Search Results (25)

Aim: This study aimed to assess the effect of educational programs on symptom severity for women at high risk of carpal tunnel syndrome (CTS). Methods: A quasi-experimental design was applied. A purposive sample of 250 women at high risk of CTS was selected from the Faculty of Nursing, Assiut University, Egypt. Data collection instruments included a structured interview questionnaire and the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). Results: Most participants were middle-aged (41–50 years), married, and had higher education. At baseline, 61.2% of participants reported mild symptoms, 24.8% moderate, and 11.6% were asymptomatic. Following the educational program, symptom severity was significantly improved (p = 0.007). The proportion of asymptomatic participants increased from 11.6% to 20.4%, while those with moderate symptoms decreased from 24.8% to 6.4%. Functional status also improved significantly, with the percentage of participants reporting no difficulty increasing from 17.6% to 30% (p = 0.008). We found a significant reduction in symptom severity scores (p = 0.05) and functional impairment (p = 0.008). Conclusions: The educational program effectively reduced CTS symptoms and improved hand function, demonstrating its potential as a preventive and therapeutic intervention for women at high risk of CTS. However, this study’s quasi-experimental design without a control group and a short follow-up period limits conclusions regarding long-term effectiveness and causal inference. Full article

Background/Objectives: Up to 25–70% of proton-pump inhibitor (PPI) prescriptions worldwide lack an evidence-based indication, exposing patients to avoidable adverse events and unnecessary costs. Community pharmacists (CPs) are well-equipped to curb the misuse of PPIs. This study aimed to quantify CPs’ knowledge, attitudes, and practices (KAPs) regarding PPIs in two high-use Middle-Eastern markets and determine how demographic and professional factors influence guideline-adherent PPI use. Bridging this gap is crucial to ensure pharmacists can promote rational PPI use, provide accurate patient counseling, and reduce the likelihood of adverse outcomes. Methods: An online cross-sectional survey was undertaken between May 2024 and July 2024 to investigate the KAPs of CPs in Egypt and Iraq toward PPI use. The self-developed thirty-item questionnaire (17 knowledge, 11 attitude, and 6 practice items) was piloted with 30 CPs. A sample size of 385 CPs was required based on an estimated 93,000 community pharmacists in Egypt and 22,120 in Iraq; however, to improve statistical power, we aimed to include >500 CPs. Results: A total of 527 CPs from Egypt and Iraq completed the survey. The total median scores for knowledge, attitude, and practice were 11 out of 17 (IQR: 9–16), 9 out of 11 (IQR: 6–12), and 5 out of 6 (IQR: 3–8), respectively. CPs with >20 years of experience and those who relied on clinical guidelines as a primary information source demonstrated a median knowledge score significantly higher than those with fewer years of experience (p = 0.001 and 0.028, respectively). There was a significant positive association between knowledge and attitude, knowledge and practice, and attitude and practice scores (coefficients: 0.832, 0.701, and 0.445, respectively). Conclusions: Although their attitudes and practices regarding PPI use were satisfactory, the knowledge of CPs about the judicious use of PPIs requires improvement. Thus, a call for action targeting their tailored education and training is necessary to address these knowledge gaps regarding PPIs identified, including PPI adverse-effect profiles, evidence-based indications, and deprescribing criteria, and to foster informed medication attitudes and practices. Such education and training can reinforce guideline adherence, enhance patient counseling skills, and ultimately reduce inappropriate PPI use. Full article

Background: The rapid integration of artificial intelligence (AI) into medical education in developing nations necessitates that educators develop comprehensive AI competencies and readiness. This study explores AI competence and readiness among medical educators in higher education, focusing on the five key dimensions of the ADELE technique: (A) AI Awareness, (D) Development of AI Skills, (E) AI Efficacy, (L) Leanings Towards AI, and (E) AI Enforcement. Structured surveys were used to assess AI competencies and readiness among medical educators for the sustainable integration of AI in medical education. Methods: A cross-sectional study was conducted using a 40-item survey distributed to 253 educators from the Middle East (Saudi Arabia, Egypt, Jordan) and South Asia (India, Pakistan, Philippines). Statistical analyses examined variations in AI competency and readiness by gender and nationality and assessed their predictive impact on the adoption of sustainable AI in medical education. Results: The findings revealed that AI competency and readiness are the primary drivers of sustainable AI adoption, highlighting the need to bridge the gap between theoretical knowledge and practical application. No significant differences were observed based on gender or discipline, suggesting a balanced approach to AI education. However, ethical perspectives on AI integration varied between Middle East and South Asian educators, likely reflecting cultural influences. Conclusions: This study underscores the importance of advancing from foundational AI knowledge to hands-on applications while promoting responsible AI use. The ADELE technique provides a strategic approach to enhancing AI competency in medical education within developing nations, fostering both technological proficiency and ethical awareness among educators. Full article

This research aims to examine hospitality and tourism students’ acceptance and usage of Microsoft Copilot for educational purposes in Egyptian public universities. It also investigates the mediating role of behavioral intention (BI) in the connection between hospitality and tourism students’ acceptance and actual use of Microsoft Copilot. This study adopted the unified theory of acceptance and use of technology (UTAUT) framework to achieve the research aim. A quantitative approach was used via online surveys distributed and gathered from 760 hospitality and tourism students from nine public universities in Egypt and analyzed using PLS-SEM to test the hypothesized relationships. The major findings showed that PE, EE, SI, and FC affected BI to use Microsoft Copilot and highlighted a substantial direct influence of SI, FC, and BI alone on the actual use of Microsoft Copilot. Therefore, BI partially mediates the relationship between SI and FC and real-world classroom utilization of Microsoft Copilot. This clarifies that BI has a slight role in the relationship between SI and FC and the actual use of Microsoft Copilot, while the relationship between PE, EE, and the actual use of Microsoft Copilot occurs entirely through BI. However, there was full mediation between the use of Microsoft Copilot in the classroom and BI between PE and EE. The results have several implications for Egyptian higher education institutions and academics of hospitality and tourism and are also relevant to other institutions in a comparable setting. Full article

Purpose: This research aims to assess the extent to which universities in Saudi Arabia and Egypt have institutionalized digital teaching technologies (DTTs) to enhance institutional sustainability. It focuses on the mediating role of change management strategies and the moderating effects of cultural norms, technological infrastructure, and economic factors on this relationship, specifically examining their impact on institutional sustainability. Design/methodology/approach: This study uses a mixed-methods approach with a comparative case study strategy. Data were collected via questionnaires and interviews with university staff, with partial least squares structural equation modeling (PLS-SEM) being used to analyze the relationships among the variables, including DTT characteristics and other mediating/moderating factors. Findings: The findings support H1, H2, H6, and H8, confirming that the perceived characteristics of DTTs—relative advantage, complexity, observability, trialability, and compatibility—significantly impact institutional sustainability, with change management strategies mediating this relationship. Cultural norms and economic factors also have a direct influence on sustainability. However, H3 and H5, suggesting moderating effects of cultural norms and economic factors, were not supported, and H4 and H7 were excluded due to multicollinearity issues with technological infrastructure, which has already been adopted within DTT components. Originality/value: This study adds to the literature by highlighting the role of cultural and economic factors in the adoption of DTTs and introduces the novel concept of how change management strategies mediate the relationship between DTT characteristics and institutional sustainability. It provides practical insights for decision-makers in Saudi and Egyptian institutions, emphasizing culturally and economically aligned strategies for integrating DTT, fostering educational innovation, and enhancing sustainability. Full article

The performance of higher education institutions is significantly influenced by their academic human capital (AHC), which encompasses research competencies, dynamic capacity, working capacity, critical thinking, social capital, and external relations. This study aims to investigate the interrelationships among these dimensions and their collective impact on institutional performance. Utilizing a comprehensive literature review and empirical analysis, we identify key factors that enhance AHC and propose strategies for optimizing these dimensions to foster innovation, adaptability, and organizational effectiveness. The quantitative study with a descriptive design uses a questionnaire, collecting 302 responses from university professors and researchers in Egypt. The findings highlight the pivotal role of research competencies and dynamic capacity in driving academic excellence and institutional resilience. Additionally, the study underscores the importance of external relations and social capital in enriching academic environments and facilitating knowledge transfer. By providing a nuanced understanding of AHC, this research offers actionable insights for policymakers and educational leaders aiming to bolster the performance and sustainability of higher education institutions. Full article

This article aims to investigate the impact of toxic leadership (TL) on counterproductive work behavior (CWB) with the mediating roles of organizational cynicism (OC) and organizational injustice (OIJ), using 392 questionnaires collected from employees working in the Egyptian higher education sector. The data are examined using AMOS 25 for structural equation model (SEM) analysis. The results show that toxic leadership positively affects CWBs, organizational cynicism, and organizational injustice. Furthermore, organizational cynicism positively affects CWBs, and organizational injustice significantly affects CWBs. Finally, organizational cynicism and injustice partially mediate the relationship between toxic leadership and CWBs. This study adds novelty to the literature by exploring the influence of toxic leadership on CWBs, OC, and OIJ in Egypt’s higher education sector. As a result, addressing the prevalence of toxic leadership and its ripple effects is essential for fostering sustainable organizational cultures. Sustainable work environments prioritize fairness, employee well-being, and positive leadership practices, reducing counterproductive behaviors. Finally, this article reviews the limitations but also assesses the substantial contributions to theory and practice made by the paper. Full article

Background/Objectives. Traditional dietary patterns are being abandoned in Mediterranean countries, especially among younger generations. This study aimed to investigate the potential lifestyle determinants that can increase adherence to the Mediterranean diet in children and adolescents. Methods. This study is a cross-sectional analysis of data from five Mediterranean countries (Italy, Spain, Portugal, Egypt, and Lebanon) within the context of the EU-funded project DELICIOUS (UnDErstanding consumer food choices & promotion of healthy and sustainable Mediterranean Diet and LIfestyle in Children and adolescents through behavIOUral change actionS). This study comprised information on 2011 children and adolescents aged 6–17 years old collected during 2023. The main background characteristics of both children and parents, including age, sex, education, and family situation, were collected. Children’s eating (i.e., breakfast, place of eating, etc.) and lifestyle habits (i.e., physical activity level, sleep, and screen time) were also investigated. The level of adherence to the Mediterranean diet was assessed using the KIDMED index. Logistic regression analyses were performed to test for likelihood of higher adherence to the Mediterranean diet. Results. Major determinants of higher adherence to the Mediterranean diet were younger age, higher physical activity level, adequate sleep duration, and, among dietary habits, having breakfast and eating with family members and at school. Parents’ younger age and higher education were also determinants of higher adherence. Multivariate adjusted analyses showed that an overall healthier lifestyle and parents’ education were the factors independently associated with higher adherence to the Mediterranean diet. Conclusions. Higher adherence to the Mediterranean diet in children and adolescents living in the Mediterranean area is part of an overall healthy lifestyle possibly depending on parents’ cultural background. Full article

Digital transformation has become a critical aspect of modern education, necessitating the development of digital skills among all students, including those with disabilities. Among these, blind students face unique challenges in acquiring the digital competencies needed for academic success and professional integration. This study aimed to enhance the digital transformation skills of blind postgraduate students by evaluating the effectiveness of a cloud-based learning management system, Moodle Cloud. Using a mixed methods approach, we combined descriptive and quasi-experimental designs to assess the impact of the intervention. The sample included 20 blind graduate students from Beni Suef University, equally divided into experimental and control groups. Pre- and post-assessments measured participants’ digital transformation skills through achievement tests and performance evaluations. The findings indicated significant improvements in the experimental group, with higher scores in both the achievement tests and performance assessments compared to the control group. The results suggest that the cloud-based learning management system played a vital role in enhancing digital skills, and no significant differences were found between remote and in-person applications of the intervention. The study emphasizes the importance of incorporating modern digital technologies into the education of blind students, aligning with Egypt’s Vision 2030 plan and ongoing educational reforms. Full article

Background/Objectives: The diet quality of younger individuals is decreasing globally, with alarming trends also in the Mediterranean region. The aim of this study was to assess diet quality and adequacy in relation to country-specific dietary recommendations for children and adolescents living in the Mediterranean area. Methods: A cross-sectional survey was conducted of 2011 parents of the target population participating in the DELICIOUS EU-PRIMA project. Dietary data and cross-references with food-based recommendations and the application of the youth healthy eating index (YHEI) was assessed through 24 h recalls and food frequency questionnaires. Results: Adherence to recommendations on plant-based foods was low (less than ∼20%), including fruit and vegetables adequacy in all countries, legume adequacy in all countries except for Italy, and cereal adequacy in all countries except for Portugal. For animal products and dietary fats, the adequacy in relation to the national food-based dietary recommendations was slightly better (∼40% on average) in most countries, although the Eastern countries reported worse rates. Higher scores on the YHEI predicted adequacy in relation to vegetables (except Egypt), fruit (except Lebanon), cereals (except Spain), and legumes (except Spain) in most countries. Younger children (p < 0.005) reporting having 8–10 h adequate sleep duration (p < 0.001), <2 h/day screen time (p < 0.001), and a medium/high physical activity level (p < 0.001) displayed a better diet quality. Moreover, older respondents (p < 0.001) with a medium/high educational level (p = 0.001) and living with a partner (p = 0.003) reported that their children had a better diet quality. Conclusions: Plant-based food groups, including fruit, vegetables, legumes, and even (whole-grain) cereals are underrepresented in the diets of Mediterranean children and adolescents. Moreover, the adequate consumption of other important dietary components, such as milk and dairy products, is rather disregarded, leading to substantially suboptimal diets and poor adequacy in relation to dietary guidelines. Full article

This research proposes a 10-step methodology for developing an enhanced IAQ dashboard and classroom index (CI) in higher educational facilities located in arid environments. The identified parameters of the enhanced IAQ dashboard–inspired by the pandemic experience, result from the literature review and the outcome of two electronic surveys of (52) respondents, including health professionals and facility management experts. On the other hand, the indicators included in the CI are based on (80) occupant survey responses, including parameters related to IAQ, Indoor Environmental Quality (IEQ), and thermal comfort, amongst other classroom operative considerations. The CI is further tested in four learning spaces at the American University in Cairo, Egypt. The main contribution of this research is to suggest a conceptual visualization of the dashboard and a practical classroom index that integrates a representative number of contextual indicators to recommend optimal IAQ scenarios for a given educational facility. This study concludes by highlighting several key findings: (1) both qualitative and quantitative metrics are necessary to capture indoor air quality-related parameters accurately; (2) tailoring the dashboard as well as the CI to specific contexts enhances its applicability across diverse locations; and finally, (3) the IAQ dashboard and CI offer flexibility for ad-hoc applications. Full article

Cyberbullying has emerged as a pervasive problem among high school students, with potentially severe consequences for their mental well-being. This study aimed to investigate the prevalence, risk factors, and associations of cyberbullying with stress and mental well-being among high school students in Zagazig, Egypt. A cross-sectional study was conducted among 562 high school students using a random sampling technique. The data were collected using a self-administered questionnaire that included the Cyberbullying Scale, Perceived Stress Scale (PSS-10), and General Health Questionnaire (GHQ-12). Descriptive statistics, independent samples t-tests, multiple regression, mediation, and logistic regression analyses were employed for data analysis. The prevalence of cyberbullying victimization was 38.3%, with 20.6% exposed to two or three cyberbullying behaviors and 4.1% exposed to four or more. Female students, those under 18 years old, those with lower educational achievement, and those with higher daily internet use were more likely to experience cyberbullying. Cyberbullied students reported significantly higher levels of perceived stress and poorer mental well-being compared to non-cyberbullied students. Perceived stress likely mediated the relationship between cyberbullying victimization and general psychological health. Cyberbullying is a significant problem among high school students in Zagazig, Egypt, with detrimental effects on their stress levels and mental well-being. Targeted interventions and prevention strategies are needed to address cyberbullying and promote the well-being of adolescents in the digital age. Full article

Education is the foundation of culture and the engine of economies; it is an essential part of life. However, it remains inaccessible or unavailable in some parts of developing nations. Moreover, such barriers for girls and women can extend beyond education and into the workplace, and this is a bone of contention based on erroneous beliefs and other factors. Barriers for girls’ and women’s education are debatable in the literature; however, there is a sparsity of literature that focuses on the bridge to the workplace. Therefore, through a focus group study, this study explores the barriers that prohibit the transition for women from higher education to employment in Egypt. Based on qualitative data from focus group participants, the barriers to girls’ and women’s education are related to cultural, economic, family, and structural–educational barriers. In addition, stereotypical thinking and discrimination are factors hindering girls and women from ‘decent’ employment in Egypt. Based on this study’s results, some practical recommendations were elicited, which centre around awareness enhancement, formulation of laws and policies, and development of employability skills and entrepreneurship skills. The managerial and societal implications of this study are illustrated. It is anticipated that the results of this study will serve to create an inherent need to undertake a larger survey to investigate the barriers from a wider number of respondents. Full article

(1) Background: Children spend a lot of time within schools. The school setting generally has many ergonomic hazards and reinforced behavior patterns which put children at greater risk of environmental hazards than adults during their critical developmental stages. (2) Objective: The aim of the current study was to investigate the prevalence of musculoskeletal disorders (MSDs) and detect spinal deformities amongst general and technical secondary school students. (3) Methods: A total of 418 students from the second grade of secondary school in Shaquira governorate, Egypt participated in this cross-sectional study. Each student in the study was screened via Nordic Musculoskeletal Questionnaire (NMQ) and had their upper limb posture measured via RULA (Rapid Upper Limb assessment), and the deviation in their thoracic curve was measured using a scoliometer. (4) Results: There was a prevalence of MSDs amongst students as there were 69.7% of general school students and 83.8% of the technical school students suffering from MSDs with a statistically significant difference between both technical and general school students in RULA score and musculoskeletal complaints, whereas there were non-statistical differences in the scoliometer scale in both general and technical education students. (5) Conclusions: Musculoskeletal problems are prevalent among Egyptian secondary school students, with higher prevalence between technical school students. Therefore, preventive measures and strategies are recommended to overcome the future complications of these musculoskeletal disorders. Full article

In Egypt’s higher education system, there are differences among universities about the compulsory nature of class attendance. In addition, the COVID-19 pandemic, which saw a transition of higher education activities to online environments, has led, after the return to face-to-face learning, to an update on the usefulness of face-to-face learning for higher education students. This work provides quantitative exploratory research on the assessment of university students in the areas of economics and business in Egypt about attendance to face-to-face lectures, its advantages and disadvantages, and the usefulness of implementing new learning methodologies within the lectures. As a result, it has been obtained that the participating students valued attendance as an important element of their learning, although they identified disadvantages in this regard. In addition, they supported the development of active and collaborative methodologies in lectures. It is proposed that this research should be extended to compare the results with those of other geographical areas, and it is suggested that universities increase the adoption of new learning methodologies through the adoption of measures, such as teacher training, in this regard. Full article