Compliance with haemodialysis practice guidelines in Egypt

Evidence- and consensus-based clinical practice guidelines for haemodialysis have recently been developed in Egypt. This study aimed to measure compliance with the guidelines in a sample of 16 government hospitals in Cairo and Giza governorates. Each haemodialysis unit was visited to assess the haemodialysis unit and patient care practices for all patients under dialysis at the time of the visit. The mean percentage compliance with haemodialysis guidelines among all study hospitals was 59.3% [SD 11.2%] overall. Within the 5 separate domains, compliance was: 58.8% [SD 12.4%] for personnel, 68.5% [SD 16.0%] for patient care practices, 61.3% [SD 15.4%] for infection prevention and control, 51.5% [SD 18.2%] for the facility and 56.5% [SD 7.1%] for documentation/ records. There were no statistically significant differences between Cairo and Giza governorates except for facility measures which were slightly better in Giza. Overall, compliance with the developed practice guidelines for haemodialysis in Egypt was not satisfactory and was not uniform across facilities

Infant mortality rate at a selected urban, semi-urban and rural areas of Egypt, 1992: a retrospective study

A study of infant mortality rate [IMR] in Egypt in 1992 was conducted at three randomly selected areas representing different social classes. IMR per 1000 live births was ranged between 27.1 to 33.5. The differences between male and female IMR were markedly observed with no consensus amongst study areas. Neonatal mortality rate ranged between 4.7 to 11.1 while the post neonatal mortality rate ranged between 18.4 to 23.0 : Diarrheal diseases were the most common cause of death amongst infants at all study areas, followed by respiratory illnesses. Inaccurate and under registration were noticed clearly in this work as observed from absence of neonatal deaths in rural areas. Also, in rural areas, prematurity was not recorded as a cause of death. Similarly, neonatal tetanus was not recorded as a cause of death at all study

comparative study between the structured intervention program and the family counseling with follow-up in children with idiopathic delayed language development

The aim of this work is to compare the effectiveness of the structured intervention program for children with delayed language development "idiopathic" carried out in Phoniatrics Unit, Ain-Shams University for one year with that of detailed Family Counseling Program, given to parents of a similar group for the same duration. It aims also at evaluating and detecting the defective points in either program; thus, allowing its reinforcement and modification to reach the best results

impact of appraisal interview on the job performance of nurses working in intensive care units at Ain Shams University Hospital

The type an complex nature of health problems aroused in intensive care units necessitates an outstanding performance of nurses working therein. The present study was conducted in the three intensive care units at Ain Shams University Hospital. The sample included 39 different categories of nurses in charge of providing direct care to patients in these units. The main objective of the study was to discuss changes in performance after communicating to the nurses in the sample results of their performance appraisal through interviewing. A check list was developed for the purpose of data collection about murses performance. The four components of the nursing process considered in the check list development include: assessment planning, implementation and evaluation. According to findings of the study nurses performance was improved in the areas of assessment and implementation after appraisal interview