Introduction:The number of breast cancer survivors is increasing worldwide in the labor market. The average age of Egyptian women who have breast cancer is significantly younger than the average age of American and European women. Survivors of breast cancer encounter stressful experience that affect their quality of life (QOL) and work productivity. Aim of work: To assess the quality of life (QOL) and work limitations among survivors of breast cancer and to determine the medical and socio-demographic predictors of both QOL and work limitations among the studied sample. Materials and Methods: A total of 134 survivors of breast cancer attending the Oncology and Nuclear Medicine outpatient clinics in Zagazig University Hospital were studied through the EORTC QLQ-C30 and EORTC QLQ -BR23 (the Arabic versions) and a questionnaire based upon the English version of the Work Limitations Questionnaire. Results: The studied participants mean age was 48.32±8.68, and 68.66% of them work for more than forty hours per week. The studied females reported low mean scores of EROTC QLQ -C30 and BR-23 scales. The EROTC global QOL scores were significantly affected by: treatment type, years since cancer diagnosis, disease stage II and III, and working hours per week. The percentage of work productivity loss was 8.3% and it was significantly affected by: treatment type, years since cancer diagnosis, years since completing primary cancer treatment, and disease stage II and III. Conclusion: Working women with breast cancer in Egypt experience low scores of quality of life and need more attention and support programs to cope with their health status, treatment type, and work requirements.

Introduction: According to The Egyptian Central Agency for Public Mobilization and Statistics (CAPMAS), 72% of road traffic accidents occur due to aberrant driving behavior. Substance abuse particularly cannabis is commonly used among Egyptian commercial drivers and seriously affects safe driving. Aim of work: To assess the magnitude of substance abuse among a sample of professional minibus drivers, Zagazig city, Sharqia Governorate, Egypt, to investigate their driving behavior and to determine the predicting factors for the risky driving behavior as a major cause of road accidents. Materials and Methods: A cross sectional study was conducted in Al Ahrar main public station, Zagazig city, Sharqia Governorate, Egypt on a sample of 130 commercial drivers. A structured questionnaire was introduced to all participants and included data on socio occupational status and the driving behavior questionnaire (DBQ) which is composed of 26 items. Substance abuse was screened through rapid assessment urine test. Results: Among the participants, 57.7% tested positive for substance abuse and the most common abused substance was cannabis which represented 80% of the positive participants. The DBQ scores were higher among substance abused drivers with statistical significant difference particularly in most of violations and error items. The predictors for aberrant driving behavior were low income, excessive speeding, previous involvement in road traffic crash and substance abuse. Conclusion: Illicit drugs are commonly used by Egyptian professional drivers and seriously affect safe driving. Driving under the effect of illicit drugs like cannabis, opioid, cocaine, and hallucinogens represents major threat to public safety (Lipari et al., 2016); as it predisposes to health hazards , not only to the driver but also to the passengers and others on the road (Alvarez et al., 2015). Substance use can affect seriously drivers' brain functions essential for safe driving like perception, attention, balance and coordination leading to severe Regular traffic police campaigns for screening of substance abuse among commercial drivers and applying of road safety awareness program can lower the prevalence and burden of road traffic accidents in Egypt.

Introduction: Methicillin-Resistant Staphylococcus Aureas (MRSA) is largely a hospital-acquired infection that is capable of causing severe infections. Comprehensive MRSA control programs, have reported success in controlling transmission and reduced acquisition of MRSA in high-risk units in hospitals. Aim of work: To measure the current prevalence of MRSA colonization and measure the effect of health education program on knowledge and attitude about MRSA infection and control among health care workers. Materials and methods: An intervention study was conducted over 8 months upon 54 working staff in the Surgical ICU at Zagazig university hospital and 144 isolates were taken from the health care workers, patients and the environment. Results: Out of 144 isolates, 36 were positive for MRSA with a rate of 61% was on the side of the health care workers. Our findings revealed significant improvement in the knowledge and attitude after application of the educational program in health care workers. Conclusion: Further targeted health education programs for health care workers are needed to increase their awareness and understanding of the microorganism and the importance of the adherence to the infection control guidelines to break the chain of transmission in the health care setting.