Menoufia Governorate Research Articles

EFFECT OF SOME GIBBERELLIC ACID AND FORCHLORFNURON APPLICATION ON PRODUCTIVITY AND BERRIES DEVELOPMENT OF EARLY SWEET GRAPES

This study was conducted during the two consecutive seasons of (2016 and 2017) in a private vineyard located at El-Sadat City, Menoufia Governorate, to study the effect of gibberellic acid (GA3) and forchlorfnuron (CPPU) application on productivity and berries development of Early Sweet grape cultivar. The vines were five years old, spaced at 2×3 meters apart, grown in a sandy soil and trellised according to the Spanish Parron system. Eight treatments were applied by using dipping clusters with CPPU at concentrations from 1 to 7ppm after fruit set directly in combined plus spraying with GA3 at 20 ppm at 6-8mm berry diameter in additionally control treatment. The results revealed that all CPPU and GA3 applications had the best results in comparison with control in both seasons. Excessive CPPU doses + spraying clusters with GA3 increases yield and physical properties of berries i.e. berry weight, size and firmness, but it delay maturation. In contrast, lower CPPU doses + spraying clusters with GA3 cause a slightly in retarding maturation but reduces yield and its components. On the other hand, moderate CPPU doses (dipping clusters with CPPU at 5ppm + spraying clusters with GA3 at 20 ppm) had an achieving in appropriate balance between yield and cluster quality attributes of Early Sweet grapevines in both seasons.

PLANT PARASITIC NEMATODES OF PLANTS AND WEEDS AT ELSADAT DISTRICT

Menoufia governorate is one of the agricultural governorates that characterized by planting many variations of different crops, whether fruit, vegetables or field crops, especially the center and city of El-Sadat, which is considered the desert back of the province. Plant parasitic nematodes considered to be the most severe parasites that affect these plants, whether fruit, vegetables or field crops and cause significant economic losses. This study aims to identify the most important species of nematodes that infect some fruit trees and cause dislocated economic losses in the city of El-Sadat, Menoufia on four fruit trees, namely : orange - mango - grapes – peach, also the most important nematode genera which infect five field crops and associated weeds (Clover and Cynodon dactylonweed), (Potatoes and Cyperus rotundus weed), (Wheat and Echino chloacolonumweed) &; (Beans and Sonchus maritimaweed) & (Cabbage and herboid weed). Composite soil samples from the rhizosphere of the tested plants were monthly collected, at summer period (April 2017 – September 2017) and the others represented Winter period (October 2017 – March 2018). Samples were transferred to the laboratory where plant parasitic nematodes were extracted by modified Baermann funnels and nematodes were counted using dissecting microscope and identified using stereoscopic microscope.

دراسة أثرية لکتلة حجرية من عهد الملک رمسيس الثالث Archaeological study of a stone block from the reign of the King Ramses III

يتناول هذا البحث نشر کتلة من الحجر الجيرى، عثر عليها فى قرية شنشور- مرکز أشمون بمحافظة المنوفية محفوظة- حاليا– بالمخزن المتحفي بتل اليهودية، کفر الشوبک فى محافظة القليوبية، تحتوي على تسعة أسطر أفقية من الکتابة الهيروغليفية المنقوشة نقشا غائرا. وتهدف الدراسة إلى نشر الکتلة، ونسخ نصوصها الهيروغليفية وترجمتها، والتعليق الخطى واللغوي عليها، فضلا عن تحديد ماهيتها، التي ربما کانت تمثل جزء من لوحة هبة أو وقف أقامها الملک رمسيس الثالث لتخصيص قطعة أرض زراعية إلى دائرة أملاک المعبود رع في الدلتا، وکذلک توضيح القيمة التاريخية للإقليم الرابع من أقاليم مصر السفلى الذي کان يشغل أجزاء کبيرة من محافظة المنوفية، حيث لم يکشف به إلا عن القليل من الآثار التي ترجع لعصر الملک رمسيس الثالث، وذلک على الرغم من کثرة آثاره بالدلتا. هذا فضلا عن القيمة الحضارية لما يحويه النقش من ألقاب مهمة استخدمت فى الإدارة المحلية خلال عصر الدولة الحديثة کــــــ العمدة أو المشرف على مدينة خنتي نفرت، والتي تقع داخل نطاق الأقليم الثانى من أقاليم مصر السفلى في موقع القرية الحالية المسماة شنبارى شرق مدينة أوسيم محافظة الجيزة؛ مما قد يشير إلى المکان الأصلي للکتلة الحجرية قبل أن تنقل في فترة لاحقه إلى قرية شنشور مکان اکتشافها. ومما يؤسف له أن الکتلة الحجرية عثر عليها مصادفة، وليس عن طريق حفائر أو مسح أثرى، ومن ثم غياب السياق الأثري، مما يعد إشکالية کبيرة. Archaeological Study of a Block Stone from the Reign of the King Ramses III Abstract: This research tackles a block of limestone found at the village of Shanshor - Ashmoun in Menoufia Governorate. It is kept at the museum storage in Tal Al-Yahodia, Kafr Al-Shobak in Qalyubia Governorate. It contains nine horizontal lines of sunken hieroglyphic inscription. This study aims to publish, copy, translate and make comments on its hieroglyphic texts. The study will specify the type of object that may represent part of a gift or endowment stela which was set up by King Ramses III to allocate a plot of agricultural land to the deity Ra's property. Then clarify the historical value of the region the fourth, which used to occupy large parts of the Governorate of Menoufia, where only a few monuments dating to the era of King Ramses III were revealed, despite several monuments in the Delta. This paper looks at the cultural value, including important titles used in the local administration's inscription during the New Kingdom, such as “supervisor of the city of Khenti Nefert”; which may indicate the block stone's original location before it was transferred to the village of Shanshor. Unfortunately, the block stone was found by chance, not by excavations or archaeological surveys, and thus became very problematic due to the absence of the archaeological context.

Evaluating the Impact of Demand Side Management Techniques on Household Electricity Consumption, A real case

Demand Side Management (DSM) is a very important tool that converts a consumer's passive role to an active one by changing energy consumption and helps the energy utilities to decrease the peak demand and reshape the load curve. This paper presents a detailed analysis of the impacts of three of the most important DSM techniques which are energy efficiency, direct load control, and shifting load through two cases which are one day in summer and one in winter. The effectiveness of the three techniques is demonstrated on average daily consumption of an Egyptian residential house in Shebin El-Kom, Menoufia Governorate. The desired objectives are reducing the energy consumption, electricity bill, and minimizing peak to average ratio (PAR). The obtained results confirm that applying DSM techniques has significant potential in terms of financial savings for the consumers and utility provider, and a cleaner environment without any impact on service quality or customer satisfaction.

The Consistency among the Knowledge, Attitudes and Practices As components of Consumption Rationalization Behavior: A Social Study of Rural Women in Menoufia Governorate

The Consistency among the Knowledge, Attitudes and Practices As components of Consumption Rationalization Behavior: A Social Study of Rural Women in Menoufia Governorate

Knowledge and Implementation by Farmers of Agricultural Advisory Recommendations in the Field of Animal Production in some Villages of Ashmoun Destrict in Menoufia Governorate

Knowledge and Implementation by Farmers of Agricultural Advisory Recommendations in the Field of Animal Production in some Villages of Ashmoun Destrict in Menoufia Governorate

Servant Leadership and Meaningful Work' Roles on Staff nurses’ Creativity and Sustainable Development Behavior

Background: In a healthcare organization, servant leadership can fulfill nurses’ needs effectually through prioritizing their career growth and development which may facilitate the creation of creative behavior, motivation, innovation, and satisfaction, besides facilitating sustainable behavior of them in the workplace. Aim: To investigate the relationship between servant leadership and its’ role on staff nurses’ creativity and sustainable development behavior. Setting: The study was implemented at neurology, cardiology, emergency and critical, pediatric, inpatients clinics, and medical departments, and intensive care units (ICUs) of Shebin El-Kom Teaching Hospital, Menoufia Governorate. Subjects: A simple random sample (428) of staff nurses with a minimum of one year of experience. Tools: Three tools were used; Servant Leadership Assessment Instrument; Employee Creativity Scale, and Sustainable Development Behavior Scale. Results: Staff nurse’s response to total levels of servant leadership, creativity, and sustainable development behavior were all at a moderate level. Conclusion: There was a highly statistically significant positive correlation between servant leadership and its’ role on staff nurses’ creativity and sustainable development behavior. Recommendations: Conducting an educational intervention programs about servant leadership to allow a healthy working environment.

Effectiveness of Nursing Intervention on Health Locus of Control and Self-Efficacy in Women with Gestational Diabetes

the offspring in prenatal and postnatal periods and later life. Lack of self-care is the most important reason for mortality in diabetic patients. Self-efficacy has a significant role in enhancing successful adherence to healthy behaviors, lifestyle modifications, and diabetes control among gestational diabetes pregnant women.
 Aim: The current study aimed to evaluate the nursing intervention (NI) effectiveness on health locus of control (HELOC) and self-efficacy in women with gestational diabetes (GD).
 Methods: A quasi-experimental design (study and control group) was used. The researchers conducted this study at the Antenatal Outpatient Clinics of Shebin El-Kom Teaching Hospital, Menoufia Governorate, Egypt. A purposive sample of 120 women with GD was carefully chosen from the nominated setting and dispersed accidentally into two identical groups (study and control group). Three tools were used for collecting the study data: A structured self-administered questionnaire, the Multidimensional Health Locus of Control Scale-C Form, and the General Self-efficacy Scale.
 Results: There is a statistically significant difference between the intervention and control groups in their internal health locus of control (HELOC) scores after the intervention, with a mean difference of 4.70 at CI 95% for the intervention group p<0.001. A non-statistically significant difference was found between the intervention group and the control group in the external health locus of control (HELOC) mean scores before and after the intervention, although there was a significant difference between the change in both groups p=0.032. Also, there is a highly statistically significant difference between the intervention group and the control group in the self-efficacy scores after the intervention in the intervention group, where p<0.001 compared to a non-significant difference between them before the intervention group intervention (p=0.555).
 Conclusion: The study concluded that the women with GD who attended NI sessions obtained higher HELOC scores (internal and external) and higher self-efficacy scores than those who do not. Educational nursing intervention should become a fundamental part of the total management of gestational diabetes in antenatal outpatient clinics.

Emotion-Focused Couple-Based Interventions on Wives Emotional Abuse and Marital Satisfaction

Background: Emotional abuse is a serious type of abuse and comprises a large part of many couples’ lives. Marital relationship is in every society and is well-known as one of the most important resources in human relationships. Emotional Abuse Behaviors and marital satisfaction among married couples might be affected by an emotionally focused intervention. Emotionally focused intervention for couples gives a chance for wives and husbands to achieve adequate Foresight for their relationship of marriage and emotionally empower them to handle their problems Aim: The study aimed to evaluate the effect of emotion-focused couple-based interventions on the wives’ emotional abuse and marital satisfaction Design: A quasi experimental research design with a pretest-posttest was used to achieve the aim of the study. Setting: This study was conducted at the MCH center at El-Batanoon, Shebin EL-Kom, Menoufia Governorate, Egypt. Sample: sample was 50 couples (100 participants). Data collection: Three tools were used; Structured interview questionnaire, Gottman emotional abuse scale, and marital satisfaction Scale. Results: Revealed that there is a highly statistically significant difference in all marital satisfaction dimensions as emotional satisfaction, sexual satisfaction, general satisfaction, economical, time spending satisfaction, and total marital satisfaction score pre and post the emotionally focused interventions at (p-value = 0.001). Also, there is a highly significant reduction in emotional abuse post the emotionally focused interventions at p = 0.001 Conclusion: according to the results of the study, it was determined that the Emotion-focused couple-based interventions help reduce the wives' emotional abuse and improving marital satisfaction. Recommendations: Based on the findings of the present study, implementation of the Emotion-focused couple-based interventions in the routine treatments of Community Centers help reduce the wives' emotional abuse and improving marital satisfaction

Effect of Mindful Parenting Training for Parents with Children Having Attention Deficit Hyperactivity Disorder on Parenting Stress

Background: Attention deficit hyperactivity disorder affecting both children and their parents. This study aimed to evaluate the effect of mindful parenting training for parents with children having attention deficit hyperactivity disorder on parenting stress. Quasi-experimental pre-test–post-test control group design has been implemented. A purposive sample has been used to select 100 parents (mothers or fathers) of children with attention deficit hyperactivity disorder. This study has been carried out at the psychiatric outpatient clinic of Menoufia University Hospital at Shebin El-kom District, Menoufia Governorate, Egypt. Three tools were used to gather the data; A structured interviewing questionnaire to assess socio-demographic characteristics of the parents and children characteristics, Parenting Stress Index – Short Form, and Interpersonal mindfulness in parenting scale. The results revealed that there was a highly statistically significant reduction in the total mean score of parenting stress among the study group after the intervention compared to the control group where p value (p = 0.001), and there was a statistical significant improvement in the level of mindfulness in parenting of the study group after the intervention compared to the control group. It was concluded that the mindful parenting training had statistically significant positive effect on reducing parenting stress and improving level of mindfulness of parents with children having attention deficit hyperactivity disorder. Recommendation: mindful parenting training should be incorporated into current treatment guidelines as a psychosocial option for families with attention deficit hyperactivity disorder

COMPARATIVE STUDY OF BROILER HYBRIDS PRODUCTIVE PERFORMANCE AT TALA TERRITORY – MENOUFIA GOVERNORATE THROUGH SEASONS OF THE YEAR.

The present study and field measurements were carried out at broiler farms in Menoufia Governorate (Tala) during the period in 2017 and 2018. The great object of this study was to determine the effect of some environmental factors (such as type of strains, densities and in additions seasons effects) on production and economical efficiency of broiler production in Menoufia Government.The places of these farms (Meet ElKeram, Kafer El Alawy, Bemam, and Kafer Rabea.) - The studied traits were as follow: Body weights at different ages, Growth rates, Feed and water consumption (FC) (kg per bird/cycle), Water consumption (cm3/bird/cycle), Feed and water conversion ratio FCR and WCR, and meat production traits. The results indicated that all traits were significantly affected by strains, densities and seasons.

EFFECT OF EGG STORAGE CONDITIONS ON THE HATCHABILITY AND CHICK QUALITY OF DUCKS

EFFECT OF EGG STORAGE CONDITIONS ON THE HATCHABILITY AND CHICK QUALITY OF DUCKS This study was conducted at the French Group Company at Al-Sadat City in Menoufia Governorate to investigate the effect of different pre-incubation egg storage period on the egg weight loss, hatchability, hatch window, duckling quality, duckling immunity, and its body weight. 384 fertile eggs were collected from 200 females of Pekin ducks (Anas platyrhynchos) at the age of (26 weeks of production), which mated by artificial insemention with 30 male of Muscovy ducks (Cairina moschata) to produce Molar ducks. Eggs were divided into four equal treatments (each of 96 eggs) and subjected to different storage periods (0, 4, 8 and 12 days) to determine the effects of different storage periods on egg weight loss, hatchability, hatch window, duckling quality, duckling immunity, and its body weight were measured for the different treatments. The results revealed that there were insignificantly differences (p ≤ 0.05) in egg weight loss by the different pre-incubation egg storage period. Storage eggs for 0 days had the highest hatchability percentage (92.2 %) compared to other experimental groups. Data demonstrated that storage eggs for 12 days achieved the largest hatch window (17:30 hours) when compared with 0, 4 and 8 days of storage. The relationship between storage period and duckling quality revealed that storage eggs for 0 days achieved the highest quality compared to the other groups. Immunity also, was affected by storage period (0 days was the hightest immunity) compared with the other groups. The effect of storage period on duckling body weight at age of one day was also studied. Data indicated that thrid group (storage periods 8 days) achieved significantly (P ≤ 0.01) highest body weight (76 g). It could be concluded that storage of fertile duck eggs should not exceed 8 days to avoid excessive loss of egg water that impair the albumen contents which needed by the developing embryo for growth during incubation. The storage also, affected the transfer of maternal immunity to the embroyes and the hatched duklings.

Isolation, Identification and Inducing Systemic Resistance to Beet Mosaic Virus (BTMV) Infecting Sugar Beet Plants in Egypt

The objective of the study described in this paper was to isolate and determine a range of a potyvirus in sugar beet crop. The virus inoculum was taken from obviously diseased sugar beet plants (Beta vulgaris L.cv. Top), screening mild to severe mosaic complemented with leaves malformation and distortion, suspected to be caused by virus infection. Leaf samples were togethered from different areas in Menoufia Governorate, Egypt. The determination of the isolate was based on symptomatology, host range, modes of transmission (mechanical- insect), serological tests (Direct ELISA, DBIA and TBIA ), light microscopy. BtMV infection distributed some of photosynthetic pigments in infected beet leaves, i.e. chlorophyll, carotenoids and also reduced the concentration of total carbohydrates and total sugar in roots. Currently, different inducers stemmed from several materials were used to decrease the virus concentration. Preliminary showing were actual in reducing the number of local lesions formed by challenge inoculation of BtMV. Both inducers ( plant extracts and Salicylic acid (SA) showed reducing in the total numbers of local lesions and concentration of the virus. Among the inducers used for introduction of resistance against BtMV, Dianthus caryophyllus extract was found to be most effective. Also, Our results revealed that Salicylic acid (SA) used for screening was effective in reducing the concentration of virus and the number of local lesions formed by the challenge inoculation of BtMV .

GEOMORPHOLOGY AND LAND USE/LAND COVER CHANGE DETECTION FOR EASTERN PART OF DESERT BACK OF MENOUFIA GOVERNORATE

The current investigation aims to identifying the geomorphological characteristics of the area east of desert part of Menoufia governorate west of Rashid Nile branch. Change detection of land use/land cover (LULC) classes between the years 2001 and 2020 are also carried out. The integration of Remote Sensing (RS) and Geographic Information System (GIS) techniques were used to perform this work. The studied area is located between latitudes 30° 5' to 30° 32' N and longitudes 30° 30' to 31° 00' E and covers about 1354 km2 or 322474 feddans. The interpretation of satellite image of the study area indicated that, there are three main identified geomorphic units including seven subunits in this area. These units are 1) Depressions: cover an area of 271 km2 or 64530 feds (about 20.0% of the total studied area(, 2) Sand Sheets: have 1022 km2 or 243354 feds (75.3 %), including Low- (40.0 %), Moderate- (24.8 %) and High-Terraces (10.5 %), and 3) Old Deltaic Revere Terraces: have 143 km2 or 34005 feds (10.5 %), including Low- (2.4 %), Moderate- (1.4 %) and High-Terraces (0.9 %). Binary encoding method was carried out based on classifying the Satellite images using decision tree classifier and statistical relative change detection to identify the relative change detection in (LULC) classes of agricultural land and barren area between 2001 and 2020 from the different Landsat images. The overall changes in LULC classes during this period indicated that, there is an increase in the cultivated area with 12.6% from the total studied area (170.2 km2 or 40535.6 fed) and shrunk in the baren land with 13.4% (181.2 km2 or 43155.4 fed).

Assessment of anti streptolysin O titre in healthy school age children in Menoufia governorate

ObjectivesTo assess the upper limit of normal values of antistreptolysin O titer (ASOT) in healthy school-age children in Menoufia governorate.BackgroundAcute rheumatic fever (ARF) and rheumatic heart disease are the most serious complication of group A streptococcal infection. Acute post-streptococcal glomerulonephritis occurs 2–3 weeks after skin or throat infection with group A streptococcus. Overdiagnosis of ARF based on a raised ASOT is common in endemic areas, although an isolated high ASOT is not sufficient to diagnose ARF.Patients and methodsThis cross-sectional study was carried out in Menoufia governorate, and the collected sample was tested in Clinical Pathology Laboratory at Menoufia University Hospitals. Our study was conducted on 4000 children during the period of September 2018 to April 2019. All children are subjected to full medical history, thorough clinical examination (general and systemic), and laboratory investigation, including ASOT and erythrocyte sedimentation rate assessment and throat culture.ResultsThere was no significant difference between age and sex in the studied group. Our study showed also nonsignificant correlations between age and ASOT among the studied groups and among rural or urban participants. We found that the younger children aged up to 10 years had more basal levels of ASOT than older children.ConclusionWe concluded that upper limit of normal values of ASOT in normal Egyptian children in Menoufia governorate is quite high and may reach up to 475 IU/ml.

Detection of thalassemia trait and iron-deficiency anemia among relatives of thalassemic patients – Menoufia Governorate

ObjectiveTo detect thalassemia trait and iron-deficiency anemia (IDA) among children relatives of thalassemic patients.BackgroundBeta-thalassemia represents a major public health problem in Egypt. β-thalassemia trait (BTT) often shows microcytosis and an elevated level of hemoglobin A2. Despite the start of iron fortification, the prevalence of iron deficiency is still rather high in the Middle East countries.Patients and methodsA cross-sectional study was conducted on 200 pediatric relatives of β-thalassemic pediatric patients attending the Hematology Unit of the Pediatric Department, Menoufia University Hospitals, during the period from October 2015 to April 2018. Full history, clinical examination, complete blood count, serum iron, serum ferritin, and total iron-binding capacity were investigated.ResultsOverall, 20.5% of patients had BTT and 12.5% had IDA. However, 66 (33%) of the studied children had microcytic hypochromic anemia. Pallor was found in 40.9% of total group, pica found in 19.7%, and easy fatigue in 25.8% of them. All IDA cases responded to oral iron therapy.ConclusionThe frequency of BTT among pediatric close relatives of thalassemic patients is higher than in general population. IDA group had significantly higher Mentzer, Sirvastava, England and Fraser, Sirdah, Shine and Lal scores than BTT groups. BTT group had significantly higher red blood cells count, serum iron, serum ferritin, and hemoglobin A2 than IDA group. IDA group had significantly higher mean cell volume, mean cell hemoglobin, red cell distribution width, total iron-binding capacity, and hemoglobin A than BTT groups.

Screening of β-thalassemia carriers in high school students in Shebin El-Kom, Menoufia Governorate

ObjectiveTo identify the prevalence of β-thalassemia carriers among secondary school children for the prevention program of β-thalassemia and to update carrier rate data in Menoufia Governorate.Backgroundβ-thalassemia is the most prevalent hereditary disorder and is particularly prevalent among the Mediterranean people, and this geographical association is responsible for its naming.Patients and methodsThis study was conducted on 303 high school students aged 15–18 years from Shebin El-Kom, Menoufia Governorate, Egypt (62% women and 38% men). They were subjected to full history taking and clinical examination. Laboratory investigation included complete blood count, and serum ferritin level. High-performance liquid chromatography was done for samples with normal or high serum ferritin level.ResultsThe overall prevalence of anemia among the studied students was 38%. Microcytic type was the most common and represented 57% of anemic students. Men have higher mean hemoglobin values than women in different age groups. Three (1%) students of the total studied students were diagnosed to have the β-thalassemia trait. Moreover, there was a significant difference in ferritin level between β-thalassemia carriers and students diagnosed with iron-deficiency anemia. The mean value of hemoglobin A2 in students with β-thalassemia trait was 5.56 ± 0.42%.ConclusionThe prevalence of β-thalassemia carriers in high schools was about 1%. A full blood count with microcytosis, together with normal or high serum ferritin level, and hemoglobin A2 more than 3.5% were considered enough for the identification of β-thalassemia carriers in a screening process.

Environmental Risk Factors Associated with Children Autism Spectrum Disorders in, Menoufia Governorate

Background: Although no official statistics are available, some medical studies suggest that there are over 800,000 children with autism in Egypt. While, there is no cure for autism spectrum disorder, intensive, early treatment can make a big difference in the lives of many children. Objective: To explore environmental risk factors for autism spectrum disorders by using participants identified through broad ascertainment and reliable classification in Shebin El Kom city. Subjects and Methods: Our study was conducted at Psychiatric and Neurology Clinic, Pediatric Department, Menoufia University Hospital and centers for children with special needs in Shebin El Kom City. A case control study enrolled 80 children, 40 of them diagnosed with autistic spectrum disorders by DSM-V-TR criteria with no another medical disease and another 40 apparently healthy children, from their brothers as a control group. All children attended to Psychiatric and Neurology Clinic, Pediatric Department, Menoufia University Hospital in Shebin El Kom City, Menoufia Governorate, Egypt during the period from April 2017 to January 2019. Results: There were significant differences between cases and control groups regarding gender, history of hypertension, diabetes mellitus, folic–iron, fever, bleeding, induced labor and precipitous labor, dental fillings, silver/mercury fillings in pregnancy and taking antibiotics during pregnancy or breast fed, born healthy > 4.5 kg, neonatal unit, breast fed, Jaundice, delayed sitting, delayed crawling, delayed walking and delayed speaking. Conclusions: From the current study, it was concluded that boys, high and moderate socioeconomic states and positive family history represented conditions associated with an increased risk for autism and ASDs in Egyptian population.

Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists

Introduction: Gastroenterologists spend considerable time performing endosᴄopicprocedures that necessitate repetitive motions. The number of endoscopic proᴄeduresperformed by gastroenterologists has increased significantly in the past 20 years.Among physicians, endoscopists faces increased risk for work-related musculoskeletaldisorders (WMSDs) compared to other physiᴄians who are not performing thisprocedure. Aim of work: To determine the prevalence of musculoskeletal disorders(MSDs) symptoms among the endoscopists and their assistants who are working inMenofia University, Teaching and General hospitals in Menoufia governorate - Egyptand to determine their risk factors. Also, to study the effects of MSDs on their workand daily activities. Materials and methods: A comparative cross-sectional study wasdone using a predesigned questionnaire to assess the musculoskeletal disorders amonggastrointestinal endoscopists who were compared with other physicians not performinginterventional procedures.Results: The present study showed that musculoskeletalcomplaints were more evident among endoscopists, e.g., neck, shoulder, wrist, andnon-dominant thumb pain showed a statistically significant difference when comparedto the control group (26.1%, 68.7%, 30.4%, 52.2%, 56.5%), respectively, compared to(15%, 17%, 19%, 10%, and 0%) respectively (p 10 years (OR=5.82; 95%CI: 2.37-14.28), number of operations >3 /day (OR=4.53;95% CI: 2.03-10.09), durationof single operation > half an hour (OR=3.80; 95% CI: 1.60-9.04) and the single handintubation technique (OR=8.0;95% CI: 3.10-20.62). Conclusion: The performance of endoscopy puts the physicians at risk of biomechanical injury. Education of theendosᴄopists toward correct ergonomic practices, the spacing between procedures isrequired to improve the endoscopists’ quality of life.

Prevalence and Risk Factors of Benign Laryngeal Lesions among Teachers

Introduction: Subjects using their voice as the main professional instrument oftendevelop vocal disorders. Teachers present a high prevalence of vocal problems incomparison to other professional categories depending on their voice as professionaltool; voice changes could be assigned to the interaction between occupational (vocalloading), behavioral and lifestyle factors. Voice disorders due to professional overuseare usually chronic and can lead to an increase in sick absenteeism. Aim of work:To determine the prevalence of abnormal laryngeal findings among public-schoolteachers in Menoufia Governorate, Egypt using strobovideolaryngoscopy. Materialsand methods: A case-control nested into a cross-sectional study was held from March1st to May 1st, 2019. The sample is composed of four hundred and fifty-seven (457)teachers of public schools in Menoufia Governorate, Egypt. Results: The prevalence ofvocal lesions among the studied group was 22.1% with (17.79-26.41) 95% confidenceinterval. On stroboscopic evaluation, vocal nodules were the most common structurallesion affecting the larynx; it was present in 42 (9.1%) of teachers. Other structuralabnormalities included the presence of swollen arytenoids, vocal cords paresis,vocal polyps, vocal cord cyst, and epiglottic mass in a percentage of (5.9, 3.7, 1.7,1.1, 0.4) respectively. There was higher prevalence of vocal cord lesions amongolder teachers with increase duration of employment/years, number of classes /days,smokers and teachers of primary school; although it didn’t show statistically significantdifference. A significant relationship was reported between laryngoscopic findings and laryngopharyngeal reflux (15.1% vs 28.7% with 0.002 p-value) and water intake/day (t = 2.41, df = 2, p =.047). Conclusion: Results of the current work highlighted the needfor large-scale regular educational programs to minimize vocal cord lesions amongteachers.