Abstract

Background: Hypertension is commonly known as the "silent killer", its prevalence is highly variable worldwide and it's an important risk factor for cardiovascular disease. The increase of hypertension in the developing countries may be connected with the economic transition within those countries. This study aimed to assess the prevalence of hypertension among university students and the associated risk factors related to hypertension. Methods: The study used a comparative cross-sectional design. Data were collected from October 2013 to May 2014 at the student University Hostels in Port-Said and Damietta Cities. The sample included 2,029 university students. The data were collected by a structured interview questionnaire, which included data about nutritional lifestyle, stress, exercises, family history and smoking pattern. In addition, blood pressure and body mass index were measured. Results: The prevalence of hypertension was 26.5% among students in Damietta University compared to 18.1% of students in Port-Said University. The Univariate analysis showed an association between hypertension and age, sex, body mass index (BMI), nutritional lifestyle, stress, physical activity, family history and smoking pattern (p < .05). Multivariate logistic regression analysis revealed a significant association between hypertension and the above stated factors. Conclusions and recommendations:The findings of the present study highlighted the prevalence of hypertension among students in Damietta University (26.5%), compared to 18.1% among students in Port Said university. The blood pressure values increased with associated risk factors (age, sex, body mass index, smoking, strss, physical activity and family history). The results of this study recommended that periodic screening and monitoring of students for hypertension should be incorporated into the entrance of the university physical examination, and university students health education on hypertension as a disease and its associated risk factors should be strengthened.

Aim: This study was conducted to evaluate radiographically the effect of nano-hybrid composite resin teeth on mandibular residual ridge using cone beam computerized tomography (CBCT). A comparative study. Materials and Methods: Twelve completely edentulous male patients were randomly divided into two groups according to the artificial tooth material used in complete denture construction. One group received complete dentures with nano-hybrid composite resin teeth and the other group received complete dentures with cross-linked acrylic resin teeth. CBCT was taken at the delivery, 6 months and 12 months follow-up appointments. The evaluation was done for height and width changes of the mandibular residual alveolar ridge at different anatomical sites either in the anterior or posterior part of the mandible. Results: Analysis was done by using two-tailed t-test revealed that increase in amount of bone loss in both groups which is in favor to patients wearing dentures with nanohybrid composite resin teeth, with no statistically significant difference between the two groups. Conclusion: Despite of introduction of new denture tooth material as nanohybrid composite resin teeth, the cross-linked acrylic resin teeth still considered the gold standard denture teeth regarding the degree of occlusal force transmission and preservation of residual alveolar ridge.

Background: Brucellosis is an occupational hazard for slaughter house workers. Community health nurses have an important role in training them in safe practices for prevention. Aim of the study: to evaluate the effect of health guidelines for slaughter house workers about brucellosis in Port Said. Subjects and methods:The study was conducted on all 70 workers employed at Port Said slaughter house. It is located in El Gabbouti Al-Gadeed at AL-Ganoob district by using a one-group quasiexperimental research design with pre-post assessment. Data were collected using a structured interview questionnaire form for worker's knowledge of brucellosis, observation checklists for safe practices and hand washing, and a laboratory sheet for the results of brucellosis blood tests. Based on the information obtained from the initial assessment, the researchers designed the health guidelines and implemented it. Results: All workers were males with median age 42 years. Overall, 83.1% of the tested samples (n=65) demonstrated sero-positivity. Only 2 (2.9%) workers had satisfactory knowledge before the intervention, which increased to 70.0% after the intervention (p<0.001). Moreover, 32.9% had adequate practice before the intervention, which rose to 92.9% after the intervention (p<0.001), with significant improvement in hand washing practice (p<0.001).In multivariate analysis, the study intervention was the main significant independent positive predictor of the scores of knowledge, hand washing practice, and total practice; the knowledge score was a significant positive predictor of the score of hand washing practice. Conclusion and recommendations: The implementation of health guidelines can be effective in remedying the deficiencies in slaughterhouse workers' knowledge and practices. Therefore, the guidelines should be implemented in the setting and similar ones.

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Objective: This study aimed to evaluate the effect of intervention management care program on improving quality of life outcome among mastectomy women with diabetic.Subjects and Methods: Design: A quasi-experimental deign was used. Setting: It was selected from two settings Port Said oncology outpatient clinic and Damietta oncology outpatient clinic. Sampling: A purposive sample of mastectomy diagnosed with diabetic. The total sample was 50 women. They were 20 women from Port Said and 30 mastectomy women from Damietta Tools: The study data were collected by using three tools: The first tool-A women Structure interviewing questionnaire Sheet-its consisted of three parts: part one, demographic characteristics; part two, past and present medical history, complications related to diabetes and cancer and obstetrics characteristics; part three, knowledge about diabetes and mastectomy. The second tool-self-reported practices. The third tool-quality of life scale.Results: The study sample age ranged between 35 to more than 60 years with a mean of (50.3 ±8.6 and 48.3 ± 9.4) respectively in Damietta and Port-Said. There was statistically significant positive but strong correlate on among the three variables the strongest being between total scores knowledge and practices (r = 0.466) and strongest between knowledge and quality of life (r = 0.367) especially psychological aspects.Conclusions: The present study concluded that there is a marked gap between knowledge, practice and quality of life among the mastectomy women with diabetic before implement the program. There was an improvement in mastectomy women of all groups' knowledge and practice after the program. Also there were positive changes in quality of life in psychological, spiritual, emotional and social aspects. Furthermore, there were improvement in knowledge practice and positive change in quality of life after the implementation of the program of Damietta group more than port Said group.

Objective: This study aimed to evaluate the effectiveness of the universal health insurance project regarding the quality of health care with antenatal care services. Materials and methods: A descriptive comparative study carried out at ten Primary Health Care (PCH) centers affiliated to Port-said and Damietta governorates. Multi-stage sampling probability technique used for selecting these centers, simple random sample of 460 women chosen. Data was collected through two tools; women's satisfaction questionnaire, and Support Tool for Improving Quality of Antenatal Care. Results: the study results revealed that 69.1% of women were unsatisfied with the antenatal care services and available resources provided by the traditional insurance. On the other hand, 79.1% of women receiving universal health insurance were satisfied with the services provided. Conclusion: level of satisfaction was higher among women using universal health insurance regarding the recent health care services, cleanness, arrangement of medical facilities, availability of resources and criteria of service. Keywords: Antenatal care, Satisfaction, Quality measures, Universal Health Insurance System.

Background: Intellectual disability is a term which is used when a person has certain limitations in mental functioning and skills such as communication, daily living activities and social skills. Objectives: The aim of this study was to assess teaching and learning difficulties among teachers and intellectual handicapped children in teaching classrooms in Mansoura city. Subjects and Method: Design : A descriptive research design was utilized in this study. Setting: The study was carried out in five intellectual schools in Mansoura city. Sample: A simple random sample for both students and teachers was taken . Subjects Was (273 students and 150 teachers) from the previous study settings. Tools:-Two tools were used on this study: First tool assessment of burnout and psychological exhaustion for special education teachers and second tool is measurement of psychological combustion adaptation patterns of caregivers of children with intellectual disabilities. Results:The study results revealed that 65.3% of teachers faced difficulties during teaching process because frequent absence of students. 71.1% of children were partially dependent on family in daily living activities. There was no statistically significant relation between years of experience of the teacher and the difficulties that faced them. Conclusion: The majority of the teachers faced difficulties during teaching and the majority of the studied children had mild degree of disability.Recommendations: It was recommended that training courses should be provided to the teachers to update their information about methods of teaching the handicapped children and for caregivers to improve the health status of their children.