Background: Nephrotic syndrome is primarily a pediatric disease that is associated with high relapse rate. The nature of the disease and the side effects of medical treatments result in a great threat to children, families and society. Objective: to assess the level of self-care practices of school-aged children with Nephrotic syndrome and to identify the predictors of low self-care fuel shop Methods: A cross-sectional descriptive study was done to100 school-aged children with Nephrotic syndrome selected from the urology outpatient clinic at Mansoura university children's hospitals. Self-care practices of school age children with Nephrotic syndrome questionnaire (SCSCNSQ) Arabic version was developed by the researchers. Demographic, clinical, and self care requisites data were collected and analyzed using SPSS version 11. Results: most of the studied children had low level of self-care (self care deficit). Frequency of re-hospitalization, parents' socioeconomic standard, education and occupation were significant predictors for low self care. Regression analysis revealed that the Morerisky predictors in decreasing order are fathers' education, socioeconomic standard and frequency of hospital admission. Conclusion: Self-care level of nephrotic syndrome children should be assessed and educational training program should be provided to caregivers of children with risky predictors of low self care to improve disease outcome and minimize re-hospitalization.

Background: Despite the advances in medical therapy and technology, the prognosis of idiopathic pulmonary fibrosis (IPF) remains poor and the need for disease prevention based on identifying the risk factors becomes mandatory. Occupational and environmental exposures were studied in several countries and found to play an important role in the disease development. However, in Egypt, little attention has been paid to study the effect of these factors in the disease development. Objective: to identify the occupational and environmental risk factors associated with the development of IPF in Egypt. Methods: A multicenter hospital-based case-control study was carried out in chest hospitals in three Egyptian Cities: Cairo, Tanta and Mansoura. Study subjects were 201 IPF confirmed cases and 205 age, sex and residence matched controls. Data on occupational and environmental factors were obtained from a questionnaire. Multiple logistic regression analysis was used to estimate the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of IPF in both sexes for single factors with adjustment for age, residence and smoking status. Results: compared with controls, the risk of IPF in male workers was observed to increase significantly in chemical and petrochemical industries and in carpentry and wood working (OR=2.56,

Background: The collection and analysis of accurate injury statistics is essential for workers' health and safety and for future prevention and control of similar events. The Suez Governorate of Egypt is hosting one of the large and growing industrial areas of Egypt that contains many industries, old and recent, employing tens of thousands of workers. Objective: The present study examines the insurance claims filed in the branch of Health insurance Organization (HIO) of Suez Governorate over the period of two years aiming at highlighting the problem of non-fatal accidents resulting in injuries, identifying the dangerous industries, searching for the hazardous acts and media of accidents, identifying the most frequently suffered body site and type of injury, and recommending measures to minimize accident rates and severity. Methods: A record-based retrospective descriptive study was conducted and included 742 non-fatal occupational accidents/injuries notified and registered in the HIO Branch of Suez, over the years 2008 and 2009. An abbreviated sheet-form was constructed to collect data originally written in Arabic and in a paragraph-form. It included victims' demographic criteria, accident circumstances and outcomes. Statistical analysis was performed using the statistical package of SPSS version 10. Results: The highest number of claims came from the metal and machinery industries (24%), mining, quarrying and glass industries (23%), then transport and storage industries (13%). Upper and lower extremities were the most frequently affected body sites. Fractures and bruises were the most frequently reported injury types. Amputations constituted 6% of total injuries. Slipping and tripping, being struck by objects and

Abstract:Objectives: this study was carried out to examine the association between male infertility and certain occupational exposures. Methods: a case-control study was carried out from 2008 to 2009; on 255 infertile men and 267 fertile men controls. Occupational exposure to certain chemical, physical and psychological work-place hazards were assessed by self-report questionnaire. General and andrology medical examination were done for all participants, however semen analysis was done only for the infertile men cases, because the fertile men controls refused to give semen samples. Results: after adjustment of confounders, the results revealed that the following occupational exposure factors significantly increased the risk of male infertility: solvents and painting materials(OR: 3.88, 95% CI: 1.50-10.03), lead (OR: 5.43, 95% CI: 1.28-23.13), VDTs and computers (OR: 8.01, 95% CI: 4.03-15.87), shift work (OR: 3.60, 95% CI: 1.12-11.57) and workrelated stress (Fairly present: OR 3.11, 95% CI: 1.85-5.24; Often present: OR: 3.76, 95% CI: 1.96-7.52) Conclusion: although the limitations of this study, it supports other studies that ring the bell to minimize the exposure to the work-place hazards that may affect the fertility of men workers.

Background: The occupational risks for sewage exposed workers for developing Helicobacter pylori and protozoal infections have received a little attention. Studies revealed that H. pylori organism discharged in stool and could be transmitted through contaminated water and consequently could present a significant health problem to sewage workers. Objective: to estimate the prevalence of H. pylori and protozoal infections and to assess the gastrointestinal symptoms and hematological profile among sewage workers. Also, to determine the risk factors of H. pylori infection. Methods: A comparative cross sectional study was conducted for 60 workers working in Mansoura sewage treatment plant and maintenance of sewage collection system and 30 matched unexposed referents working as food handlers and supervisors in Mansoura University Hospitals. Demographic, occupational and gastrointestinal symptoms data were collected. Also, laboratory procedures include, complete blood count, stool analysis and culture and detection of H. pylori antigen using immunochromatographic rapid assay were done. Results: The prevalence of H. pylori in sewage workers was 56.7% compared to 16.7% among the control group with highly statistically significant difference between both groups. Heartburn with or without epigastric pain was the only significant gastrointestinal symptoms among sewage workers (43.3%) compared to comparison group (20.0%). Prevalence of E. histolytica in both exposed and comparison groups were high (65%