Background: Preeclampsia and eclampsia are vital causes of maternal morbidity and mortality around the world. In Egypt, it complicates about 6%-8% of all pregnancies and can reach up to 15% in referral centers like university hospitals. Objectives: To identify the prevalence of preeclampsia and eclampsia among pregnant women attending Qena University Hospital during the COVID-19 pandemic. Also, to identify possible risk factors associated with preeclampsia. Patients and methods: The prevalence and risk factors for preeclampsia and eclampsia were estimated in this cross-sectional study of 300 pregnant women after 20 weeks of gestation. There were two groups: preeclamptic women and non-preeclamptic women. A structured questionnaire was used. Results:The study revealed that the percentage of preeclampsia and eclampsia was 19% and 1%, respectively. The significant risk factors predisposing to preeclampsia were obesity, improper antenatal care, previous COVID-19 exposure, prior preeclampsia, cats' handling, pregestational diabetes mellitus, multifetal pregnancy, family history of hypertension, and advanced maternal age. By logistic regression analysis, BMI was the most contributing factor associated with preeclampsia (p-value <0.0001). Conclusion: Preeclampsia became increasingly common during the COVID-19 pandemic, with preeclampsia and eclampsia prevalence rates of 19% and 1%, respectively. The most contributing factors to preeclampsia were obesity, which is a preventable risk factor, infrequent antenatal visits, and COVID-19 exposure. Proper antenatal care is an important part of prevention and early detection of preeclampsia, especially for women with previous COVID-19 exposure.
Background: Leukemia is the most common malignant tumor in children, responsible for nearly one-third of all childhood cancers. However, the exact risk factors of childhood leukemia are unknown. Objective(s):The aim of this study was to identify risk factors of leukemia among Upper Egyptian children. Methods: We conducted a case-control study in 2019. Cases included 170 children aged ≤18 years with a confirmed leukemia diagnosis at the South Egypt Cancer Institute. The controls included 170 children matched for age and sex, free from hematological problems, and diagnosed with a mild illness in a pediatric outpatient clinic. Data were collected from children's parents using an interview questionnaire. Results: The significant predictors for childhood leukemia were abnormal birth weight (<2.5 Kg and >4 kg) (OR = 2.89, 95% CI: 1.46-5.71) and childhood exposure to previous diagnostic radiation (OR = 3.95, 95% CI: 1.37-11.31). The risk increased if the father's occupation was farming (
Background:The central purpose ofantenatal care is to screen for and identify high risk pregnancies as early as possible from a general population of pregnant women, and then provide appropriate skilled care for women with high risk pregnancies while continuing to give adequate care for the women with low risk pregnancies. This "risk approach" is a managerial tool for improving maternal and child health care. Objective:To evaluate the impact of antenatal care for pregnant women with high risk pregnancy. Patients and method(s): This is a prospective cohort study of a group of pregnant women with high risk pregnancy. Detailed history, examination, and screening investigations were done throughout pregnancy. Setting:pregnantwomen's with high risk outpatient clinics and emergency unit, Qena university hospital, Egypt Result(s):The study included 120 women with high risk pregnancy. There was 16.7% incidence of first trimester complications (hyperemesis& threatened miscarriage). Most of women suffered from second and third trimester complications (80.8%) as preeclampsia in 20.8%, Gestational diabetes in 15%, PROM in13.3%, and preterm labour in 9.2%. fetal complications is seen in 35.8%. Conclusion: There was significant relationship between number of visits and the occurrence of complications during the second and the third trimester and during the post-delivery period.
Introduction: Viral hepatitis was reported to be the seventh leading cause of mortality globally (Stanawayet al., 2016), seventy one million humans were living with Hepatitis C virus (HCV) infection in the world, HCV is a leading cause of chronic liver disease, cirrhosis, and hepatocellular carcinoma, as well as the most common indication for liver transplantation in many countries(Stephen et al., 2006).There are seven major genotypes of HCV. The prevalent genotype in Egypt is type 4 (73%) followed by genotype 1 (26%), whereas mixed HCV genotypes infection was found in 15.7% in cases in Egypt (Ameret al., 2015).Hepatitis C viral infection is endemic in Egypt with the highest prevalence rate in the world (Elgharablyet al., 2017), It is estimated to be 14.7% among a representative sample of Egyptian population, aged 15-59 year (El-Zanaty et al., 2009), The high infection rate in Egypt was caused by HCV contamination introduced during treatment against Abstract: Background: Hepatitis C virus (HCV) infection is a worldwide health burden. The infection is frequently asymptomatic, leaving many infected individuals unaware of the diagnosis until complications occur. HCV infection is a major health problem in Egypt. The beginning was iatrogenic, however, other routes of transmission led to continuation of the problem up till now. Both adults and children are affected by this disease. Routes of transmission and risk factors for this infection are well established. The current study aimed at screening of the University students for the presence of HCV antibodies and assess their knowledge about the disease. Patients and methods: All participant students were subjected to ELISA HCV antibody test, and a semi-structured questionnaire was used as a tool for data collection by personal interviewing after verbal consent, the design of which was based on the objectives of the study after a review of recent literature and similar questionnaires Results:In this studyit was found that1% of the students were positive anti HCV. Regarding relation between risk factors and percentage of anti HCV among studied students, dental care, sharing utensils (medical or nom medical eg in barbershop) and blood transfusion were significant predictors of HCV infection (p < 0.05).With the decrease awareness about the disease between the student. Conclusion: Prevalence of HCV among studied student is 1% with poor to fair knowledge about the disease.
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