Dietary habits, lifestyle changes, and glycemic control in patients with type 2 diabetes mellitus during coronavirus disease 2019 (COVID-19): A cross-sectional study in Egypt.

BACKGROUND: The coronavirus disease 2019 (COVID-19) lockdown had a significant effect on people's lifestyles and dietary habits resulting in a possible negative health impact, particularly for patients with type-2 diabetes mellitus (T2DM). The objective of the study was to assess the changes in dietary habits and lifestyle and how these relate to glycemic control in patients with type 2 diabetes (T2D), who attended Zagazig Diabetes Clinic, Sharkia Governorate, Egypt, during the COVID-19 pandemic. MATERIALS AND METHODS: A total of 402 patients with T2D were included in this cross-sectional study. A semistructured questionnaire was used to collect information on socioeconomic status, dietary habits, lifestyle changes, and previous medical history. Weight and height were also measured, and hemoglobin A1C levels before and after lockdown were compared. Data analysis was performed using the SPSS. To determine statistical significance, Chi-square test was used for categorical variables whereas, paired t-test or McN-Nemar test, as appropriate, was used to compare change in HbA1c before and after lockdown. Ordinal logistic regression was used to determine factors associated with weight change, whereas binary logistic regression was used to determine factors related with glycemic control. RESULTS: During the COVID-19 pandemic, 43.8% of the studied groups consumed more than their usual diet with an increase in fruits, vegetables, and immunity-boosting food; 57% depended on home-cooked food, 48.3% did not practice exercise. About 57% reported to have gained weight, 70.9% suffered from mental stress, and 66.7% reported inadequate sleep. Collectively, there was a statistically significant decrease in the percentage of good glycemic control in the studied groups (28.1% vs. 15.9%) before and after the COVID-19 lockdown, respectively (P < 0.001). Weight gain, physical inactivity, mental stress, and inadequate sleep were significantly associated with poor glycemic control. CONCLUSION: COVID-19 pandemic has had a negative impact on the lifestyle and dietary habits of the studied groups. Therefore, it is very important to ensure better diabetes management in this critical period.

Hesitancy for influenza vaccine among healthcare workers and mothers of preschool children: A cross-sectional study in Zagazig, Egypt.

BACKGROUND: Vaccine hesitancy is a worldwide issue. To intensify our efforts to find a solution to this problem, we need to comprehend its magnitude and underlying causes. This study aimed to determine the prevalence of influenza vaccine hesitancy and the reasons for it among healthcare workers (HCWs) and mothers of preschool children attending Zagazig Maternal and Child Healthcare (MCH) Center, Sharqia Governorate. MATERIALS AND METHODS: A cross-sectional study was conducted in the Zagazig MCH Center involving 77 HCWs and 210 mothers of preschool children. Two validated questionnaires (one for HCWs and one for mothers of preschool children) were used to collect data on hesitancy to influenza vaccine. Data analysis perfomed using SPSS v 25.0. For quantitative variables, statistical significance was determined using t-test, whereas Chi-square test was employed for quantitative variables. Poisson regression model was used to determine the independent predictors of influenza vaccine hesitancy. P < 0.05 was used as a level of statistical significance. RESULTS: The prevalence of hesitancy to the influenza vaccine was 46.8% among HCWs and 54.3% among mothers of preschool children. Fear of side effects (42.9%) and doubt in the usefulness of the vaccine (42.1%) were the most frequent barriers. Hesitancy was significantly more prevalent in the negative-attitude HCWs (62.0%) than positive-attitude HCWs (18.5%). According to Poisson regression analysis, the age of the index child, the mothers' source of information, and the frequency of vaccination were the critical indicators of influenza vaccine hesitancy in the studied mothers. CONCLUSION: Influenza vaccine hesitancy among the studied sample is high (46.8% among HCWs, and 54.3% among mothers of preschool children). Periodic health education campaigns to increase awareness and change the negative attitude about the influenza vaccine are recommended.

Patient safety attitude among healthcare workers at different levels of healthcare in Sharqia Governorate, Egypt.

BACKGROUND:  Patient safety (PS) has been identified as a significant healthcare challenge. A good safety attitude helps healthcare workers (HCWs) to decrease medical errors. AIM:  This study aimed to assess the PS attitude and identify its determinants among HCWs. SETTING:  This study was conducted in Sharqia Governorate at different levels of health care. METHODS:  This was a comparative cross-sectional study that involved240 HCWs selected after using a multistage cluster sampling technique from Sharqia Governorate.In ordertto assess the respondents' attitudes towards PS, the modified Chinese Safety Attitudes Questionnaire (CSAQ) was used. RESULTS:  The scale with the highest percentage of positive responses, on average, was safety climate (49.59%). The study found a statistically significant association between the level of health care and mean scores of 'teamwork climate, perception of management, job satisfaction, working conditions, and stress recognition' and the overall CSAQ score. In regression analysis, the highest degree of education and job type were significant predictors of PS attitude among the HCWs under study (p = 0.031 and 0.011, respectively). CONCLUSION:  According to the study's findings, PS is low among HCWs in both healthcare units and hospitals, with a significantly higher score among hospital workers than among primary care workers. All PS composites need improvement starting with regular assessment of PS culture along with continuous monitoring.

The privileging of 'Support-From-Below' in early spatial language acquisition.

Spatial terms that encode support (e.g., "on", in English) are among the first to be understood by children across languages (e.g., Bloom, 1973; Johnston & Slobin, 1979). Such terms apply to a wide variety of support configurations, including Support-From-Below (SFB; cup on table) and Mechanical Support, such as stamps on envelopes, coats on hooks, etc. Research has yet to delineate infants' semantic space for the term "on" when considering its full range of usage. Do infants initially map "on" to a very broad, highly abstract category - one including cups on tables, stamps on envelopes, etc.? Or do infants begin with a much more restricted interpretation - mapping "on" to certain configurations over others? Much infant cognition research suggests that SFB is an event category that infants learn about early - by five months of age (Baillargeon & DeJong, 2017) - raising the possibility that they may also begin by interpreting the word "on" as referring to configurations like cups on tables, rather than stamps on envelopes. Further, studies examining language production suggests that children and adults map the basic locative expression (BE on, in English) to SFB over Mechanical Support (Landau et al., 2016). We tested the hypothesis that this 'privileging' of SFB in early infant cognition and child and adult language also characterizes infants' language comprehension. Using the Intermodal-Preferential-Looking-Paradigm in combination with infant eye-tracking, 20-month-olds were presented with two support configurations: SFB and Mechanical, Support-Via-Adhesion (henceforth, SVA). Infants preferentially mapped "is on" to SFB (rather than SVA) suggesting that infants differentiate between two quite different kinds of support configurations when mapping spatial language to these two configurations and more so, that SFB is privileged in early language understanding of the English spatial term "on".