevalence of workplace violence against a sample of physicians and nurses in the emergency departments, to identify the victims’ responses and measures taken by the employee, and the available safety measures. Methods: A cross sectional study was carried out in a university hospital in Egypt using a modified version of the workplace violence in the health sector survey developed by ILO/ICN/WHO/PSI. A convenience sample of 178 physicians and nurses were included in the study. SPSS version 23 was used for statistical analysis. Results: 178 physicians and nurses participated in the study (16.3% nurses, 39.3% interns, 44.4% physicians), 57.5% of them were females and 76.1% were single.  During the 12 months before the survey, 62.4 % of the participants faced verbal violence, followed by physical violence (19.7 %) and sexual harassment (10.7%). The main perpetrator in all three types of violence was the patients’ relatives. The main response to physical and verbal violence was calling the security (55.2% and 38.0% respectively) while in sexual violence was telling the person to stop (36.8%). The main procedures available to protect against violence were the presence of security measures (74.9%) and the presence of special equipment or clothing (79.4%). Physicians and nurses of older age and longer duration of work were at higher risk to physical and verbal abuse. Nurses were at higher risk of being attacked physically while physicians were at higher risk of verbal Violence. Conclusion: Violence against health care workers is prevalent in emergency departments. This research data highlight that there is an urgent need for more effort and policies to protect the emergency staff.
背景:对卫生保健工作者的暴力行为对他们的工作表现和向病人提供的护理质量产生负面影响。目的:对一组急诊科医生和护士样本测量工作场所暴力的发生率,确定受害者的反应和雇员采取的措施,以及现有的安全措施。方法:在埃及的一所大学医院进行了一项横断面研究,采用了国际劳工组织/国际劳工组织/世卫组织/公共安全倡议编制的卫生部门工作场所暴力调查的修改版本。178名医生和护士被纳入研究。采用SPSS 23版进行统计分析。结果:共有178名医护人员参与研究,其中护士占16.3%,实习生占39.3%,内科医生占44.4%,女性占57.5%,单身占76.1%。在调查前的12个月里,62.4%的参与者遭遇过言语暴力,其次是肢体暴力(19.7%)和性骚扰(10.7%)。这三种暴力的主要施暴者都是患者的亲属。对肢体暴力和言语暴力的主要反应是呼叫保安(分别为55.2%和38.0%),对性暴力的主要反应是要求对方停止(36.8%)。可用于防止暴力的主要程序是采取安全措施(74.9%)和使用特殊设备或服装(79.4%)。年龄较大、工作时间较长的医生和护士遭受身体和语言虐待的风险更高。护士遭受身体攻击的风险更高,而医生遭受言语暴力的风险更高。结论:针对医护人员的暴力行为在急诊科很普遍。这一研究数据强调,迫切需要更多的努力和政策来保护急救人员。
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引用次数: 2
Prevalence of arthritis among a sample of medical students at Faculty of Medicine, Ain Shams University, Egypt; A Cross-Sectional study. 埃及艾因沙姆斯大学医学院医学生关节炎患病率调查横断面研究。
Pub Date : 2019-10-01 DOI: 10.21608/misrj.2019.63935
Hadeer Yousef, Hadeer S. Sayed, M. Tantawy, A. Mokhtar
Background: Osteoarthritis is highly endemic disease in Egypt. In high income countries higher arthritis prevalence is associated with low social class, however in low to middle income countries less is known about arthritis prevalence or its predisposing factors. Objective: To measure the prevalence of arthritis among a sample of medical students at Ain Shams University and to identify its probable associated risk factors. Methods:A cross sectional study was carried out at Faculty of Medicine, Ain Shams University. A convenience sample of 340 students was selected. Data were collected using a self-administered questionnaire. Arthritis was assessed using 2 diagnostic methods:  1) doctor-/health care provider–diagnosed arthritis. 2) Four arthritis definitions based on the International Classification of Diseases, Tenth Revision and WHO. Collected data were revised, coded, entered to a personal computer and analyzed using SPSS version 16. Results:The total prevalence of arthritis among the studied students was 8.9% based on both doctor diagnosis and WHO algorithm (7.1% based on doctor diagnosis and 2.1% based on WHO algorithm).  Logistic regression analysis revealed that, residence in urban areas and female gender were the two independent risk factors associated with arthritis (p<0.05). Conclusion Findings suggest that further studied are needed across this age group, and proper interventions are needed to overcome the consequences of arthritis later in life.
背景:骨关节炎是埃及高度地方性疾病。在高收入国家,较高的关节炎患病率与较低的社会阶层有关,但在中低收入国家,人们对关节炎患病率或其诱发因素知之甚少。目的:测量艾因沙姆斯大学医学生中关节炎的患病率,并确定其可能的相关危险因素。方法:在艾因沙姆斯大学医学院进行横断面研究。为了方便起见,我们选择了340名学生作为样本。数据是通过自我管理的问卷收集的。采用两种诊断方法评估关节炎:1)医生/保健提供者诊断的关节炎。2)根据《国际疾病分类》第十版和WHO对关节炎的四种定义。收集的数据进行修改、编码、输入个人电脑,并使用SPSS 16版进行分析。结果:根据医生诊断和WHO算法,被调查学生的关节炎总患病率为8.9%(医生诊断7.1%,WHO算法2.1%)。Logistic回归分析显示,城市居住和女性是与关节炎相关的两个独立危险因素(p<0.05)。结论:研究结果表明,需要对这一年龄组进行进一步研究,需要采取适当的干预措施来克服晚年关节炎的后果。
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引用次数: 0
Effect of Antenatal Counseling on Postpartum Family Planning among Women Attending Family Medicine Units in 6th of October City 10月6日市家庭医学门诊就诊妇女产前咨询对产后计划生育的影响
Pub Date : 2018-09-01 DOI: 10.21608/MISRJ.2018.12822
kholoud Abd El-Aziz, M. Gaafary, D. Sos, G. Wassif
Background: Antenatal counseling provides an important opportunity to improve maternal understanding of postpartum family planning and good opportunity to make an appropriate choice of postpartum family planning method.  Objectives:  To measure the degree of satisfaction from antenatal family planning counseling and to identify its relation to PPFP adoption among women attending family medicine centers in 6th October city. Methods: A Cross sectional study was conducted on 384 married women in reproductive age attending three randomly selected family medicine centers. They should be healthymarried women in reproductive age and having at least one living child not less than one-yearold.Women with history of primary or secondary infertility and repeated abortion were excluded. Data were collected through an interview questionnaire including socio-demographic data and reproductive history, family planning method used in the postpartum period, for her at least one year old child and antenatal counseling about post-postpartum family planning done in her pregnancy in her previous one year old child. Proper postpartum family planning is defined as use of contraception within 40 days after delivery with continuation for at least one year after delivery of the last child. Results: There is statistically significant relationship between antenatal counseling service provision and use of PPFP methods among studied women P<0.05, and found that family health center number (1) had the highest preformation regarding antenatal counseling services provision (75.4%), antenatal counseling sessions regarding PPFP mentioned by (67.7%), two thirds of studied women (65.0%) were satisfied regarding antenatal counseling session and doctors providing the counseling as mentioned by 40.8% of participating women. Conclusion: There is a statistically significant relationship between adequate antenatal family planning counseling and use of PPFP methods.
背景:产前咨询为提高产妇对产后计划生育的认识提供了重要契机,为合理选择产后计划生育方式提供了良好契机。目的:了解在10月6日市家庭医学中心就诊的妇女对产前计划生育咨询的满意度及其与PPFP采用的关系。方法:采用横断面研究方法,随机抽取3家家庭医学中心384名已婚育龄妇女。应当是已婚育龄健康妇女,至少有一个未满一岁的活子女。排除有原发性或继发性不孕症和多次流产史的妇女。通过访谈问卷收集资料,包括社会人口统计资料、生育史、产后1岁以上子女的计划生育方法、前1岁子女怀孕期间的产后计划生育产前咨询。适当的产后计划生育定义为在分娩后40天内使用避孕措施,并在分娩最后一个孩子后至少持续一年。结果:产前咨询服务的提供与PPFP方法的使用有统计学意义(P<0.05),并且发现家庭保健中心(1)对产前咨询服务提供的预知率最高(75.4%),提到PPFP的产前咨询次数最多(67.7%);三分之二(65.0%)的受访女性对产前咨询服务和提供咨询服务的医生感到满意(40.8%)。结论:充分的产前计划生育咨询与PPFP方法的使用有统计学意义。
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引用次数: 1
Risk Perception and Occupational Accidents among a Group of Egyptian Construction Workers in a Construction Company in Cairo. 开罗某建筑公司埃及建筑工人群体的风险认知与职业事故。
Pub Date : 2018-09-01 DOI: 10.21608/MISRJ.2018.12811
M. M. Ellaban, M. Rady, Gabal Hebat Allah, Nayera S Mostafa
Background: Construction sector is one of the main pillars of the global economy, even though it is a risky business in which fatal and non-fatal occupational injuries occur frequently. Information about workers’ awareness about health and safety hazards, risk perception and safe work practices can help to understand where to apply prevention strategies. Unfortunately, construction sites are workplaces with limited access for research; studies at work level represent 2.28% of all available research. Objectives: To estimate the perception of construction workers to the occupational hazards, to identify types of common occupational accidents involving construction workers in an Egyptian company and to identify the workers’ personal and work related characteristics determinants on their risk perception. Material and methods: A cross sectional study was conducted among construction workers in one of the projects in Cairo. During the period from January to August 2018; a sample of 104 workers were interviewed using a structured questionnaire inquiring about socio-demographic characteristics, work related variables  together with assessment of workers’ risk perception. Results: the majority of the workers had low risk perception for falls, contact with chemicals, struck by objects, sharp objects, manual lifting, repetitive movements and heat stress, while the noise was reported as “ no or acceptable risk category”. The study identified age, health and safety training, working hours and the use of PPEs as significantly related factors to risk perception. Conclusion:risk perception among studied workers in average is low. Older age, prolonged working hours, lack of training and not wearing PPEs are significant risk factors shaping workers’ perception. Recommendation: safety training and change of work environment may improve workers’ perception toward occupational accidents and subsequently reduce the risk of injuries.
背景:建筑业是全球经济的主要支柱之一,尽管它是一个危险的行业,致命和非致命的职业伤害经常发生。关于工人对健康和安全危害的认识、风险认知和安全工作做法的信息有助于了解在何处应用预防战略。不幸的是,建筑工地是研究受限的工作场所;工作层面的研究占所有可用研究的2.28%。目的:估计建筑工人对职业危害的感知,确定埃及一家公司建筑工人常见职业事故的类型,并确定工人的个人和工作相关特征对其风险感知的决定因素。材料和方法:在开罗的一个项目的建筑工人中进行了横断面研究。2018年1月至8月期间;采用结构化问卷对104名工人进行了访谈,询问了社会人口统计学特征、工作相关变量以及工人风险感知评估。结果:大多数工人对跌倒、接触化学品、被物体撞击、尖锐物体、手工搬运、重复动作和热应激的风险感知较低,而噪音被报告为“无风险或可接受的风险类别”。研究发现,年龄、健康和安全培训、工作时间和ppe的使用是影响风险认知的重要因素。结论:被调查工人的风险认知水平普遍较低。年龄较大、工作时间过长、缺乏培训和不穿防护装备是影响工人看法的重要风险因素。建议:安全培训和工作环境的改变可以提高工人对职业事故的认知,从而降低伤害风险。
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引用次数: 4
Awareness, attitude and practice of outpatient clinics attendants in Ain Shams & Benha University hospitals towards cupping therapy (al-hijama) 艾因沙姆斯和本哈大学医院门诊服务人员对拔罐疗法的认识、态度和做法(al-hijama)
Pub Date : 2018-09-01 DOI: 10.21608/MISRJ.2018.12812
A. Mokhtar, A. Hassan, A. Fahmy, E. Zeiada, S. Hatem, Nehad Anany, Nourhan Goda, Nourhan Salem
Background: Many research studies were conducted regarding cupping therapy in different countries but the extent of its use and awareness of public towards it has not been widely studied in Egypt. Methods: A cross-sectional study was carried out on outpatient clinics attendants in Ain Shams University hospitals and Benha University hospitals during the period from May to August 2015. An interview questionnaire was used inquiring about socio-demographic characteristics of participants, their awareness, attitude and practice regarding cupping therapy. Results: A total of 900 participants were included in this study; 750 from Ain Shams University hospitals and 150 from Benha University hospitals. Out of them, 68.1% had heard about cupping therapy, among those who heard about it 16% reported history of using it before. The most common cause of using it was for treatment of bone and joint disorders. About 60% of participants think that it helps in treatment and about 47% trust it. There was statistically significant association between awareness and all demographic factors (like age, gender, marital status, education, residence and presence of chronic diseases) measured in this study. Gender and marital status were the only demographic factors associated with practicing cupping therapy. Conclusion: Complementary and alternative medicine is gaining popularity all over the world and people are shifting towards alternative medicine because of less adverse effects and low cost. Most of study participants think that cupping therapy helps in treatment and about half of them trust it. Recommendations: There is a need for health care providers to be aware of this practice and make efforts in obtaining information about modalities used.
背景:在不同的国家进行了许多关于拔罐疗法的研究,但在埃及,它的使用程度和公众对它的认识尚未得到广泛研究。方法:对2015年5 - 8月艾因沙姆斯大学附属医院和本哈大学附属医院门诊服务人员进行横断面研究。采用访谈问卷,调查参与者的社会人口学特征、对拔火罐的认知、态度和实践情况。结果:本研究共纳入900名受试者;750人来自艾因沙姆斯大学医院,150人来自本哈大学医院。其中68.1%的人听说过拔火罐疗法,在听说过拔火罐疗法的人中,有16%的人报告说以前使用过拔火罐疗法。使用它最常见的原因是治疗骨骼和关节疾病。大约60%的参与者认为它有助于治疗,大约47%的人信任它。本研究测量的所有人口因素(如年龄、性别、婚姻状况、教育程度、居住地和是否患有慢性病)与认知之间存在统计学上显著的关联。性别和婚姻状况是与拔火罐治疗相关的唯一人口统计学因素。结论:补充和替代医学在世界范围内越来越受欢迎,人们正在转向替代医学,因为副作用小,成本低。大多数研究参与者认为拔火罐疗法有助于治疗,大约一半的人相信它。建议:卫生保健提供者有必要了解这种做法,并努力获取有关所使用模式的信息。
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引用次数: 2
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Medical Integrated Student Research Journal
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