iosr-JNHS   Volume-4 ~ Issue-4 ~ July-August 2015

Abstract: Persistent nausea and vomiting associated with hyperemesis gravidarum in early pregnancy remains a significant health problem that result in negative side effects on women and their pregnancy. The aim of the study:was to evaluate the effectiveness of nurses using for P6 acupressure on nausea, vomiting and retching in women with hyperemesis gravidarum. Methods:A Randomized clinical Trial was used, the study conducted on 120 women diagnosed with hyperemesis gravidarum admitted to maternity high risk care unit Mansoura University Hospital, Egypt in a period of six months and divided randomly in P6 acupressure and conventional therapy group. Data were collected by two tools; 1stA structured Interviewing Questionnaire Schedule and 2nd Rhodes Index of Nausea, Vomiting and Retching (INVR).

[1]. J.L. Bailit, Hyperemesis gravidarium: epidemiologic findings from a large cohort. Am J ObstetGynecol; 2005, 193,811–14.
[2]. J. Belluomini, C. Robin, L. Kathryn, A. Lee & M. Katz, Acupressure for nausea and vomiting of pregnancy: A randomized, blinded study. Obstetrics &Gynecology84 (2), 1994, 245–248.
[3]. O. Can Gurkan, and H. Arslan, Effect of acupressure on nausea and vomiting during pregnancy. Complement TherClinPract. 14(1), 2008, 46-52.
[4]. G. Chernyak, C. Sessler, Perioperative acupuncture and related techniques. Anesthesiology, 102, 2005, 1031-1049.
[5]. D. De Aloysio, P. Penacchioni, Morning sickness control in early pregnancy by Neiguan point acupressure. Obstet Gynecol. Nov; 80(5), 1992:852-4.
[6]. S.L. Dibble, J. Chapman, K. A. Mack, and A.S. Shih, Acupressure for nausea: Results of a Pilot study.Oncol Nurse Forum; 27, 2000, 41–47.

Abstract: Electrocardiography is the measurement of electrical activity in the heart. Amis of Study.1)To identify nurses' knowledge of ECG, 2).To evaluate nurses' practices concerning ECG, 3)To find out the relationship between nurses' socio-demographic characteristic of age ,gender , level of education, level of their knowledge and practices related to ECG,

[1]. American Heart Association (2008): Handbook of emergency cardiac care for health care providers. Dallas, TX: Author.
[2]. American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular (2005): Management of cardiac arrest."circulation; 112: IV-58 – IV-66.
[3]. Catherine Winkler , Meghan Fashjian, Kristopher Fennie, Kimberly Stephens, Jeanine May. Deficiencies in Nurses' ECG Monitoring Knowledge: Preliminary Results of the Practical Use of the Latest Standards for Electrocardiography. American Heart Association, Inc. Circulation 2009; 120:481.
[4]. Crocetti M, Thompson R. Electrocardiogram interpretation skills in pediatric resident. Annual Pediatric Cardiol 2010 January; 3(1): 3-7.
[5]. Refaey Amal Saied Taha , Impact of Adesigned Teaching Protocol about Advanced Cardiac Life Support (ACLS) On Critical Care
Nurse's Knowledge and Practices at Benha University Hospital, Cairo, Egypt., Journal of American Science 2012. ;8(10)

Abstract: Acute lung injury Patients may require mechanical ventilation to survive, Chest physiotherapy and Recruitment maneuvers are two methods that improve respiratory efficiency, re-inflate collapsed regions , promote lung mechanics , reduce occurrence of pulmonary complications. Aim: This study was carried out to investigate the effect of chest Physiotherapy and recruitment maneuvers on lung mechanics and pulmonary complications among mechanically ventilated patients with Acute Lung Injury Design: Quasi-experimental research design.

[1]. Acute Respiratory Distress Syndrome Network,( 2010) :- Comparison of two fluid-management strategies in acute lung injury. N Engl J Med; 354: 2564–75
[2]. Amato MB, Barbas CS, Medeiros DM, et al ., (2011):- Beneficial effects of the "open lung approach" with low distending pressures in acute respiratory distress syndrome. A prospective randomized study on mechanical ventilation. Am J Respir Crit Care Med; 152(6 Pt 1):1835-1846.
[3]. American Association for Respiratory Care(2010 ):- AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways. Respir Care. June;55(6):758-64.
[4]. Andrea MD, Rosaria CRT, Stefania MD, et al .,(2010):- Chest Physical Therapy in Patients With Acute Exacerbation of Chronic Bronchitis: EfTectiveness of Three Methods Phys Med Rehabil Vol 81. May pp 558-568
[5]. Antoine Roch, Christophe Guervilly and Laurent Papazian ., (2012):- Fluid management in acute lung injury and Acute respiratory distress syndrom and its effect on the respiratory system. Aust J Annals of Intensive Care, 1:16

Abstract: The aim of this study was to evaluate the effect of propolis dressing technique on healing of septic diabetic foot ulcer patients. Design A true experimental design was utilized to fulfill the aim of the study. Design The study was carried out in vascular surgery department and outpatient clinic at Assiut university hospital. Subjects: Simple random sample of 60 patients with DFUs divided equally to control and study subjects. Three tools were used for data collection including Tool I. An interview questionnaire tool,two parts: Tool II. Diabetic foot ulcers (DFUs) parameter assessment tool.Results: this study was performed on 60 patients, their mean ages ranged between 32.63±10.65 and 32.17+11.29 respectively. 60% of the control and study subject at the beginning of the assessment had wound bed necrosis,

[1]. Bentley, J., & Foster, A. (2007). Multidisciplinary management of the diabetic foot ulcer.British Journal of Community Nursing, 12, S6–S10
[2]. Boulton, A. J., Vileikyte, L., Ragnarson-Tennvall, G., & Apelqvist, J. (2005). The global burden of diabetic foot disease. The Lancet, 366, 1719–1724.

Abstract: Oral hygiene is an integral part of care in ICUs, Nurses rank oral care a high priority, there is a theory-practice gap in relation to nurse administered oral hygiene and oral care methods are not consistent with the current research. This gap has attributed to inadequate training or lack of written protocols. Aim of study: is to improve internshiop nurse's knowledge and performance about standardized oral hygiene technique for traumatic mechanically ventilated patients. Patients and method: a quasi experimental research was conducted in trauma intensive care unit at Mminia university hospital in Egypt. Convenience sample of all available internship nurses (about 50 nurse).

[1]. Batiha, A. M. (2008). A., : Effect of mplementing oral care protocol on the occurrence of ventilator associated pneumonia, doctoral thesis, faculty of nursing, Alexandria University.
[2]. Ridley. J. K., (2008): Comprehensive oral care: a critical component of VAP prevention, Healthcare Purchasing News, .
[3]. Pobo, A., Lisboa, T., Rodriguez, A., Sole, R., Magret, M., Trefler, S., . . . Investigators, R. S. (2009). A randomized trial of dental brushing for preventing ventilator-associated pneumonia. Chest, 136(2), pp. 433-439.
[4]. Berry, S. D., Zhu, Y., Choi, H., Kiel, D. P., & Zhang, Y. (2013). Diuretic initiation and the acute risk of hip fracture. Osteoporos Int, 24(2), pp. 689-695.
[5]. Grap, M. J., Munro, C. L., Elswick, R. K., Jr., Sessler, C. N., & Ward, K. R. (2004). Duration of action of a single, early oral application of chlorhexidine on oral microbial flora in mechanically ventilated patients: a pilot study. Heart Lung, 33(2), pp. 83-91.

Abstract: The tremendous progress in the field of surgery and care of the newborn has made cesarean delivery safer for the mother and the fetus. Objectives: The study aimed to identify the caesarean section rate for five years from 2009 until 2013 in AL-Elwyia Maternity Teaching Hospital. Methodology: A retrospective study appropriately designed was conducted through a review of relevant statistics from 2007 to 2013 from annual report of Ministry of Health regarding the incidence of C/S in Iraq, Al-Ruasafa directorate, and Elwyia Maternity Teaching Hospital statistics regarding the incidence of cesarean section for the period between 2 February to 17 April 2014.

[1]. Finger C . "Caesarean section rates skyrocket in Brazil. Many women are opting for Caesareans in the belief that it is a practical solution". Lancet , 2003, 362 (9384): 628. [2]. "WHO Statement on Caesarean Section Rates" (PDF). 2015. Retrieved 6 May 2015

[3]. "Safe Prevention of the Primary Cesarean Delivery". American Congress of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. March 2014. Retrieved20 February 2014.

[4]. American Congress of Obstetricians and Gynecologists, "Five Things Physicians and Patients Should Question", Choosing Wisely: an initiative of the ABIM Foundation (American Congress of Obstetricians and Gynecologists), retrieved August 1, 2013.

[5]. Turner R, "Caesarean Section Rates, Reasons for Operations Vary Between Countries". Fam Plann Perspect.(Guttmacher Institute) 22 (6),1990 ,281–2.

Abstract: Globally, an estimated 33, 5 million (32, 2 million – 38, 8 million) people are living with HIV/AIDS and since the start of the epidemic around 75 million (63 million -89 million) people have become infected with HIV. According to the Central Statistical Office population projections of 2012, the current projected population of Zimbabwe is 12,7 million and Zimbabwe is among countries in Sub Saharan Africa heavily affected by the HIV/AIDS epidemic. According to the National AIDS Council of Zimbabwe (NAC), as of December 2012, Zimbabwe had a current HIV prevalence of 15% with an estimated number of 1 242 768 people living with HIV. Treatment adherence is a problem in chronic diseases and average non-adherence rate of 24, 8% has been reported with the highest rates in patients with HIV.

[1]. UNAIDS. UNAIDS report on Global AIDS epidemic 2013. Online PDF file.
[2]. Smeltzer, C.S., Bare, G.B., Hinkle, L. J., and Cheever, H. K. Brunner and Suddath "s textbook of medical surgical nursing (12th. Ed.) 2010. Wolters Kluwer health/ Lippincott Williams Williams.
[3]. National AIDS council of Zimbabwe. Ministry of Health and Child Welfare prevention of mother to child transmission of HIV., 2012. Zimbabwe Government Printers.
[4]. WHO. HIV/AIDS. Antiretroviral therapy for HIV infection in adults and adolescent, 2010. World Health Organization.
[5]. Garcia, R., Schooley, T.R, and Badaro, R. An adherence trilogy is essential for long term HAART success, 2003. The Brazilian journal of infectious disease.

Abstract: Background: Behavior modification is necessary for children with special needs to help them behave in more appropriate and socially acceptable ways. Educators who work with special needs students and in special education programs often need to use behavioral intervention techniques. These techniques help students with behavior problems that may have a harder time understanding proper social norms and etiquette. Aim of the study was to: evaluate the effect of training teachers on practicing behavior modification strategies for children with special needs on teachers' knowledge and practice to behavior modification techniques.

[1]. Mather, N., & Goldstein, S. Learning Disabilities and Challenging Behaviors: A Guide to Intervention and Classroom Management. Baltimore: Paul H. Brookes Publishing Co. pp. 2001; 96-117.
[2]. Al-Khatib, Jamal. Human Behavior Modification, Al-falah library, 2nd ed. UAE. 2007; pp 150-165.
[3]. Al-Rousan, Faroug. Introduction To Mentally Retardation. Dar Al-Fikr, Amman, 2011. Pp 123-135.
[4]. Al-Shami, Wafa. Secrets of Autism: Types, reasons, and diagnose, 1st ed, Al- Faysalyyah Women, Jeddah charitable Society. 2004;95-105.
[5]. Al-smadi, Jamil. Introduction To Teaching People With Special Needs, 1st ed, dar Al-Fikr For Publishing and distribution, Amman, , Jordan, 2007; pp 235-260.