Minia City Research Articles

Relation between Internalized Stigma and its correlates among Psychiatric Inpatients in Minia Governorate

Background: People experiencing or perceived to have a mental illness often subject to stigma from many sources which can be automatically internalized and result in internalized stigma. Aim: This study aimedat assessing the levels of internalized stigma and explores relation between demographic, clinical data, and internalized stigma among psychiatric inpatients in Minia governorate. Research Design: A descriptive correlational research design was used in this study. Study subjects and setting: 50 psychiatric inpatients at Minia Hospital for Mental Health and Addiction Treatment in New Minia City were included in the study. Tools: Socio-demographic and clinical data questionnaire and Internalized Stigma of Mental Illness Scale were used. Results: More than half (60%) of the studied patients were males, near to one third (30%) had schizophrenia, less than two thirds (60%) of them had a moderate level of internalized stigma, while 26% of them had high level of internalized stigma and only 14% of them had low level of internalized stigma. Conclusion: There were no statistically significant differences between internalized stigma levels and all sociodemographic and clinical data of the patients except for occupation and duration of hospitalization. Recommendations: Designing and implementing psycho-educational programs for psychiatric mentally ill patients to decrease internalized stigma are needed.

Knowledge, Attitude and Practices of caregivers for patients with leprosy

Background: Leprosy is one of the oldest diseases known to humanity, it remains largely misunderstood. Misconceptions about leprosy lead to stigma towards people with the disease. In the lives of people affected by leprosy are caregivers who take on different roles in their daily upkeep. Family practices are keys for preventing illness, infection and disabilities. They support patient duringLong-term treatment of leprosy. Egypt is one of the global list of twenty two high-burden countries for leprosy. Aim: The study aimed to assess knowledge, attitude and practices about leprosy among family caregivers of leprosy patients. Egypt is one of the global lists of twenty-two high-burden countries for leprosy. Study design: A cross-sectional descriptive design. Subject: A convenience sample of 165 caregivers was selected. Setting: This study was carried out at the Western Dermatology and leprosy clinic at Minia City. Tools: A structured interview questionnaire was used to assess caregivers' knowledge, attitude and practices regarding leprosy, in addition to sociodemographic characters of the participants. Results: The results showed that 84% of caregivers had poor knowledge about leprosy, 77% had negative attitude and 87.9% of them had poor practices. Educated participants had higher mean knowledge score (2.58±1.35) and lower negative attitude level (20.09±6.01) than non-educated (2.35±0.98), and (21.24±5.13), respectively, however marital status and duration of caregiving were statistically significant factors related to the level of practice. Conclusion: This study has revealed deficiencies in the knowledge, attitude and practices among the family members of patients with leprosy. Except for the education level, no statistically significant relation between family caregivers’ sociodemographic characteristics and their level of knowledge or attitude about leprosy. Married caregivers and those who caring for patients more than 20 years had higher practice scores. Recommendation: Applying health education programs about leprosy for family caregivers of patients with leprosy as continued health education and behavior change activities are still the only tool to increase awareness regarding leprosy to get rid of misconception and stigma related to leprosy at community level, also design and disseminate related booklets and brochures to raise caregivers and public awareness regarding leprosy.

Effect of Oral Health Promotional Program on Knowledge, Attitudes and Practices Regarding Dental Caries among Primary School Children In Minia City, Egypt

Background: For optimal health and well-being, oral health is a fundamental element. Dental caries is a prevalent disease both from a community and individual health perspectives. Also, families have to deal with a young child suffering from toothache. The basic mission of oral health educators is to improve information and behaviour in the community. Such understanding requires knowledge that represents the human conviction that has been translated into actions. Positive behavior is the outcome of the sustained action. The aim of the study was to evaluate the effect of oral health promotional program on knowledge, attitude and practices regarding dental caries among primary school children in Minia city, Egypt. Design: quasi-experimental pre-post-test method was used. Settings: The research was applied in Saad Zaghlol and Huda Sharawy Primary Schools affiliated to Minia City of Minia Governorate, Egypt. Sample: cluster random sample of 400 participant child who were recruited using multi-stage random sample technique. Tools: I-Socio-Demographic Questionnaire. II-Oral Health Knowledge Questionnaire. III- Dental Behavioral Inventory (HU-DBI) questionnaire at Hiroshima University IV- Questionnaire on Oral Health practice. Results: the present study showed that the oral health promotional program(OHPP) become efficient in enhancing awareness, attitude, and skills toward oral health; as the mean scores of knowledge, attitudes and practices were 7.83 ± .488, 6.63± 1.7 and 9.33±1.1 respectively with highly statistical difference before and after oral health promotion program. High statistically significant difference between children about oral health knowledge, attitudes and practices pre and post the assigned program (P= .000**) were noticed. Conclusion: There was improvement of level of knowledge, positive attitudes and satisfactory practices among the majority of the participants children after implementation of oral health promotion program. Recommendations: Integration of OHPP into the school curriculum for enhancing knowledge, attitude, practices regarding oral health and dental caries prevention. Health care decision makers and authorities should provide continuous support to promote the efficient make use of school teachers for oral health promotion of students.

Effect of Foot Reflexology on Hemodialysis School Age Children on Fatigue and Sleep Quality

Background: Hemodialysis clients experience exhaustions for many reasons, including toxic components in the blood stream, fluid - electrolyte disturbances, irregular power consumption, anemia and distress. Even after rest, this feeling of exhaustion continues and it is difficult and sleeplessness is prevented. The aims of this research was to: Evaluate the effect of foot reflexology on hemodialysis school age children on fatigue and sleep quality. Design: To meet the study's objective, quasi-experimental research design was used. Sample: A purposive sample of children on school age on maintenance hemodialysis (n=30), those who received regular hemodialysis more than two times a week within at least three months, had no communication problems and had no other medical conditions, such as juvenile diabetes, cancer. Setting: this study was conducted at pediatric nephrology outpatient clinic in waiting room before the child take hemodialysis session and pediatric hemodialysis center at Minia city General Hospital. Data collection tools: Three tools have been used (1); Pre / post - test questionnaire. (2) The second tool; Pittsburgh Sleep Quality Index. (3) Third tool Inventory symptoms of fatigue. Results: The research findings demonstrates that fifty percent of the participants had excessive fatigue, while the minority had moderate fatigue before intervention and improved to a higher level of study sample, which had moderate fatigue after post - testing. While most of the study samples have sleep disorder before foot reflexology is used in pre - test and in post - test, it was found that after intervention, many of the subjects studied reported fairly good sleep quality. Conclusion: The application of foot reflexology to school - age children with hemodialysis shows an improvement in sleep quality and a decrease in fatigue level. Recommendation: Continuous evaluation of the presence or development of fatigue or sleep problems in patients with hemodialysis. Researchers are also required to compare reflexology with other alternative / complementary therapies (e.g. massage, healing touch, response to relaxation).

الألعاب الالکترونية وأثرها في تنمية مهارة الإبداع لدي أطفال ما قبل المدرسة Electronic games and their role in developing the skill of creativity I have pre-school children

Electronic games and their role in developing creativity in preschool children The current research aims to prepare a program using electronic games and to know its effectiveness to develop the creativity skill of a pre-school child, and to identify the effectiveness of the proposed program based on electronic games to develop some creativity skill among preschool children. The researcher used the semi-experimental approach due to its relevance to the nature of the research. He used the experimental design of two groups, one experimental and the other controlling by following the pre and post measurement for them. The research community is represented in the kindergarten children in Minia city from the age of (5: 6) years, and the researcher selected the research sample randomly by choosing the kindergarten of the Minia Official Language Experimental School in Maghagha city, whose number is (54) children divided equally between the control and experimental groups. The researcher used the research tools to test the generation of new innovations for kindergarten children, and the electronic games program for preschool children. One of the most important results was the electronic games-based program that has a positive and indicative effect on developing creativity in pre-school children, and one of the most important recommendations was to invite those in charge of educational and educational institutions in the field of childhood to use the proposed electronic games program to improve children's creativity skills.

Workplace bullying and its effect on organizational trust and turnover Intention among nursing staff.

Background:Workplace bullying is a psychosocial and organizational problem within the health care system, which affect negatively in nurses' organizational trust and their turnover intention. Aim: Assess workplace bullying and its effect on organizational trust and turnover intention among nursing staff. Design: A descriptive correlational design was utilized to achieve the objective of the present study. Sample: A stratified random sample of 301 nurses were selected from Minia university hospitals. Setting: This study was conducted at Minia university hospitals, At Minia city. Egypt. Tools: four tools were utilized in this study: I: Socio-demographic Data , II: Workplace Bullying Questionnaire, III: organizational trust questionnaire and, IV: turnover intension questionnaire Results: Illustrates that about two third of staff nurses had the highest percentage level regarding workplace bullying, and less than two third of them had the lowest percentage level regarding the organizational trust and more than two third of them had the highest percentage level regarding turnover intension. Conclusion: The conclusions of the current study showed that, there were strong a positive correlation between workplace bullying and turnover intension. While there were a negative correlation between work place bullying and organizational trust, and a negative correlation between turnover intension and organizational trust for study subjects. Recommendations: health care organization should encourage supervisors to use effective communication skills and inspire perspicuous standards and guidelines to identify and battle workplace bullying to improve organizational trust and reduce turnover intention among nursing staff.

فاعلية برنامج قائم على استراتيجية الألعاب التعليمية المصورة لتنمية بعض مهارات التفکير الهندسي لدى أطفال الروضة بمدينة المنيا The Effectivness of a Program in illustrated Educational Games to Develop Some Geometric Thinking skills of Kindergarten Children at Minia City

The research aims to identify the effectiveness of a program based on the strategy of illustrated Educational Games to develop Some Geometric Thinking skills among kindergarten children in Minya city, and the research group consisted of(47) children and girls of(5-6) years old from the second level of kindergarten, and they were divided into two groups, one of them Experimental and the other is control, and the researcher prepared a pictorial test and then a program for the development of Some Geometric Thinking skills. The results of the research reached the effectiveness of the program based on the strategy of illustrated Educational Games for the development of Geometric Thinking in kindergarten children, and the research ended with some recommendations and suggested research.

Assessment of Perceived Work Ability and Its Determinants among Healthcare Providers

Introduction: Healthcare providers are at high risk of occupational stress, burnout,health hazards and job dissatisfaction which can have harmful consequences on theirhealth, work ability and professional efficiency. Therefore, it is important to adoptstrategies for the promotion of healthy working conditions and improvement of theirwork ability. Aim of work: To assess the perceived work ability and its dimensionsamong the healthcare providers at Minia city, Egypt and identifies its relationship with socio-demographics, work-related factors and chronic diseases. Materials andmethods: In a cross-sectional study among 233 healthcare providers, data about sociodemographics,history of chronic diseases, work-related factors and the Work AbilityIndex (WAI) questionnaire were collected during an interview with the participants.Multinomial logistic regression analyses were performed to identify the determinantsof WAI. Results: The study included 145 (62.2%) nurses, 46 (19.8%) physicians and42 (18%) technicians. The mean WAI score was 40.6 (± 4.6) and the participantswere categorized based on their work ability into poor (14.1%), suboptimal (58.4%)and optimal (27.5%). There were significant differences in the WAI scores and mostdimensions of work ability between different age groups. In the final multivariableanalysis: age, sex, work category and chronic disorders (including musculoskeletal,cardiovascular, respiratory and gastrointestinal) were the significant predictors of workability among the studied healthcare providers. Conclusion: Low work ability amonghealth care providers was significantly associated with age, sex, work category, andchronic disease conditions. Therefore, promoting health, managing and preventingchronic diseases particularly at old age is essential in designing effective interventionsto maintain and improve the work ability of healthcare providers.

Bioclimatic Design Strategies Recommendations for Thermal Comfort Using Mahoney Tables in Hot Desert Bioclimatic Region.

Thermal comfort is the result of a balanced of building frameworks adjusted to both the area of the structure just as the kind of air move performed inside the structure or the room of the structure. The aim of this research is to represent the Minia city as a case study based on the Mahoney tables method to validate the best design strategy in the hot desert bioclimatic region. Mahoney tables are a collection of referenced tables utilized in construction as a climate-appropriate design manager coupled with the meteorological data to include the right design recommendations. So, the Mahoney tables can assess the climate to be more accurately reflect the environmental conditions in the summer. Also, it can beware of the passive heating technique as natural ventilation used in the construction of energy-efficient buildings. The research proceeds with a set of conclusions and recommendations that be gotten from Mahoney tables climatic characteristics, then the design strategies were recommended. These recommendations can help architects bring forward a set of bioclimatic design strategies for buildings in Minia's environment to conduct thermal comfort with the help of the climate consultant tool.

Assessment of Applying Clinical Audit for Pregnant Woman with Iron Deficiency Anemia.

Background: clinical audit is a complementary part of the standards it includes a checklist and action plan. The checklist can be used to test or audit standards. The action plan is a conclusive part of the audit. Iron deficiency anemia during pregnancy is one of the most significant health problems in the world. Impact of iron deficiency anemia on the pregnant women its outcomes that it has many serious consequences on increase the risk of fetal growth retardation, premature delivery. Aim of the study: To assess clinical audit which used for the pregnant woman with iron deficiency anemia. Research design: descriptive design was carried out in this study. Setting: All Maternal and Child Health centers in Qena City and Minia City which were four centers in Minia and six centers in Qena. Sample: convenient sample of 500 records of pregnant women. Tool of data collection: Tool 1: questionnaire sheet includes the socio-demographic include personal and obstetrical history. Tool 2: Standard of care for the pregnant with iron deficiency anemia adopted from (WHO) source. Results: we found that 76% in Qena city versus 82%in Minia city had mild anemia, while 24% in Qena city versus17.6% had moderate anemia. Absence of woman with severe and very severe anemia .distribution of Mild and Moderate anemia was higher in urban. More than 75% of standard points were applicable in the two governorates. Conclusion: The present study concluded that the nurses of Maternal and Child Health centers didn’t apply all points of WHO audit. Recommendations: Every healthcare facility should develop and implement an Annual Clinical Audit Forward Plan as part of its annual planning and delivery cycle for clinical audit activities and the facility's safety and quality governance framework. Health care providers need further training to apply clinical audit completely .Health care records needed updated to conclude all point of WHO clinical audit related to absence of some of care services to pregnant woman.

Effectiveness of Teaching Program on Awareness Regarding the Minor Discomfort Problems among Pregnant Women

Background: Most of the pregnant women experienced minor discomforts in their normal pregnancies. The current study aimed to evaluate the effectiveness of planned teaching program on awareness regarding minor discomfort problems among primigravidawomen. Design: Quasi-experimentalresearch design was utilized to achieve the aim. A convenient sample includes 66 primigravida women accordingly; this study was conducted in two maternal health care centers in Minia city. a structured interview questionnaire was developed. The data collection tool consisted of 3 tools; the first tool: demographic data of the primigravida women; the second tool: knowledge assessment tool (pre –posttest education): and the third tool: practice assessment tool. Results: Most of the primigravida women had poor awareness about minor discomfort during pregnancy in the pre-teaching program which decreases to the minority after post teaching program with a highly statistically significant difference. Also, more than three-quarters of them had a poor level in total practice about minor discomforts in the pre-teaching program which decrease to the minority in the post-teaching program with a highly statistically significant difference. In addition, there was a fair positive association between the total knowledge score and the total practice score of primigravida women in the pre-teaching program. Conclusion: The study concluded that the nursing teaching program was effective in improving awareness of pregnant women regarding minor discomfort problems among primigravida women. Recommendation: The study recommended the integration of the designed nursing instructions for primigravida in maternal health care centers.

Nurses' compliance to patient and environmental safety guidelines in critical care units

The ability to provide safe and high-quality care to patients is the primary goal and the focus for many health care providers. Guidelines can be used to reduce adverse event in practice and to promote the delivery of high quality and evidence-based health care. The aim of the study to investigate nurses' compliance to patient and environmental safety guidelines in critical care units. Descriptive research design was utilized to achieve the aim of this study. The study was carried out at three of Minia University Hospitals in Minia city. All available nurses (n= 88) who were working in critical care units at time of data collection in the selected hospitals. An environmental and patient safety guidelines questionnaire was used to achieve the aim of this study. Results: less than two third of studied subject were not compliance to patient safety nurses', while nurses complied to environmental safety with 62.5% in critical care units; also, there is highly statistical significance between departments and nurses' compliance to patient safety. Thus, it was concluded that less than two third of studied subject were not compliance to patient safety. As well as environmental safety in critical care units was appropriate with 62.5% in critical care units. Recommendations: Staff development programs for nurses working in critical care units related to patient and environmental safety as well as ensuring that the organization’s annual budget includes adequate resources to implement and evaluate health and safety activities. Â

Assessment of Knowledge and Attitudes of Caregivers Regarding Hearing Impairment among Children at Minia City

Background: Hearing impairment is a partial or total inability to hear. A deaf person has little to no hearing. Hearing loss may occur in one or both ears, it can affect the ability of children to learn spoken language. Aim: The study aimed to assess of knowledge and attitudes of caregivers regarding hearing impairment among children at Minia City. Study design: A cross sectional descriptive design used to conduct in this study. Subject: Random cluster sample of 268 caregivers. Setting: This study was carried out at Alamel School for the Deaf and Hearing impairment at Minia city. Tools: Two tools was utilized in this study, first tool was an interviewing structured questionnaires sheet was contained two parts: Part 1: Socio-demographic characteristics about caregivers and such as age, sex and residence. Part II: Assess caregivers‟ knowledge, about hearing impairment that includes definition, causes, symptoms, consequences and management of hearing impairment and second tool was attitude scale. Results: The results show that 86.5% of children suffer from hearing problem less than one year. Regarding knowledge about symptoms & signs, 58% of caregivers didn't know about screen test for early detection hearing loss. There is highly statistically significant difference as regard the level of caregiver‟s knowledge in relation to residence. There is positive attitude of caregiver regarding hearing impaired child can be manageable if helped and supported. Conclusion: More than half of caregiver didn't have enough knowledge about hearing impairment. There is highly statistically significant difference as regard the level of knowledge of caregiver‟s relation to residence, also there is positive attitude of caregiver regarding hearing impaired children. Recommendations: The study recommended providing health education for caregivers about hearing impairment among children at Minia city and investigating the effect of caregivers‟ knowledge about hearing impairment among children

Nurses Compliance Toward Patients' Rights and its Relation To Patients Satisfaction

Background: Patient rights may be considered as one of the main bases for defining the standards of clinical services. On the other hand, the concept of patient rights has been on the rise alongside the ever-growing interest of international organizations in human rights. Also nurses have more responsibility than physicians in this regard, because they are usually in closer contact with patients than other health care workers. Thus, nurses are the most suitable supporters of their rights. Aim: The aim of the study was to assess nurses’ compliance toward patients' rights and its relation to patients’ satisfaction. Research Design: The study was conducted using descriptive comparative research design. Setting: The study was carried out Coronary Care Unit (CCU) at Minia General Hospital and Minia University Hospital in Minia city. Subject: participated ofthe study included a convenience of patients total number (n=110) patient admitted to hospitals, and all staff nurses who working in CCU during the period of data collection. Their total numbers were (55) nurses. Tool: Two tools were used; Nurses’ compliance to the patient’s rights questionnaire and patient satisfaction scale. Results: there was more than half at Minia University Hospital staff nurses had high level of compliance toward patients' rights as (51.9%), less than half of the sample had moderate level of compliance toward patients' rights as (48.1%), also none of them were low level of compliance toward patients' rights in the three times observation. But nurses in General Hospital had low level of compliance toward patients' rights in the first, second, and third observation as (25.9%, 55.6% and 59.3%) respectively, also more than one third to less than two thirds of them had moderate level of compliance toward patients' rights in the first, second, and third observation as (63%, 44.4% and 37%) respectively, but the lowest percent of them have high level of compliance toward patients' rights in in the first, second, and third observation as (11.1%, 0.0% and 3.7%) respectively. Also more than half (50.9%) of patient at Minia University Hospital exhibit the responses toward moderate level and low half (43.6%) of them responses toward high level of satisfaction. But the majority (87.3%) of patient at Minia general hospital exhibit the responses toward moderate level and (12.7%) of them responses toward low level ofsatisfaction. Conclusions: More than half of staff nurses had high level of compliance toward patients' rights and low half (43.6%) of patients responded toward high level of satisfaction at Minia University Hospital. But about half of staff nurses on second and third observation had low level of compliance toward patients' rights and the majority of patient exhibited the responses toward moderate level of satisfaction at General University Hospital. Recommendation: Nurse need to attend training program about patient rights that enhance patient satisfaction, also the hospital should made policy, rules and regulations that enhance patient rights

Relation between nurse educators' empowerment and nursing students' clinical competence

Background: nurse educators are responsible for the preparation of nursing students for their future profession; they are vital and serve as a critical driving force to lead the progression of the next generation of professional nurses. If nurse educators perceive themselves as empowered in their jobs, they will be more confident in their skills and knowledge, be more engaged in their role. Aim: the aim of this study was to determine relation between nurse educators' empowerment and nursing students' clinical competence. Design: Descriptive correlational research design was used to achieve the aim of the current study. Setting: two nursing technical institute, one affiliated to university and another one affiliated to ministry of health at Minia city. Subjects: The subject of study was include all nurse educators at Minia Nursing technical institutes (n=20) and 50% of nursing students enrolled at 2 nd academic year 2018-2019 (n=350). Tools: three tools were used to collect data pertinent to the study as: Structural Empowerment Questionnaire; Psychological Empowerment Questionnaire; and Clinical Competence checklist. Results: The study revealed that highest percentage of nursing educators had moderate level of structural empowerment and high level of psychological empowerment. Regarding the total clinical competence mean score, there was highly statistical significance difference (P=0.000) between nursing students at two institutes in favor to Health Technical Institute had higher mean score (82.7 ± 4.6). Conclusion: this study concluded that, there was a positive correlation between nurse educators' empowerment and nursing students' clinical competence. Recommendations: Periodic training courses should be provided in order to keep nursing students updating knowledge, skills, and attitudes regarding to clinical practice and conducting workshops to develop nurse educators' empowerment.

Relation between Leadership Styles and Behaviors of Nurse Managers' and Organizational Commitment of Staff Nurses

Background: the quality of relationship between supervisors and subordinates and leadership of head nurses played an important role in their subordinates such as organizational commitment, job performance and promotions. Aim: the aim of this study was to determine relation between leadership styles and behaviors of nurse managers' and organizational commitment of staff nurses. Design: Descriptive correlational research design was used to achieve the aim of the current study. Setting: the study was conducted in Health Insurance Hospital, Minia governorate at Minia city. Subjects: the subject of study was included all nurse managers (head nurses) and staff nurses in Health Insurance Hospital (n=255), divided as (17 nurse managers + 238 staff nurses). Tools: three tools were used to collect data pertinent to the study as: Leadership Styles Questionnaire (Multifactor Leadership Questionnaire 5X), Leadership Behavior, and the Organizational Commitment of the Staff Nurses Questionnaire. Results: The study revealed that highest percentage of head nurses had high level for transformational (63%) and transactional style (59.7%); also, more than half (58.8%) of head nurses had high level of leadership behaviors and more than one third (39.9%) had moderate level. Moreover, it was noted that more than half (57.1%) had high level commitment, and more than one third (41.2%) had moderate level. Conclusion: there were positive correlations between leadership style as well as leadership behaviors with the organizational commitment. Recommendations: Periodic training courses should be provided in order to keep head nurses updating knowledge, skills, and attitudes regarding to leadership skill, behaviors and styles.

Extensively-Drug Resistant Klebsiella pneumoniae Recovered From Neonatal Sepsis Cases From a Major NICU in Egypt.

BackgroundNeonatal sepsis is a nuisance to clinicians and medical microbiologists, particularly those cases caused by Klebsiella pneumoniae. Thus, we aimed at investigating the profile and mechanisms of antibiotic resistance and the clonal relationships between K. pneumoniae isolated from neonates at the largest tertiary care hospital’s neonatal intensive care units (NICUs) in Minia, Egypt.MethodsThis study comprised 156 neonates diagnosed with culture-proven sepsis from February 2019 to September 2019, at a major NICU of Minia City. All K. pneumoniae isolates were collected and characterized by antimicrobial profile, resistance genotype, and pulsed-field gel electrophoresis typing.ResultsTwenty-four K. pneumoniae isolates (15.3%) were collected out of the 156 sepsis diagnosed neonates. These samples showed extensive drug resistance (XDR) to most of the tested antimicrobials, except fluoroquinolones. All the K. pneumoniae isolates possessed blaVIM and blaNDM carbapenemase genes, while blaKPC gene was detected in 95.8%. Considering extended-spectrum β-lactamases genes, blaCTX–M was found in all the isolates and blaOXA–1 gene in 75% of them. The plasmid-mediated quinolone resistance gene qnrS, was predominantly found among our isolates in comparison to qnrB or qnrA. A moderate degree of clonal relatedness was observed between the isolates.ConclusionTo the best of our knowledge, this the first report of an alarming occurrence of XDR among K. penumoniae isolates recovered from neonatal sepsis in Egypt. Our data necessitate proper antimicrobial stewardship as the choices will be very limited.

COVID-19 awareness among a group of Egyptians and their perception toward the role of dentists in its prevention: a pilot cross-sectional survey.

AimThe main purpose of the study is to assess the awareness of a group of Egyptians about COVID-19 infection and their perception of the role of dentists in its prevention.Subjects and methodsAn observational cross-sectional survey included 74 participants who attended Minia University Dental Hospital, Minia City, Egypt, from 10 March to 2 April 2020. A face-to-face interview using an anonymous questionnaire was carried out in this study. The questionnaire contained 20 questions divided into three parts; the first part included the participants’ baseline characteristics. The second part analyzed the participants' awareness of COVID-19 infection through ten questions. Finally, four questions outlined participants' perception of the role of dentists in preventing the spread of COVID-19.ResultsOverall participant awareness was adequate at 55.4%. The percentages of “good” and “poor” overall awareness scores were 40.5% and 4.1%, respectively. Most respondents' perception of dentists' role in COVID-19 prevention was poor. All baseline characteristics showed no statistically significant difference related to the participants' awareness about COVID-19 infection and its spread (p > 0.05).ConclusionFrom the findings of the present pilot study, it can be concluded that the general population's awareness of COVID-19 infection and its route of transmission was adequate. Participants' understanding of the role of dentists in COVID-19 prevention was poor.

Evaluate How Economic Housing Projects In The New Egyptian Cities Achieve The Requirements Of The Population "Case Study - New Minia City"

Housing is not just walls and engineering designs, but is an integrated life of housing, work, services, activities and integrated urban environment, The concept of housing in many countries has become much more comprehensive than the simple considerations that can be defined the same housing as the definition extended to include the possibility of achieving housing for economic, social and urban needs including the location and basic services, transport and public facilities. Some have identified the housing problem in general as a study of housing market problems in which the people can get adequate house meets their economic, social and urban requirements. So housing is an interconnected system with many elements and depends on its application to a range of sciences such as urbanization, sociology, economics, architecture, interior design and politics, and sometimes it seems necessary to know all these systems and aspects to solve one of housing problems. It has been found that the housing policies adopted in some countries, including Egypt, do not cover some or all of these aspects, resulting in the emergence of many housing problems in each of them, especially in the field of affordable housing projects. The research focused on monitoring, studying and evaluating these problems in some housing projects implemented in the new Egyptian cities, specifically in the new Minia city Research Problem: Despite the state's interest in the establishment of many economic housing projects in the new Egyptian cities recently, many of these projects did not meet some of the necessary requirements for the young, low-income groups like social, economic and urban terms. The study focused on this problem through analysis and evaluating some economic housing projects that have been established in New Minia city. Objective of the research: Study some of the economic housing projects implemented in the New Minia city, and to extrapolate the opinion of the population of these projects to assess their suitability to meet their social, economic and urban requirements, and try to reach the most important success points that helps to achieve economic housing appropriate to the requirements of the population in the New Egyptian cities in general and particular in the New Minia city through integrated housing projects that meet the desired requirements for low-income groups. Research Methodology: The methodology used in this research paper was based on theoretical thought and its emphasis on practical reality, using the descriptive method in explaining the subject of the study by gathering information about the problems of economic housing in Egypt, and the housing problem in Minia city, then using the applied field method in conducting a study to monitor and identify problems faced by the population in economic housing projects in the new Minia city and conduct a questionnaire for a sample of the population, Then the analytical approach to analyze and evaluate the economic housing projects in the new Minia city by analyzing the questionnaire of some residents and researcher field visits to the project sites, to monitor the strengths and weaknesses that can be taken in future projects, and then to reach a set of results from the research and make some recommendations that helps the economic housing projects to meet the urban requirements and the desired economic and social suitability of the low-income group

The role of developing open commercial spaces in enhancing human behavior (Case Study - Developing the Main Open Market in Minia City)

Urban design and planning processes aim to create an environment that is consistent with the needs and behaviors of users. Studies have shown that urban spaces that do not satisfy user requirements lead to negative impacts (environmental / behavioral / social / cultural / ...) on these individuals; This will lead to abandonment of these urban spaces or trying to make adjustments to suit their needs, or acquire new behaviors that help them to cope with these spaces. The research paper provides an explanation of the urban spaces research topic (definition and objectives) and design determinants. The research explains the nature of open markets as one of the most important urban spaces that are dealt with on a daily basis, and the characteristics of urban and design foundations and types with a presentation of some experiences from different countries for projects to develop markets, with a view to improving and upgrading and the impact of this development on human behavior. The paper discusses the issue of the spread of open markets which are part of the urban spaces that affect human behavior. In fact, the existence of activities in the inappropriate spaces leads to an imbalance in the surrounding urban environment. The research presents a case study of the open markets in Minya and offers solutions to upgrade them after analyzing them and benefiting from previous experiences. The research concludes with a set of general findings and recommendations through which we can draw some realistic solutions to the problems of open markets in order to work to improve human behavior.