iosr-JNHS   Volume-6 ~ Issue-1 ~ Jan-Feb 2017

Abstract: Most people who have undergone coronary artery bypass surgery benefit from participating in a structured, comprehensive cardiac rehabilitation program. The potential benefits of rehabilitation include an improvement in heart function, a lowering of the heart rate at rest and during exercise, and a reduced risk of dying or developing complications from heart disease. A cardiac rehabilitation program is a combination of activities designed to help patients recover from cardiovascular events such as myocardial infarction and to prevent further complications. Cardiac rehabilitation programs also help patients recover from surgical and interventional procedures, such as coronary artery bypass graft surgery, angioplasty and stenting.

[1]. American Heart Association, "Core Components of Cardiac Rehabilitation/Secondary Prevention Programs", Circulation, Dec-
2015.
[2]. Vibhuti N Singh, "Cardiac Rehabilitation", The heart org.medscape, Aug 12, 2015.
[3]. Quinn R. Pack et.al., Participation in Cardiac Rehabilitation and Survival After Coronary Artery Bypass Graft Surgery- A
Community-Based Study, The journal of Circulation, August 6, 2013.
[4]. Julian M Aroesty, Patient education: Recovery after coronary artery bypass graft surgery (CABG) (Beyond the Basics), Sep 2016.

Abstract: School health services are preventive and curative services provided for learners and staff within the school setting to ensure healthy school community. This study examines school health services and academic performance of primary school pupils in southwest Nigeria. The study was a descriptive research. The population consisted of all health education teachers and all primary six pupils in Ekiti State. Multistaged, simple random sampling and purposive random sampling techniques were used to collect data. The data collected were analysed using descriptive and inferential statistics..................

Keywords: School Community, preventive health, immunisation, communicable diseases.

[1]. Ademuwagun, Z.A & Oduntan, S.O. (2003). A School Health Education Handbook, Ibadan: University Press Limited.
[2]. Ajala, J.A. (2000). Healthful Environment: A Strategy for Fostering Quality of Life. In J.A. Ajala Deflating the Inflation
Monster: A Survival Kit for Healthful Living during scarcity; Ibadan: Department of Physical and Health Education, University
of Ibadan Pg 33 – 39.
[3]. Allensworth, D.D. & Wilford C.A (2000). Schools as Agents for Achieving the 1990 Health Objectives for the Nation; Quarterly
Health Education Journal, (15): 3 – 15.
[4]. Lucas, A.O. & Gilles, H.M. (2003). Textbook of Public Health Medicine for the Tropics; London: Printed by Hodder Education.
[5]. Marx, E., Wooley, S.F. & Northrop, D. (1998). Health in Academics: A Guide to Coordinated School Health Programs; New
York: Teachers College Press.

Abstract: This study determined levels of student KAP regarding the use of Plastic-Type Food Contact Materials (PTFCMs) with regard to their exposure to Endocrine Disrupting Chemicals (EDCs) and EDC type, as well as modulating factors affecting both exposure and use. A cross-sectional study that involved 150 university students in Kuala Terengganu was carried out between July and September 2015. Results showed that 84.0% of students had low knowledge levels while 90.0% had a 'fair' attitude classification. Most
respondents commonly used polypropylene (PP) as either liquid or food containers. The greatest modulator was less cost................

Keywords: Endocrine disrupting chemicals, plastic-type food contact materials, Usage, Migration.

[1]. Andrady, A.L. and Neal, M.A. (2009). Applications and societal benefits of plastics. Philosophical Transactions of the Royal
Society B, 364: 1977–1984.
[2]. Arvanitoyannis, I. and Bosnea, L. (2004). Migration of substances from food packaging materials to foods. Critical Reviews in
Food Science and Nutrition, 44(2): 63–76.
[3]. Bach, C., Dauchy, X., Chagnon, M.C. and Etienne, S. (2012). Chemical compounds and toxicological assessments of drinking
water stored in polyethylene terephthalate (PET) bottles: A source of controversy reviewed. Water Research, 46: 571–583.
[4]. Biron, M. (2012). Thermoplastics and Thermoplastic Composites (p. 886-887). Waltham: Elsevier Ltd.
[5]. Bradley, E., Driffield, M., Harmer, N., Oldring, P. and Castle, L. (2008). Identification of potential migrants in epoxy phenolic can
coatings. International Journal of Polymer Analysis and Characterization, 13(3): 200–223.

Abstract: Background: Psoriasis is an obvious systemic problem that affects somatic, psychologic and social aspects of life. Therefore, quality of life (QoL) of psoriasis patients is often significantly impaired. Objectives: The present study aimed to assess the quality of life of patients with psoriasis and to compare the impact of different grades of disease severity on patients' quality of life domains. Setting: Dermatology Outpatient Clinic of Alexandria Main University Hospital. Patients and Methods: This is a descriptive study. Data were collected from 110 patients attending the prementioned health setting. A socio demographic, clinical characteristics structured questionnaire, and the Dermatological Quality of Life Scale DQOLS, were utilized for data collection. Each patient was interviewed individually after brief explanation of the aims of the study...............

Keywords: Psoriasis, quality of life, Psoriasis disability

[1]. Feldman SR. Epidemiology, pathophysiology, clinical manifestations, and diagnosis of psoriasis. In: Basow DS, editor. Up-to-date.
Waltham, MA: Up-to-date Inc; 2011.

[2]. Naldi L. Epidemiology of psoriasis. Curr Drug Targets Inflamm Allergy. 2004;3:121–128.
[3]. Harden JL, Krueger JG, Bowcock AM. The immunogenetics of psoriasis: a comprehensive review. J Autoimmun. 2015;64:66–73.
[4]. Boehncke W-H, Schon MP. Psoriasis. Lancet. 2015;386(9997):983–94.
[5]. WHO Global report on psoriasis. WHO 2016. http://apps.who.int/iris/bitstream/10665/204417/1/9789241565189_eng.pdf.
Retrieved on: 9/12/2016.

Abstract: Knowledge of the danger signs of obstetric complications is an essential step in recognition of complications and enables women to take appropriate action to access emergency care. Aim: The present study aimed to assess knowledge and practices of pregnant women regarding danger signs of obstetric complications. Subjects and Method: An exploratory descriptive study was conducted at 4 antenatal clinics (M.C.H centers) affiliated to the different available geographical health zones in Tanta City including: Tanta rabae at Kohafa, Medical center at Said, Tanta Khames at El agizy, and Medical center at Sager. A total sample of 200 pregnant women selected randomly from the previously mentioned settings fulfilling the inclusive criteria was included in the study (50 from each)...............

Keywords: Obstetric danger signs, Knowledge, obstetric complications.

[1]. Radhika K .A study to assess the knowledge of selected warning signs in pregnancy among primi-gravida women in Kempa Cheluvamba general hospital, Master thesis, Bangalore, Rajiv Gandhi University of Health Sciences, Sarvodaya College of Nursing,2005.
[2]. International Institute for Population Sciences, A qualitative assessment of emergency obstetric care in three districts of Maharashtra: A border district cluster strategy for women's right to life and health (summary report), Mumbai, 2004.
[3]. United Nations Population Fund, The promise of equality: Gender equity, reproductive health and the millennium development goals, New York, 2005.
[4]. Gupta N. Maternal mortality: Magnitude causes and concerns, Journal of Obstetrics and Gynaecology Today, 2004; 9(9):555-58.
[5]. Boro E. A study to assess the effectiveness of self instructional module on self-care strategies of antenatal mothers attending outpatient department in selected hospital, Master thesis, Bangalore, Rajiv Gandhi University of Health Sciences, Goutham College of Nursing ,2007.

Abstract: Background: An emergency nursing is the nursing specialty that encompasses caring for patients of all age groups and conditions, from delivering babies and resuscitating trauma arrests to administering medication. The pace of emergency nursing also varies from slow to hyper drive, and it can change within minutes. Objective of this article was to assess the roles, responsibilities and training of nurses at emergency departments at three public hospitals at Khartoum state in Sudan. Method: Descriptive review study design was carried out at Khartoum, Khartoum north and Omdurman hospitals emergency departments. Interview was carried out in 2010 for all nurses who worked at these departments...............

Keywords: Emergency, Speciality, Sudan, Nursing.

[1]. Wikipedia(2010http://en.wikipedia.org/wiki/Emergency_nursing)
[2]. http://www.linkedin.com/pub/faiz-mohammed-ahmed/28/256/399
[3]. http://www.fmoh.gov.sd/English/index.php
[4]. Sara Am abdElaal, Yousif A./Sudanese (2005) waiting time at emergency departments/Journal of Public Health website:http://www.sjph.net.sd/files/v1i2p122-126.pdf
[5]. Continuous professional development (CPD) : 2010 training for professionals http://www.cpd.gov.sd/

Abstract: Background: Total hip and total knee replacement are considered the treatment of choice for patients with osteoarthritis to relieve pain and enhance function. However, recent research suggests that a major proportion of patients continue to experience pain, distress, anxiety, fatigue, discomfort, sleep disturbance, nausea and vomiting following their joint replacement. Aim of the current study was to describe and compare between patients' physical health problems following THR and TKR. Method; a descriptive design was carried out in this study. The study was conducted in orthopaedic departments at Mansoura University Hospital...............

Keywords: Assessment physical health problems, total hip replacement, total knee replacement.

[1] Agency for Healthcare Research and Quality [AHRQ], National Healthcare Quality Report [NHQR], 2013, 1-224. Rockville, MD. Retrieved from http://www.ahrq.gov/research/findings/nhqrdr/nhqr13/index.html.
[2] Westby, M. D., and Backman, C. L., Patient and health professional views on rehabilitation practices and outcomes following total hip and knee arthroplasty for osteoarthritis:a focus group study. BMC Health Services Research, 10(1), 2010, 104-119. http://doi.org/10.1186/1472-6963-10-119.
[3] Bourne, R. B., Chesworth, B. M., Davis, A. M., Mahomed, N. N., and Charron, K. D. J., Patient Satisfaction after Total Knee Arthroplasty: Who is Satisfied and Who is Not? Clinical Orthopaedics and Related Research, 468(1), 2010, 57–63. http://doi.org/10.1007/s11999-009-1119-9.
[4] Kurtz, S., Ong, K., Lau, E., Mowat, F., and Halpern, M., Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. The Journal of Bone and Joint Surgery. American Volume, 89(4), 2007, 780–5. http://doi.org/10.2106/JBJS.F.00222.

Abstract: Background: Esophageal cancer is in eighth position among the most common types in the world. Approximately 80% of cases occur in underdeveloped countries. The prognosis is usually poor due to late diagnosis and aggressive characteristics. Studies have shown that questionnaires from the European Organization for Research and Treatment of Cancer objectively reflect the quality of these patients' lives, fundamental to ensure replicable results and comparison between different populations. Aim: To describe the impact of antineoplastic treatment on the quality of life in patients with esophageal cancer through the EORTC basic and specific questionnaires................

Keywords: Quality of life; Questionnaires and surveys; Esophageal neoplasms; Chemotherapy; Radiotherapy; Neoadjuvant therapy.

[1] International Agency for Research on Cancer. GLOBOCAN 2012: Estimated Incidence, Mortality and Prevalence Worldwide in 2012. Oesophageal Cancer. <http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx>.
[2] Brasil. Instituto Nacional de Câncer. Estimativa 2016: Incidência de Câncer no Brasil. Coordenação de Prevenção e Vigilância, (Rio de Janeiro, RJ: INCA, 2016).
[3] M.A.V. Rêgo, A. A. Fonseca. Trend of Esophageal Cancer Mortality in Salvador City and in the State of Bahia, Brazil, 1980 to 2012, Revista Brasileira de Cancerologia, 60(1), 2014, 25-33. [4] A. A. Ribeiro, A. C. Nardocci. Socioeconomic inequalities in cancer incidence and mortality: review of ecological studies, 1998-2008, Saúde Social, 22(3), 2013, 878-91.
[5] N. M. Monteiro et al. Esophageal cancer: Profile of manifestations, histology, location and metastic behavior in patients undergoing cancer treatment at a Cancer Center in Minas Gerais, Revista Brasileira de Cancerologia, 55(1), 2009, 27-32.

Abstract: Breast cancer is the second most common cancer in women worldwide, with nearly 1.7 million new cases diagnosed in 2012. This represents about 25% of all cancers in women1.In India cancer has become one of the ten leading causes of death2.It is estimated that there are nearly 2 to 2.5 million cancer cases at any given point of time in India3. In India breast cancer represents 18% of all cancers of women which ranks second to cervical cancer. The peak occurrence of breast cancer in developed countries is above the age of 50 whereas in India it is above the age of 406. In India the age standardized incidence rate of breast cancer varies between 9 to 32 per 1,00,000 women4

[1]. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F. Cancer Incidence and Mortality Worldwide: IARC.CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2014.
[2]. Available from: http://globocan.iarc.fr, accessed on 16/11/2015.
[3]. Gupta S, Rao YN, Agarwal SP. Emerging strategies for cancer control for women in India. 50 Years of Cancer control in India. 2003.
[4]. Available from http://www.medindia.net/education/MinistryofHealth/pg192to203.pdf
[5]. Devi S, Arunchalam, Thirumorthy A, Thennarasce. Indian journal of palliative care 2011seo-dec; 17(13):184-90.

Abstract: Hypothermia is one of the problems occurring during caesarean section, which can happen due to thermoregulation mechanism disorders and intake intravenous fluids, this may lead to increase in blood pressure, heart rate, oxygen consumption, pain, and discomfort. The study aimed to evaluate the effect of applying warming measures on prevention hypothermia among parturient women during caesarean delivery. Methods: A quasi-experimental design was conducted on 60 parturient women candidates for elective cesarean delivery at Obstetrics Operating Room in Mansoura University Hospital from February to July 2016, divided randomly into two groups...............

Keywords: Cesarean Delivery, Hypothermia, Anesthesia.

[1]. Aglio LS, Johnson MD, Datta S, Ostheimer GW. Warm intravenous fluids reduce shivering in parturient receiving epidural analgesia. Anesthesiology 1988;69:A701.Anaesthesiol, 2008;22:39-62
[2]. Bicer C, Esmaoglu A, Akin A, Boyaci A.Dexmetomidine and meperidine prevent postanesthesia shivering. Eur J Anesthesiol. 2006;23:149–53. [PubMed]
[3]. Burns, S., Piotrowski, K., Caraffa, G., &Wojnakowski, M. (2009). Unintentional hypothermia: Implications for pre anesthesia nurses. Journal of Pre Anesthesia Nursing, 24(3), 167-173. doi: 10.1016/j.jopan.2009.03.003
[4]. Campbell, L. (2008).Body temperature and its regulation. Anaesthesia& Intensive Care Medicine, 9(6), 259-263. doi: 10.1016/j.mpaic.2008.04.009

Abstract: Hysterectomy is the most common surgery done on women and depression is one of the psychological morbidity following this operation.This paper aims to find the influence of patient-education on depression status of women following elective hysterectomy. A quasi experimental study was performed with 184 women in experimental group and 95 in control group. Demographic performa and Beck depression inventory were used to collect data. Depression status was measured at 3 stages: in the preoperative period, at discharge and at 4 months postoperatively.............

Keywords: Elective hysterectomy; Patient-education; Depression; Experimental group; Control group.

[1]. Sozeri-Varma G, Kalkan-Oguzhanoglu N, Karadag F, Ozdel O. The effect of hysterectomy and/or oophorectomy on sexual satisfaction. Climacteric. 2011;14:275–281.
[2]. Shaheen Shah, Mahboob Ahmed, Syed Saud, Fareeda. Incidence of anxiety and depression in women undergoing hysterectomy. Pak J Pharm Sci. 2007;24(2):23-8.
[3]. Fen Wang, Chun-Bo Li, Shanghai Li, Quan Li. Integrated interventions for improving negative emotions and stress reactions of young women receiving total hysterectomy. Int J ClinExp Med. 2014;7(1):331-36.
[4]. NahalRaza, Ahmed Waqas, Mehak Jamal.Post-operative anxiety, depression and psychiatric support in patients undergoing hysterectomy: A cross sectional survey. J Pak Med Assoc. 2015;65(4):443-45.

Abstract: Maternal Mortality Rate (MMR) the district of Jember holds the top rank across East Java province Indonesia reaching 87,73/100.000 of living birth. The major cause of the death rate especially took place in 2015 was pre-eclampsia (37,50 %), and out of bleeding (18,75 %). Midwifery service including pregnancy check-up and delivery mostly conducted by midwives. The performance of midwife will likely impact midwifery service quality especially Antenatal Care (ANC) and Intranatal Care (INC) service. The research aimed to analyse factors which influence midwife's performance in antenatal care cervice and intranatal care at the Independent Practice of Midwife (BPM) in Jember district..............

Keywords: Performance of Midwife, Antenatal care, Intranatal care

[1]. Danim, S. (2004). Motivasi kepemimpinan & Efektivitas Kelompok. Jakarta. PT.Rineka Cipta.
[2]. Depkes, RI. (2008).Panduan Pelaksanaan Strategi Making Pregnancy Safer and Child Survival, Jakarta, Depkes RI.
[3]. Dinkes Jember, (2015).Rekap Pola Persalinan dan Jumlah Kematian Maternal di Jawa Timur, Jember, Bidang Kesga.
[4]. Kemenkes RI, (2012). Pedoman Pelayanan Antenatal Terpadu, edisi kedua, Jakarta. Dirjen Bina Gizi dan KIA Direktorat Bina Kesehatan Ibu.
[5]. Muchlas, (1999).Perilaku Organisasi 1 – Organizational Behavior.Cetakan II. Yogjakarta. Program Pendidikan Pasca Sarjana UGM.

Abstract: Background: postpartum hemorrhage (PPH) is the prime origin of maternal deaths. All laboring women are threatened by PPH and its toll. Prolonged 3rd stage of labor is one of the chief risk factors for PPH. To safe lives of women; proper nursing management of 3rd stage of labor is mandatory. Active or expectant nursing management of 3rd stage is the intervention of choice. Advantages and disadvantages of both techniques might be over estimated. Obstetric nurses must be prepared, competent and efficient to manage this situation at every delivery. Objective: This study aimed to examine the effect of active versus expectant nursing management of the third stage of labor on post-partum hemorrhage..............

Keywords: Third stage of labor; Post partum hemorrhage (PPH); Active management of third stage of labor (AMTSL); Expectant management of third stage of labor.

[1]. Edhi MM, Aslam HM, Naqvi Z, Hashmi H. Postpartum hemorrhage: Causes and management. BMC Research Notes 2013;6:236.
[2]. WHO. Maternal mortality Fact sheet N°348. Geneva: World Health Organization; 2015. [3]. Weeks, A. "The prevention and treatment of postpartum hemorrhage: what do we know, and where do we go to next?" BJOG. 2015;122 (2): 202–10.
[4]. Frolova AI, Stout MJ, Tuuli MG, López JD, Macones GA, Cahill AG. Duration of the Third Stage of Labor and Risk of Postpartum Hemorrhage. Obstet Gynecol. 2016 May;127(5):951-6.
[5]. Begley CM, Gyte GML, Devane D, McGuire W, Weeks A. Active versus expectant management for women in the third stage of labour. Cochrane Database of Systematic Reviews 2015, 3.No.: CD007412. DOI: 10.1002/14651858.CD007412.pub4 [6]. Stanton C, et al. Use of active management of the third stage of labor in seven developing countries. Bulletin of the World Health Organization 2009;87:(3):207-215.

Abstract: Introduction: Maternal-fetal attachment (MFA) is defined as the affectionate relationship that pregnant women develop for their unborn child. This complex, multi-dimensional relationship is thought to be fundamentally predicts mother and the baby's health status after birth. Thus, it is important to pay more attention into the predictive factors that promoting MFA in childbearing women. Aim of the study: to find out the predictors of maternal fetal attachment among pregnant women Materials & Method: Research design: A descriptive research design was utilized in this study. Setting: This study was conducted at the outpatient clinic of antenatal unit at El-Shatby Maternity Hospital. Subjects: convenience sample of 350 pregnant women attending the previously mentioned setting were recruited in the study............

Key terms: maternal fetal attachment, anxiety, social support

[1]. Peters TW, Wilson L. The Attachment Pregnancy: The Ultimate Guide to Bonding with Your Baby: Adams Media Corporation. 2014; 22-4. Available at URL:www.amazon.com/The-Greatest-Pregnancy-Ever-MotherBaby/dp/ 06155 78985/ ref=pd_rhf_se_p_img_1#reader_B00795VRME. Retrieved on: 20 May 2016.
[2]. Sandbrook SP, Adamson-Macedo EN. Maternal-Fetal Attachment: Searching for A new Definition. Neuro Endocrinol Lett. 2005;25:169-82.
[3]. Rubin R. Maternal Tasks in Pregnancy. Maternal-Child Nursing Journal. 1985;4(3):143-53.
[4]. Mercer RT. Becoming A mother versus Maternal Role Attainment. Journal of Nursing Scholarship. 2004;36:226-32.
[5]. Brandon A, Pitts S, Denton W, Stringer C, Evans H. A history of The Theory of Prenatal Attachment. Journal of Prenatal & Perinatal Psychology and Health. 2009;23(4):201-22.