Papers by Abdel-Hady El-Gilany
Egyptian Journal of Bronchology, 2017
Objectives Early diagnosis of lung cancer carries a good prognosis. The aim of the present study ... more Objectives Early diagnosis of lung cancer carries a good prognosis. The aim of the present study was early detection of lung cancer among heavy smokers using immunohistochemical staining and chest computed tomography (CT). Patients and methods This descriptive cross-sectional study comprised 80 heavy smokers with smoking index more than 40 pack-years. They were recruited from the Smoking Cessation Clinic, Mansoura University Hospital. All participants were subjected to (a) chest radiography followed by high-resolution chest CT, (b) sputum sample collection, and (c) fiberoptic bronchoscopy evaluation of bronchoalveolar lavage (BAL) and bronchial mucosal biopsies from suspicious areas. All pathological samples were stained with hematoxylin and eosin followed by immunostaining using antibodies for p53 and thyroid transcription factor-1 (TTF-1). Data were analyzed using statistical package for social sciences, version 16. Results The majority of heavy smokers were male, with a mean age of 53.42±11.30 years. A solitary pulmonary nodule was detected in 1.3% of cases with chest radiography and in 5% with high-resolution CT. Hematoxylin and eosin staining of sputum, BAL, and mucosal biopsies was positive for premalignant changes in 35, 27, and 17.56% of cases, respectively. Sputum, BAL, and mucosal biopsies showed expression of p53 in 30, 37.8, and 35.1% of cases, respectively. Sputum, BAL, and mucosal biopsy showed expression of TTF-1 in 12.5, 10.8, and 14.9% of cases, respectively. Conclusion The immunohistochemical technique using p53 and TTF-1 is useful in the early detection of bronchial mucosal changes in heavy smokers. There is still need for a largescale study to highlight its validity and acceptability. Meanwhile, chest CT is beneficial for the detection of peripheral small lesions.
Eastern Mediterranean Health Journal, Mar 15, 2001
International Journal of Infection Control, Jul 17, 2017
Needle stick and sharp injuries (NSSIs) are a risk factor for blood-borne infections in healthcar... more Needle stick and sharp injuries (NSSIs) are a risk factor for blood-borne infections in healthcare facilities, yet they are preventable occupational hazards for health care workers. We estimated the frequency of NSSIs among housekeeping workers compared with other healthcare workers and evaluated the effect of preventive measures to reduce these injuries in housekeeping workers.The study was conducted in one Saudi Arabian hospital between 2011 and 2013. NSSIs were analyzed retrospectively and an intervention for housekeepers that included 43 sessions of education and increased resources and supervision was implemented in 2012. Evaluation measures included monitoring sharp disposal compliance, reports of improperly disposed sharps, use of heavy duty gloves, hepatitis B vaccination, and the frequency of NSSIs during 2012 and 2013. Chi square and Fisher's exact tests were used for comparison between groups and pre-post intervention. In 2011 NSSIs rates were 17.8% for housekeeping staff, 3.7% for nurses and 1.3% for doctors, although injury frequency varied by department. Also, 15% of housekeepers were immune to HBV and 21% used heavy duty gloves during waste management. During 2012 and 2013 NSSIs rate dropped significantly to 9.6% and 2.7% respectively, and HBV immunization increased to 78.1% and 100%, respectively. Heavy duty gloves usage improved to 100%. Improper sharp disposal reports decreased from 15.1% in 2012 to 5.5% in 2013. Sharps disposal compliance improved from 35.6% to 78.1% in 2012 and 2013, respectively. Continuous education of housekeepers about all measures for prevention of NSSIs is the responsibility of infection control team. However, continuous monitoring along with continuous training programs and resources adequacy is needed to maintain this improvement.
Egyptian Journal of Health Care, Sep 1, 2022
Background: Parkinson's disease is a neurodegenerative disorder that primarily affects the elderl... more Background: Parkinson's disease is a neurodegenerative disorder that primarily affects the elderly population. Managing the care of individuals with Parkinson can be challenging for caregivers, leading to increased caregiving burden and potential negative impacts on elderly' health status. Aim: Determine the effect of educational video on family caregiver's burden and health status of elderly patients with Parkinson's disease. Design: A Quasi-Experimental design (one group pre/post design). The study was done in the neurological outpatient clinic at Mansoura University Hospital and Mansoura new General hospital Subjects: The study included 56 elderly patients with Parkinson's disease and their family caregivers as a convenience sample Tools: Data was collected using five tools; Demographic and clinical data structured interview schedule, Family caregiver's knowledge structured interview schedule, Zarit Burden Interview, Self-Reported Health status, Parkinson's Disease Questionnaire and Educational Video Evaluation Checklist. Results: A highly statistically significant differences were found in family caregiver's knowledge and burden and elderly patient's health status pre, post and follow up phase (P =<0.001) for all. Also, a strong negative correlation was found between caregivers' burden and elderly health status. Moreover, 92.9% of the studied caregivers agree that the overall educational video was satisfied. Conclusion: The educational video had positive effects on increasing family caregivers' knowledge and reducing caregiving burden which leads to improvement in health status of elderly patients with Parkinson disease. Recommendations: The Parkinson's disease educational video should be accessible at the neurology outpatient clinic and department as a component of the health education process.
International journal of epidemiology and health sciences, Apr 1, 2023
This letter is about stataphobia, which is an interesting and common phobia among researchers fro... more This letter is about stataphobia, which is an interesting and common phobia among researchers from various disciplines but is not well-known. The definition, causes, impact on research productivity, and treatment options for stataphobia are briefly discussed.
Egyptian Journal of Health Care, Jun 1, 2022
Egyptian Journal of Health Care, Mar 1, 2022
International Journal of Dermatology, Oct 1, 2020
Quality of life of psoriatic patients and their acceptance of the disease Background: Psoriasis a... more Quality of life of psoriatic patients and their acceptance of the disease Background: Psoriasis and its acceptance adversely affect the patient's quality of life. This study aims to measure quality of life of psoriatic patients, psoriasis disability index and acceptance of psoriasis as a disease and their associated factors as well as their interaction. Methods: A total of 125 psoriatic patients were included in the study. Socio-demographic and clinical data were collected. Psoriasis Area Severity Index (PASI), Psoriasis quality of life index (PQOL), Psoriasis Disability (PDI) and acceptance of psoriasis scale index (PAI) were measured using Arabic validated tools. Multivariate linear regression analysis was done to find out the independent predictors of the outcome variables. Results: The mean overall PQOL, PDI and PAI were 14.3, 20.8 and 60.1; respectively. Compared to the moderate/severe chronic plaque psoriasis, the mild chronic plaque shows significantly lower mean PQOL, lower mean PDI and higher mean PAI. There are positive moderate significant correlations between PQOL and PDI and PASI (r = 0.59, r = 0.54; respectively). However, there is inverse correlation between PQOL and psoriasis acceptance index (r =-0.55). The linear regression revealed that the independent predictors of psoriasis quality of life are PDI, PASI and PAI. These three variables predict 0.42 of variability of PQOL. Conclusion: Psoriasis exerts significant, negative effect on patients' quality of life. Disease disability, severity and its acceptance are independent predictors of quality of life.
Research Square (Research Square), Apr 1, 2021
Background: Human resource practices (HRP) have a unique role in healthcare organizations, especi... more Background: Human resource practices (HRP) have a unique role in healthcare organizations, especially among nurses. Therefore, a valid and reliable tool to measure HRP is crucial. The present study aimed to translate, culturally adapt, and validate the Human resource practices (HRP) scale into Arabic language among nurses. Methods: A methodological study was applied in a sample of 328 nurses from 16 hospitals in Port-Said, Egypt. Face, content, construct and concurrent validity were assessed. Cronbach's alpha coe cients and intraclass correlation coe cient (ICC) to test reliability were evaluated. Results: The Arabic version of HRP scale had good content validity with I-CVI ranged from 0.727 to 1 and S-CVI with the average approach 0.961. Con rmatory factor analysis showed a better t for the second-order model consisting of performance enhancement and employee support factors (CFI, NFI and RMSEA= 0.932, 0.926, and 0.064; respectively). The Arabic version of HRP scale correlated signi cantly with performance excellence and nurses' performance (r= 0.701, and 0.565; respectively), indicating good concurrent validity. Internal consistency with Cronbach's alpha was 0.95 and the intra-class correlation coe cient was 0.91 for the total scale showed good reliability. Conclusion: The Arabic version of HRP scale showed evidence of validity and reliability, and it could be recommended for use in clinical and research settings to assess HRP among Arabic nurses.
Egyptian Journal of Occupational Medicine, Oct 1, 2020
Introduction: The staffs working in community pharmacies are at high risk of all forms of workpla... more Introduction: The staffs working in community pharmacies are at high risk of all forms of workplace violence. The studies investigating the prevalence or the psychological impacts of work related violence in community pharmacies are deficient. Aim of work: To estimate the period prevalence (last 12 months) of work-related violence, its types, associated factors and psychological effects among pharmacists/assistants in community pharmacies in Mansoura city. Materials and methods: A cross-sectional study was done in community pharmacies in Mansoura city. A total of 509 pharmacists/assistants completed the questionnaire. Data was collected using a questionnaire included personal and socio-demographic data, occupational history and history of exposure to any violent incident in the last 12 months. The questionnaire included details of the last violent incident and the subjective response to a violent event, using the Arabic version of the Impact of Event Scale-Revised (IES-R). Results: The overall prevalence of exposure to any type of violence in the last 12 months was 34.6 %. The prevalence of verbal violence was higher than the prevalence of threat, physical violence and bullying (29.7% vs. 11.6%, 10.8% and 9.6%; respectively). The significant independent predictors of any form of workplace violence were the age group from 19 to 40 years, being assistant pharmacist , working in night shifts and having little or moderate/severe worrying about work related violence. Conclusion: The workplace violence was prevalent among working pharmacists / assistants in Mansoura city (in the last 12 months) and the verbal violence was the commonest type. About one third of those exposed to violence had clinically significant IES-R scores indicating having post-traumatic stress disorder.
Egyptian Journal of Occupational Medicine, Sep 1, 2019
introduction: Psychiatry has been consistently shown to be a profession characterized by 'high-bu... more introduction: Psychiatry has been consistently shown to be a profession characterized by 'high-burnout' due to either workplace stressors or specific patient's nature and condition, together with personal stresses. The ways of coping strategies to face work-related stressors usually determines the development and even the levels of burnout which is known to be higher among those who adopt maladaptive coping compared to those who adopt adaptive coping strategies. aim of work: To compare the burnout among psychiatrists verses non psychiatrists. materials and methods: This comparative cross sectional study included psychiatrists, working in Mansoura University Hospital and Demirah Psychiatry Hospital during the period from September to November, 2017. A group of physicians were taken from the department of Rheumatology and Dermatology , Faculty of Medicine , Mansoura University as a comparative group ; fulfilling the eligibility criteria. Data was collected using a specially designed questionnaire covering sociodemographic data, educational and occupational histories and history of exposure to workplace stresses as physical violence. Maslach Burnout Inventory (MBI) questionnaire and The Ways of Coping Scale questionnaire were also performed. results: The psychiatrists showed statistically significant higher prevalence of moderate and high level of both emotional exhaustion and depersonalization than non psychiatrists (83.6% vs 52.1% and 100.0% vs. 81.7%; respectively). Psychiatrists showed statistically significant high coping scores than non psychiatrists regarding: seeking social support, planful problem-solving and positive reappraisal. Night shift is statistically higher among psychiatrists than the non psychiatrists (50.7% vs. 25.4%; respectively). conclusion: The prevalence of moderate and high level of emotional exhaustion and depolarization is higher among psychiatrists than non psychiatrists and is associated with a significantly higher prevalence of high level of personal achievement among non psychiatrists .The commonest way of coping among psychiatrists is active coping.
Asploro Journal of Biomedical and clinical Case Reports, Feb 17, 2019
For most authors, the case report is the first piece of research writing. This editorial discusse... more For most authors, the case report is the first piece of research writing. This editorial discusses the essential components of a case report to guide authors to improve their writing skills and thus avoid the disappointments of rejection. The sections of the case report are the title, abstract with keywords, introduction, case description, discussion with conclusions and references. The case report should be clear, concise, coherent, and must convey a crisp message. Common pitfalls and mistakes will be discussed.
Egyptian Journal of Occupational Medicine, 2017
Introduction: Police officers experience frequent and ongoing stressors in their work. Exposure t... more Introduction: Police officers experience frequent and ongoing stressors in their work. Exposure to violence, suffering, and death is inherent to their profession. Aim of work: To describe the level of job stress, risk factors, and coping strategies adopted to reduce it in police officers in Mansoura city, Egypt. Materials and methods: Police officers completed a self-administered questionnaire covering the socioeconomic and occupational data, occupational stress index scale and coping inventory for stressful situations. Results: A high average total Occupational Stress Index (OSI) score (133.7) was found with role overload having the highest subscale mean (20.9). The significant factors associated with level of stress were rank of officers, nature and sector of work, shift work, smoking and other habits. Coping strategies to overcome stress were mainly task-oriented. Conclusion: Pre-employment and periodic medical examination and psychological assessment of officers is required together with implementation of stress management program and counseling. Further large scale multicenter research is recommended.
International Journal of Health & Allied Sciences, 2021
The presence of asymptomatic carriers is well known in the COVID-19. These carriers play a signif... more The presence of asymptomatic carriers is well known in the COVID-19. These carriers play a significant role in the disease transmission. Little is known about its magnitude, types, detection, and management. This narrative review highlights all these aspects of asymptomatic COVID-19 carriers. Much is still unknown about asymptomatic carriers in COVID-19 and its contribution in the silent spread of infection. A literature of three electronic databases with prespecified search terms was done to include the status quo data on asymptomatic carriers in COVID-19 infection. This narrative review will be useful for epidemiologists, clinicians, policymakers as well as the public in general.
Family Practice, Feb 26, 2015
Background. Family medicine (FM) specialty is new to Egyptian medical education and its choice as... more Background. Family medicine (FM) specialty is new to Egyptian medical education and its choice as a career option is still unclear. This study aims to assess perceptions, expectations and level of information amongst house officers (HOs) in relation to FM and its choice as a future career. Methods. This cross-sectional descriptive study was conducted during an orientation program implemented to HOs before joining work in primary health care. Data were collected using an anonymous self-administered questionnaire. Findings. More than half of respondents considered FM to have an essential social function. The most influential factor on HOs' opinions regarding FM were their own experiences during the course of study (52.6%), the opinion of family physicians (43.8%). More than two fifths of HOs reported that training sessions in health centers would be useful and 29.5% stated that at least 25-50% of the total practical training in medical school should be dedicated to FM. Nearly half of HOs (48.2%) suggested that training should take place during the fourth year of medical school. Before orientation 15.8% of HOs mentioned that they will choose FM as a career, this increased to 50.4% after orientation. Rural residence and low grades in public health are the independent predictors of choosing FM as a career (OR = 1.9 and 1.7, respectively). Conclusion: FM is developing rapidly as a specialty. Frequent training programs directed to HOs may encourage them to consider FM as a career.
Journal of Infection and Public Health, 2021
Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
Journal of Nervous and Mental Disease, May 1, 2019
Mental health illnesses are increasing in severity and number among medical students. This study ... more Mental health illnesses are increasing in severity and number among medical students. This study aims to estimate the prevalence of mental disorders among medical students and their associated factors. Nine hundred students were selected from Mansoura Faculty of Medicine by the cluster sampling method. Data were collected using an Arabic self-administered questionnaire and the Arabic version of the Symptoms Checklist 90 Revised. Both bivariate and multivariate logistic regression analyses were done. Approximately 59% of students had one or more mental disorders. The prevalence of high Positive Symptom Distress Index (PSDI), depression, and somatization was 30.1%, 25.2%, and 21.7%, respectively. Logistic regression revealed that being male, younger than 20 years age, living away from family, rural families, and very low or low social class were independent risk factors for most of the mental disorders studied. In conclusion, mental disorders were common among medical students. Mental health care should be mandatory for these students.
Obesity Facts, 2009
Objective: To estimate the prevalence of obesity and its determinants during the first month of g... more Objective: To estimate the prevalence of obesity and its determinants during the first month of gestation in Saudi women. Methods: Retrospective chart review of measured BMI in Al-Hassa, the largest province in Saudi Arabia, in 2007. Data were collected from records of 791 (72.6% of 1,089) pregnant women registered for prenatal care. Results: Height shows a normal Gaussian distribution, whereas weight is skewed positively (skewness of 0.77). The prevalence of underweight, normal weight, overweight, obesity, and extreme obesity (BMI > 40 kg/m 2) were 8.5, 39.3, 23.6, 23.9, and 4.7%, respectively. Logistic regression revealed that the most important significant independent predictors of obesity are parity of 4 and more (odds ratio (OR) = 5.8) and urban residence (OR = 4.9). Conclusion: Overweight, obesity, and extreme obesity are common (>52%) among pregnant women in Saudi Arabia. Health education to control body weight before pregnancy is warranted.
PubMed, 2012
Introduction: During the last few decades, Egypt experienced rapid socio-cultural changes that we... more Introduction: During the last few decades, Egypt experienced rapid socio-cultural changes that were associated with major changes in the food choices and eating habits, which, progressively, becomes more westernized. The objective of this study was to investigate the meal patterns of secondary school adolescent students in Mansoura, Egypt. Methods: This is a cross-sectional study conducted on 891 adolescent students. Thirty clusters were selected to cover both general and vocational public schools of both sexes in urban and rural areas. A self-administered questionnaire was used to collect data about sociodemographic features of the students and their families, as well as meal habits of students. Results: About 46% of students eat three meals per day. About 72%, 93% and 95% of respondents consume breakfast, lunch and dinner on daily bases, respectively. Snacks were eaten daily by 34.1% of students. Eating always with the family was stated by the majority (62.5%) of students and taking home made sandwiches during school time was mentioned by 35.8% of students. On logistic regression socioeconomic status is the only predictor associated with daily intake of breakfast, lunch and dinner; with high likelihood of eating with the family and intake of school meal. Conclusion: Students practice many faulty meal patterns. School-, family- and community-based interventions are timely needed to promote healthy eating habit in adolescents.
Indian Journal of Pediatrics, Feb 1, 2012
Objective To estimate the prevalence of Human metapneumovirus (hPMV), its epidemiological and cli... more Objective To estimate the prevalence of Human metapneumovirus (hPMV), its epidemiological and clinical features in infants and children with respiratory infections, attending outpatients' clinic of Mansoura University Children Hospital (MUCH). Methods After taking history, clinical examination and appropriate investigations, nasopharyngeal aspirates were collected from 600 infants and children with symptoms and signs of respiratory infections. Samples were examined by RT-PCR for hMPV. Results The overall prevalence of hMPV infection among studied patients was 8% (95%06.1-10.4). The rate was significantly higher among children aged 2-24 mo compared to other age groups (11.9% vs. 3.7% and 4.0% for 2-24, 25-60, 61-108 mo respectively). Also it was significantly higher among females than males (12.6% vs. 6.6%). Cough, wheezing, rhinorrhea, fever and chest wall retraction were the most frequent presentations (81.2%, 68.8%, 66.7%, 64.6% and 56.3%; respectively). Antibiotics, bronchodilators and oxygen administration were the most common treatments offered (60.4%, 31.2% and 27.1%; respectively). Conclusions hMPV is an emerging cause of acute respiratory infection in Mansoura University Children Hospital (MUCH), and may have a significant clinical impact on infants and children and thus, must be considered in etiological diagnosis.
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Papers by Abdel-Hady El-Gilany