Copper and Magnesium Deficiency are Associated with Osteoporosis in Southern Gaza Patients

Osteoporosis is a common disease in old ages, trace minerals are central components of bone density and hardness. The present study aims to measure copper, magnesium, iron, calcium and phosphorus levels in osteoporotic southern Gaza patients and control groups. A case –control study included 35 osteoporotic patients and 35 controls aged 40-70 years. Copper, magnesium iron, calcium and phosphorus levels were measured in the serum at PalestinianMedical Relieve Society-Gaza by absorption spectrophotometry method-XLFS Kit (Diasys Diagnostic System GmbH). Serum copper and magnesium levels in osteoporotic patients (74.3±9.8μg/dL 1.56±0.18mg/dl) respectively is significantly (p<0.001) lower than control (98.3±15.2μg/dL, 2.06±0.13mg/dl ). The present work indicated a positive correlation between copper and magnesium levels (r=0.627, p<0.00), positive correlation between copper and number of daily meals (r=0.263, p<0.030), and also positive correlation between calcium and daily exercises (r=0.449, p<0.010). In conclusion copper and magnesium levels are significantly lower in postmenopausal women and men with osteoporosis. Optimizing levels of those trace minerals in old people is beneficial in prevention of osteoporosis. Daily exercises and ingestion of food containing trace minerals is highly recommended for this age group

Stop Turning a Blind Eye: Tobacco Smoking Among Egyptian Patients With Schizophrenia

Background: Patients with schizophrenia have considerably higher rates of mortality than general population. Multiple factors may play a role in this. Despite being a major preventable cause of death, smoking is usually overlooked when dealing with patients with schizophrenia. Understanding the pattern of smoking, its severity, and the reasons to quit might be helpful in managing patients with schizophrenia and decreasing the mortality gap.Subjects and Methods: The study included smokers divided into two groups; the first included 346 patients with schizophrenia while the second group had 150 smokers with no mental illness. Both groups were assessed and compared regarding sociodemographic variables, pattern of smoking, severity of nicotine dependence, and motivation to quit smoking.Results: Earlier age of starting to smoke, higher number of cigarettes per day, and lower dependency scores were noted in patients with Schizophrenia. Positive correlation was found between positive symptoms and severity of dependence. Specific positive symptoms were correlated to number of cigarettes per day and time before first cigarette. Patients with Schizophrenia showed a significant difference in intrinsic reasons to quit (health concerns and self-control), which were also positively correlated to their positive symptoms score. Linear regression analysis for predictors of FTND score revealed that only age, sex, and schizophrenia were significant predictors of FTND score.Conclusion: Patients with schizophrenia smoke at earlier ages and smoke more cigarettes per day, yet, have less severe dependence than non-schizophrenic counterparts. Positive symptoms play a role in their smoking pattern and severity. Health concerns and self-control are their main motives to quit smoking

Occurrence of problematic Internet use and its correlates among Egyptian adolescent students in international schools in Cairo

Abstract Background Internet addiction is a global phenomenon that has been a topic of great interest to researchers, clinicians, teachers, parents, and community groups. The study aims in determination of the rate of problematic Internet use among a sample of Egyptian adolescent students, relations of problematic Internet use with socio-demographic data, risk factors, and comorbid psychiatric disorders. A sample of 248 Egyptian adolescent school students aged 11 to 18 years old were assessed using the Young’s Internet Addiction Test (IAT), Internet Gaming Disorder (IGD) Scale, Social Media Disorder (SMD) Scale, Youth Self-Report (YSR), and The Mini International Neuropsychiatric Interview for children and adolescents (Mini KID). Results Among the study sample, 42.3% of the students suffered from mild Internet addiction, 35.1% suffered from moderate Internet addiction, and 3.6% suffered from severe addiction. 31.5% were risky gamers and 10.5% were disordered gamers; 34.3% had problematic social media disorder and the highest observed psychiatric disorders were major depressive episodes 9.3%, generalized anxiety disorder 7.7%, alcohol dependence 4.4%, attention-deficit hyperactivity disorder 4.4%, social phobia 4%, and a higher percentage of psychiatric disorders among severe Internet addiction 88.9% and among moderate addiction 70.6%, disordered gamers 92.3%, problematic social media users 60%, and a higher mean of hours spent online per day of 6.8 h per day. Conclusions Problematic Internet use has a negative impact on Egyptian adolescent students in international schools in study sample and adds to the existing literature regarding the magnitude of Internet addiction and its relationship with different psychiatric disorders

Effectiveness of pictorial health warnings on the waterpipe device and tobacco packs: a qualitative study

Background Despite the global increase in waterpipe smoking, current evidence is limited in assessing health warning labeling practices on waterpipe tobacco (WT) products. This qualitative study aimed to a) understand how participants perceive pictorial health warnings (PHW) on WT packs b) explore their attitude towards a newly designed set and c) explore their opinion of placing PHWs on the waterpipe device and accessories. Methods Ten focus group and ten in-depth interview sessions were conducted in Egypt with 90 waterpipe smokers and non-smokers, of both genders, and different age-groups (18-24 and 25+) within rural and urban regions. Verbatim transcripts were analyzed using thematic analysis. Results Participants thought that the current PHW set triggered affective reactions; still some were unclear, or unrealistic. The majority considered it attractive because of the bright colorful designs of fruits and flavors. In contrast, participants thought that the newly designed set had more positive elements that might help in preventing smoking initiation or inducing quit attempts, such as the absence of attracting flavors, the contrasting dark background, the believable contents, and the larger label size. Participants' views of effective warnings were leaning towards those posing proximal health risks. Most of the participants believed that inserting PHWs on waterpipe device may enhance their effectiveness. Participants equally favored placing them on the glass body, or on the mouthpiece and hose. Conclusions Findings implicate a policy need to extend WT labeling regulations to the waterpipe device and employ evidence-based practices to customize PHWs' content, design, and placement on WT products