Participation and Satisfaction with the National Campaign on Viral Hepatitis C and Non-Communicable Diseases among Administrative Workers of Ain Shams University, Cairo, Egypt

Background On the first of October,2018, the Egyptian Ministry Of Health and Population (MoHP) launched an initiative; named 100 Million Seha, for nationwide screening of hepatitis C virus (HCV) and major non communicable diseases (NCDs) diabetes, hypertension and obesity. Egypt has one of the highest prevalence rate of HCV infection in the world and NCDs are considered the leading cause of mortality in Egypt Objectives This study aimed to estimate the prevalence rate of participation of ASU workers in the Egyptian Initiative 100 Million Seha and to assess their level of satisfaction. Method A cross sectional study was conducted on 400 Administrative workers of Ain shams university faculties between March and August, 2019 in Cairo, Egypt. A multistage random sample was applied. Results Most of the study group (96%) had participated in the campaign.“Reassurance about health” was considered the main reason for participation (92%), followed by “desire to obtain follow up card”, (36%). the main cause of non-participation was fear of needle prick. About 91% of the participants were satisfied with the services provided by the campaign. Mass media was the main source of information (91%). Conclusions Most of the study group participated in the initiative 100 Million Seha and were satisfied with the service provided. Mass media played the most important role in awareness with the campaign.

Risk of Exposure, Perception and Vaccination Status of Chronic Viral Hepatitis among Health Care Workers in Benue State, North Central Nigeria

Health care workers are high-risk group for contracting hepatitis B and C virus infections. Hepatitis B and C can be contracted in the hospital setting by needle prick injury, contact with blood (and body fluids) and during invasive medical procedures. This study aims to assess the risk of exposure, the concern or perception of healthcare workers about getting infected (with HBV and/or HCV) from the workplace and the level of HBV vaccination uptake among them. The study was carried out during a capacity building workshop organized for health care workers from all the Local Government Areas in Benue State. A self-administered questionnaire was distributed to 168 participants in attendance, after obtaining verbal consent. One hundred and thirty-eight (138) questionnaires were properly filled and returned, 115 (83.3%) have had needle prick injury, 127 (92%) have had blood spilling on them and 118 (85.5%) have been involved in the management of hepatitis patients. One hundred and nineteen (86.2%) were afraid of contracting hepatitis infection from their place of work, 133 (96.4%) were aware of hepatitis B vaccine for adult, 87 (63%) had received at least one dose of hepatitis B vaccine but only 56 (40.6%) received the complete three doses. Health care workers in Benue State are aware of the risk of contracting viral hepatitis at their workplace and are concerned about this risk. However, the uptake of hepatitis B vaccination among them remains poor.

Pathergy Phenomenon

Skin pathergy reaction (SPR) is a hyperreactivity response to needle induced trauma which is characterized by a papule or pustule formation, 24–48 h after sterile-needle prick. It is affected by a wide array of factors, including the physical properties of the needles being used, number of pricks and disease related factors such as male gender, active disease. There is a great variation in reactivity among different populations with very low positivity rate in regions of low prevalence like Northern Europe, and higher prevalance mainly in communities living along the historical Silk Road, like Turkey, China and Middle Eastern countries. SPR is not constant during the disease course, has lost its sensitivity over decades and can be positive in various disorders including Sweet's syndrome, pyoderma gangrenosum, Crohn's diesease, A20 haploinsufficiency, deficiency of IL-1-receptor antagonist and few others. Nevertheless, it is a criteria included into many currently used diagnostic or classification criteria for Behçet's disease. Although, not being fully uncovered yet, available data points to the activation of both innate and adaptive immune system with an inflammatory response mediated by polymorphonuclears and T-cells. In addition to its utility in diagnosis of Behçet's Disease, SPR may serve as a model for investigating the inflammatory pathways involved in the etiopathogenesis of this complex disease.

Nitroglycerin transcutaneous patch: boon to salvaging post-operative partial flap necrosis, simple and effective method

Introduction: The majority of surgical complications after tissue transfer surgery (Localtransposition of the fasciocutaneous flap, Pedicle flap, Free flap or musculocutaneous flap) arerelated to vascular thrombosis, which usually occurs within 3 days of surgery. Venous congestionusually results in oedema and darkening of the skin colour. During early venous obstruction, aneedle stick will cause rapid bleeding of dark blood and arterial obstruction or spasm will causedelayed bleeding. Patients and methods: This is prospective study was carried out during theperiod from January 2018 to February 2021 at the Plastic surgery unit-Chirayu Medical College AndHospital Bhopal, India. This study included patients aged 13 to 70 years undergoing reconstructivesurgery with flaps (Fasciocutaneous Pedicle flap, Free flap, local transposition flap ormusculocutaneous flap) for the wounds at any part of the body. The NTG patch was applied over thecutaneous surface of the compromised flap and then flap insufficiency was observed. Results: Inthis study total of 50 patients with flaps reconstruction were included. Among which 34 %( 17patients) had skin changes and 66 % (33 patients) had congested bleed on needle prick. NTGpatches were applied on the flap surface at regular intervals. After 1 week follows up, the changes in82% (41) flaps were reversed back and the flap remained healthy. 18% (nine) flaps had partial andor complete necrosis. Conclusion: There was a marked reduction in partial flap necrosis in patientswho received nitroglycerin patch. The flap survival was significantly improved and prevents the re-exploration of flaps. Their application is a simple, safe, and effective way to help salvage the flaps.

Assessment of factors affecting willingness to blood donations among Hawassa town Population Southern, Ethiopia,2020.

Background: Blood donation remain a unique act to save the lives of people who encounter critical surgical and medical conditions. Since the request for blood supply is extremely high, a shortage of blood causes significant morbidity and mortality. To increase blood supply and maintain an adequate quantity of blood, regular and volunteer blood donation practice is needed. Ethiopia is one of the lowest annual donation rates which is 0.8/1000 population. This study assesses factors affecting willingness to donate blood among Hawassa Town's southern Population.Objectives: To assess the factors affecting willingness to blood donation among Hawassa town population Southern, Ethiopia. Methods: A community-based cross-sectional investigation was conducted in Hawassa Town in November 2020. A multi-stage sampling procedure was utilized to select the study population. At Stage one, three Kebeles are taken from a total of 32 Kebele, at stage two implementing a systematically sampling method used to draw the total sample size, proportional to the population of each kebele and each study unit are selected randomly from Each household. Data were collected using a structured interviewer questionnaire. Data entered and analyzed using SPSS version 20. Result: A total of 633 participants was included in the final analysis (response rate = 100%). Among which 212(33.5%) were female and 421 (66.5%) were Male. The average age was 30.95 ±2.0 years.Among the study participants, 490(77.4) are willing to donate blood in the future, and 125(22.9%) of them had blood donation practices in the past. The most prominent factors that affect the willingness of the participants for blood donation were, Unfit to donate, fear of needle prick and Not approached to donated (45.2%, 38.5%, and 11.7%) respectively. Most of the respondents 382 (60.3%) reported that voluntary donor is the best source of protected blood. Desire to aid other and age of study Participant age greater 25 years are significantly associated factor for increased willingness to blood donated (AOR 2.146 (0.028, 0.753) and (AOR = 1.8 (95% CI 1.1, 3.0) respectively.Conclusion: Only minor proportion of the participants donated blood in the past, but Majority of the participant was willing to donate blood in the future. The crucial factors that participants are not willing to donate blood are Unfit to donate, fear of needle prick, and Not approached to donate. There is a need to improve awareness on who and when a person capable to donate blood and organizing campaigns to increase awareness on the importance of blood donation for those who are willing to donate blood in the future, to produce a pool of eligible blood donors.

Assessment of factors affecting willingness to blood donation among Hawassa town Population Southern, Ethiopia,2020.

Background: Blood donation is a unique act to save the lives of people who face serious surgical and medical conditions. Since the request for blood supply is too high, there is a shortage of blood which causes significant morbidity and mortality. To increase blood supply and maintain adequate quantity of blood, regular and volunteer blood donation practice is needed. Ethiopia is one of the lowest annual donation rates which is 0.8/1000 population. This study assesses factors affecting willingness to donate blood among Hawassa town southern Population.Objectives: To assess the factors affecting willingness to blood donation among Hawassa town population Southern, Ethiopia.Methods: Community based cross-sectional study was conducted in Hawassa town in November 2020. A multi-stage sampling procedure was used to select study population. At Stage one, three Kebele are selected from total 32 Kebele, at stage two using systematical sampling method used to draw the total sample size, proportional to the population of each kebele and each study units are selected randomly from Each household. Data was collected using structured interviewer questionnaire. Data entered and analyzed using SPSS version 20.Result: A total of 633 participants were included in the final analysis (response rate = 100%). Among which 212(33.5%) was Female and 421 (66.5%) were Male. The mean age was 30.95 ±2.0 years. Among the study participants, 490(77.4) are willing to donate blood in the future and 125(22.9%) of them had blood donation practices in the past. The most prominent factors that affect willingness of participant for blood donation was, Unfit to donate, fear of needle prick and Not approached to donate (45.2%,38.5% and 11.7%) respectively. Majority of the respondents 382 (60.3%) reported that voluntary donor is the best source of safe blood. Desire to help other and age of study Participant age greater 25 years are significantly associated factor for increased willingness to blood donation (AOR 2.146 (0.028, 0.753) and (AOR = 1.8 (95% CI 1.1, 3.0) respectively.Conclusion: Only minor proportion of the participants donate blood in the past, but Majority of the participant was willing to donate blood in the future. The major factors that participant not willing to donate blood are Unfit to donate, fear of needle prick and Not approached to donate. There is a need to improve awareness on who and when a person able to donate a blood and organizing campaign to increase awareness on important of blood donation for those who are willing to donate blood in the future, to create a pool of eligible blood donors.

ADHESIVE GLUE Vs SUBCUTICULAR SUTURING IN THYROIDECTOMY

BACKGROUND: Suturing has been the commonest method of surgical wound closure that is being practiced because of good results of skin closure. With adhesive glue being an alternative for skin closure which is less time consuming, comfortable, without the risk of needle prick injury and leaves behind a cosmetically acceptable scar. OBJECTIVES: The aim of this study is to compare subcuticular suturing versus adhesive glue for skin closure in thyroidectomy with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence and cosmesis. MATERIALAND METHODS: This prospective study of 100 cases of skin closure using subcuticular suturing versus adhesive in thyroidectomy was carried out at BGS Global institute of medical science and Hospital, Bangalore with the aim of comparing suturing versus adhesive glue, with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence and cosmesis. RESULT: 100 patients divided into 2 groups, randomly underwent subcuticular suturing and adhesive glue skin closure. Post- operative pain was less in glue group (p value <0.001) and wound complications were comparable in both groups. CONCLUSION: Octylcyanoacrylate provides an effective and reliable means of skin closure and yields similar cosmetic results as with subcuticular skin sutures. The incidences of wound complications are comparable in both the groups. However the severity of postoperative pain is lesser in the adhesive group.

Occupational Hazards among Health Workers in Hospitals of Mukalla City, Yemen

Background: Occupational health is a neglected public health issue among healthcare workers in developing countries like Yemen and they may expose them to various forms of hazards, which have had negative consequences on their wellbeing and performance at work. Objective: The study aims at exploring the forms of occupational health hazards prevalence and methods to mitigate these hazards among Health Care Workers (HCW) in governmental hospitals in Mukalla city. Methods: It is a cross-sectional study conducted among health workers in the main hospitals in Mukalla city in Hadhramout province in eastern Yemen. The sample size is calculated statistically as 366 workers from different categories including doctors, nurses and lab technicians. A sample of 391 workers were selected randomly who were distributed to be representative and proportional to the size of each professional category. Results: The prevalence of biological hazards among the healthcare workers accounted for 298 (76%) whereas the non-biological hazards accounted for 306 (78%). The most prevalent biological hazards are needle prick injury (80%) followed by exposure to contact with contaminated material (75%), while the most frequent non-biological hazards are back pain (79%) followed by extra-time work (72%). In logistic regression age, gender and duration of work and professional category have significant association with exposure of health workers to biological hazards while only gender is the only variable associated with non-biological hazards. Conclusion: There is a high prevalence of occupational hazards (biological and non-biological) among health workers in hospitals of Mukalla city. A prevention and infection control and patient safety programs are highly recommended in Mukalla hospitals to save health workers and patients.

Associated Factors to Uptake of Human Papiloma Virus Vaccine 2 among Girls of Ages 9-14 years in Igombe Sub-County Bugweri District.

ABSTRACT Background: Human papilloma virus (HPV) infection is a sexually transmitted infection and it’s estimated that 75% of sexually active people are infected with HPV during their lifetime, HPV vaccines are being marketed in many countries throughout the world; and are highly efficacious in preventing 90% of infections due to HPV virus. Even though HPV vaccination is recommended and mostly carried out in schools, there are multiple challenges in implementing and increasing the vaccine's uptake. Methodology: The study employed a cross sectional design and utilized a sample size of 424 respondents. Sampling was by systemic random sampling and data was collected using self-administered questionnaire. Thereafter, data analysis was done using SPSS version1.8. Results: Majority of respondents 77 (50.7%) did not receive HPV2 due to fear of needle prick pain, 51 (33.6%) due to discouragement by guardians, while minority 24 (15.8%) of the respondents were not given an appointment date. 127 (30%) of the respondents reported that previous experience such as painful needle pricks, other side effects such as headaches and fevers; would hinder HPV2 reception. Recommendations: Government of Uganda through ministry of health should ensure that there are national sensitization programs targeted at improving uptake of HPV vaccines among girls aged 9-14 years both those at schools and those out of schools. Conclusion: There was poor uptake of HPV2 vaccine among girls aged 9-14 years in Igombe sub county, this was mainly attributed to poor support by the parents/guardians to their girl children towards the vaccine, failure of health workers to issue return dates to the girls, distant health centers and fear of needle pricks and other side effects such as headaches and fevers; thus more sensitization of the communities and continuous medical education for the health workers is highly recommended to improve utilization of the vaccine.