Background: In light of the ongoing monkeypox (MPOX) epidemic, healthcare workers (HCWs) have been in contact with various diseases. Therefore, they should take appropriate preventive and control measures to maintain their health. This study assessed Egyptian HCWs’ intentions to take MPOX vaccines. Methods: A cross-sectional survey was conducted using social media platforms between September 27 and November 4, 2022. An anonymous online survey using the 5C scale was conducted using convenience and snowball sampling methods to assess the five psychological antecedents of vaccination (i.e., confidence, constraints, complacency, calculation, and collective responsibility). Results: A total of 399 HCWs with a mean age of 32.6 ± 5.7 participated in this study. Of them, 89.7% were female. The five C psychological antecedents of vaccination were as follows: 55.9% were confident about vaccination, 50.6% were complacent, 56.6% experienced constraints, 60.7% calculated the risk and benefit, and 58.4% had collective responsibility. Multivariate analysis showed that high income level and having information about MPOX were significant predictors of confidence in the MPOX vaccines (adjusted odds ratio ((AOR) = 4.19, 95% CI (1.12– 15.59), P = 0.032). Participants aged 31–45 years and 19–30 years showed significant association (AOR = 2.46, 95% CI (0.85–7.15), P = 0.096) and (AOR = 4.19, 95% CI (1.39–12.64), P = 0.011), respectively. Having an idea about the MPOX vaccines significantly predicted the complacency domain (AOR = 3.77, 95%CI (1.47–9.65, P = 0.006). Moreover, precollege/undergraduate education and having an idea about MPOX vaccination were significant predictors of the constraint domain (AOR = 1.81.95% CI (1.09–2.99, P = 0.020), (AOR = 2.70, 95% CI (1.05–6.95, P = 0.038), respectively). Female sex, having a diploma, postgraduate studies, and having an idea about MPOX vaccine significantly predicted calculation domain (AOR = 2.06, 95% CI (1.05–4.04, P = 0.035), (AOR = 3.98,95% CI (1.33–11.87, P = 0.013), (AOR = 2.02, 95% CI (1.25–3.26, P = 0.004) & (AOR = 2.75. 95% CI (1.05–7.18, P = 0.039), respectively. The only significant predictor of collective responsibility was having a diploma and postgraduate studies (AOR = 3.44, 95% CI (1.21–9.78, P = 0.020), (AOR = 1.90,95% CI (1.17–3.09, P = 0.009). Conclusions: Efforts to control MPOX should focus on promoting protective measures such as the vaccination of HCWs as well as raising their awareness about the updated information regarding the virus and the approved vaccines.

Background: The COVID-19 pandemic is putting a lot of pressure on primary healthcare (PHC) workers globally. The study aimed to estimate the level of psychological distress among PHC workers during the current COVID-19 pandemic and its associated factors in Mansoura, Egypt. Methods: A cross-sectional study on 415 PHC workers was implemented using self-administered questionnaire. The questionnaire included socio-demographic, work-related data, and Arabic COVID-19 Psychological Distress Scale. Multiple logistic regression analysis was used to identify significant predictors of psychological distress. Results: More than half (53.3%) of PHC workers had high psychological distress. Multiple logistic regression showed that the significant predictors of high distress level were Para-medical PHC staff (AOR = 1.6; 95% CI 1.0–2.6), smoking (AOR = 3.6; 95% CI 1.4–9.5), having or suspected corona infection (AOR = 3.4; 95% CI 1.5–7.8), afraid from contracting corona (AOR = 7.4; 95% CI 3.6–15.3), worry about family (AOR = 2.6; 95% CI 1.0–6.9), worry at the beginning of the pandemic (AOR = 4.1; 95% CI 2.1–8.4), non-practice of sport (AOR = 1.8; 95% CI 1.1–2.9), and non-training to deal with corona cases (AOR = 1.9; 95% CI 1.1–3.3). Conclusions: High psychological distress level was observed among PHC workers. Psychological support and timely programs should be planned to alleviate stress among PHC workers especially at-risk groups during the current pandemic.

Knowledge, attitudes, and practices (KAP) of the general population toward Marburg Virus Disease (MVD) have a crucial impact on control and prevention strategies, particularly during outbreaks. The current study aimed to develop, culturally adapt, and validate a questionnaire for assessing KAP toward MVD (EKAP-MVD). A cross-sectional study using face-to-face interview and an anonymous online survey was conducted from March 13 to April 28, 2023 in 8 Sub-Saharan African countries (Ethiopia, Ghana, Kenya, Lesotho, Nigeria, Senegal, South Africa, and Tanzania). Internal consistency was assessed using Cronbach’s alpha, split-half reliability, and Spearman-Brown coefficient. We assessed EKAP-MVD face and content validity. Construct validity was determined through convergent and discriminant validity, as well as exploratory and confirmatory factor analyses. A total of 510 participants were included: 51.6% were females, 46.5% were aged 18 to 25 years, 65.5% were residents in urban areas, 52.9% did not have university education, 58.6% were single, 34.7% were students, and 15.7% worked in the medical field. The Cronbach’s alpha of the questionnaire was 0.877. All questions showed a statistically significant correlation with their latent factors (P < .05), indicating that the questionnaire had good convergent validity. The correlations between domains were either weak positive or negative, indicating discriminate validity. The KMO measure of sampling adequacy for factor analysis was 0.932 and Bartlett’s test of sphericity was significant (P < .0001). The elbow point of the scree plot reveals that the number of factors that were most important and should be kept for further analysis was 3. Confirmatory factor analysis model fit was as follows: normed Chi-square (χ²) = 1.301, the root mean square error of a pproximation (RMSEA) = 0.038, goodness-of-fit index and comparative fit index > 0.9, and root mean square residual (RMR) < 0.08. In conclusion, the developed questionnaire had good psychometric properties and can be used to assess KAP about MVD.

Introduction: Many breastfeeding mothers fast during Ramadan month despite being exempted from fasting. This study aims to estimate the prevalence rate of Ramadan fasting during breastfeeding and detect its associated factors among Egyptian Muslim mothers. Methods: A cross-sectional study was conducted on 1,130 lactating mothers selected through a multistage stratified random sampling technique in Dakahlia Governorate, Egypt. The data were collected through a structured questionnaire including sociodemographic data, the Arabic Scale of Intrinsic Religiosity (ASIR), and data about breastfeeding and fasting practices during Ramadan. Binary logistic regression analysis was used to detect the significant predictors of fasting among lactating mothers. Results: Of 1,130 study participants, more than half (53.5%) were aged ≥27 years old and had secondary education (54.6%). About four in every five (83.7%) of them fasted during Ramadan. Secondary education (adjusted odds ratio [AOR] = 2.71, p ≤ 0.001), university and postgraduate education (AOR = 4.88, p ≤ 0.001), non-working (AOR = 1.88, p = 0.011), being in debt and just meeting routine expenses (AOR = 1.75, p = 0.007), having high intrinsic religiosity (AOR = 2.70, p ≤ 0.001), having infants aged 6 months and more (AOR = 2.60, p ≤ 0.001), giving prelacteal feeding (AOR = 2.56, p ≤ 0.001), giving supplements (AOR = 2.11, p ≤ 0.001), and breastfeeding on demand (AOR = 1.92, p = 0.01) were the significant predictors of the higher fasting rates among the lactating mothers. Conclusion: Fasting is a prevalent practice among breastfeeding mothers of infants during Ramadan. Ramadan fasting does not significantly influence maternal outcomes or infant weight. Therefore, it is advisable for lactating mothers to consult with healthcare professionals prior to deciding to fast during Ramadan.

Background Exploring patient’ s expectations before coronary artery bypass graft (CABG) surgery provides clinicians with important insights into their service population. Objectives The objective of this study is to describe the expectations of patients before CABG surgery and its associated factors. Patients and methods A cross-sectional study was conducted in the Outpatient Clinic of an Egyptian Cardiac Surgery Unit during the period from May 2017 to April 2018. A total of 446 patients who underwent CABG surgery were included. The socio-demographic and clinical data were collected from patients and their medical records. The Cardiac Surgery Patient Expectations questionnaire was used to describe the CABG patient’s expectations before surgery. A Student t test was used for testing significance between groups. Results The mean total negative expectation score was 31.30±6.36. In total, 64.3 and 42.4% of patients disagreed with having more heart problems and suffering sleep problems after surgery, respectively. The highest mean negative expectation score was in patients expressed life style suffering (2.11). Multiple linear regression showed that male (β=-3.75, PP=0.001) were significant independent predictors of lower preoperative negative expectations. Conclusion Lower preoperative negative expectations were observed in males, employed, and those without chronic diseases. So, further longitudinal studies are required to examine the risk factors associated with preoperative CABG patient’s expectations.