Objective. To validate a revised version of the paediatric South African Triage Scale (SATS) against admission as a reference standard and compare the sensitivity of triage using: (i) clinical discriminators; (ii) an age-appropriate physiological composite score; and (iii) a combination of both. Methods. A prospective cohort study was undertaken validating the revised paediatric SATS against outcome markers of children at six emergency centres during a 2-month period in 2011. The primary outcome marker was the proportion of children admitted. Validity indicators including sensitivity (Se), specificity, positive predictive value and negative predictive value (NPV) were used to estimate the validity. Associated percentages for over-/under-triage were used to further assess practical application of the paediatric SATS. Results. A total of 2 014 children were included. The percentage of hospital admissions increased with an increase in the level of urgency from 5% in the non-urgent patients to 73% in the emergency patients. The data demonstrated that sensitivity increased substantially when using the SATS, which is a combination of clinical discriminators and the Triage Early Warning Score (TEWS) (Se 91.0%, NPV 95.3%), compared with use of clinical discriminators in isolation (Se 57.1%, NPV 86.3%) or the TEWS in isolation (Se 75.6%, NPV 89.1%). Conclusion. The results of this study illustrate that the revised paediatric SATS is a safe and robust triage tool.

Parents of children with ADHD had average QOL. Most parents had dysfunctional families. Future family intervention studies are recommended.

Background: Postpartum depression (PPD) is a major depressive disorder with possible long-term consequences on the mother and her infant. Despite the reported high prevalence rates, the rates of diagnosis and treatment of this serious problem are low due to lack of early recognition. Aim: Screening for PPD among women during well-baby visits in a rural community. The Specific objectives included: 1) Assessment of the prevalence of PPD and 2) Identification of its independent predictors among the studied women. Patients and Methods: A sample size of 210 women was randomly selected from postpartum women, 6-8 weeks after delivery, during their well-baby visits in a rural community, Ismailia, Egypt. The fieldwork was conducted from October 15, 2011 to December 10, 2011. The Arabic version of the Edinburgh Postnatal Depression Scale (EPDS) was used for PPD screening. Socio-demographic characteristics of the participants were collected by a predesigned structured questionnaire. Results: Out of 200 screened women who responded to the questionnaires, depression was detected in 22%. Women who perceived interpersonal relationship with their husbands as a poor relationship were 12 times more likely to suffer from postpartum depression than those perceived this relationship as a good one (OR= 12 [95% CI =4.2-34.5]). Housewives were more liable to develop postpartum depression (OR= 3.4]) than working mothers. Postpartum depression, also, was more common among women who delivered normally (OR=3.9); fed their infants by breast (OR=3.8); and those who had female infant (OR=3.9). Conclusion: PPD is a considerable and existing problem among the study group. Opportunistic screening of mothers at well-child visits by family physicians should be conducted for early detection of postpartum depression.

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Background:Research in family medicine (FM) provides an important contribution to its discipline. Family medicine research can contribute to many areas of primary care, ranging from the early diagnosis to equitable health care. Publication productivity is important in academic settings as a marker for career advancement.Objective:To describe the publications by family medicine researcher authors between 1992 and 2013.Materials and Methods:All full text, original articles published by family medicine researcher; author with affiliation to the Suez Canal University were collected using the internet and hand search. The journals that published for family medicine researcher authors were identified. Author characteristics were described. The trend of publications was described. All articles were analyzed for their characteristics, including the themes and study designs according to predefined criteria.Results:Along 22 years, 149 research articles were published by 48 family medicine authors in 39 medical journals. The largest category in publications was related to Family physician/Health service (FP-HS, n = 52 articles), followed by ‘Patient’ category (n = 42). All the studies were quantitative; the largest group was represented by cross-sectional studies (76.5%).Conclusions:The publication productivity by family medicine researchers are going to be increased. FP-HS and patient topics were mostly addressed in publications. Cross-sectional studies exceeded any other designs. There is need to put more emphasis on intervention studies. Continuous assessment and improvement of FM research production and publication is recommended.

TGF-beta1 T869C TT genotype, 869T allele and 509T allele are possible risk factor for RHD in Egypt. Future studies on larger populations are warranted.