Background: Work engagement has emerged as a key tool for ensuring patient safety and care quality. This study aimed to examine nurses’ perception of work engagement, to identify factors influencing nurses’ engagement with their work and to determine factors predicting job performance and turnover intention in multiple hospitals. Methods: A cross-sectional study was conducted among 535 nurses from three hospitals with different affiliation types in Minia, Egypt in a period from December 2018 to Jan 2019 who answered Utrecht work engagement scale (UWES-9), Job resources, job performance and Turnover intention questionnaire. Results: The composite mean of work engagement was 4.4 (SD 1.3). About 54% of nurses reported high/very high work engagement levels. Work place, availability of motives and incentives and ability to make decisions (autonomy) were significant predictor of high work engagement levels among nurses. Work engagement accounted for a significant increment in explained variance in job performance and turnover intention (ß = 0.14 and −0.41) respectively. Conclusion and Recommendations: More than half of nurses are dedicated to their work. It is necessary for them to have the needed resources, supportive environments, and performance feedback in order to balance between work demands and the feeling of ‘fulfillment' and reduced turnover rates.

Colorectal cancer (CRC) is the third most common cancer worldwide, after lung and breast cancer, and is associated with the population dietary and lifestyle factors. To determine the relation between dietary and lifestyle factors and development of CRC in patients attending Minia oncology centre and compare them with their control. Study included 150 CRC patients attending Minia oncology centre and 300 control subjects matched by age and sex. Subjects participating in the study filled in a questionnaire including questions about socio-demographic data, medical data concerning CRC and its treatment as well as dietary and lifestyle factors. The most significant dietary and lifestyle CRC risk factors were higher consumption of red meat (OR = 57.1), preserved food (OR = 39.4), artificial sweeteners (OR = 20.8), fast foods (OR = 12.8), soft drinks (OR = 4.6), spicy foods (OR = 4.2), processed meat (OR = 2.4), and smoking (OR = 8.8). The most significant protective factors were physical activity (OR = 0.001), calcium rich diet (OR = 0.08), higher consumption of fruits and vegetable (OR = 0.02), cruciferous vegetables (broccoli OR = 0.11, cauliflower OR = 0.30 and cabbage OR = 0.30), high fiber bread (OR = 0.15), fruit juice (OR = 0.18), and sea foods (tuna OR = 0.28 and fish OR = 0.38). Sedentary lifestyle and unhealthy dietary choices were prevalent among CRC cases. This study provides strong evidence that lifestyle and dietary modification are important factors in the prevention of colorectal cancer.

Background: Diabetes is a serious public health problem that threatens the quality of life of patiens with diabetes, the success of long-term maintenance therapy for diabetes depends largely on the patients' compliance with a therapeutic plan....

Background: Family caregivers are critical partners in the plan of care of people with disabilities. The study aims to demonstrate the factor structure and internal consistency of the Caregiver Burden Inventory (CBI) among the studied caregivers of disabled persons and to determine the effects of patients’ and caregivers’ characteristics on the burden and its dimensions.Methods: A cross-sectional study among 260 family caregivers of disabled patients was carried out in a randomly chosen rural area, Minia, Egypt, 2019. Exploratory factor analysis (EFA) was conducted to determine the factorial validity of the CBI. Multiple linear regression was used to identify the significant factors affecting the burden.Results: Factor analysis resulted in a five-factor solution using 20 items (four for each dimension) accounting for 72.7% of the total variance. The CBI and its dimensions showed high internal consistency (Cronbach’s alpha value > 0.70). Education of caregiver, family income, mental impairments, and mixed disabilities were significant predictors of total CBI burden.Conclusions: CBI is an effective multidimensional measure of the caregiver burden of disabled subjects. Caregivers experienced a distinct level of burden that is determined by caregiver and care recipient characteristics. Therefore, support and individualized counseling services should be optimized.