Colorectal cancer is a disease of the elderly, and affects the younger population with an incidence of 2 to 6%.An increasing number of young colorectal carcinoma patients attending at Mansoura University Hospital, Mansoura, Egypt, was noted.This report represents our data of the last 5 years, and compares these results with those of other countries and those previously reported from Egypt.Data were collected retrospectively from the patient records of 400 consecutive patients who had colorectal cancer from January 1994 to March 1999 at Mansoura University Hospital. The maximum incidence was seen in the 5th and 6th decades (mean age was 45 years). A total of 29% of patients were younger than 30 years of age and 26% of them above the age of 60 years. The rectum was the most common site involved (68% of patients), followed by the sigmoid (colon/rectal ratio was 4 : 8.5). Two percent of cases were Dukes A Stage, 26% Dukes B, 31% Dukes C, and 41% Dukes D. The percentage of patients who underwent potentially curative resection was 66% (263 patients).Colorectal carcinoma in Egypt shares the epidemiological characteristics of developing countries which are higher incidence in younger patients and carcinoma of the rectum predominates

It has been estimated that more than half of the world's population is below the age of 25 years. At the end of the year 2001, there were 2 billion teenagers on the planet, more than there have ever been in the history of mankind.1 In an era of increasing technological access and rapid innovation, the potential of this population is unbounded. However, if we fail to nurture their health, education, hopes and skills, their destabilizing effects on the political, social and economic systems could be immense.Childrens' health has improved steadily over the past several decades. Children who in the past would have died in infancy are surviving into childhood, adolescence, and adulthood. However, the changing social, economic and political conditions both locally and globally, impose multiple threats and impairments to their physical, mental and social health.The interaction between health and education has a major impact on the development and well-being of children. School achievement is affected by children's health, and health is affected by what children learn and do at school. Healthy habits can be taught in the classroom, modeled by teachers, and learned from peers. In addition, the child's health can be adversely affected by the negative physical and emotional environment of the school, and by the lack of nutritional and physical education programs. 2,3More children than ever before are attending schools, and for longer periods of their lives. Since the school years are a formative period in the child's development, the school is responsible for providing efficient means of improving the child's health, self esteem, behavior, and life skills (abilities related to effective decision-making, communication, understanding emotions, critical thinking, coping with stress, etc). Schools also provide a place where interventions of many specific diseases can efficiently and economically be implemented. Therefore, in every nation, schools could do more than perhaps any other single institution to improve the well-being and competence of the young generation. In addition, schools can also provide the setting to introduce health information to the community and, can lead the community by advocating policies and activities that promote health.

Background: The patterns of comorbidity upon intensive care unit (ICU) admission and mortality upon discharge are not well-studied in Egypt. Aim: Therefore, this descriptive cross-sectional study aims to describe these patterns and to highlight their associated factors at the national level. Methods: The study enrolled 1132 ICU patients representing the seven Egyptian regions. Comorbidities were assessed by calculating Charlson comorbidity index (CCI) which was classified into low (≤6) and high (>6) CCI based on median value. Discharge data including condition at discharge were reported. Results: Resultsrevealed male to female percentage of 58.4% and 41.6%, median age of 58 years, rural to urban percentage of 60.3% and 39.7%. Overall mortality was 24% at discharge. The median ICU stay was two days ranging from 0 to 27 days. The most frequent diagnosis was acute myocardial infarction (28.8%). High CCI was 34.9%. Older patients (≥60 years), female patients, and patients with long ICU stay had 7.40-, 1.34-, and 1.91-times higher odds to have high CCI; respectively. Also, older patients (≥60 years), patients from urban areas, patients with short ICU stay, and patients with high CCI had 1.54-, 1.71-, 1.52-and 1.53-times higher odds to die in ICU; respectively. Conclusion: In conclusion, this study revealed a 24% ICU mortality which is related to old age, urban residency, short ICU stay, and high CCI.

Background: Worldwide, handball is one of the most popular sports played by all ages. Handball injuries result from intrinsic risk factors (as age, gender and previous injuries) and extrinsic risk factors (as playing position, floor type and equipment). Objective: Study the distribution and determinants of sport injuries among the Egyptian National handball players. Patients and methods: A descriptive cross-sectional study with analytic component was carried out upon all the Egyptian National handball players during the period from October 2016 to November 2017. According to the Egyptian Handball Federation, the total number of these players was 234 players. All these players were included in the present study.Results: The present study revealed that 83.3% of the national handball players had one or more sport injury in the last season, 81% of them were injured once and 40.2% of total injuries were overuse injuries. The most frequent injured sites were knee (47.5 %) followed by ankle (18.9 %). Higher injury prevalence was reported by the first team players (93.1%) and players above 20 years (90.7%). Females reported a higher injury prevalence compared to males (90.5% and 78.4% respectively, OR= 2.6). In addition, the highest prevalence rates were reported among backcourt players (OR= 4.5) and wingmen (OR= 3.7), players on artificial floor (OR= 4.3) and those didn't use protective equipment (OR=2.3). Conclusion: Older age, females, backcourt position, artificial floor and lack of protective equipment were significant predictors of sport injuries among the national handball players.

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