Egyptian Journal of Pediatric Allergy and Immunology, 2016
Background : Wheezing is a very common complaint on admission to the pediatric emergency departme... more Background : Wheezing is a very common complaint on admission to the pediatric emergency department. There is an increasing awareness of the important role of vitamin D (VD) in the maintenance of the immune system, recurrent wheezing and respiratory health. Objective : The study aimed to estimate serum 25 hydroxy vitamin D (25OHD), IgE levels and blood eosinophilic count in infants and children under 2 years of age with recurrent wheeze. Methods : This case-control study was carried out on 85 infants (58 males and 27 females; as the patients’ group, ranging in age from 6-24 months, diagnosed to have recurrent wheeze (>3 attacks), recruited from the Pediatric Emergency Department in comparison to 85 age and gender matched healthy infants with no history of wheeze (as the control group). Blood samples were taken from both groups to determine serum 25OHD level, IgE level, and eosinophil count. Results : Serum 25OHD levels of patients were significantly lower than those of controls (...
Background: Violence against women is a universal phenomenon that affects not only women physical... more Background: Violence against women is a universal phenomenon that affects not only women physical and mental health but also affects their behavior and their every day’s activity. Objective: To measure the prevalence of violence and explore its effect on the mental health status of women. Method: A cross-sectional comparative study was carried out on 500 women attending the Sedfa health center during the last year from October 2016 using a semi-structured questionnaire personal interview and WHO SelfReporting Questionnaire (SRQ-20). Study proposal was approved by Faculty of Medicine IRB before data collection. Also, an official permission from Assiut health directorate was obtained. Appropriate hypothesis testing tests were used and pvalue ≤ 0.05 was used as the significance level. Results: In the year prior to the study, 4 out of 10 participants were victims of verbal violence, husbands were the committer in 71.3% of all violent events, less than one fifth (17.6% ) of violence vict...
Journal of Current Medical Research and Practice, 2018
Introduction Optimal infant and young child feeding can be achieved easily by encouraging mothers... more Introduction Optimal infant and young child feeding can be achieved easily by encouraging mothers to breastfeed exclusively for the first 6 months and to introduce nutritionally adequate, safe, age-appropriate, and responsive complementary feeding starting at 6 months. Patients and methods The present study aimed to assess the degree of adherence of medical physicians to protocols for treatment of severe marasmus among children attending Assiut University Children Hospital during the period from 1 January to 30 June 2015 according to WHO guidelines (2003), which is locally approved and documented by nutrition unit of Assiut University Children Hospital as a reference standard. The study included 31 patients with third-degree marasmus whose age ranged from 6 to 36 months. Results and conclusion Data about mid-upper arm circumference, Z-score, stabilization, transitional, and rehabilitation phases were not fully fulfilled. Regarding the assessment of conscious level, dehydration, hypothermia, hypoglycemia, severe anemia, shock, and types of complications, most items were fulfilled well.
Dilated cardiomyopathy (DCM) is the third leading cause of heart failure in pediatrics. The exact... more Dilated cardiomyopathy (DCM) is the third leading cause of heart failure in pediatrics. The exact etiology of DCM is unknown in more than half of the cases. Vitamin D receptors are represented in cardiac muscles, endothelium, and smooth muscles of blood vessels suggesting that vitamin D could have a vital cardioprotective function. This study aimed to assess serum level of vitamin D in children with idiopathic DCM and to correlate the serum level of vitamin D with the left ventricular dimensions and function. This study is a descriptive cross-sectional single-center study, includes 44 children of both sexes, diagnosed as idiopathic DCM. Serum level of vitamin D was assessed and correlated with the left ventricular dimensions and function. Mean age of studied children was 6.08 ± 4.4 years. Vitamin D deficiency was found in 90.9% of children with idiopathic DCM with a mean level 13.48 ng/mL. There was a negative correlation between vitamin D level and fraction shortening and left vent...
Introduction In Egypt, many girls are still married before the age of 18, which is a fundamental ... more Introduction In Egypt, many girls are still married before the age of 18, which is a fundamental violation of the girls’ human rights. Early marriage is associated with an alarmingly elevated risk of all types of intimate partner violence that have various negative consequences. The purpose of this study was to identify the predictors of exposure to spousal violence among the early married girls in rural Upper Egypt. Methods A household survey was carried out and covered 23 villages in Assiut and Sohag governorates reaching to a sample of 729 married girls before the age of 20. Listing and enumeration of 4 districts was done to identify the study participants. Data was collected by personal interviews using a structured questionnaire. Bivariate and stepwise regression analyses were performed to identify the predictors of exposure to spousal violence. Results It was found that 15.2% of the study participants were exposed to physical violence while 17.8% were exposed to sexual violenc...
Background Chronic disease greatly increases children’s dependency on parents/caregivers (usually... more Background Chronic disease greatly increases children’s dependency on parents/caregivers (usually mothers) as they face new problems associated with caring for a child with chronic disease. Thus, chronic kidney disease (CKD) presents a burden for children and their families that last throughout life in different aspects. This study aimed to assess family impact and economic burden of chronic kidney disease (CKD) in children on their families. Methods A cross-sectional study was carried out on 250 caregivers of children with CKD attending tertiary care hospital/health insurance clinics in Assiut, Egypt using PedsQL™ family impact module (FIM) for assessing family impact and economic burden between January and May 2018. Results Seventy six percent of caregivers shared paying for treatment with health insurance while 14% paid the total expenses out of their pockets. Although the majority (87.2%) of caregivers suffered different degrees of financial hardship, more than 60% of them had n...
Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection ... more Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection (4.5%). Seroprotection is assured when hepatitis B surface antibody (HBsAb) levels are ≥ 10 mIU/mL. Our study aimed to evaluate and compare the long-term immunogenicity and efficacy of the recombinant hepatitis B (HB) vaccine. A cross-sectional study was done for children aged from 9 months to 15 years, receiving health care at Assiut University Children's Hospital, Assiut, Egypt in 3 months. HBsAb was quantitatively determined by enzyme-linked immune sorbent assay (ELISA). Seroprotection in infants less than 1 year was 89.7% with 55.2% having titer > 100 mIU/mL and this percent dropped to 64.4% after the first year of age with only 29% having titer > 100 mIU/mL. The overall protection percentage was 32.5% (> 100 mIU/mL), 34.7% of children showed levels between 10 and 100 mIU/mL, while 32.8% were less than 10 mIU/mL. Patients with diabetes mellitus were found to have the low...
Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection ... more Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection (4.5%). Seroprotection is assured when hepatitis B surface antibody (HBsAb) levels are ≥ 10 mIU/mL. Our study aimed to evaluate and compare the long-term immunogenicity and efficacy of the recombinant hepatitis B (HB) vaccine. A cross-sectional study was done for children aged from 9 months to 15 years, receiving health care at Assiut University Children's Hospital, Assiut, Egypt in 3 months. HBsAb was quantitatively determined by enzyme-linked immune sorbent assay (ELISA). Seroprotection in infants less than 1 year was 89.7% with 55.2% having titer > 100 mIU/mL and this percent dropped to 64.4% after the first year of age with only 29% having titer > 100 mIU/mL. The overall protection percentage was 32.5% (> 100 mIU/mL), 34.7% of children showed levels between 10 and 100 mIU/mL, while 32.8% were less than 10 mIU/mL. Patients with diabetes mellitus were found to have the low...
Egyptian Journal of Pediatric Allergy and Immunology, 2016
Background : Wheezing is a very common complaint on admission to the pediatric emergency departme... more Background : Wheezing is a very common complaint on admission to the pediatric emergency department. There is an increasing awareness of the important role of vitamin D (VD) in the maintenance of the immune system, recurrent wheezing and respiratory health. Objective : The study aimed to estimate serum 25 hydroxy vitamin D (25OHD), IgE levels and blood eosinophilic count in infants and children under 2 years of age with recurrent wheeze. Methods : This case-control study was carried out on 85 infants (58 males and 27 females; as the patients’ group, ranging in age from 6-24 months, diagnosed to have recurrent wheeze (>3 attacks), recruited from the Pediatric Emergency Department in comparison to 85 age and gender matched healthy infants with no history of wheeze (as the control group). Blood samples were taken from both groups to determine serum 25OHD level, IgE level, and eosinophil count. Results : Serum 25OHD levels of patients were significantly lower than those of controls (...
Background: Violence against women is a universal phenomenon that affects not only women physical... more Background: Violence against women is a universal phenomenon that affects not only women physical and mental health but also affects their behavior and their every day’s activity. Objective: To measure the prevalence of violence and explore its effect on the mental health status of women. Method: A cross-sectional comparative study was carried out on 500 women attending the Sedfa health center during the last year from October 2016 using a semi-structured questionnaire personal interview and WHO SelfReporting Questionnaire (SRQ-20). Study proposal was approved by Faculty of Medicine IRB before data collection. Also, an official permission from Assiut health directorate was obtained. Appropriate hypothesis testing tests were used and pvalue ≤ 0.05 was used as the significance level. Results: In the year prior to the study, 4 out of 10 participants were victims of verbal violence, husbands were the committer in 71.3% of all violent events, less than one fifth (17.6% ) of violence vict...
Journal of Current Medical Research and Practice, 2018
Introduction Optimal infant and young child feeding can be achieved easily by encouraging mothers... more Introduction Optimal infant and young child feeding can be achieved easily by encouraging mothers to breastfeed exclusively for the first 6 months and to introduce nutritionally adequate, safe, age-appropriate, and responsive complementary feeding starting at 6 months. Patients and methods The present study aimed to assess the degree of adherence of medical physicians to protocols for treatment of severe marasmus among children attending Assiut University Children Hospital during the period from 1 January to 30 June 2015 according to WHO guidelines (2003), which is locally approved and documented by nutrition unit of Assiut University Children Hospital as a reference standard. The study included 31 patients with third-degree marasmus whose age ranged from 6 to 36 months. Results and conclusion Data about mid-upper arm circumference, Z-score, stabilization, transitional, and rehabilitation phases were not fully fulfilled. Regarding the assessment of conscious level, dehydration, hypothermia, hypoglycemia, severe anemia, shock, and types of complications, most items were fulfilled well.
Dilated cardiomyopathy (DCM) is the third leading cause of heart failure in pediatrics. The exact... more Dilated cardiomyopathy (DCM) is the third leading cause of heart failure in pediatrics. The exact etiology of DCM is unknown in more than half of the cases. Vitamin D receptors are represented in cardiac muscles, endothelium, and smooth muscles of blood vessels suggesting that vitamin D could have a vital cardioprotective function. This study aimed to assess serum level of vitamin D in children with idiopathic DCM and to correlate the serum level of vitamin D with the left ventricular dimensions and function. This study is a descriptive cross-sectional single-center study, includes 44 children of both sexes, diagnosed as idiopathic DCM. Serum level of vitamin D was assessed and correlated with the left ventricular dimensions and function. Mean age of studied children was 6.08 ± 4.4 years. Vitamin D deficiency was found in 90.9% of children with idiopathic DCM with a mean level 13.48 ng/mL. There was a negative correlation between vitamin D level and fraction shortening and left vent...
Introduction In Egypt, many girls are still married before the age of 18, which is a fundamental ... more Introduction In Egypt, many girls are still married before the age of 18, which is a fundamental violation of the girls’ human rights. Early marriage is associated with an alarmingly elevated risk of all types of intimate partner violence that have various negative consequences. The purpose of this study was to identify the predictors of exposure to spousal violence among the early married girls in rural Upper Egypt. Methods A household survey was carried out and covered 23 villages in Assiut and Sohag governorates reaching to a sample of 729 married girls before the age of 20. Listing and enumeration of 4 districts was done to identify the study participants. Data was collected by personal interviews using a structured questionnaire. Bivariate and stepwise regression analyses were performed to identify the predictors of exposure to spousal violence. Results It was found that 15.2% of the study participants were exposed to physical violence while 17.8% were exposed to sexual violenc...
Background Chronic disease greatly increases children’s dependency on parents/caregivers (usually... more Background Chronic disease greatly increases children’s dependency on parents/caregivers (usually mothers) as they face new problems associated with caring for a child with chronic disease. Thus, chronic kidney disease (CKD) presents a burden for children and their families that last throughout life in different aspects. This study aimed to assess family impact and economic burden of chronic kidney disease (CKD) in children on their families. Methods A cross-sectional study was carried out on 250 caregivers of children with CKD attending tertiary care hospital/health insurance clinics in Assiut, Egypt using PedsQL™ family impact module (FIM) for assessing family impact and economic burden between January and May 2018. Results Seventy six percent of caregivers shared paying for treatment with health insurance while 14% paid the total expenses out of their pockets. Although the majority (87.2%) of caregivers suffered different degrees of financial hardship, more than 60% of them had n...
Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection ... more Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection (4.5%). Seroprotection is assured when hepatitis B surface antibody (HBsAb) levels are ≥ 10 mIU/mL. Our study aimed to evaluate and compare the long-term immunogenicity and efficacy of the recombinant hepatitis B (HB) vaccine. A cross-sectional study was done for children aged from 9 months to 15 years, receiving health care at Assiut University Children's Hospital, Assiut, Egypt in 3 months. HBsAb was quantitatively determined by enzyme-linked immune sorbent assay (ELISA). Seroprotection in infants less than 1 year was 89.7% with 55.2% having titer > 100 mIU/mL and this percent dropped to 64.4% after the first year of age with only 29% having titer > 100 mIU/mL. The overall protection percentage was 32.5% (> 100 mIU/mL), 34.7% of children showed levels between 10 and 100 mIU/mL, while 32.8% were less than 10 mIU/mL. Patients with diabetes mellitus were found to have the low...
Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection ... more Egypt is considered a region of the intermediate prevalence of hepatitis B virus (HBV) infection (4.5%). Seroprotection is assured when hepatitis B surface antibody (HBsAb) levels are ≥ 10 mIU/mL. Our study aimed to evaluate and compare the long-term immunogenicity and efficacy of the recombinant hepatitis B (HB) vaccine. A cross-sectional study was done for children aged from 9 months to 15 years, receiving health care at Assiut University Children's Hospital, Assiut, Egypt in 3 months. HBsAb was quantitatively determined by enzyme-linked immune sorbent assay (ELISA). Seroprotection in infants less than 1 year was 89.7% with 55.2% having titer > 100 mIU/mL and this percent dropped to 64.4% after the first year of age with only 29% having titer > 100 mIU/mL. The overall protection percentage was 32.5% (> 100 mIU/mL), 34.7% of children showed levels between 10 and 100 mIU/mL, while 32.8% were less than 10 mIU/mL. Patients with diabetes mellitus were found to have the low...
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