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EFFECT OF OXYMATRINE ON TRICLOSAN-INDUCED OVARIAN TOXICITY IN FEMALE RATS. 氧化苦参碱对三氯生诱导的雌性大鼠卵巢毒性的影响。
Pub Date : 2021-05-01 DOI: 10.21608/EJOM.2021.170571
Ali Ne, A. Hm, E. Ha, Mahmoud Ar
Introduction: Triclosan [TCS] is a broad-spectrum antibacterial xenoestrogencommonly used in cosmetics, soap and various products. Exposure to Triclosancreates a disruption between reactive oxygen species (ROS) and antioxidant defenses.Oxymatrine [OMT] has potent anti-cancer, anti-fibrosis, and anti-oxidant effects. Aimof work: To study the effect of Oxymatrine on Triclosan-induced ovarian toxicity.Material and Methods: The studied rats have been divided into five groups formeasurement of total antioxidant capacity, Caspase-3, the levels of Tumor NecrosisFactor –alpha[TNF- α], Estrogen and Progesterone levels , and Liposaccharide BindingProtein [LBP] gene expression in response to Triclosan-induced ovarian toxicity by realtimePolymerase Chain Reaction [PCR]. Results: Triclolsan [TCS] caused statisticallysignificant reduction in total antioxidant capacity, with statistically significant elevationin TNF-α and Caspase-3 activity compared to the control group. Oxymatrine inducedstatistically significant elevation in total antioxidant capacity, statistically significantdecrease in the level of TNF-α, Caspase-3 activity with increased levels of Estrogenand Progesterone compared to the Triclosan group. Histopathological and electronmicroscope examination revealed vacuolar degeneration and atretic follicles in ratstreated with Triclosan, and significant improvement after Oxymatrine intake. In theTriclolsan + Oxymatrine [TCS+OMT] group, gene expression levels of TNF‑α,Caspase 3, Mitogen-activated protein kinase [MAPK], Nuclear Factor-kappa [NF-KB],  and Liposaccharide Binding Protein [LBP] were statistically significant reduced comparedto the Triclolsan group. Conclusion: The use of Oxymatrine [OMT] as anti-oxidant leadto decrease in genetic expression of Tumor Necrosis Factor –alpha [TNF‑α] , Caspase 3,p38-MAPK, [NF-KB], and LBP, in Triclosan-induced ovarian injuries.
简介:三氯生[TCS]是一种广谱抗菌异雌激素,常用于化妆品、肥皂和各种产品中。暴露于三氯生造成活性氧(ROS)和抗氧化防御之间的破坏。氧化苦参碱具有有效的抗癌、抗纤维化和抗氧化作用。工作目的:研究氧化苦参碱对三氯生所致卵巢毒性的影响。材料与方法:采用实时聚合酶链式反应(real - time polymerase Chain Reaction, PCR)测定大鼠总抗氧化能力、Caspase-3、肿瘤坏死因子- α (Tumor NecrosisFactor - α, TNF- α)水平、雌激素和孕激素水平以及脂多糖结合蛋白(LBP)基因表达对三氯生诱导卵巢毒性的影响。结果:与对照组相比,三氯生[TCS]导致总抗氧化能力降低,TNF-α和Caspase-3活性升高,具有统计学意义。与三氯生组相比,氧化苦参碱诱导总抗氧化能力显著升高,TNF-α水平、Caspase-3活性显著降低,雌激素和孕酮水平升高。组织病理学和电镜检查显示,三氯生治疗后小鼠空泡变性和卵泡闭锁,服用氧化苦参碱后明显改善。与三氯生组相比,三氯生+氧化苦参碱(TCS+OMT)组TNF - α、Caspase 3、丝裂原活化蛋白激酶(MAPK)、核因子-kappa (NF-KB)、脂多糖结合蛋白(LBP)的基因表达水平均显著降低。结论:氧化苦参碱(OMT)作为抗氧化剂可降低三氯生诱导卵巢损伤中肿瘤坏死因子- α (TNF - α)、Caspase 3、p38-MAPK、NF-KB和LBP的基因表达。
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引用次数: 0
Occupational Health Hazards in Hospitality Industry and Their Prevention (Review article) 酒店业职业健康危害及其预防(综述文章)
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143334
Samir Am
Introduction: Hospitality industry offers employment to people with differentpersonalities, background and skills through a wide diversity of different types ofoutlets services. Hospitality industry includes a wide range of tasks and jobs whichpose different risks. The hospitality industry is a key provider of jobs around the world.The complexity of the sector makes it difficult to estimate an overview of the situation.A wide range of hospitality businesses are directly or indirectly dependent on tourism;lodging, transportation, travel and trips. More attention goes towards working in hotelsand restaurant and to a lesser attention is given to supporting activities such as cleaningjobs and receiver services. The workforce in this sector is faced with a large numberof physical, chemical, ergonomic and psychological risks. This review has addressedseveral important points about hospitality industry; sectors of hospitality industry, theimportant of hospitality industry worldwide and controls of risks that may happen atdifferent workplace in the hospitality industry. It discusses the hazards that may occurin the latter. A risk assessment must be carried out on health hazards in hospitalityindustry. The risk assessment should identify risks and control them: including bothengineering and organization so as to avoid or reduce the risk of injury or illness. Thisreview focuses on effective control measures that protect workers from workplacehazards in hospitality industry. These measures help to avoid injuries, illnesses, andincidents, minimize or eliminate health risks. Also it helps employers to provide.workers with safe and healthful working conditions
简介:酒店业通过各种不同类型的网点服务,为不同性格、背景和技能的人提供就业机会。酒店业包括各种各样的任务和工作,这些任务和工作有不同的风险。酒店业是世界各地就业机会的主要提供者。该行业的复杂性使得很难对形势进行全面估计。大量的酒店业直接或间接依赖于旅游业,包括住宿、交通、旅游和旅行。更多的关注是在酒店和餐厅工作,而较少的关注支持性活动,如清洁工作和接待服务。这一领域的劳动力面临着大量的物理、化学、人体工程学和心理风险。这篇综述讨论了酒店业的几个要点;酒店业的部门,全球酒店业的重要性和可能发生在酒店业不同工作场所的风险控制。讨论了后者可能发生的危害。必须对酒店业的健康危害进行风险评估。风险评估应识别风险并控制风险,包括工程和组织,以避免或减少伤害或疾病的风险。本文综述了酒店服务业中保护工人免受工作场所危害的有效控制措施。这些措施有助于避免伤害、疾病和事故,尽量减少或消除健康风险。它还帮助雇主提供。有安全和健康工作条件的工人
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引用次数: 0
Prevalence and Predictors of Post-Traumatic Stress Disorder and Insomnia among Medical Staff during Coronavirus Disease 2019 Pandemic 2019冠状病毒病大流行期间医务人员创伤后应激障碍和失眠的患病率及预测因素
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143332
Hussein Sm, Ibrahima Ba
Introduction: The coronavirus disease 2019 known as (COVID-19) pandemic hasa great public concern with major psychological distress, especially on the medicalstaff. Aim of work: The present study aimed at improving the medical staff’s mentalhealth and productivity through assessing the prevalence, risk factors, and relationship of post-traumatic stress disorder (PTSD) and insomnia among Egyptian medical staff.Materials and methods: This cross-sectional study was carried out on 390 Egyptianmedical staff including physicians and nurses using web-based survey between 29thJune and 22nd July 2020. The questionnaire included personal and professionalquestions, PTSD Checklist for DSM-5 (PCL-5), and Insomnia Severity Index.Results: The study results displayed that the prevalence of PTSD and insomnia were55.9% and 78.7%; respectively with a significant positive correlation between PTSDand insomnia scores (r=0.614, p value =0.000). Significant predictors of PTSS weregender (female) (OR: 1.971; 95% CI, 1.231–3.155; p < 0.05) and age (OR: 0.958;95% CI, 0.922–0.995; p < 0.05), worrying about getting infected (OR: 2.355; 95% CI,1.082–5.126; p < 0.05), and having insomnia (OR: 5.639; 95% CI, 3.146–10.108; p <0.05). Significant predictors of insomnia were educational level (vocational school)(OR: 8.954; 95% CI, 2.020–39.692; p < 0.05), and having PTSD (OR: 5.602; 95% CI,3.135–10.013; p < 0.05). Conclusion: High prevalence rates of PTSD and insomniawith significant positive correlation were found among Egyptian medical staff duringCOVID-19 pandemic affected by significant predictors. So, urgent psychological andorganizational interventions should be carried out to decrease this phenomenon.
2019冠状病毒病(COVID-19)大流行引起了公众的极大关注,特别是对医务人员造成了重大的心理困扰。工作目的:本研究旨在通过评估埃及医务人员创伤后应激障碍(PTSD)与失眠的患病率、危险因素和关系,提高医务人员的心理健康水平和工作效率。材料和方法:本横断面研究于2020年6月29日至7月22日期间对390名埃及医务人员(包括医生和护士)进行了网络调查。问卷包括个人和专业问题、DSM-5 PTSD检查表(PCL-5)和失眠严重程度指数。结果:研究结果显示,PTSD和失眠患病率分别为55.9%和78.7%;ptsd与失眠得分呈显著正相关(r=0.614, p值=0.000)。ptsd的显著预测因素为性别(女性)(OR: 1.971;95% ci, 1.231-3.155;p < 0.05)和年龄(OR: 0.958;95% CI, 0.922-0.995;p < 0.05),担心感染(OR: 2.355;95%置信区间,1.082 - -5.126;p < 0.05),失眠(OR: 5.639;95% ci, 3.146-10.108;p < 0.05)。失眠症的显著预测因子为学历(职业学校)(OR: 8.954;95% ci, 2.020-39.692;p < 0.05),且患有PTSD (OR: 5.602;95%置信区间,3.135 - -10.013;P < 0.05)。结论:2019冠状病毒病大流行期间,埃及医务人员PTSD患病率与失眠症患病率呈显著正相关,且受显著预测因素影响。因此,迫切需要进行心理和组织干预来减少这种现象。
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引用次数: 0
A Two-Year Study On Non-fata l Work-relat ed Injuries among Workers in Different Occupati ons 不同职业非致命性工伤的两年研究
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143341
el-Hefny Sa, Ewis Aa
Introduction: The working environment of millions of people is unsafe. Workrelatedinjuries (WRIs) are associated with bad sequels at individual, community, andorganizational levels at the same time they are preventable and modifiable occupationalhealth issues. Aim of work: To assess the demographic characteristics and patternof reported non-fatal occupational injuries in Assiut Governorate and to identifysome correlates of these types of injuries. Materials and methods: A record-basedretrospective descriptive study was conducted and included all workers (226) with nonfataloccupational injuries who were registered to the Health Insurance Organization(HIO) - the Branch of Assiut Governorate during the years 2018 and 2019.For everyinjured worker, data were collected regarding: age, gender, residence, occupation ofthe worker, site of work, the injured part of body, nature of injuries, event leading toinjury and its outcome. Results: Mean age of the study workers was 39.57± 9.57years.The largest number of non-fatal occupational injuries in our study was reported fromconstruction sectors (50.4%). As regards the injury type, fractures constituted 44.7% ofthe total injuries followed by contusions and bruises (23.9%). Workers’ falling (51.8%),struck by blunt objects (16.4%) and accidents (15.9%) were the most commonly reportedcauses of injuries. Feet and hands were the most frequently body sites injured (30.5%and 25.2%). Workers’ falling and feet affections were statistically significantly higheramong healthcare workers (80% and 53.3%) while struck by blunt objects and handsinjuries were statistically significantly higher among manual professionals (25.9% and35.2%). The occurrence of disabilities among the non-fatal occupational injuries was8.4%. Regarding the pattern of non- fatal injuries according to sex, incisions (26.1%)and fractures (47.8%) significantly occurred among males, while sprains/strains and  joint affections (33.3%) occurred among females. Conclusion: The largest number ofnon-fatal occupational injuries in our study was reported from construction sectors.There was difference in pattern of injuries and disabilities occurrence according tosex, work sector and occupation. Therefore, it is important to implement successfuloccupational health programs to prevent occurrence of occupational injuries especiallyat high risk work sectors and promote safer work practices for workers in these sectors.
数百万人的工作环境是不安全的。工伤(WRIs)与个人、社区和组织层面的不良后果有关,同时也是可预防和可改变的职业健康问题。工作目的:评估Assiut省报告的非致命性职业伤害的人口特征和模式,并确定这些类型伤害的一些相关性。材料和方法:进行了一项基于记录的回顾性描述性研究,纳入了2018年和2019年期间在阿西尤特省健康保险组织(HIO)分支机构登记的所有非致命性职业伤害工人(226人)。对于每个受伤工人,收集的数据包括:年龄、性别、居住地、工人的职业、工作地点、身体受伤部位、受伤性质、导致受伤的事件及其结果。结果:研究人员平均年龄为39.57±9.57岁。在我们的研究中,建筑业报告了最多的非致命性职业伤害(50.4%)。从伤害类型来看,骨折占44.7%,其次是挫伤和瘀伤(23.9%)。工人摔倒(51.8%)、被钝器击中(16.4%)和意外事故(15.9%)是最常见的伤害原因。脚和手是最常见的身体部位(30.5%和25.2%)。医护人员摔伤和脚伤发生率分别为80%和53.3%,而手工人员摔伤和手伤发生率分别为25.9%和35.2%。非致死性工伤致残率为8.4%。从非致死性损伤类型来看,男性以切口(26.1%)和骨折(47.8%)为主,女性以扭伤/拉伤和关节病变(33.3%)为主。结论:在我们的研究中,建筑业报告的非致命性职业伤害最多。根据性别、工作部门和职业,伤害和残疾的发生模式存在差异。因此,重要的是要实施成功的职业健康规划,以防止职业伤害的发生,特别是在高风险的工作部门,并促进这些部门的工人更安全的工作做法。
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引用次数: 1
Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists 内窥镜医师中肌肉骨骼疾病的患病率和危险因素
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143342
Allam Kh, Ahmed Ss, El-Dalatony Mm
Introduction: Gastroenterologists spend considerable time performing endosᴄopicprocedures that necessitate repetitive motions. The number of endoscopic proᴄeduresperformed by gastroenterologists has increased significantly in the past 20 years.Among physicians, endoscopists faces increased risk for work-related musculoskeletaldisorders (WMSDs) compared to other physiᴄians who are not performing thisprocedure. Aim of work: To determine the prevalence of musculoskeletal disorders(MSDs) symptoms among the endoscopists and their assistants who are working inMenofia University, Teaching and General hospitals in Menoufia governorate - Egyptand to determine their risk factors. Also, to study the effects of MSDs on their workand daily activities. Materials and methods: A comparative cross-sectional study wasdone using a predesigned questionnaire to assess the musculoskeletal disorders amonggastrointestinal endoscopists who were compared with other physicians not performinginterventional procedures.Results: The present study showed that musculoskeletalcomplaints were more evident among endoscopists, e.g., neck, shoulder, wrist, andnon-dominant thumb pain showed a statistically significant difference when comparedto the control group (26.1%, 68.7%, 30.4%, 52.2%, 56.5%), respectively, compared to(15%, 17%, 19%, 10%, and 0%) respectively (p 10 years (OR=5.82; 95%CI: 2.37-14.28), number of operations >3 /day (OR=4.53;95% CI: 2.03-10.09), durationof single operation > half an hour (OR=3.80; 95% CI: 1.60-9.04) and the single handintubation technique (OR=8.0;95% CI: 3.10-20.62). Conclusion: The performance  of endoscopy puts the physicians at risk of biomechanical injury. Education of theendosᴄopists toward correct ergonomic practices, the spacing between procedures isrequired to improve the endoscopists’ quality of life.
胃肠病学家花费相当多的时间进行内镜手术,需要重复的动作。在过去的20年里,胃肠病学家进行的内窥镜手术的数量显著增加。在内科医生中,内窥镜医师患与工作相关的肌肉骨骼疾病(WMSDs)的风险比其他不进行内窥镜检查的医生要高。工作目的:确定在埃及Menoufia省Menoufia大学、教学医院和综合医院工作的内窥镜医师及其助手中肌肉骨骼疾病(MSDs)症状的患病率,并确定其危险因素。同时,研究MSDs对他们工作和日常活动的影响。材料和方法:采用预先设计的问卷进行了一项比较横断面研究,以评估胃肠道内窥镜医师与其他未进行介入手术的医生之间的肌肉骨骼疾病。结果:本研究显示,与对照组相比,内窥镜医师的肌肉骨骼疼痛更为明显,如颈、肩、腕和非显性拇指疼痛分别为26.1%、68.7%、30.4%、52.2%、56.5%,而对照组分别为15%、17%、19%、10%、0%,差异有统计学意义(p 10年(OR=5.82;95%CI: 2.37 ~ 14.28)、手术次数>3次/天(OR=4.53;95% CI: 2.03 ~ 10.09)、单次手术持续时间>半小时(OR=3.80;95% CI: 1.60-9.04)和单手插管技术(OR=8.0;95% CI: 3.10-20.62)。结论:内窥镜检查的表现使医生面临生物力学损伤的风险。教育内窥镜医师正确的人体工程学操作,手术间隔是提高内窥镜医师生活质量所必需的。
{"title":"Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists","authors":"Allam Kh, Ahmed Ss, El-Dalatony Mm","doi":"10.21608/EJOM.2021.143342","DOIUrl":"https://doi.org/10.21608/EJOM.2021.143342","url":null,"abstract":"Introduction: Gastroenterologists spend considerable time performing endosᴄopicprocedures that necessitate repetitive motions. The number of endoscopic proᴄeduresperformed by gastroenterologists has increased significantly in the past 20 years.Among physicians, endoscopists faces increased risk for work-related musculoskeletaldisorders (WMSDs) compared to other physiᴄians who are not performing thisprocedure. Aim of work: To determine the prevalence of musculoskeletal disorders(MSDs) symptoms among the endoscopists and their assistants who are working inMenofia University, Teaching and General hospitals in Menoufia governorate - Egyptand to determine their risk factors. Also, to study the effects of MSDs on their workand daily activities. Materials and methods: A comparative cross-sectional study wasdone using a predesigned questionnaire to assess the musculoskeletal disorders amonggastrointestinal endoscopists who were compared with other physicians not performinginterventional procedures.Results: The present study showed that musculoskeletalcomplaints were more evident among endoscopists, e.g., neck, shoulder, wrist, andnon-dominant thumb pain showed a statistically significant difference when comparedto the control group (26.1%, 68.7%, 30.4%, 52.2%, 56.5%), respectively, compared to(15%, 17%, 19%, 10%, and 0%) respectively (p 10 years (OR=5.82; 95%CI: 2.37-14.28), number of operations >3 /day (OR=4.53;95% CI: 2.03-10.09), durationof single operation > half an hour (OR=3.80; 95% CI: 1.60-9.04) and the single handintubation technique (OR=8.0;95% CI: 3.10-20.62). Conclusion: The performance  of endoscopy puts the physicians at risk of biomechanical injury. Education of theendosᴄopists toward correct ergonomic practices, the spacing between procedures isrequired to improve the endoscopists’ quality of life.","PeriodicalId":92893,"journal":{"name":"Egyptian journal of occupational medicine","volume":"45 1","pages":"115-128"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68508535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and Risk Factors of Benign Laryngeal Lesions among Teachers 教师喉良性病变患病率及危险因素分析
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143345
El-Dalatony Mm, Gabriel Hm, Hafez Ta, Abdullaev Ee
Introduction: Subjects using their voice as the main professional instrument oftendevelop vocal disorders. Teachers present a high prevalence of vocal problems incomparison to other professional categories depending on their voice as professionaltool; voice changes could be assigned to the interaction between occupational (vocalloading), behavioral and lifestyle factors. Voice disorders due to professional overuseare usually chronic and can lead to an increase in sick absenteeism. Aim of work:To determine the prevalence of abnormal laryngeal findings among public-schoolteachers in Menoufia Governorate, Egypt using strobovideolaryngoscopy. Materialsand methods: A case-control nested into a cross-sectional study was held from March1st to May 1st, 2019. The sample is composed of four hundred and fifty-seven (457)teachers of public schools in Menoufia Governorate, Egypt. Results: The prevalence ofvocal lesions among the studied group was 22.1% with (17.79-26.41) 95% confidenceinterval. On stroboscopic evaluation, vocal nodules were the most common structurallesion affecting the larynx; it was present in 42 (9.1%) of teachers. Other structuralabnormalities included the presence of swollen arytenoids, vocal cords paresis,vocal polyps, vocal cord cyst, and epiglottic mass in a percentage of (5.9, 3.7, 1.7,1.1, 0.4) respectively. There was higher prevalence of vocal cord lesions amongolder teachers with increase duration of employment/years, number of classes /days,smokers and teachers of primary school; although it didn’t show statistically significantdifference. A significant relationship was reported between laryngoscopic findings and  laryngopharyngeal reflux (15.1% vs 28.7% with 0.002 p-value) and water intake/day (t = 2.41, df = 2, p =.047). Conclusion: Results of the current work highlighted the needfor large-scale regular educational programs to minimize vocal cord lesions amongteachers.
以自己的声音作为主要专业工具的研究对象往往会出现声音障碍。与其他专业类别相比,教师因其声音作为专业工具而表现出较高的声音问题患病率;声音变化可归因于职业(发声)、行为和生活方式因素的相互作用。由于专业过度使用而导致的声音障碍通常是慢性的,并可能导致病假缺勤的增加。工作目的:利用频闪视频喉镜检查确定埃及Menoufia省公立学校教师喉部异常的患病率。材料和方法:于2019年3月1日至5月1日进行病例对照嵌套横断面研究。该样本由埃及Menoufia省公立学校的457(457)名教师组成。结果:研究组声带病变发生率为22.1%,95%可信区间为(17.79 ~ 26.41)。频闪检查显示,声带小结是最常见的喉部结构性病变;有42名(9.1%)教师患有此病。其他结构异常包括扁桃体肿胀、声带轻瘫、声带息肉、声带囊肿和会音肿块,分别为(5.9,3.7,1.7,1.1,0.4)。年龄较大、工作年限、上课天数、吸烟者和小学教师的声带病变患病率较高;虽然没有统计学上的显著差异。喉镜检查结果与喉咽反流(15.1% vs 28.7%, p值为0.002)和每日饮水量之间存在显著相关性(t = 2.41, df = 2, p = 0.047)。结论:目前的研究结果强调需要大规模的常规教育计划来减少教师的声带损伤。
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引用次数: 0
The Impact of Maternal Employment on Health of Children Under Two Years Old 母亲就业对两岁以下儿童健康的影响
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143336
AbuRuz Me, ALshazaly Hm, Ibrahem Ra, Al-oshari Sha, Allam Hk
Introduction: Women’s labor force participation has risen around the globe in the pastfew decades, maternal employment can affect children’s well-being through multiplechannels, including income effects, decisions about health inputs, and time spent withchildren. Overall, women’s employment affects child health widely. Aim of work: Tostudy the impact of maternal employment on breastfeeding practice, nutritional status,and motor development of children under two years old. Materials and methods: Ananalytical cross-sectional study was conducted during the period from May 2018 toDecember 2019, on 400 children under two years old who were attending a PediatricsClinic or Vaccination Unit at the Primary Health Care Centers at Shebin Alkom district,Menoufia governorate. The children who fulfilled inclusion criteria were involved in thestudy, and their mothers were interviewed using an interview questionnaire. Physicalexamination and complete blood count were done for children. Results: Workingmothers represented 25% of the studied sample. There were statistically significantdifferences between employed and unemployed mothers as regards education, income,and socioeconomic standard. There were statistically significant differences betweenthe studied groups in breastfeeding practices; exclusive breastfeeding, frequencyand duration of breastfeeding were lower among employed mothers, the rate ofhospitalization and different infections, i.e., gastroenteritis, otitis media, and repeatedthroat infection, were significantly higher among children of employed motherscompared to children of unemployed mothers (p-value ˂0.05). There was no statisticallysignificant difference between children of employed and unemployed mothers as regardmotor development, dentation, weight for age, length for age, and weight for length, while anemia was significantly higher among children of unemployed compared toemployed mothers. Conclusion and recommendations: Maternal employment has anegative impact on breastfeeding practice and increase infectious diseases occurrenceand hospitalization rate among children. The study showed that there was no effecton motor development and nutrition status of the children. The government has toencourage the implementation of national legislations, which mandated the employersto provide their employees with childcare centers and nurseries near to the workplace.
导读:在过去几十年里,全球妇女的劳动力参与率有所上升,孕产妇就业可以通过多种渠道影响儿童的福祉,包括收入影响、有关卫生投入的决定以及与儿童在一起的时间。总的来说,妇女就业对儿童健康有广泛影响。工作目的:研究母亲就业对2岁以下儿童母乳喂养行为、营养状况和运动发育的影响。材料和方法:在2018年5月至2019年12月期间,对在Menoufia省Shebin Alkom区初级卫生保健中心的儿科诊所或疫苗接种部门就诊的400名两岁以下儿童进行了分析性横断面研究。将符合纳入标准的儿童纳入研究,并使用访谈问卷对其母亲进行访谈。对患儿进行体格检查和全血细胞计数。结果:在职母亲占研究样本的25%。有工作的母亲和没有工作的母亲在教育、收入和社会经济标准方面存在统计学上的显著差异。在母乳喂养方面,研究组之间存在统计学上的显著差异;职业母亲的孩子的纯母乳喂养、母乳喂养频率和持续时间较低,住院率和各种感染(即胃肠炎、中耳炎和反复喉咙感染)的发生率显著高于失业母亲的孩子(p值小于0.05)。在职母亲和失业母亲的孩子在运动发育、牙槽、年龄体重、年龄身高和体重身高方面没有统计学上的显著差异,但与在职母亲相比,失业母亲的孩子患贫血的几率明显更高。结论与建议:产妇就业对母乳喂养产生负面影响,增加了儿童传染病的发生和住院率。研究表明,这对儿童的运动发育和营养状况没有影响。政府必须鼓励实施国家立法,这些立法要求雇主在工作场所附近为员工提供托儿中心和托儿所。
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引用次数: 1
Environmental Impacts of Renewable Energy in Egypt (Review article) 埃及可再生能源对环境的影响(综述文章)
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143330
E. Amk, Siha Ms
Egyptian rapidly growing population and establishing energy-intensive industrialfacilities demanded large supply of power to maintain that growth. Egypt is a countrywell suited for alternative energy production. It has strong, steady wind, good solarenergy and the hydrothermal resources from the Nile. The government decided toimprove the diversity of energy by embracing opportunities from renewable sources assolar and wind in the energy mix, to bring the balance back to Egypt’s energy market.Environmental impact assessment (EIA) , should be considered in all stages startingfrom planning, site selection, type of technology used, and installing phase. Life cycleassessment tool is used as a method to know the average environmental impact ofdifferent renewable energy source for appropriate planning and proper decision making.This showed the importance of generating awareness towards environmental impact ofvarious renewable energy systems.
埃及快速增长的人口和建立能源密集型工业设施需要大量的电力供应来维持这种增长。埃及是一个非常适合替代能源生产的国家。它有强劲、稳定的风、良好的太阳能和尼罗河的热液资源。政府决定通过抓住可再生能源(太阳能和风能)在能源结构中的机遇,改善能源的多样性,使埃及的能源市场恢复平衡。从规划、选址、使用的技术类型到安装阶段的所有阶段都应考虑环境影响评估(EIA)。生命周期评估工具是一种了解不同可再生能源的平均环境影响的方法,以便进行适当的规划和决策。这表明了提高人们对各种可再生能源系统对环境影响的认识的重要性。
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引用次数: 0
Managerial Competencies of Primary Health Care Managers 初级卫生保健管理者的管理能力
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143333
AwadAllah Mb, Salem Gm
Introduction: Competencies are the correct combination of information; skills andbehaviors owned by individuals and may be an exporter of continuous competitivefeature for the organization. Estimating managerial abilities is significant for continuousimprovement of health care quality. Aim of the work: To evaluate the competencies ofPrimary Health Care (PHC) facilities physician managers in Zagazig Health District, El-Sharkia Governorate, Egypt and to rate the importance of the key management skills intheir present situation. Material and methods: A cross sectional study was performedat Primary Health Care Facilities at Zagazig Health District, El-Sharkia Governorate,Egypt. The total number of managers was 46; all of them were included in the study as acomprehensive sample. The data were collected by modified self-regulated questionnairefor self-assessment of the doctors’ managerial competency. Data were used to rankthe importance of different inquiries. Result: Most of the studied sample (52.2%) hadlow managerial competency particularly in staff management, planning and prioritysetting, problem solving and financial management but had high communication skills.As regards the importance of the managerial domains, least important domains wereplanning and priority setting, financial management and leadership while communicationand problem solving are the most important crucial aspects. Managerial experienceand qualification showed a statistically significant difference with all items of selfassessment managerial competency questionnaires of primary health care managers.Conclusion: There is a substantial gap in the competency level of primary health caresector managers’. Management capability needs to be strengthened to promote thestrategy of enhanced and sustainable delivery of healthcare service. To tackle the skillgap there is a need for suitable and further training and development. Introduction: Competencies are the correct combination of information; skills andbehaviors owned by individuals and may be an exporter of continuous competitivefeature for the organization. Estimating managerial abilities is significant for continuousimprovement of health care quality. Aim of the work: To evaluate the competencies ofPrimary Health Care (PHC) facilities physician managers in Zagazig Health District, El-Sharkia Governorate, Egypt and to rate the importance of the key management skills intheir present situation. Material and methods: A cross sectional study was performedat Primary Health Care Facilities at Zagazig Health District, El-Sharkia Governorate,Egypt. The total number of managers was 46; all of them were included in the study as acomprehensive sample. The data were collected by modified self-regulated questionnairefor self-assessment of the doctors’ managerial competency. Data were used to rankthe importance of different inquiries. Result: Most of the studied sample (52.2%) hadlow managerial competency particularly in staff management, plannin
引言:能力是信息的正确组合;个人拥有的技能和行为,可能是组织持续竞争特征的输出者。管理能力评估对卫生保健质量的持续改进具有重要意义。工作目的:评估埃及El-Sharkia省Zagazig卫生区初级卫生保健(PHC)设施医师管理人员的能力,并对其目前情况下关键管理技能的重要性进行评级。材料和方法:在埃及El-Sharkia省Zagazig卫生区初级卫生保健设施进行了横断面研究。管理人员总数46人;所有这些都作为综合样本纳入研究。采用修改后的医师管理胜任力自评问卷收集数据。数据被用来对不同询问的重要性进行排序。结果:绝大多数(52.2%)受访企业具有较低的管理能力,特别是在人员管理、计划和优先事项设置、问题解决和财务管理方面,但具有较高的沟通能力。至于管理领域的重要性,最不重要的领域是计划和优先设置,财务管理和领导,而沟通和解决问题是最重要的关键方面。初级卫生保健管理人员管理能力自评问卷各条目的管理经验和资质差异均有统计学意义。结论:初级卫生保健部门管理人员的胜任力水平存在较大差距。管理能力需要加强,以促进提高和可持续提供医疗保健服务的战略。为了解决技能差距,需要适当和进一步的培训和发展。引言:能力是信息的正确组合;个人拥有的技能和行为,可能是组织持续竞争特征的输出者。管理能力评估对卫生保健质量的持续改进具有重要意义。工作目的:评估埃及El-Sharkia省Zagazig卫生区初级卫生保健(PHC)设施医师管理人员的能力,并对其目前情况下关键管理技能的重要性进行评级。材料和方法:在埃及El-Sharkia省Zagazig卫生区初级卫生保健设施进行了横断面研究。管理人员总数46人;所有这些都作为综合样本纳入研究。采用修改后的医师管理胜任力自评问卷收集数据。数据被用来对不同询问的重要性进行排序。结果:绝大多数(52.2%)受访企业具有较低的管理能力,特别是在人员管理、计划和优先事项设置、问题解决和财务管理方面,但具有较高的沟通能力。至于管理领域的重要性,最不重要的领域是计划和优先设置,财务管理和领导,而沟通和解决问题是最重要的关键方面。初级卫生保健管理人员管理能力自评问卷各条目的管理经验和资质差异均有统计学意义。结论:初级卫生保健部门管理人员的胜任力水平存在较大差距。管理能力需要加强,以促进提高和可持续提供医疗保健服务的战略。为了解决技能差距,需要适当和进一步的培训和发展。引言:能力是信息的正确组合;个人拥有的技能和行为,可能是组织持续竞争特征的输出者。管理能力评估对卫生保健质量的持续改进具有重要意义。工作目的:评估埃及El-Sharkia省Zagazig卫生区初级卫生保健(PHC)设施医师管理人员的能力,并对其目前情况下关键管理技能的重要性进行评级。材料和方法:在埃及El-Sharkia省Zagazig卫生区初级卫生保健设施进行了横断面研究。管理人员总数46人;所有这些都作为综合样本纳入研究。采用修改后的医师管理胜任力自评问卷收集数据。数据被用来对不同询问的重要性进行排序。结果:大多数研究样本(52。 引言:能力是信息的正确组合;个人拥有的技能和行为,可能是组织持续竞争特征的输出者。管理能力评估对卫生保健质量的持续改进具有重要意义。工作目的:评估埃及El-Sharkia省Zagazig卫生区初级卫生保健(PHC)设施医师管理人员的能力,并对其目前情况下关键管理技能的重要性进行评级。材料和方法:在埃及El-Sharkia省Zagazig卫生区初级卫生保健设施进行了横断面研究。管理人员总数46人;所有这些都作为综合样本纳入研究。采用修改后的医师管理胜任力自评问卷收集数据。数据被用来对不同询问的重要性进行排序。结果:绝大多数(52.2%)受访企业具有较低的管理能力,特别是在人员管理、计划和优先事项设置、问题解决和财务管理方面,但具有较高的沟通能力。至于管理领域的重要性,最不重要的领域是计划和优先设置,财务管理和领导,而沟通和解决问题是最重要的关键方面。初级卫生保健管理人员管理能力自评问卷各条目的管理经验和资质差异均有统计学意义。结论:初级卫生保健部门管理人员的胜任力水平存在较大差距。管理能力需要加强,以促进提高和可持续提供医疗保健服务的战略。为了解决技能差距,需要适当和进一步的培训和发展。引言:能力是信息的正确组合;个人拥有的技能和行为,可能是组织持续竞争特征的输出者。管理能力评估对卫生保健质量的持续改进具有重要意义。工作目的:评估埃及El-Sharkia省Zagazig卫生区初级卫生保健(PHC)设施医师管理人员的能力,并对其目前情况下关键管理技能的重要性进行评级。材料和方法:在埃及El-Sharkia省Zagazig卫生区初级卫生保健设施进行了横断面研究。管理人员总数46人;所有这些都作为综合样本纳入研究。采用修改后的医师管理胜任力自评问卷收集数据。数据被用来对不同询问的重要性进行排序。结果:绝大多数(52.2%)受访企业具有较低的管理能力,特别是在人员管理、计划和优先事项设置、问题解决和财务管理方面,但具有较高的沟通能力。至于管理领域的重要性,最不重要的领域是计划和优先设置,财务管理和领导,而沟通和解决问题是最重要的关键方面。初级卫生保健管理人员管理能力自评问卷各条目的管理经验和资质差异均有统计学意义。结论:初级卫生保健部门管理人员的胜任力水平存在较大差距。管理能力需要加强,以促进提高和可持续提供医疗保健服务的战略。为了解决技能差距,需要适当和进一步的培训和发展。引言:能力是信息的正确组合;个人拥有的技能和行为,可能是组织持续竞争特征的输出者。管理能力评估对卫生保健质量的持续改进具有重要意义。工作目的:评估埃及El-Sharkia省Zagazig卫生区初级卫生保健(PHC)设施医师管理人员的能力,并对其目前情况下关键管理技能的重要性进行评级。材料和方法:在埃及El-Sharkia省Zagazig卫生区初级卫生保健设施进行了横断面研究。管理人员总数46人;所有这些都作为综合样本纳入研究。采用修改后的医师管理胜任力自评问卷收集数据。数据被用来对不同询问的重要性进行排序。结果:大多数研究样本(52。 (2%)有较低的管理能力,特别是在员工管理、计划和优先事项设定、解决问题和财务管理方面,但有较高的沟通技巧。至于管理领域的重要性,最不重要的领域是计划和优先设置,财务管理和领导,而沟通和解决问题是最重要的关键方面。初级卫生保健管理人员管理能力自评问卷各条目的管理经验和资质差异均有统计学意义。结论:初级卫生保健部门管理人员的胜任力水平存在较大差距。管理能力需要加强,以促进提高和可持续提供医疗保健服务的战略。为了解决技能差距,需要适当和进一步的培训和发展。
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引用次数: 1
Assessment of Perceived Work Ability and Its Determinants among Healthcare Providers 医疗服务提供者感知工作能力评估及其决定因素
Pub Date : 2021-01-01 DOI: 10.21608/EJOM.2021.143348
Abdelrehim Mg, Mahfouz Em, A. Ok
Introduction: Healthcare providers are at high risk of occupational stress, burnout,health hazards and job dissatisfaction which can have harmful consequences on theirhealth, work ability and professional efficiency. Therefore, it is important to adoptstrategies for the promotion of healthy working conditions and improvement of theirwork ability. Aim of work: To assess the perceived work ability and its dimensionsamong the healthcare providers at Minia city, Egypt and identifies its relationship with socio-demographics, work-related factors and chronic diseases. Materials andmethods: In a cross-sectional study among 233 healthcare providers, data about sociodemographics,history of chronic diseases, work-related factors and the Work AbilityIndex (WAI) questionnaire were collected during an interview with the participants.Multinomial logistic regression analyses were performed to identify the determinantsof WAI. Results: The study included 145 (62.2%) nurses, 46 (19.8%) physicians and42 (18%) technicians. The mean WAI score was 40.6 (± 4.6) and the participantswere categorized based on their work ability into poor (14.1%), suboptimal (58.4%)and optimal (27.5%). There were significant differences in the WAI scores and mostdimensions of work ability between different age groups. In the final multivariableanalysis: age, sex, work category and chronic disorders (including musculoskeletal,cardiovascular, respiratory and gastrointestinal) were the significant predictors of workability among the studied healthcare providers. Conclusion: Low work ability amonghealth care providers was significantly associated with age, sex, work category, andchronic disease conditions. Therefore, promoting health, managing and preventingchronic diseases particularly at old age is essential in designing effective interventionsto maintain and improve the work ability of healthcare providers.
导读:医疗服务提供者面临着很高的职业压力、职业倦怠、健康危害和工作不满的风险,这可能对他们的健康、工作能力和专业效率产生有害的影响。因此,采取策略促进健康的劳动条件和提高他们的工作能力是很重要的。工作目的:评估埃及米尼亚市医疗保健提供者的感知工作能力及其维度,并确定其与社会人口统计学、工作相关因素和慢性病的关系。材料与方法:采用横断面研究方法,对233名医疗服务提供者进行访谈,收集社会人口统计学、慢性病史、工作相关因素和工作能力指数(WAI)问卷调查数据。进行多项逻辑回归分析以确定WAI的决定因素。结果:护士145人(62.2%),内科医生46人(19.8%),技师42人(18%)。平均WAI得分为40.6(±4.6),根据工作能力分为差(14.1%)、次优(58.4%)和优(27.5%)。不同年龄组之间的WAI得分和工作能力的大部分维度存在显著差异。在最后的多变量分析中,年龄、性别、工作类别和慢性疾病(包括肌肉骨骼、心血管、呼吸和胃肠道疾病)是被研究的医疗保健提供者可操作性的重要预测因素。结论:医护人员工作能力低下与年龄、性别、工作类别和慢性疾病状况显著相关。因此,促进健康,管理和预防慢性病,特别是老年人,对于设计有效的干预措施以维持和提高医疗保健提供者的工作能力至关重要。
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引用次数: 3
期刊
Egyptian journal of occupational medicine
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