The risk of NSIs is still high among health care workers that underlines the importance of comprehensive educational sessions to decrease the risk of job-related blood-borne diseases.

Technostress during the COVID-19 pandemic has become more prevalent as a result of the global preventive measures applied to limit the spread of infection. These measures included remote working from home in both public and private organizations. The objective of this study is to study technostress and challenges of remote virtual work environment among university staff members at Menoufia University, Egypt. A cross-sectional study was conducted over Menoufia University academic staff members in Egypt. The participants were chosen from both practical and theoretical colleges in Menoufia University using a multistage random sample. Tarfadar technostress questionnaire was used. Cortisol blood level was measured for all participants. This study included 142 participants. The mean age of the group was 36.32±6.41 years. 52.1 percent worked in practical colleges, and 60.6% were lecturers or higher. Their mean cortisol level was 15.61±7.07mcg/dl. Participants who were females, reside in rural areas, held a lecturer or higher position, had poor work-environment WiFi, and lacked technical training had significantly higher levels of technostress subscales. Most of the technostress subscales were significantly correlated with age and blood cortisol levels. The predictors of work overload in multivariate regression were female gender and a work environment with poor WiFi. Female gender, theoretical colleges, being lecturer or higher, and poor WiFi were the predictors for invasion. Among university staff members, technostress was found to be evident. High levels of technostress were significantly influenced by age, higher professions, female gender, and a bad workplace environment.

Background: Workplace violence (WPV) against nurses becomes a global problem with negative sequel on healthcare providers. Objectives: to evaluate the prevalence of WPV against Egyptian female nurses and to determine its sociodemographic and occupational risk factors. Methods: This crosssectional study was performed at different level hospitals in Menoufia governorate, Egypt. A total of 1023 nurses were included, with response rate (94.82%): Nine hundred and seventy nurses. They worked on primary (n=120), secondary (n=380) and tertiary (n=470) level of hospitals. Predesigned data collection sheet was prepared to record WPV and its risk factors. Results: The prevalence of WPV was estimated to affect 71.24% of the studied nurses. They were exposed to verbal, physical, or sexual assault during their professional career (60.31%, 8.66% and 14.12%; respectively). Also, significant association between the public or tertiary hospital where the participants worked and WPV was found (85.38% and 52.96%; respectively). Risk factors for WPV included working in Emergency department, night shift workers, younger nurses, and work experience less than 15 years. Perpetrators of violence were in decreasing order of frequency patients' relatives (68.88%), patients (40.38%) followed by the head of the work (29.38%) and finally colleagues (18.09%). Conclusion: Increased WPV against female nurses become tragic in healthcare settings. Ultimate implementation of protective interventions and behavioral education sessions of nurses is needed.

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Background: Organophosphorus (OP) poisoning is a very serious condition that needs rapid intervention and treatment. It can result from occupational, intentional or accidental exposure. Clinical manifestations include muscarinic, nicotinic and central effects which may be life threatening increasing the need for intensive care unit (ICU) management. Aim: The present study aims to identify the predictors which help in making timely decisions regarding transferring the patients for intensive care managements in acute organophosphorus poisoning. Material & Methods: A prospective study included all 404 organophosphorus poisoning cases that were admitted to Menoufia Poison Control Center; Menoufia University Hospitals within the period from the beginning of January 2018 till the end of December 2018. Diagnosis of OP poisoning was based on history of exposure to OP compounds, characteristic clinical manifestations, low serum pseudo cholinesterase levels and detection of OP in the biological fluids by thin layer chromatography. Results: Organophosphorus poisoning was the 2 nd common cause of poisoning (15.02% -404 cases out of 2689) among cases admitted to Menoufia Poison Control Center during the period of the study. Majority of the cases managed at MPCC department while 83 patients (20.54%) needed ICU admission. Most of the cases were suicidal and 94.31% were by oral exposures. 51.98% of the cases were poisoned by the liquid form of OP. Females outnumbered males. The majority of the cases were young students and single. There was statistically significant relation between pseudo cholinesterase activity and severity of the case according to POP classification (p value < 0.001), the more the severity of poisoning the more suppression of pseudo cholinesterase level in the serum. Severe degree of POP classification, presence of hypoxia (< 50 mmHg), convulsions, and severe affection of serum cholinesterase activity were significantly predictors for patients who needed ICU admission. Conclusions: Severe degree of POP classification, presence of hypoxia, convulsions, and severe affection of serum cholinesterase activity are important predictors for ICU admission in OP poisoning. Ali, P.; Anwer, A.; Bashir, B.; Jabeen, R.; Haroon, H. and Makki, K. (2012): Clinical pattern and outcome of organophosphorus poisoning. J Liaq Uni Med Health Sci, 11(1):15-8. Angus, D.C.; Shorr, A.F. and White, A. (2006): Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med, 34:1016-1024. Badiger, S. and Harish, J. (2017): Study the Clinical and Electrocardiographic Changes in Organophosphorus Poisoning. Sch. J. App. Med. Sci., 5(9D):3738-3743. Banday, T.H.; Bashir, S.; Naik,V. and Baharat(2016): Predictors of Morbidity & Mortality in Organophosphorus Poisoning: A Case Study in Rural Hospital of Karnataka.J Medicine , 17: 3-7. Blumenberg, A.; Benabbas, R.; deSouza, I.S.; Conigliaro, A.; Paladino, L.;Warman, E., et al(2018): Utility of 2-Pyridine Aldoxime Methyl Chloride (2-...

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Background: Worldwide, inappropriate hospital admission and stay is one of the most important challenges facing all health systems. Objectives: The current study aimed to estimate frequency of inappropriate admission and stay, determine risk factors associated with inappropriateness and study the bed utilization patterns in 2016 at Monufia University Hospitals. Methods: A total number of 350 patients (1637 days) admitted to various departments of Monufia University Hospitals were included in this cross-sectional study. Patients were interviewed, their hospitalization days were assessed by Appropriateness Evaluation Protocol (AEP) and their records were analyzed. Results: Percentages of inappropriate hospital admission and stay were 18.3% and 18.6% respectively. General surgery department had the highest rate of inappropriateness (32.8%). Admission to avoid the waiting time for an outpatient investigation was the most common reason of inappropriate admission (48.4%),while waiting for surgical procedure was the most common reason of inappropriate pre-procedure hospital stay (64.2%) and conservative practice was the most common reason of inappropriate post-procedure hospital stay (58.4%). Overall bed occupancy rate was 76.39% and average hospital stay was 4.12 days. Inappropriate admission was related to rural residency and to patients living >10 km away from the hospital, while inappropriate stay was related to older age >50 y and long hospital stay. Conclusion:The most common reason of inappropriate hospitalization was unorganized hospital schedules of treatment and discharge of patients. Proper monitoring of length of stay (LOS) and bed utilization rates can early detect any hospitalization defect and thus improve hospital efficiency.

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