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Effect of Different Body Positions on Cardiorespiratory Parameters of Preterm Neonates Undergoing Mechanical Ventilation عطيات محمد حسن سيد

Abstract High prevalence of preterm infants' birth is considered a serious problem in health system in recent decades. Positions of the body in preterm neonates who receive respiratory support are accounted an important factor for ventilation and tissue oxygenation. Therefore, this study aimed to determine the effects of different body positions on cardiorespiratory parameters of preterm neonates undergoing mechanical ventilation. Crossover non-randomized clinical trial study design was used. Setting: The study was conducted at neonatal intensive care unit (NICU) in Assiut University Children Hospital. The study subjects included 40 preterm neonates undergoing mechanical ventilation and met the inclusion criteria. A structured questionnaire was designed especially to collect the required data for this study; it included three parts: preterm neonates' personal and clinical data, and assessment of cardiorespiratory parameters including: Heart Rate (HR), Respiratory Rate (RR), and oxygen saturation (SpO2) in each position. Each preterm neonate was placed in three different positions (supine, right lateral and semi-prone). Results of the current study revealed a significant improvement in heart rate, respiratory rate and increase in oxygen saturation in neonates placed in semi-prone position with statistically significant differences were found between them during the three different body positions (p=0.02*, p=0.012*&p ...

Effect of Aromatherapy Massage on Postoperative Pain Among School Age Children عطيات محمد حسن سيد
Abstract Background: Aromatherapy is one of the non-pharmacological methods, it is safe and effective for improving postoperative pain. Aim: This study was aimed to investigatethe effect of aromatherapy massage on postoperative pain among school age children. Design: A quasi- experimental research design was utilized. Setting: The study was conducted at the pediatric surgical unit in Assiut University Children Hospital. Subjects: It included 100 school age children who are suffering from postoperative pain. They were divided into two groups the experimental group (50 children who received aromatherapy massage beside the hospital routine ward care) and the control group (50 children who received the hospital routine ward care).Tools: Two tools were used to collect necessary data which included structured interview questionnaire for personal data and pain assessment scale.Results: It was found that the mean pain score of children in the experimental group was less than mean pain score of those in the control group with statistical significant difference. As well as statistically significant differences were found between the two groups as regards first, second, third, and fourth posttest of pain score post-operative. Conclusion Aromatherapy massage with lavender oil was an effective therapeutic option for postoperative pain Recommendation: Using aromatherapy massage as routine interventions for reducing postoperative pain in children. ...
Evaluation of maternal and neonatal outcomes in the case of preterm premature rupture of membranes and their relationship to prenatal maternal indicators: Across-sectional descriptive study ميرفت محمد الكاشف- تمريض الامومة و النساء و التوليد
Background and aim: Preterm premature rupture of membranes is one of the most important causes of pregnancy complication and a significant role in the occurrence of perinatal morbidity and mortality. The present study aims to evaluate the maternal and neonatal outcomes in the case of preterm premature rupture of membranes and their relationship to prenatal maternal indicators. Subjects and methods: A cross-sectional descriptive design was used to evaluate 68 pregnant women with a gestational age of 32 to before 37 weeks, and singleton pregnancy complicated by preterm premature rupture of membranes who fulfilled the inclusion criteria. The data were collected by convenience sampling using standardized tools. Results: A linear correlation was used to show a correlation between maternal clinical indicators with the predictive maternal and neonatal outcome using a Spearman Rho correlation coefficient. The most significant neonatal outcomes are neonatal intensive care unit admission, neonatal respiratory distress syndrome, and early neonatal sepsis. More than two-thirds of the studied women had expectant management, and less than one-fourth of them have postnatal sepsis. Conclusion and recommendation: The prenatal maternal indicators are the significant values for maternal and neonatal outcome in case of preterm premature rupture of membranes, so A further larger prospective study is recommended to demonstrate the difference in incidence, management protocol of preterm premature rupture of the membranes in the delivery and maternity health care services. ...
A study of Maternal and Neonatal Outcome after Threatened Miscarriage: A prospective follow-up-controlled design ميرفت محمد الكاشف- تمريض الامومة و النساء و التوليد

ABSTRACT— Threatened miscarriage is the most common complication of pregnancy; it associated with an increased incidence of adverse pregnancy outcome. This study was carried out to evaluate the effect of threatened miscarriage in the first trimester on the maternal and neonatal outcome. A prospective follow-up-controlled design performed on 100 pregnant women who attend the antenatal clinic at Wadi Addwaser General Hospital, with the inclusion criteria fulfilled. A purposive sample used, and the interviewing questionnaire was designed by the researcher to collect the data. The risk pregnancy outcomes were significantly higher in the studied group compared to the control one. A woman with threatened miscarriage had a significantly higher rate of unexplained antepartum hemorrhage, Placenta Previae, pregnancy-induced hypertension, premature rupture of membrane and pre-term delivery < 37>...

Effect of Aromatherapy Massage on Postoperative Sleep Pattern Among School Age Children عطيات محمد حسن سيد
Abstract Background. Aromatherapy is one of the non-pharmacological methods, it is safe and effective for improve sleep pattern postoperative. Aim: This study was aimed to determine the effect of aromatherapy massage on postoperative sleep pattern among school age children. Design: A quasi-experimental research design was utilized. Setting: The study was conducted at the pediatric surgical unit in Assiut University Children Hospital. Subjects: It included 100 school age children suffer from postoperative poor sleep pattern. It was divided into two groups, experimental group (50 children who received aromatherapy massage beside the hospital routine care) and control group (50 children who received hospital routine ward care).Tools: Two tools were used to collect necessary data which included structured interview questionnaire for personal data and sleep assessment scale. Results: The results showed that they are statistical significant differences between the two groups in pretest, first posttest, and second posttest mean score (11.66 ± 2.54, 9.50 ± 0.97and 5.80 ± 0.70) respectively as regard sleep pattern. Conclusion: Aromatherapy massage with lavender oil may be an effective therapeutic option for postoperative sleep pattern. There is a significant positive effect of aromatherapy. Recommendation: Using aromatherapy massage as routine interventions for improving postoperative poor sleep pattern in children. Keywords: Aromatherapy Massage, School Age Children & Sleep Pattern ...
Impact of Internet Addiction on Lifestyle and Dietary Habits of Secondary School Adolescents عطيات محمد حسن سيد

Abstract Background: Adolescents are the most vulnerable group for internet addiction which can have a negative impact on adolescents' diet, exercise and nutrition. Objective: To determine the impact of internet addiction on lifestyle and dietary habits of secondary school adolescents. Methods: A cross-sectional design was utilized from January to May 2018 at four governmental secondary schools in Assiut city. It compromised of a stratified sampling technique of 400 adolescents aged from15-17 years old. Two tools included: Internet addiction test, and lifestyle pattern and dietary habits questionnaire to collect the data. Results: There was a statistical significant relation between levels of internet addiction and lifestyle of the studied adolescents. Also, there was statistical significant relation between levels of internet addiction test and change in dietary habits of the studied adolescents. Conclusion: Adolescents students who had significant problem from internet use complained of irregular bedtime, sleep disturbance, used tobacco, eat big meals, had loss of an appetite, and had fast eating speed more than their counterparts who had control over internet use. Recommendations: Raising adolescents’ awareness through mass media and health education program in the schools and family-centered care about adverse effects of internet addiction on their lifestyle and dietary habits.

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Dietary lifestyle modifications for vitiligo patients سحر علي عبدالمحسن عبدالمحسن

Background and objective: Changing the patient lifestyle as regarding diet well helped in vitiligo patient cure. Aim: to examine the effect of applying dietary instructions on dietary lifestyle modifications of vitiligo patients. Methods: Research design: Quasi experimental research design with one group (Pre/Post-test) was utilized in this study. Setting: the study was conducted in the ultraviolet unit at the Dermatology Department of Asyut University Hospitals. Study tool: Structured patient interview questionnaire sheet. It included two parts: Part 1: Assessment of patient’s sociodemographic variables. Part 2: Dietary pattern assessment: derived from Patient Life Style Pattern Assessment Sheet (PLSPAS) for Vitiligo. Results: The mean age of the studied sample was (mean ± SD 34.62 ± 12.35), 51.6% were female, 70% were living in rural areas, a highly statistically significant difference in the total mean knowledge scores between pre and post application of the dietary instructions (p value = .002). Conclusions: The present study concluded that there was a great improvement in the dietary lifestyle pattern of the studied sample after application of dietary instructions. Recommendations: Replication of the study on a larger probability sample from different geographical locations for generalization of the results. Printing copies of the dietary instructions for dissemination among all vitiligo patients attending the dermatology ward for treatment or follow-ups.

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Urinary Tract Infection among Pregnant Women and its Associated Risk Factors: A Cross-Sectional Study ميرفت محمد الكاشف- تمريض الامومة و النساء و التوليد
Urinary tract infection is widespread among pregnant women and is accompanying adverse maternal, fetal, and neonatal outcomes. Even so, no data exist regarding this problem in Wadi Addawser to guide specific management and thus to avert the adverse consequences. The study aimed to assess the urinary tract infection among pregnant women and its associated risk factors and to investigate the most common antibacterial agent used by infected pregnant women. A total of 303 pregnant women who attend the obstetrics and gynecology clinic with the inclusion criteria were included. The sample was collected using a structured interview. The study results showed, 53.5 % of the studied women had positive pathogens in the urine culture. E. coli (37%) followed by Klebsiella pneumonia (27%) had the highest percentage of the isolated pathogens. Amoxicillin and cefoxitin (40.1% &21.6%, respectively) are the most antibiotics used by infected women, while the lowest used antibiotics are fusidic acid (5.6%). The clinical symptoms such as frequency of micturition, dysuria, lower abdominal pain, urine color change, painful burning sensation, incomplete bladder evacuation were e most common among infected women. Since the symptoms are a good predictor for urinary tract infection during pregnancy, so early screening for pathogens and proper treatment for infected cases should be applied. Keywords: An antibacterial agent; Pregnant women; Urinary tract infection. ...
Effect of educational nursing instructions on outcomes of patients receiving percutaneous alcohol ablation therapy for hepatocellular carcinoma treatment سحر علي عبدالمحسن عبدالمحسن
Background: Percutaneous ethanol ablation therapy has emerged as a safe and predictable technology for treating certain patients with cancer who otherwise have few treatment options. Patients need to be familiar with all phases of the procedure to decrease post ablation syndrome. Aim: Evaluate the effect of educational nursing instructions on outcomes (knowledge and post ablation syndrome) of patients receiving percutaneous alcohol ablation therapy for treatment of hepatocellular carcinoma. Design: Pretest and Posttest research design was used to test the study hypothesis and fulfill the aim of the t s udy. Methods: This study was conducted at Al-Rajhy Intervention Ultrasound unit at Assuit University. A purposeful sixty patients admitted to receive percutaneous alcohol ablation therapy where the first thirty admitted patients considered as a control group and received the routine hospital care while the second followed thirty admitted patients received the educational nursing instructions (study group). Tools: (i) Percutaneous alcohol ablation patient interview questionnaire sheet and (ii) Post ablation syndrome questionnaire sheet both tools used pre and post application of educational nursing instructions Results: A statistically significant differences between the study and control groups in knowledge about percutaneous alcohol ablation therapy (p>0.05). A significant increase in study group patient’s knowledge and decrease in post ablation syndrome after educational nursing instructions application. Conclusion: Implementation of educational nursing instructions was very useful in improving patients’ knowledge about percutaneous alcohol ablation therapy which leads to minimize post ablation syndrome. Recommendations: There is a need for educating hepatocellular carcinoma patients who receive percutaneous alcohol...
Awareness of Nurses Regarding Hemodialysis Complications سحر علي عبدالمحسن عبدالمحسن
Abstract The aim of this study was to assess the nurse's awareness regarding hemodialysis complications. Subjects and Methods: A descriptive research design was utilized to conduct this study. This study was carried out at the hemodialysis unit in Manfalut central Hospital, Manfalut city - Assiut.The study sample consisted of nurses 35 nurses; ( males and females) working in the hemodialysis unit at Manfalut central Hospital, age ranges between 18 - 55 years and agreed to participate in the study. Self-administered questionnaire sheet was utilized to collect data pertinent to the study with the following parts; Part 1: ''Nurse's sociodemographic characteristics'', Part 2: ''Nurse's awareness regarding hemodialysis practices'', Part 3: ''Nurse's awareness regarding hemodialysis complications''. Results: (88.6%) of the studied nurses were having good level of knowledge regarding hemodialysis complications and (11.4%) of them were having poor knowledge level. Most of the studied nurses were females and their age ranged from (18-27) years. Conclusion: There was a highly statistically significant difference between nurse's knowledge regarding hemodialysis complications with their years of experience. Recommendations: Increase awareness of nurses through attending scientific meetings and conferences is important to keep the nurses pace with the rapidly growing wealth of knowledge and practice regarding hemodialysis for preventing its complications. ...
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