Colonoscopy screening for colorectal cancer in Egypt: a nationwide cross-sectional study

BACKGROUND

Current guidelines advocate for colorectal cancer (CRC) screening in adults who are at risk by using direct visualization methods such as colonoscopy. However, in Egypt, there is a paucity of data regarding the current practice of colonoscopy screening. Moreover, more information is needed about the knowledge and attitudes of potential participants regarding the procedure and possible barriers that can limit their participation.

METHODS

We conducted a nationwide cross-sectional study using an interview-based survey of patients aged 45 years or above who presented to outpatient clinics of nine university hospitals throughout Egypt. Participants were surveyed to assess their compliance with CRC colonoscopy screening guidelines, their knowledge of and attitude towards colonoscopy screening, and their perspective on potential barriers to colonoscopy screening.

RESULTS

A total of 1,453 participants responded to our survey in the nine study centers. Only a minority of participants (2.3%) were referred for CRC screening. Referral rates were higher among those who knew someone with a history of CRC (5.3% vs 1.5%, p < 0.001) or had a discussion with their physician about CRC (25.8% vs 0.7%, p < 0.001). Few responders (3.2%) had good knowledge regarding CRC screening. After introducing the concept of CRC screening to all participants, most patients (66.7%) showed a positive attitude towards having the procedure. Financial burden and fear of results were the two most frequently cited barriers to undergoing CRC screening (81.1%; and 60.1%, respecteively).

CONCLUSIONS

Despite the positive attitude, there is insufficient knowledge about CRC screening among eligible participants in Egypt. This has probably contributed to low compliance with current CRC screening guidelines and needs to be addressed at the national level.

Local Epidermal Growth Factor Delivery Using Nanopillared Chitosan-Gelatin Films for Melanogenesis and Wound Healing

Epidermal growth factor (EGF) is required for various regulations of skin tissue including wound healing, however, it has limited stability due to the physicochemical conditions of the wound milieu. The...

Medical undergraduates' contributions to publication output of world's top universities in 2013

BACKGROUND

Medical undergraduates' (UGs) involvement in research activities is thought to be mutually beneficial to students, their mentors and the scholarly productivity of their universities. However, most evidence in favor of such assumption relies on subjective measures such as the self-reported gains in skills or knowledge rather than robust objective estimates for assessing impact.

AIM

We aimed to objectively track and describe publications with UG co-authors-their proportion to the total publication output of world's top universities, their characteristics and their potential impact on biomedical literature.

METHODS

We contacted the corresponding authors of the 2013's Medline-indexed publications affiliated to world's top 10 universities to investigate if any of their co-authors was an UG. Articles with UG co-authors were further assessed to determine, along with other variables: the type of study design, field of the article, publishing journal and its impact factor (IF), and number of received citations.

RESULTS

Out of 25 152 publications, 2537 articles (10.1%) contained at least one UG co-author who was the first author in 635 papers (25%). Articles with UG co-authors were published in 1114 journals with a median IF of 3.661. Most UGs' co-authored publications (82.7%, n = 2098) were cited at least once within 1 year, for a median of three citations per article.

CONCLUSION

UGs contributed to one in every 10 publications affiliated to top universities. Their papers were published in journals with good IFs and received a fair number of citations, which would reflect the relatively good quality and impact of these articles.

Modeling traffic accident occurrence and involvement

The Negative Binomial modeling technique was used to model the frequency of accident occurrence and involvement. Accident data over a period of 3 years, accounting for 1,606 accidents on a principal arterial in Central Florida, were used to estimate the model. The model illustrated the significance of the Annual Average Daily Traffic (AADT), degree of horizontal curvature, lane, shoulder and median widths, urban/rural, and the section's length, on the frequency of accident occurrence. Several Negative Binomial models of the frequency of accident involvement were also developed to account for the demographic characteristics of the driver (age and gender). The results showed that heavy traffic volume, speeding, narrow lane width, larger number of lanes, urban roadway sections, narrow shoulder width and reduced median width increase the likelihood for accident involvement. Subsequent elasticity computations identified the relative importance of the variables included in the models. Female drivers experience more accidents than male drivers in heavy traffic volume, reduced median width, narrow lane width, and larger number of lanes. Male drivers have greater tendency to be involved in traffic accidents while speeding. The models also indicated that young and older drivers experience more accidents than middle aged drivers in heavy traffic volume, and reduced shoulder and median widths. Younger drivers have a greater tendency of being involved in accidents on roadway curves and while speeding.