- 1.Professor of Public Health, Socialedit
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BACKGROUND Increasing concerns are rising over women and adolescence in Arabic societies generally, and in Egyptian society specifically. OBJECTIVES To identify the profile and reasons of the problem of sexual harassments among female... more
BACKGROUND Increasing concerns are rising over women and adolescence in Arabic societies generally, and in Egyptian society specifically. OBJECTIVES To identify the profile and reasons of the problem of sexual harassments among female college students. METHODS A cross-sectional study including randomly selected 976 female students from different faculties of Kafrelsheikh University using a predesigned questionnaire sheet. RESULTS The main perceived concept of sexual harassment was touching body (63.9%) followed by uncomfortable behaviors by the assault (51.8%). Among urban students, 47.1% reported frequent sexual harassment as compared to 26.5% among rural students. The main motives to harassment were absence of sanctions (42.8%) followed by masculine culture. Absence of punishment ranked first (54.1%) as one of reasons for the phenomenon of harassments in the community followed by wrong concepts about women (46%). The main reaction to harassment was feeling bad and wishing to act (32.9%) followed by feeling bad but helpless (26.0%). Only 25.5% reported taking proper action. Experience of harassment was significantly more reported by urban students compared to rural ones (12.6% and 4.1%, respectively (P = 0.001). CONCLUSION Sexual harassment is not uncommon from of violence especially in urban areas mainly due to absence of sanctions and majority did not have capacity to take proper actions.
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Background & Aim of the work: β-Thalassemia (βT) is highly prevalent in some countries like Egypt. Accurate data about actual disease prevalence and heavily prevalent geographic locations are essential to help in early detection and in... more
Background & Aim of the work: β-Thalassemia (βT) is highly prevalent in some countries like Egypt. Accurate data about actual disease prevalence and heavily prevalent geographic locations are essential to help in early detection and in setting up effective preventive programs. We aim for screening of βT carriers among Egyptian high school students in the Delta region. Subjects and Methods: A cross-sectional multicenter study was carried on 4320 randomly selected students from four governorates of the Nile Delta region, Egypt. All patients were to be tested for their complete blood count. Those with microcytic hypochromic anemia not caused by iron deficiency were tested for βT carrier status using high-performance liquid chromatography. Results: The total prevalence of βT carrier rate was 6.13%. The highest prevalence was detected in Al-Sharkia Governorate, reaching 7.89%, followed by 6.90% in Al-Gharbia Governorate. Al-Dakahilia and Al-Menoufia showed lower rates of 4.86% and 3.73%,...
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Objectives The complex root canal anatomy of primary teeth keeps it very tricky to attain appropriate cleansing by biomechanical instrumentation, so obtaining an obturating material with excellent antimicrobial properties is a challenge... more
Objectives The complex root canal anatomy of primary teeth keeps it very tricky to attain appropriate cleansing by biomechanical instrumentation, so obtaining an obturating material with excellent antimicrobial properties is a challenge in current clinical pulpectomy practice. So, this study aimed to assess the clinical and radiographic performance of zinc oxide-ozonated olive oil as a primary root canal filling material. Materials and methods Ninety non-vital primary molars in children ranging from 4 to 8 years were allocated into three groups in which root canals were filled with zinc oxide-ozonated olive oil, zinc oxide-olive oil, and zinc oxide-eugenol (ZOE) according to each group after pulpectomy procedure. Clinical and radiographic evaluations were done at 3-, 6-, and 12-month follow-up periods. Statistical analysis was performed for the collected data. Results All study groups showed a significant improvement regarding clinical signs and symptoms during follow-up periods. Oz...
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Background Poisoning is a major health problem especially in developing countries and leads to high morbidity and mortality. Aim To identify the profile of acute poisoning in the Toxicology Unit at Tanta University Hospital, Egypt... more
Background Poisoning is a major health problem especially in developing countries and leads to high morbidity and mortality. Aim To identify the profile of acute poisoning in the Toxicology Unit at Tanta University Hospital, Egypt (2017-2021). Methods A cross-sectional study using data extracted from medical records from beginning of January 2017 to end of December 2021. Data including demographic data, Glasgow coma scale, type of poisons, manner of poisoning, time of admission and discharge and state at discharge. Results This study included 9713 cases. Rodenticides represented the most frequent cause of poisoning among both males (30%) and females (27%). Pharmaceutical drugs, CNS abused pharmaceutical drugs, and chemicals represent the most common categories (24%, 22%, and 21%, respectively) among children (up to 12 years). Rodenticides and pharmaceutical drugs represent the highest categories among other age groups. Evening admissions represented 52% of cases. Glasgow coma scale ...
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Background Cameriere’s original formula based on open apex measurements is a reliable, clinically applicable method for dental age estimation in different populations children. Dental development may differ between Egyptian children and... more
Background Cameriere’s original formula based on open apex measurements is a reliable, clinically applicable method for dental age estimation in different populations children. Dental development may differ between Egyptian children and other ethnic populations which may affect dental age accuracy using Cameriere’s formula. Aim Firstly, to verify Cameriere’s original formula on large Egyptian children sample, secondly, to develop an Egyptian-specific formula based on Cameriere’s method. Material and methods A prospective cross-sectional study of 762 good quality Orthopantomograms (OPGs) of 5–15 aged healthy Egyptian children selected from Nile Delta governorates between August 2020 and December 2021. Chronological age (CA) was calculated by subtracting birth date from radiograph date. OPGs were analyzed for N0, S, Xi morphologic variables using Sidexis program after that dental age was calculated using Cameriere’s formula then compared to CA. Multiple linear regression model was use...
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Research Interests: Drug and Substance Use
Research Interests: Psychology and Perception
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Background A safe and effective vaccine is the ultimate key to mitigating the COVID-19 pandemic. Vaccine acceptance is influenced by various factors, including perceptions about the vaccine’s safety and side effects. The side effects vary... more
Background A safe and effective vaccine is the ultimate key to mitigating the COVID-19 pandemic. Vaccine acceptance is influenced by various factors, including perceptions about the vaccine’s safety and side effects. The side effects vary depending on the type of the vaccine, but they are mainly mild, local, temporary, and self-limiting. Methods A cross-sectional study was carried out at Tanta University Hospitals, including 1246 healthcare workers who received either the first or the second dose of the COVID-19 vaccine, selected via a systematic random sampling technique using a self-administered structured validated questionnaire for data collection from November 2021 to January 2022. Qualitative data were presented as frequencies and percentages and analyzed using Chi-square and Fisher’s exact tests. Results The prevalence of one or more side effects was 91.3%. Among participants, about two-thirds believed in vaccine safety and its necessity (65.4% and 63.6%, respectively). Signi...
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Background Screening of β thalassemia among close relatives is more feasible in highly prevalent countries with limited resources. The purpose of this study is to determine the prevalence of β thalassemia carriers and iron deficiency... more
Background Screening of β thalassemia among close relatives is more feasible in highly prevalent countries with limited resources. The purpose of this study is to determine the prevalence of β thalassemia carriers and iron deficiency anemia among relatives of β thalassemia patients in Mid Delta, Egypt. Methods This is a cross-sectional multi-center study conducted on 2118 relatives of patients with β thalassemia from different Egyptian governorates in the Mid Delta region. They were subjected to history taking with precise determination of geographic location, general examination, and the following investigations: complete blood counts, serum ferritin for those who showed microcytic hypochromic anemia, and high-performance liquid chromatography for those who were not diagnosed as iron deficiency anemia. Results The total prevalence of iron deficiency anemia among close relatives of confirmed β thalassemia patients in the Nile Delta region was 17.19%. The highest prevalence of iron d...
Research Interests: Thalassemia and Medicine
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Background In developing countries, women are unwilling to accept cesarean delivery due to their old-style principles and sociocultural customs. Those women are frequently sent to hospitals with life-threatening problems and in these... more
Background In developing countries, women are unwilling to accept cesarean delivery due to their old-style principles and sociocultural customs. Those women are frequently sent to hospitals with life-threatening problems and in these circumstances the cesarean section (CS) is done as an emergency operation. Aim We aimed to determine the incidence of vaginal delivery and its outcome in Tanta University Hospital. Patients and methods This prospective cohort study was conducted at Obstetrics and Gynecology Department, Tanta University Hospital during the period from August 2018 to January 2019. All women in labor during the period of the study were the target population of the study. Results Prevalence of normal vaginal delivery (NVD) was found to be 59.3% of all deliveries in our study. No significant difference was found between NVD and CS as regards neonatal outcome. Postpartum hemorrhage was the most common complication after NVD representing 5.5% of all cases. NVD were found to decrease with increased age of women, number of gravida, parity of studied women, and with increased abortions. It was found to increase with increased gestational age. Conclusion The prevalence of NVD at Tanta University Hospitals was 59.3% compared with 40.7% for cesareans and the outcome of delivery did not differ between NVD and CS.
Background: Drug abuse is a global challenge with harmful effects on health, wealth and wellbeing of nations. University students report more habitual use of marijuana, cocaine, hallucinogens and illicit drugs than noncollege students... more
Background: Drug abuse is a global challenge with harmful effects on health, wealth and wellbeing of nations. University students report more habitual use of marijuana, cocaine, hallucinogens and illicit drugs than noncollege students report. Aims: To identify the prevalence of tobacco use, alcohol and drug abuse and to identify some factors associated with drug abuse. Methods: A cross-sectional study recruiting 2552 students from all faculties hosted by Kafr El-Sheikh University during the academic year 2018–2019. Data were collected using a structured self-administered questionnaire. Results: The prevalence of current drug abuse was 8.9% for cigarette smoking, followed by tranquilizers (4.3%), hashish (3.6%), alcohol (2.7%), bhang (1.4%) and tramadol (1.0%). Men reported significantly greater use of cigarettes, alcohol, tramadol, hashish and bhang than women. Students of practical colleges were found to smoke cigarettes and abuse hashish significantly more than their peers in othe...
To identify the occurrence of upper respiratory tract infections (URTI), diarrheal diseases and trauma during the Haji season, and the practice of some preventive measures by pilgrims. A cohort study during November and December 2009... more
To identify the occurrence of upper respiratory tract infections (URTI), diarrheal diseases and trauma during the Haji season, and the practice of some preventive measures by pilgrims. A cohort study during November and December 2009 among hajjis registered while visiting Primary Health Care Centers of Riyadh, Kingdom of Saudi Arabia to get mandatory meningococcal meningitis vaccination. On return from hajj, hajjis were contacted on telephone to collect information on occurrence of URTI and diarrhea along with other associated activities in Hajj. Out of 1507 hajjis, 54.7% developed symptoms; 97% reported upper respiratory tract symptoms, and 9.3% reported diarrheal symptoms. Those < 40 years of age were more likely to develop an URTI. The incidence of diarrheal diseases or trauma was not statistically associated with age. No statistical difference for educational level was found for U RTI or trauma, but there was a statistically significant difference for diarrheal diseases. Ther...
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Recent research in functional magnetic resonance imaging (fMRI) and nuclear imaging techniques have become quite important in the diagnosis of neurological diseases, psychological disorders, apart from pathophysiology of atherosclerosis... more
Recent research in functional magnetic resonance imaging (fMRI) and nuclear imaging techniques have become quite important in the diagnosis of neurological diseases, psychological disorders, apart from pathophysiology of atherosclerosis processes and vulnerable plaques. Further research indicate that 3-dimensional echocardiography (3D-Echo) and multi-detector-row computed tomography have improved our capability to know more about heart disease in the valves as well as athero-thrombotic plaque in acute coronary syndrome (ACS). Recently, several studies have demonstrated that chronic anxiety disorders may be risk factors of cardiovascular diseases (CVDs) and diabetes which is associated tremors in the amygdala. Physiological imaging of brain by functional magnetic resonance imaging (fMRI) allows us to examine brain structures in presence of CVDs and behavioral risk factors. Most of the behavioral risk factors may have autonomic nervous system dysfunction with rise in the sympathetic a...
Background: Egypt has a shortage of physicians despite thousands of medical students graduating annually. Aims: This study aimed to explore the reasons for Egyptian medical students and young physicians wanting to emigrate. Methods: This... more
Background: Egypt has a shortage of physicians despite thousands of medical students graduating annually. Aims: This study aimed to explore the reasons for Egyptian medical students and young physicians wanting to emigrate. Methods: This cross-sectional study, conducted from February to April 2019, included 711 fifth- and sixth-year medical students and 174 residents from two medical faculties in Egypt, Tanta and Kafrelshiekh. A questionnaire was used to collect data on sociodemographic factors, desire to emigrate and motives for wanting to emigrate. Results: Most participant (89.4%) wanted to emigrate, and thought their salary was not compatible with their working hours or risks. About half the participants (52.8%) worked part-time in private hospitals. Only 4.9% of participants felt appreciated by the country. Most participants (75.9%) were not satisfied with their relationship with patients and 40.2% were not satisfied with their relationship with colleagues. Verbal abuse was rep...
Background. Obesity and type 2 diabetes mellitus (T2DM) are two interrelated and preventable disorders. However, they are responsible for significant global mortality from cardiovascular diseases (CVDs). Clinical studies have demonstrated... more
Background. Obesity and type 2 diabetes mellitus (T2DM) are two interrelated and preventable disorders. However, they are responsible for significant global mortality from cardiovascular diseases (CVDs). Clinical studies have demonstrated that global longitudinal strain (GLS) using speckle tracking echocardiography (STE), can assess myocardial function accurately in apparently, healthy patients with diabetes and obesity in the settings of acute and chronic ischemia and suspected cardiomyopathy without heart failure. No such studies have been published to date regarding subclinical detection of cardiac dysfunction among obese patients with T2DM. This study aims to investigate the role of STE in the early pre-clinical diagnosis of impairment of diastolic and systolic dysfunction in obese patients with T2DM. This study also investigated whether it is possible to detect early pre-clinical impairment of diastolic and systolic dysfunction in obese T2DM patients, via Tissue Doppler Imaging...
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Background Stroke has a higher negative effect on women than men. In developed countries, stroke has regressed to be the fifth cause of death in men but still the third cause in women. It is suggested that there will be an increase of... more
Background Stroke has a higher negative effect on women than men. In developed countries, stroke has regressed to be the fifth cause of death in men but still the third cause in women. It is suggested that there will be an increase of stroke burden in women in the future. Aim The aim was to study clinical presentation, risk factors, and short-term outcome of acute ischemic stroke in women admitted to Tanta University hospitals. Patients and methods A cross-sectional study was conducted that included 386 patients admitted to the Department of Neuropsychiatry and Centre of Psychiatry, Neurology, and Neurosurgery at Tanta University Hospitals with first-ever ischemic stroke. We assessed stroke severity by National Institutes of Health Stroke Scale. Stroke type and etiology were assessed by Oxford Shire Community Stroke Project classification and Trial of org 10172 in acute stroke treatment classification. The authors assessed outcome on discharge by modified Rankin scale. Results Regar...
Background: Early marriage with its harmful effects on women’s health is one of the most important public health issues. Objective: This study was designed to explore the perception and determinants of early marriage and its harmful... more
Background: Early marriage with its harmful effects on women’s health is one of the most important public health issues. Objective: This study was designed to explore the perception and determinants of early marriage and its harmful consequences on females in urban and rural areas of Gharbia Governorate, Egypt. Methods: A cross-sectional study was conducted for 3 months and included 1,293 women from family health facilities in Gharbia Governorate, Egypt. A predesigned interview questionnaire was used to collect related data. Results: Of the participants, 36.7% married before the age of 20 years: this phenomenon was significantly more prevalent in rural than in urban areas (45.5% vs. 27.8%, respectively). Significant factors associated with early marriage included low educational level of the females and their parents (p > 0.001(. Conclusion: Early marriage is still practiced in Egypt with misconceptions about the proper age of marriage. This harmful practice might lead to adverse...
Obesity and type 2 diabetes mellitus (T2DM) are two related non-communicable disorders which are responsible for more deaths globally from cardiovascular diseases (CVDs), possible due to modern life style habits. Clinical studies have... more
Obesity and type 2 diabetes mellitus (T2DM) are two related non-communicable disorders which are responsible for more deaths globally from cardiovascular diseases (CVDs), possible due to modern life style habits. Clinical studies have demonstrated that GLS (global longitudinal strain) STE (speckle tracking echocardiography) method can assess myocardial function accurately in healthy subjects in the settings of acute and chronic ischemia, and cardiomyopathy. The purpose of this study is therefore to illustrate the potential of this novel method. So far, no STE studies have been performed regarding sub clinical detection of cardiac dysfunction in obese-induced T2DM. This retrospective study was designed to investigate whether it was possible to detect early pre-clinical impairment of diastolic and systolic dysfunctional changes in obese-induced diabetic patients compared to age-matched healthy control subjects using Tissue Doppler imaging (TDI), maximal rate of pressure rise during ve...
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Background: Adolescent are increasingly vulnerable to negative reproductive health outcomes; such as HIV/AIDS, STDs, violent and unwanted sex, limited access to contraceptives, and early or forced marriage. Little is known about youth... more
Background: Adolescent are increasingly vulnerable to negative reproductive health outcomes; such as HIV/AIDS, STDs, violent and unwanted sex, limited access to contraceptives, and early or forced marriage. Little is known about youth educational needs about reproductive health in Egypt.Objectives: assess needs for reproductive health information among secondary student.Methods: cross sectional study was conducted from the start of October, 2019 till the end of November, 2019. It encompassed 942 secondary school students in Gharbia Governorate using a predesigned questionnaireResults: The suitable age of marriage was reported by 67.9% to be 20-30years. The majority of students were aware that tobacco smoking and addiction adversely affect reproductive health (74.5% and 84.1%, respectively. Only 18.3% had information about risks associated with early marriage. Shyness to as about issues related to reproductive health was reported by 33.5% and only 15.2% always communicate with parent...
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BackgroundPositive work practice environment is the corner stone for control and relieving of work to family conflict (WFC). Objectiveso determine the prevalence of work to family conflict and to study the relation between work to family... more
BackgroundPositive work practice environment is the corner stone for control and relieving of work to family conflict (WFC). Objectiveso determine the prevalence of work to family conflict and to study the relation between work to family conflicts and work environment characteristics among full-time female employees at Tanta University Medical Campus. MethodsA cross sectional study was carried among female employees working in the five Faculties that present at Tanta University Medical Campus. A total of 442 female workers were recruited. Data were collected using a self-administered questionnaire including personal characteristics, work related data and home responsibilities. Job characteristics scales, work to family and family to work spillovers scales were used to study their correlation. ResultsParticipants’ mean age was 39.87 ± 10.07 years. Significant positive correlation was detected between; skills discretion and both of positive work to family and family to work spillovers (r= 0.361, r= 0.288, P=0. 0.001 respectively), similar relations were reported regarding decision authority, coworkers support and supervisors support. The negative work to family and family to work spillovers significantly increased by increasing in work demands (r= 0. 0.315, r= 0.218, P=0. 0.001 respectively). Significant and negative correlations were found between each of skills discretion & supervisors support scales and the negative impact of family to work spillover (r= -0.130; P= 0.006, r= -0.167; P= 0.001, respectively). ConclusionPositive work practices environment is a significant determinant to prevent and control work to family conflict.