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PREVALENCE OF HELICOBACTER PYLORI AMONG FOOD HANDLERS IN A TERTIARY CARE HOSPITAL: IMPLICATION OF BETTER INFECTION CONTROL MANAGEMENT. 一家三级护理医院的食物处理人员中幽门螺旋杆菌的流行率:改善感染控制管理的意义。
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2024.246443.1321
M. Fouad, Hegazy A, Ashoush A, ElSheimy A, Attia A
Introduction: Food handlers’ health, hygiene, and adherence to proper food handling procedures in hospitals; all play a significant role in the likelihood of spreading illnesses. Helicobacter pylori (H pylori) infection is a substantial source of illness and mortality in humans, and the International Agency for Research on Cancer classifies it as a class 1 carcinogen. Aim of Work: To assess the prevalence of H pylori among hospital food handlers and the associated risk factors and its consecutive implication on the infection control principles for food hygiene. Materials and Methods: In tertiary hospital kitchens, a cross-sectional study involving 85 food handlers was conducted. All study participants received an Arabic-structured self-administered questionnaire containing questions about socio-demographic information, drinking water source, the crowding index, and hygienic behaviors while handling food. Stool samples were analyzed for H pylori antigen. Results: Forty of the food handlers (47.1 %) were positive for H pylori. Marital status, level of education, smoking and crowding index showed a higher statistical significant difference among positive H pylori food handlers.
导言:食物处理人员的健康、卫生以及在医院中是否遵守正确的食物处理程序,都对传播疾病的可能性起着重要作用。幽门螺旋杆菌(H pylori)感染是导致人类患病和死亡的重要原因,国际癌症研究机构将其列为一级致癌物。工作目标评估幽门螺杆菌在医院食品处理人员中的流行情况、相关风险因素及其对食品卫生感染控制原则的连续影响。材料和方法:在三级医院厨房进行了一项横断面研究,涉及 85 名食品处理人员。所有研究参与者都收到了一份阿拉伯语结构的自填式问卷,其中包含有关社会人口学信息、饮用水源、拥挤指数和处理食物时的卫生行为等问题。对粪便样本进行了幽门螺杆菌抗原分析。结果40名食品处理人员(47.1%)幽门螺杆菌检测呈阳性。幽门螺杆菌阳性食物处理者的婚姻状况、教育水平、吸烟和拥挤指数在统计学上有较大差异。
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引用次数: 0
GENERAL AND RESPIRATORY HEALTH OF WORKERS EXPOSED TO LIQUIFIED PETROLEUM GASES IN BOTTLE-GAS TUBES FACTORY 在瓶装气管工厂接触液化石油气的工人的一般健康和呼吸健康状况
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2023.239490.1318
Elkhayat R, Hashem K, Ibrahim K, A. Alkarn, Bazeed A, Elghazally A
Introduction: Liquefied petroleum gas consists of commercial mixture as butane, propane, ethane, pentane and sulphur based odorizing agent. Acute, subacute or chronic diseases especially respiratory and skin diseases may occur due to the exposure to the toxic gases during the industrial processes. Aim of Work: To asses respiratory and some other health hazards associated with chronic direct exposure to liquefied petroleum gas. Materials and Methods: A descriptive cross-sectional study was conducted including 137 gas attendant workers comprising about 83 workers,11 technicians, 7 drivers and 36 supervisors. All the studied workers completed the questionnaire and pulmonary function tests were performed for 115 of them Results: About (71.5%) of the sample aged ≥40 years, with mean working duration of 19.27 ± 6.41, 44.5 % were smokers and 83.9% reported regular use of
简介液化石油气由丁烷、丙烷、乙烷、戊烷和硫磺基发臭剂等商业混合物组成。在工业生产过程中,接触有毒气体可能会导致急性、亚急性或慢性疾病,尤其是呼吸道疾病和皮肤病。工作目的:评估与长期直接接触液化石油气有关的呼吸系统和其他一些健康危害。材料和方法:进行了一项描述性横断面研究,研究对象包括 137 名燃气服务员,其中包括 83 名工人、11 名技术员、7 名司机和 36 名主管。所有被研究的工人都填写了调查问卷,并对其中 115 人进行了肺功能测试:约(71.5%)的样本年龄≥40 岁,平均工作时间为(19.27 ± 6.41)年,44.5%的样本为吸烟者,83.9%的样本表示经常使用烟草。
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引用次数: 0
OCCUPATIONAL EXPOSURE TO ALUMINUM AND COGNITIVE PERFORMANCE 铝的职业暴露与认知能力
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2024.274936.1330
Abdalla S, Mishriky M, Abdel-Halim W, Abdalla M, Abdellah F
Introduction: As a result of its beneficial properties, Aluminum is widely used in different industrial processes. However, exposure to aluminum in different industries has been linked to many health sides effects, including worker’s cognitive performance. Aim of Work: early detection of any deviation in cognitive functions for better prognosis among workers exposed to Aluminum. Materials and Methods: Analytic cross-sectional study was carried out on sixty-five male workers in the Arab Aluminum Company in Ismailia Governorate. A questionnaire was used to assess socio-demographic data and occupational history. Atomic absorption spectrophotometry was used to asses serum Aluminum level, while Human Elisa Assay was used to measure serum Amyloid Precursor Protein (APP) level. As regard cognitive performance, the Mini Mental State Examination (MMSE) was used. Results: The mean ± SD of duration of the current employment among workers was 17.57±10.50 years. The mean ±SD serum concentrations were 2574.23 ± 935.64 pg/ml for APP and 1.156±1.49 mg/l for Aluminum. MMSE scoring mean ±SD was 27.92 ± 1.78. Conclusion and Recommendations: MMSE score and serum Aluminum are negatively correlated. Medical and neuropsychological evaluation, as well as biological monitoring of Aluminum levels of workers should be assessed as pre-employment
导言:由于铝的有益特性,它被广泛应用于不同的工业流程中。然而,在不同行业中接触铝与许多健康方面的影响有关,包括工人的认知能力。工作目的:及早发现认知功能的任何偏差,以便对接触铝的工人进行更好的预后。材料和方法:对伊斯梅利亚省阿拉伯铝业公司的 65 名男性工人进行了横断面分析研究。调查问卷用于评估社会人口学数据和职业史。原子吸收分光光度法用于检测血清铝含量,而人体Elisa测定法用于检测血清淀粉样前体蛋白(APP)含量。在认知能力方面,采用了迷你精神状态检查(MMSE)。结果工人当前就业时间的平均值(±SD)为(17.57±10.50)年。APP和铝的血清浓度分别为2574.23 ± 935.64 pg/ml和1.156±1.49 mg/l(平均值±标准差)。MMSE 评分的平均值(±SD)为 27.92 ± 1.78。结论和建议:MMSE 评分与血清铝呈负相关。应在上岗前对工人进行医学和神经心理学评估以及铝水平的生物监测。
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引用次数: 0
UNVEILING BIOLOGICAL HAZARDS AMONG WORKERS HANDLING DRY SLUDGE AND MITIGATION STRATEGIES (REVIEW ARTICLE) 揭示干污泥处理工人的生物危害及缓解策略(综述文章)
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2024.254464.1324
El Safty A
In Egypt, the accumulation of dry sludge in wastewater treatment plants stands as a persuasive challenge and presents a crucial hazardous domain within the realm of waste management sector. Accelerated population growth has parallel increase in wastewater generation that needs sustainable solutions. Workers handling dry sludge are exposed to a wide variety of occupational hazards among which the biological hazards due to direct dermal exposure or inhalation of air contaminated with microorganisms including bacteria, viruses, fungi and parasites. Therefore, dry sludge workers are at high risk of experiencing a broad range of adverse health impacts. Strict measures can control such exposure through engineering, medical and legislative means. Annual periodic medical examination should be performed to ensure general wellbeing and to detect early manifestations of infectious diseases, respiratory, gastrointestinal or skin disease. Proper handling and standardized regulations, establishing a comprehensive Work Plan, guidelines for sludge disposal, developing and implementing a “Site Safety” and “Health Sustained Strategic Plans” to eliminate exposure to such hazards. Egypt can adopt alternative methods for the best use of dry sludge and convert it to valuable resource to be incorporated in circular economy principles where the resource is fed back into the economy as a raw material with higher priority needs to be given to reuse and recycling. The diverse array of biological hazards facing dry sludge workers necessitates proactive measures of effective disinfection and stabilization of sludge such as by lime stabilization, heat treatment or thermophilic aerobic digestion prior to manual handling and strict adherence to safety protocols and practices to safeguard the .health and well-being of workers
在埃及,废水处理厂中干污泥的积累是一个令人信服的挑战,也是废物管理领域中的一个重要危险领域。人口的加速增长导致废水产生量增加,这需要可持续的解决方案。处理干污泥的工人会接触到各种各样的职业危害,其中包括直接皮肤接触或吸入受微生物(包括细菌、病毒、真菌和寄生虫)污染的空气所造成的生物危害。因此,干污泥工人极有可能受到各种不良健康影响。严格的措施可通过工程、医疗和立法手段控制此类接触。应每年定期进行体检,以确保身体健康,并发现传染病、呼吸道疾病、胃肠道疾病或皮肤病的早期症状。适当的处理方式和标准化的规章制度、制定全面的工作计划、污泥处置准则、制定并实施 "工地安全 "和 "健康可持续战略计划",以消除接触此类危害的机会。埃及可以采用替代方法,以最佳方式利用干污泥,并将其转化为宝贵资源,纳入循环经济原则,将资源作为原材料反馈到经济中,并优先考虑再利用和再循环。干污泥工人面临着多种多样的生物危害,因此有必要采取积极措施对污泥进行有效消毒和稳定化处理,如在人工处理前进行石灰稳定化、热处理或嗜热好氧消化,并严格遵守安全规程和做法,以保障工人的健康和福祉。
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引用次数: 0
NOMOPHOBIA AND ITS PREDICTORS AMONG UNIVERSITY STAFF MEMBERS 大学教职员工中的恐名症及其预测因素
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2024.266290.1326
Zalat M, Bolbol S
Introduction: Nomophobia (no mobile phone phobia) is an alarming and emerging problem; it is a relatively new term that describes the growing fear and anxiety associated with being without a mobile phone. Aim of Work: To determine the prevalence and predictors of nomophobia among a sample of university staff members of
简介Nomophobia(无手机恐惧症)是一个新出现的令人担忧的问题;它是一个相对较新的术语,描述了人们因没有手机而产生的日益增长的恐惧和焦虑。工作目的在以下国家的抽样大学教职员工中确定 "手机恐惧症 "的流行程度和预测因素
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引用次数: 0
PROPORTION OF OCCUPATIONAL EYE INJURIES AND THEIR RISK FACTORS: A SINGLE-CENTER STUDY 职业性眼伤的比例及其风险因素:单中心研究
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2024.271473.1327
E. S, El-Gilany, El Sayed M, E. S, Ali Z, El Nokrashy A, Hashish M
Introduction: Occupational ocular injuries account for about 3-4% of all occupational injuries in the United States while in Egypt, account for 36.7% .The impact of occupational ocular injuries affects the future of workers and inhibits the productivity. Aim of Work: To measure the proportion and risk factors for occupational eye injuries and to compare between occupational and non occupational eye injuries among patients attending the emergency department of the Ophthalmology center; Mansoura University. Materials and Methods: A total of 357working patients with eye injuries were subjected to a specially designed questionnaire covering the personal, socio-demographic, occupational history, general and ocular medical history and accident analysis. All patients underwent comprehensive eye examination. Ophthalmic B-scan ultrasound was performed gently in closed-globe injury cases . Results: All patients had unilateral eye injuries; the overall prevalence of occupational eye injuries was 57.1%. The significant independent predictors of occupational eye injuries among participants were: being male , aged ≥40 years and educated below secondary
导言:在美国,职业性眼部伤害约占所有职业伤害的 3-4%,而在埃及,则占 36.7%。职业性眼部伤害影响了工人的未来,降低了生产率。工作目标在曼苏拉大学眼科中心急诊科就诊的患者中测量职业性眼损伤的比例和风险因素,并比较职业性和非职业性眼损伤。材料和方法:共对 357 名眼外伤患者进行了专门设计的问卷调查,内容包括个人情况、社会人口学、职业史、一般病史和眼部病史以及事故分析。所有患者均接受了全面的眼部检查。对闭合性眼球损伤病例轻轻进行了眼科 B 超扫描。结果所有患者均为单侧眼部损伤;职业性眼损伤的总发生率为 57.1%。职业性眼损伤的重要独立预测因素是:男性、年龄≥40 岁、中等以下教育程度。
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引用次数: 0
HEALTH HAZARDS AMONG WORKERS ENGAGED IN COINAGE INDUSTRY 钱币业工人的健康危害
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2023.246859.1322
MS Siha, RS Mohammed, MM Fouad, SE El-Gammal
,
,
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引用次数: 0
SMARTPHONE ADDICTION: PREDICTORS AND ASSOCIATION WITH NOMOPHOBIA AND JOB PERFORMANCE AMONG OFFICE WORKERS: A CROSS-SECTIONAL STUDY 智能手机上瘾:预测因素及其与上班族网络恐惧症和工作表现的关系:一项横断面研究
Pub Date : 2024-05-01 DOI: 10.21608/ejom.2024.261048.1325
B. Ibrahim
Introduction: The widespread use of smart phones has given rise to concerns about addictive behaviors leading to the emergence of smart phone addiction and nomophobia, and their potential impact on work performance. Aim of Work: This study aims at exploring smartphone addiction predictors and smartphone addiction association with nomophobia and job performance among office workers at faculty of Medicine, Suez Canal University. Materials and Methods: A cross-sectional study was conducted on 130 office workers employed in faculty of Medicine, Suez Canal University, Egypt. The participants were chosen using convenient sampling. The data was collected through a self-administered questionnaire that included personal data, smartphone usage data, an assessment of smartphone addiction using the short version of the Smart Phone Addictions Scale, an assessment of nomophobia using the Nomophobia Questionnaire, and an assessment of job performance using the Health and Work Performance Questionnaire. Results: The current study found a high prevalence of smartphone addiction, as 58.5% of office workers classified as addicted. All study participants displayed nomophobic behaviors, with the mild level prevailing (54.6%). Furthermore, a moderate positive correlation was observed between smartphone addiction and nomophobia (r = 0.531, p < 0.001). Additionally, a moderate negative correlation was found between job performance and smartphone addiction (r=-0.452, p < 0.001), as
引言智能手机的广泛使用引起了人们对上瘾行为的关注,导致了智能手机成瘾和手机恐惧症的出现,以及它们对工作表现的潜在影响。工作目的本研究旨在探讨苏伊士运河大学医学系上班族使用智能手机成瘾的预测因素以及智能手机成瘾与恐名症和工作绩效之间的关联。材料与方法对埃及苏伊士运河大学医学院的 130 名上班族进行了横断面研究。研究人员通过方便抽样的方式选出。数据通过自填式问卷收集,其中包括个人数据、智能手机使用数据、使用智能手机成瘾量表简版对智能手机成瘾进行的评估、使用虚拟恐惧症问卷对虚拟恐惧症进行的评估,以及使用健康与工作表现问卷对工作表现进行的评估。研究结果本次研究发现,智能手机成瘾的发生率很高,58.5% 的上班族被归类为智能手机成瘾。所有研究参与者都表现出 "恐名 "行为,其中以轻度恐名者居多(54.6%)。此外,研究还观察到智能手机成瘾与恐名症之间存在中度正相关(r = 0.531,p < 0.001)。此外,研究还发现工作表现与智能手机成瘾之间存在中度负相关(r=-0.452,p < 0.001)。
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引用次数: 0
BIOMONITORING IN OCCUPATIONAL MEDICINE (REVIEW ARTICLE) 职业医学中的生物监测(综述文章)
Pub Date : 2024-01-01 DOI: 10.21608/ejom.2023.226687.1312
Mourad H
Introduction: Measuring of a chemical, its metabolite, or biochemical effect in a biological sample with the aim to identify exposure is known as biomonitoring. To determine the type and quantity of substances present in the body as a result of occupational and environmental exposures, biomonitoring is an essential technique. It has changed from being a tool for study to becoming a crucial aspect of exposure assessment. Aim of Work: to discuss the topic of biomonitoring in the occupational medicine so as to develop and evaluate biomarkers that represent particular exposures or are statistically related to unfavorable outcomes in humans to enable their use in risk prediction, assessment and management. Conclusion: The use of biomonitoring is beneficial for demonstrating adherence to exposure limits, occupational health research and surveillance, evaluating the efficacy of interventions, and assessing and managing risk. In order to aid in the evaluation of exposure and the characterization of exposure routes, biological and environmental monitoring are complementary to each other. Time of sampling and proper biomarker selection are both highly important. It is important to note that the majority of detected biomarker concentrations do not fundamentally correspond with clinical illness or disease risk. To produce reliable & significant results, laboratory conditions and interpersonal variability are essential. Any biomonitoring programme should also place a priority on ethical and social issues. According to Egypt’s Labour Law No. 12/2003, the employer must take all necessary steps to guarantee worker health and safety, particularly with regard to potential mechanical, physical, chemical, and biological threats
导言:测量生物样本中的化学物质、其代谢物或生化效应,以确定接触情况,称为生物监测。要确定职业和环境接触导致的体内物质的类型和数量,生物监测是一项基本技术。它已从一种研究工具转变为暴露评估的一个重要方面。工作目的:讨论职业医学中的生物监测主题,以便开发和评估代表特定暴露或与人类不良后果有统计学关系的生物标志物,使其能够用于风险预测、评估和管理。结论使用生物监测有利于证明对接触限值的遵守情况、职业健康研究和监测、评估干预措施的效果以及评估和管理风险。为了帮助评估接触情况和确定接触途径,生物监测和环境监测是相辅相成的。采样时间和适当的生物标志物选择都非常重要。值得注意的是,大多数检测到的生物标志物浓度与临床疾病或疾病风险并不完全一致。要得出可靠而有意义的结果,实验室条件和人际变异性至关重要。任何生物监测计划都应优先考虑伦理和社会问题。根据埃及第 12/2003 号《劳动法》,雇主必须采取一切必要措施保障工人的健康和安全,尤其是在潜在的机械、物理、化学和生物威胁方面
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引用次数: 0
WORK RELATED STRESS AMONG MEDICAL RESIDENTS AT TERTIARY CARE HOSPITAL 三级甲等医院住院医师的工作压力
Pub Date : 2024-01-01 DOI: 10.21608/ejom.2023.208600.1310
Abdel Rasoul M, Salem A, Desouky E, E. A, El-Badry S
Introduction: Stress caused by work is a worldwide problem secondary to work nature and activities that may lead to recurrent absenteeism from work and work disabilities. Aim of Work: To assess the psychosocial work related stress and its impact on medical residents working at Menoufia tertiary healthcare hospitals. Materials and Methods: It is a cross sectional study conducted at three tertiary healthcare hospitals in Menoufia governorate. The study included 315 medical residents. Participants answered a structured interview questionnaire, Effort-Reward Imbalance (ERI) model was used to evaluate work stress and Middlesex Hospital questionnaire (MHQ) aiming at examining the psychological effects of occupational stress. Results: Work related stress was prevalent among 82.9% of the medical residents in the studied hospitals and 65.7% of them had high over commitment. Work stress was significantly associated with lower mean age, smoking, among those working in medical departments, with lower mean for working years, higher mean for working hours/day, taking more night shifts/ week and among those who did not take break during working hours. High over commitment was significantly associated with lower mean age, single females and non-smokers, junior and mid senior residents, working in medical departments, with lower working years, higher working hours/day, dealing with higher number of patients per day and with taking more night shifts/ week. Work stress was significantly associated with higher phobic anxiety and depression (p=0.027 and p= 0.004; respectively). Conclusion and Recommendations: Work related stress and overcommitment were prevalent among medical residents working at Menoufia tertiary care hospitals and associated with anxiety and depression. This association could be improved via implementing appropriate interventions to reduce stress, including training and practice modifications .at hospitals to help the health care workers to adapt to their work stress factors
导言:工作压力是一个世界性的问题,它是由工作性质和活动引起的,可能导致反复缺勤和工作残疾。工作目的评估与工作相关的社会心理压力及其对在梅努菲亚三级医疗保健医院工作的医学住院医师的影响。材料与方法:这是一项在梅努菲亚省三家三级医疗保健医院进行的横断面研究。研究对象包括 315 名医学住院医师。参与者回答了一份结构化访谈问卷,采用努力-回报失衡(ERI)模型评估工作压力,并使用米德尔塞克斯医院问卷(MHQ)调查职业压力对心理的影响。研究结果82.9%的住院医师普遍存在工作压力,65.7%的住院医师过度投入工作。工作压力与平均年龄较小、吸烟、在医疗部门工作、平均工作年限较低、平均每天工作时间较长、每周上夜班次数较多以及工作时间不休息有明显关系。平均年龄较小、单身女性、非吸烟者、初级和中高级住院医师、在医疗部门工作、工作年限较短、每天工作时间较长、每天处理的病人数量较多、每周上夜班次数较多的住院医师与过度投入有明显相关性。工作压力与较高的恐惧症焦虑和抑郁明显相关(分别为 p=0.027 和 p=0.004)。结论和建议:在梅努菲亚三级护理医院工作的住院医师普遍存在工作压力大和过度投入的情况,并与焦虑和抑郁有关。可以通过在医院实施适当的减压干预措施(包括培训和实践调整)来改善这种关联,以帮助医护人员适应工作压力因素。
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引用次数: 0
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Egyptian journal of occupational medicine
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