RESUMO
Background: Despite efforts to vaccinate children, Congenital rubella syndrome continues to be an important problem in many countries
Objectives: To determine the susceptibility to rubella infection and potential risk factors as well as related knowledge, practices and attitude [KAP] among women at reproductive age
Subjects and Methods: A cross-sectional rubella sero-epidemiological survey was conducted at Shebien El-Kom MCH center including 342 randomly selected women at reproductive age [15-45] years. Data were collected through a predesigned interview questionnaire. Semi quantitative and qualitative detection of serum level of rubella specific IgG was done by ELISA technique using a commercially available kits
Results: revealed that the susceptibility to rubella infection was 16.4% among women at the age of reproduction. There was a statistically significant increase in the frequency of rubella IgG sero-positive women with increasing age and parity. Also previous history of abortion, rural residence, lower educational level and higher crowding index showed significantly higher frequency of sero-positive women. The majority of participant women had poor knowledge about risk of rubella exposure during pregnancy or even availability of rubella vaccine. Only 1.2% of women had previous history of rubella infection. No one of the participant women have been previously screened for rubella susceptibility or vaccinated against rubella
Conclusion: a substantial number of women reach reproductive age with susceptibility to rubella infection and subsequently congenital rubella symdrome
Recommendation: Development and implementation of strategy to protect susceptible women before getting pregnant
RESUMO
Disturbed sleep is a particular important consideration in mental health and illness because of its pervasive CECCH on mood, performance and physical functions. This study was conducted to assess the impact of sleeping disorders on quality of life [QOL] among elderly women in Shebin El-Kom city and district. Total sample of 400 elderly women [>/= 60 years] from rural and urban areas. Data were collected through questionnaire booklet including both interviewing questionnaire and World Health Organization Quality of Life [WHOQOL] scale. The results revealed that 63% of total sample were complaining of sleep disorders and insomnia was the commonest complaint [55%]. Sleep disorders were significantly associated with physical inactivity and poor sleep habits such as irregular sleep wake time, frequent coffee or tea consumption, inappropriate use of sleep medications [P<0.005 for each]. Also pain [37.3%] was the most common cause of sleep complaint followed by need to go toilet [23%] and psychiatric disorders [21.9%]. Women with sleep complaints had significantly lower percent scores for most of the QOL domains than others [P<0.05]. They scored [49% +/- 16.3 vs. 58% +/- 17.2] for general domain. The main QOL domains affected were psychological, social and physical independency domains. On conclusion sleep disturbance is a common complaint among elderly women which attributed mainly to physical inactivity and poor sleep habits and may have its negative impact on their quality of life
RESUMO
Blastocystis hominis is a common, yet neglected parasite with world-wide distribution. A cross-sectional study was conducted to determine the prevalence of Blastocystis hominis and its relation to the quality of drinking water supply among hospital food handlers in Menoufiya governorate. Total of [313] hospital food handlers were enrolled in this study. Data were collected via a predesigned questionnaire. Stool specimens were examined by simple direct smear, zinc sulphate concentration floatation methods, Ziehl-Neelsen and Safranin blue stains. All water samples were subjected to physical, chemical and bacteriological examination. Results revealed that the prevalence rate of B hominis was 5.7% [11.4% among symptomatic and 3.8% among asymptomatic ones]. Frequent attacks of diarrhea and abdominal discomfort were the most common complaints. It was more prevalent among young adults and assistant food handlers [P<0.05]. There was no significant difference between food handlers with or without B. hominis regarding quality of their drinking water supply. However, some physical, chemical and bacteriological parameters of water quality exceed the acceptable drinking water quality standard in both groups. In conclusion, Blastocystis hominis is not uncommon protozoal infection associated with gastrointestinal manifestations among hospital food handlers