Perinatal mortality in twin pregnancy a survey of twin deliveries in Zagazig

A survey of all twin deliveries from October 1994 through May 1997, in Zagazig area was done using prenatal data records and hospital files. Among 23, 680 deliveries, there were 188 pairs of twins representing 7.9/1000 births. Among these there were 44 deaths, this gives a prenatal mortality rate of 117/1000 twin birth representing 9% of the overall prenatal deaths, and approximately 6 times the death rate for singletons. 60.5% of all deaths occurred in women who failed to receive antenatal or intranatal care. Immaturity accounts for the majority of prenatal deaths [75%]. 93% of deaths occurred in low birth weight infants < 2500 g, of these 75.5% were <1500g. We recommend increased utilization of prenatal services for all twin pregnancies, and delivery should take place in well equipped and staffed hospitals. Improvement of hospital statisites and recording system by well trained personnel and using of computerized software programs are highly recommended

Fatigue among a group of industrial workers: effect of work conditions and lifestyle factors

The aim of the present cross - sectional study was to identify the prevalence of subjective fatigue complaint during and/or after work to investigate its association with different categories of health-related habits and occupational conditions to identify the possible modifiable risk factors. The study examined 816 subjects, representing the total male workforce of the Egypt Company For Oil and Soap Manufacturing in Zagazig City. Personal and medical histories, data about health - related habits and work condition were collected using a preconstructed questionnaire. The results indicated that 30.7% of studied workers experienced subjective fatigue complaint during and/or after work. There was a high statistically significant association between fatigue prevalence and most of the studied variables of health-related habits and work conditions. Smoking, poor night sleep. non-engagment in sport activities, and lack of temperature control at work site are the major predictors of fatigue which are deemed to be modifiable factors. Improving ergonomic aspects of work and advising workers on their lifestyles were strongly recommended. Also, further studies focusing on interventions of identified modifiable factors were advised

Prevalence of intestinal parasitic infection among primary school children at Al-Montazah east primary health care educational centre catchment area, Hail region

The study aimed to assess the prevalence of different types of intestinal parasites and their effect on primary school children at the catchment area of Primary Health Care Centre in Hail Region to make an epidemiologic data base line in order to put the control plan for the problem. Two hundred and twenty seven primary school children were selected by systematic random sampling. They were interviewed at their schools to fill predesigned forms. Samples of urine, stool and 5 cc venous blood - after consent of the children's parents - were collected from each interviewed child to be thoroughly examined. The study revealed that 26.0% of the selected children were infested with different parasites where the most prevalent one was Giardia lamblia [16.3%]. The parasitic affection was non significantly [P > 0.05] more prevalent among younger male children. The weight per age was significantly lowered among infected children than non infected [P < 0.05] while height / age was not affected by parasitic infection. Also, there was a strong association [P < 0.05] between parasitic infestation and anaemia

Relationship between antenatal care and pregnancy outcome

The aim of the present study was to reveal the relationship between the practices of antenatal care and both outcome of pregnancy and mode of delivery. To achieve this aim 50% of records with data about women [n = 247] who attended for antenatal and perinatal care during 1413 H at the antenatal clinics of Almuntazah East PHC Educational Center-Hail were selected by systematic random technique. The results revealed a significant relationship between both early attendance and frequency of antenatal visits with normal delivery. Also, normal delivery was associated with early attendance. However, no relationship was found between early attendance, and pregnancy outcome. The study recommended that Health Education of women in child bearing period is essential concerning the importance of early and regular antenatal care