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

field study of the prevalence, sources, and health effects of job stress among employees in Ain Shams University

Job stress is an increasingly important occupational problem and a significant cause of economic loss. of this study were to determine the prevalence and sources of job stress among employees in Ain Shams University and to identify the relation between job stress and the general health of the employees in Ain Shams University. A cross-sectional study was conducted in which the study population consisted of employees working in different faculties of Ain Shams University. Subjects were considered eligible if they were working in the same department for at least one year. 1134 employees accepted to participate in the study out of 5795, their age ranged from 17 to 59 years old [mean +/- SD = 40.2 +/- 9.6years], 267 [33.8%] of which were males and 718 [66.2%] were females. Employees were interviewed using Occupational Stress Index [OSI] then measuring stress related health effects using a self administered of the 28-item of General Health Questionnaire [GHQ]. revealed that the majority of the participating employee [80.1%] has stress scores between 25% and 50% of the total stress score, which can be considered mild stress. Regarding stress dimensions; [under load, extrinsic time pressure and strictness] were more common stressors for those employees than [high job demand, disaster potential, noxious exposures and job conflict]. Correlation between general health dimensions and total stress score revealed that [somatic complaints, anxiety and insomnia and severe depression] are more significant in employees with higher stress scores [P < 0.0001]. Whereas there is no statistically significant correlation between social dysfunction and total stress score [P > 0.05]. Field study found that 80.1% of participating employees has mild stress. The main sources of stress were under load, extrinsic time pressure and strictness. There was positive correlation between general health dimensions [somatic complaints, anxiety and insomnia and severe depression] and total stress score. These findings suggest that: improving working environment and helping employees cope with job stress, are needed to keep them mentally healthy and productive