Background: Stoke is a long-term condition. Estimation of stroke outcomes is lacking. Stroke is known as the most common cause of disability among adults. The measurement of Health-Related Quality of Life (HRQOL) is important to understand the actual status of the patients. Aim: The aim of this study was to assess HRQOL among stroke patients and analyze clinical and functional factors that influence it. Material and method: A cross-sectional study was applied to 65 strokes outpatients, 33 from Assiut University hospital, Assiut, Egypt and 32 from, King Abdulaziz University, Jeddah, Saudi Arabia. A questionnaire was used to complete related data and assessment of HRQOL was done by the use of Barthel index, SF36, and SSQOL by personal interview. Result: No significant differences were detected between two studied groups in all characteristics. For all study sample, our patients had low mean scores in all SF36 domains, the lowest was for RE with 3.46 ± 9.1 and GH was the best mean (51.7 ± 12.99). As regards SSQOL, patients had low mean scores on the lowest subscale in productivity (6.72 ± 3.21), whereas the language was the least affected (15.86 ± 6.26). There was a significant difference between the means of PCS and SSQOL in post-stroke duration which was significantly higher in >24 months (37.21 ± 8.59 and p = 0.007and 141.57 ± 36.12 and p = 0.052 respectively) than in the shorter durations. The independent patients had significantly higher PCS and SSQOL mean scores than who need assistance and immobile ones (26.79 ± 5.09 and p 0.0001 and 101.93 ± 22.16 and p 0.0001 respectively). Age and mobility were significantly negative correlated with PCS, SSQOL, and Barthel scores while there was a significant positive correlation between ULVC and LLVC testing grades and PCS, MCS, SSQOL and Barthel index scores. In the linear regression model, duration, mobility and voluntary control of lower limbs were predictors for PCS of SF-36 (p = 0.045, 0.000 and 0.036 respectively). There were no significant predictors on MCS. On the other hand Mobility and voluntary control of lower limbs were significant predictors for SSQOL (p = 0.001 and 0.051 respectively). Conclusion: Stroke patient had poor QOL. A need for post-stroke care programs for improving the physical, mental and social quality of life for those patients is mandatory.

Background: Stoke is a long-term condition. Estimation of stroke outcomes is lacking. Stroke is known as the most common cause of disability among adults. The measurement of Health-Related Quality of Life (HRQOL) is important to understand the actual status of the patients. Aim: The aim of this study was to assess HRQOL among stroke patients and analyze clinical and functional factors that influence it. Material and method: A cross-sectional study was applied to 65 strokes outpatients, 33 from Assiut University hospital, Assiut, Egypt and 32 from, King Abdulaziz University, Jeddah, Saudi Arabia. A questionnaire was used to complete related data and assessment of HRQOL was done by the use of Barthel index, SF36, and SSQOL by personal interview. Result: No significant differences were detected between two studied groups in all characteristics. For all study sample, our patients had low mean scores in all SF36 domains, the lowest was for RE with 3.46 ± 9.1 and GH was the best mean (51.7 ± 12.99). As regards SSQOL, patients had low mean scores on the lowest subscale in productivity (6.72 ± 3.21), whereas the language was the least affected (15.86 ± 6.26). There was a significant difference between the means of PCS and SSQOL in post-stroke duration which was significantly higher in >24 months (37.21 ± 8.59 and p = 0.007and 141.57 ± 36.12 and p = 0.052 respectively) than in the shorter durations. The independent patients had significantly higher PCS and SSQOL mean scores than who need assistance and immobile ones (26.79 ± 5.09 and p 0.0001 and 101.93 ± 22.16 and p 0.0001 respectively). Age and mobility were significantly negative correlated with PCS, SSQOL, and Barthel scores while there was a significant positive correlation between ULVC and LLVC testing grades and PCS, MCS, SSQOL and Barthel index scores. In the linear regression model, duration, mobility and voluntary control of lower limbs were predictors for PCS of SF-36 (p = 0.045, 0.000 and 0.036 respectively). There were no significant predictors on MCS. On the other hand Mobility and voluntary control of lower limbs were significant predictors for SSQOL (p = 0.001 and 0.051 respectively). Conclusion: Stroke patient had poor QOL. A need for post-stroke care programs for improving the physical, mental and social quality of life for those patients is mandatory.

Background: Stoke is a long-term condition. Estimation of stroke outcomes is lacking. Stroke is known as the most common cause of disability among adults. The measurement of Health-Related Quality of Life (HRQOL) is important to understand the actual status of the patients. Aim: The aim of this study was to assess HRQOL among stroke patients and analyze clinical and functional factors that influence it. Material and method: A cross-sectional study was applied to 65 strokes outpatients, 33 from Assiut University hospital, Assiut, Egypt and 32 from, King Abdulaziz University, Jeddah, Saudi Arabia. A questionnaire was used to complete related data and assessment of HRQOL was done by the use of Barthel index, SF36, and SSQOL by personal interview. Result: No significant differences were detected between two studied groups in all characteristics. For all study sample, our patients had low mean scores in all SF36 domains, the lowest was for RE with 3.46 ± 9.1 and GH was the best mean (51.7 ± 12.99). As regards SSQOL, patients had low mean scores on the lowest subscale in productivity (6.72 ± 3.21), whereas the language was the least affected (15.86 ± 6.26). There was a significant difference between the means of PCS and SSQOL in post-stroke duration which was significantly higher in >24 months (37.21 ± 8.59 and p = 0.007and 141.57 ± 36.12 and p = 0.052 respectively) than in the shorter durations. The independent patients had significantly higher PCS and SSQOL mean scores than who need assistance and immobile ones (26.79 ± 5.09 and p 0.0001 and 101.93 ± 22.16 and p 0.0001 respectively). Age and mobility were significantly negative correlated with PCS, SSQOL, and Barthel scores while there was a significant positive correlation between ULVC and LLVC testing grades and PCS, MCS, SSQOL and Barthel index scores. In the linear regression model, duration, mobility and voluntary control of lower limbs were predictors for PCS of SF-36 (p = 0.045, 0.000 and 0.036 respectively). There were no significant predictors on MCS. On the other hand Mobility and voluntary control of lower limbs were significant predictors for SSQOL (p = 0.001 and 0.051 respectively). Conclusion: Stroke patient had poor QOL. A need for post-stroke care programs for improving the physical, mental and social quality of life for those patients is mandatory.

Background: Stoke is a long-term condition. Estimation of stroke outcomes is lacking. Stroke is known as the most common cause of disability among adults. The measurement of Health-Related Quality of Life (HRQOL) is important to understand the actual status of the patients. Aim: The aim of this study was to assess HRQOL among stroke patients and analyze clinical and functional factors that influence it. Material and method: A cross-sectional study was applied to 65 strokes outpatients, 33 from Assiut University hospital, Assiut, Egypt and 32 from, King Abdulaziz University, Jeddah, Saudi Arabia. A questionnaire was used to complete related data and assessment of HRQOL was done by the use of Barthel index, SF36, and SSQOL by personal interview. Result: No significant differences were detected between two studied groups in all characteristics. For all study sample, our patients had low mean scores in all SF36 domains, the lowest was for RE with 3.46 ± 9.1 and GH was the best mean (51.7 ± 12.99). As regards SSQOL, patients had low mean scores on the lowest subscale in productivity (6.72 ± 3.21), whereas the language was the least affected (15.86 ± 6.26). There was a significant difference between the means of PCS and SSQOL in post-stroke duration which was significantly higher in >24 months (37.21 ± 8.59 and p = 0.007and 141.57 ± 36.12 and p = 0.052 respectively) than in the shorter durations. The independent patients had significantly higher PCS and SSQOL mean scores than who need assistance and immobile ones (26.79 ± 5.09 and p 0.0001 and 101.93 ± 22.16 and p 0.0001 respectively). Age and mobility were significantly negative correlated with PCS, SSQOL, and Barthel scores while there was a significant positive correlation between ULVC and LLVC testing grades and PCS, MCS, SSQOL and Barthel index scores. In the linear regression model, duration, mobility and voluntary control of lower limbs were predictors for PCS of SF-36 (p = 0.045, 0.000 and 0.036 respectively). There were no significant predictors on MCS. On the other hand Mobility and voluntary control of lower limbs were significant predictors for SSQOL (p = 0.001 and 0.051 respectively). Conclusion: Stroke patient had poor QOL. A need for post-stroke care programs for improving the physical, mental and social quality of life for those patients is mandatory.

Visceral larva migrans (VLM) is a worldwide neglected disease, prevalent among children from socio-economically disadvantaged populations in temperate and tropical regions. Infections may go undiagnosed as the required diagnostic tests; serological, molecular and/or imaging examinations are expensive, which may not be affordable or available. We aimed to establish predictors useful in the diagnosis of VLM in children in Upper Egypt. A one year cross-sectional study was conducted at Assiut University Children's Hospital and eighty-one children aged between 6 months to 13 years old (mean± SD 5.7 ± 3.2 years) were eligible to our inclusion criteria, 55.6% of them were males. Socio-demographic risk factors, clinical, laboratory and imaging tests were collected. ELISA (anti-T. canis IgG) results were positive in 60.5%. By using the bivariate analysis, a significant association was found between seropositive ELISA and younger age less than four years (p-value 0.0001), having underground water at their homes (p= 0.004), previous history of parasitic infection (p= 0.003) and positive liver ultrasonographic findings (p=0.001). In a multivariate logistic regression model with positive and negative ELISA results as a dependent factor, younger age (4 years), history of parasitic infestation and positive liver ultrasonographic findings were found to be significant predictors, while no significant association with other factors was identified. Thus, clinicians should consider the positive liver ultrasonographic changes with the earlier history of parasitic infection in children under four years as predictors for VLM infection, according to which they should undergo ELISA or other tests to confirm their diagnosis.

Visceral larva migrans (VLM) is a worldwide neglected disease, prevalent among children from socio-economically disadvantaged populations in temperate and tropical regions. Infections may go undiagnosed as the required diagnostic tests; serological, molecular and/or imaging examinations are expensive, which may not be affordable or available. We aimed to establish predictors useful in the diagnosis of VLM in children in Upper Egypt. A one year cross-sectional study was conducted at Assiut University Children's Hospital and eighty-one children aged between 6 months to 13 years old (mean± SD 5.7 ± 3.2 years) were eligible to our inclusion criteria, 55.6% of them were males. Socio-demographic risk factors, clinical, laboratory and imaging tests were collected. ELISA (anti-T. canis IgG) results were positive in 60.5%. By using the bivariate analysis, a significant association was found between seropositive ELISA and younger age less than four years (p-value 0.0001), having underground water at their homes (p= 0.004), previous history of parasitic infection (p= 0.003) and positive liver ultrasonographic findings (p=0.001). In a multivariate logistic regression model with positive and negative ELISA results as a dependent factor, younger age (4 years), history of parasitic infestation and positive liver ultrasonographic findings were found to be significant predictors, while no significant association with other factors was identified. Thus, clinicians should consider the positive liver ultrasonographic changes with the earlier history of parasitic infection in children under four years as predictors for VLM infection, according to which they should undergo ELISA or other tests to confirm their diagnosis.

Visceral larva migrans (VLM) is a worldwide neglected disease, prevalent among children from socio-economically disadvantaged populations in temperate and tropical regions. Infections may go undiagnosed as the required diagnostic tests; serological, molecular and/or imaging examinations are expensive, which may not be affordable or available. We aimed to establish predictors useful in the diagnosis of VLM in children in Upper Egypt. A one year cross-sectional study was conducted at Assiut University Children's Hospital and eighty-one children aged between 6 months to 13 years old (mean± SD 5.7 ± 3.2 years) were eligible to our inclusion criteria, 55.6% of them were males. Socio-demographic risk factors, clinical, laboratory and imaging tests were collected. ELISA (anti-T. canis IgG) results were positive in 60.5%. By using the bivariate analysis, a significant association was found between seropositive ELISA and younger age less than four years (p-value 0.0001), having underground water at their homes (p= 0.004), previous history of parasitic infection (p= 0.003) and positive liver ultrasonographic findings (p=0.001). In a multivariate logistic regression model with positive and negative ELISA results as a dependent factor, younger age (4 years), history of parasitic infestation and positive liver ultrasonographic findings were found to be significant predictors, while no significant association with other factors was identified. Thus, clinicians should consider the positive liver ultrasonographic changes with the earlier history of parasitic infection in children under four years as predictors for VLM infection, according to which they should undergo ELISA or other tests to confirm their diagnosis.

Visceral larva migrans (VLM) is a worldwide neglected disease, prevalent among children from socio-economically disadvantaged populations in temperate and tropical regions. Infections may go undiagnosed as the required diagnostic tests; serological, molecular and/or imaging examinations are expensive, which may not be affordable or available. We aimed to establish predictors useful in the diagnosis of VLM in children in Upper Egypt. A one year cross-sectional study was conducted at Assiut University Children's Hospital and eighty-one children aged between 6 months to 13 years old (mean± SD 5.7 ± 3.2 years) were eligible to our inclusion criteria, 55.6% of them were males. Socio-demographic risk factors, clinical, laboratory and imaging tests were collected. ELISA (anti-T. canis IgG) results were positive in 60.5%. By using the bivariate analysis, a significant association was found between seropositive ELISA and younger age less than four years (p-value 0.0001), having underground water at their homes (p= 0.004), previous history of parasitic infection (p= 0.003) and positive liver ultrasonographic findings (p=0.001). In a multivariate logistic regression model with positive and negative ELISA results as a dependent factor, younger age (4 years), history of parasitic infestation and positive liver ultrasonographic findings were found to be significant predictors, while no significant association with other factors was identified. Thus, clinicians should consider the positive liver ultrasonographic changes with the earlier history of parasitic infection in children under four years as predictors for VLM infection, according to which they should undergo ELISA or other tests to confirm their diagnosis.

Visceral larva migrans (VLM) is a worldwide neglected disease, prevalent among children from socio-economically disadvantaged populations in temperate and tropical regions. Infections may go undiagnosed as the required diagnostic tests; serological, molecular and/or imaging examinations are expensive, which may not be affordable or available. We aimed to establish predictors useful in the diagnosis of VLM in children in Upper Egypt. A one year cross-sectional study was conducted at Assiut University Children's Hospital and eighty-one children aged between 6 months to 13 years old (mean± SD 5.7 ± 3.2 years) were eligible to our inclusion criteria, 55.6% of them were males. Socio-demographic risk factors, clinical, laboratory and imaging tests were collected. ELISA (anti-T. canis IgG) results were positive in 60.5%. By using the bivariate analysis, a significant association was found between seropositive ELISA and younger age less than four years (p-value 0.0001), having underground water at their homes (p= 0.004), previous history of parasitic infection (p= 0.003) and positive liver ultrasonographic findings (p=0.001). In a multivariate logistic regression model with positive and negative ELISA results as a dependent factor, younger age (4 years), history of parasitic infestation and positive liver ultrasonographic findings were found to be significant predictors, while no significant association with other factors was identified. Thus, clinicians should consider the positive liver ultrasonographic changes with the earlier history of parasitic infection in children under four years as predictors for VLM infection, according to which they should undergo ELISA or other tests to confirm their diagnosis.

Introduction: Sleep occupies almost a third of our life and thus is an important aspect of our life. It is essential to physical and mental growth and stability. Deprivation of sleep not only weakens physical and mental functions, lowers work productivity also could cause mental problems. Aim of the study: To describe sleep characteristics and sleep disturbances among female students in practical faculties of Assiut University in Egypt. Subjects and methods: A cross sectional study was conducted among 306 female students in Assiut University in Upper Egypt. Self-administered questionnaire was used for data collection. Results: About 61% of the students slept about 6-8 hours per night, whereas 24.2% of them slept > 8 hours per night. Intermittent sleep was reported in 37.9% of them and 70% had daytime naps. 43.1% spent a long time to fall asleep. Intermittent sleep was significantly associated with residing in university hostels (P =0.025), short sleep time (6 hours) (P = 0.002), spending long time to fall asleep (P 0.001) , presence of headache (P = 0.013), bad appetite (P = 0.001) and disturbed bowel habits (P = 0.030). Conclusion: Raising the awareness about good sleep quality by multidisciplinary approach is recommended.