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

Abstract: A quasi experimental study with pre and post test without control group design was undertaken on 100 male alcoholic patients in de-addiction centre of MHI, SCB, Cuttack, Odisha, to assess the effectiveness video assisted teaching module on progressive muscle relaxation technique to relieve anxiety among alcoholic patients. The samples were selected by purposive sampling technique. Data were collected from 24.06.2014 to 07.07.2014 through DAAS scale. The data collected were analyzed by using descriptive and inferential statistics.Findings revealed that in pre-test the highest (67%) of the alcoholic patient had panic level of anxiety related to physical factor and highest 45% of them had severe level of anxiety in economical factor. whereas in post test none of them had panic level of stress related to any factor.

[1]. Evren C, Sar V, Evren B, Dalbudak E. Self-mutilation among male patients with alcohol dependency: the role of dissociation. Comprehensive Psychiatry. 2008 Sep-Oct; 49(5):489-95.
[2]. Leboduf A. Lodge J. A comparison of frontal Emg feedback and progressive relaxation. American Journal of psychotherapy. 27 (2) ; 1999. pp 170 – 4.
[3]. Rapp MS. Thomas MR. Muscle Relaxation Techniques in treatment of anxiety. Pender NJ. Effects of Progressive Muscle Relaxation Technique on anxiety. Research of Nursing health 8 (1); 2005. pp 67 – 70.
[4]. De Berry (2007). Evaluation of progressive muscle relaxation on stress relatedsymptoms. Journal of clinical psychology, 10(7) 342-346
[5]. Stone P. Relaxation Technique in general practice. Australian family physician. 12 (10); 1983. pp 730.
[6]. De Berry S. An evaluation of progressive muscle relaxation on anxiety. International journal of aging human development. 14 (4); 1982. pp 255 – 69.

Abstract: Diabetes is a challenging disease to be managed successfully. So, regimen adherence problems are common in individuals with diabetes, thus making glycaemic control difficult to attain. The aim of this study was to determine the occurrence of non- adherence to life style modification amongst type 2 diabetes mellitus patients. Methods: Subjects: A purposive sample of all diabetic patients 30 years or older diagnosed with type 2 diabetes mellitus and on clinic care for two or more years who contact the Internal Medicine Clinic in Sheben El-kom Teaching Hospital were included in this study. Instruments: It consisted of self administered questionnaire: It included two constructed tools; 1) questionnaire for socio demographic data including age, educational level, employment, and marital status, …etc. 2) Lifestyle Questionnaire consisted of yes/no and multiple-choice questions related to perceptions related to lifestyle modification recommendations of diet & exercise, adherence/non- adherence to lifestyle modification recommendations, social and environmental variables as reasons for non- adhering to life style modification of diet & exercise.

[1]. International Diabetes Federation (2009). IDF diabetes Atlas Retrieved 2011.09.01, from http://www.diabetesatlas.org/ Retrieved on 25/5/2014
[2]. Oftedal, F.B.(2011). Motivation for Self-management among Adults with Type 2 Diabetes. Published doctorate thesis. Faculty of Social Sciences. University of Stavanger. . http://brage.bibsys.no/uis/retrieve/ 5945/Oftedal,%20Bj%C3% B8rg%20Fr%C3 % B8ysland .pdf Retrieved on 25/5/2014
[3]. World Health Organization (2010). Defining Diabetes Retrieved 2010.09.01, from http://www.who.int /diabetesactiononline /diabetes/en/ Retrieved on 25/5/2014
[4]. World Health Organization. Fact Sheet No.312: What is Diabetes? Available at: Http:// www.who.iny /mediacentre /factsheets/ fs312/en/ Accessed on: September 5, 2009. Retrieved on 25/5/2014
[5]. International Diabetes Federation. Diabetes Atlas. 3rd edn. Brusesls: International Diabetes Federation, 2006. Retrieved on 25/6/2014

Abstract: Nursing students are particularly exposed to occupational hazards such as needle stick and sharp injuries due to limited knowledge and experience. These injuries with sharps may lead to dangerous hazards such as infections with hepatitis B&C and HIV. Aim: This study was conducted to assess the effect of educational program on knowledge and practice of undergraduate nursing students toward prevention of needle stick and sharp injuries during clinical training. Design and Setting: The study was used a quasi experimental design to collect data from the undergraduate nursing students at Faculty of Applied Medical Science and Faculty of Health Science in Dammam University at Hafr Al Batin Governate, KSA.

[1]. Lukianskyte R., Gataeva J. and Radziunaite L., Needle Sticks and Sharps injuries Experienced by Staff Nurses and Nursing Students and Their Prevention, International Journal of Infection Control, 2011; 8(1): p 4.
[2]. Al- Momani S. M., Hdaib M. and Najjar Y. W., Sustained Reduction in Needle Stick and Sharp Injuries among Nursing Students: An Initiative Educational Program, Educational Research, 2013; 4(9): pp. 654-658.
[3]. Swe K.M., Somrongthong R., Bhardwaj A. and Bin lutfi Abas A., Needle Sticks Injury among Medical Students during Clinical Training, Malaysia, International Journal of Collaborative Research on Internal Medicine & Public Health, 2014; 6 (5): p 122.
[4]. National Institute for Occupational Safety and Health (NIOSH), Preventing Needle Stick Injuries in Health Care Settings. Cincinnati: Department of Health and Human Services, DHHS (NIOSH) Publication; 1999, pp 2-14.
[5]. bu-Gad H.A. and Al-Turki K.A., Some Epidemiological Aspects of Needle Stick Injuries among the Hospital Health Care Workers: Eastern Province, Saudi Arabia. Eur. J. Epidemiol., 2001; 17(5): PP401–7.
[6]. Al Ghamdi S., Al-Azraqi T., Bello C., Gutierrez H., Hyde M., and Abdullah M., Needle Stick and Sharps Injuries at Asir Central Hospital, Abha, Saudi Arabia. Ann. Saudi. Med. 2003:P23.

Abstract: There are different reform models that have been developed over the years both in developed and developing countries with the aim of achieving quality of life for all, based on the principle of social justice and equity. This has serve as a potent tool over the years to improve the citizen health, reduce morbidity and mortality and enhance economic development of a nation. Millennium development goals is one of this reformadopted by Nigeria government in year 2000, alongside with other world leaders with the aimed of improving different sector of the nation economic,in which the outcome result is expected to improve the quality of life of the masses.

[1]. WorldHealth Organization (2015). The Bulletin series: primary health care 30 years. vol 93 http://www.who.int/bulletin/primary_health_care_series/en/
[2]. Hannah B (2012).Millennium Development Goal and eye TreatmentJournal of Indian and Opthamol.vol (6)5/411 http/www,ncb.nhn.nih.gov/pmc/article
[3]. Debt Management office of Nigeria (2015)Benefit andAchievement of Millennium Development Goal. http://www.dmo.gov. ng/ debtrelief/benefitsmdg.php
[4]. Summit On MDGs: "Nigeria Must Learn From MDG Setbacks‟. August 20,(2014)Leadership Newspaperhttp://leadership.ng/business/381484/summit-mdgs-nigeria-must-learn-mdg-setbacks.
[5]. Wikipedia(2015)Millennium Development Goals https://en.wikipedia.org/wiki/Millennium_Development_Goal

Abstract: The study was conducted on female secondary school students to assess the abusive behaviors among females .A descriptive design was carried throughout the present study from 3rd March ,2015, to 16th April 2015.A stratified random sample of (350) students female was selected from Baghdad governorate Secondary Schools. A questionnaire was constructed for the purpose of the study. It was comprised from information about demographic characteristics of the female students and behaviors practiced by student itself inside and outside the classroom. Internal consistency reliability was employed through computation of alpha correlation coefficient. Content validity of the questionnaire was determined through panel of experts. Data were collected through application of the interview technique. Data were analyzed through descriptive statistical data analysis approach (Frequency and percentage) and inferential statistical data analysis approach (Chi square test, and the correlation coefficient).

[1] White, H. R., and Widom, C. S. :Does childhood victimization increase the risk of early death, A 25-year prospective study, Child Abuse and Neglect, :27(7), 2003,p.841-853.
[2] Williamson, D. F.;Thompson, T. J.; Anda, R. F.;Dietz, W. H. and Felitti, V. J.: Body weight and obesity in adults and self reported abuse in childhood, Interpersonal Journal of Obesity,2002,p.26, 1075-1082.
[3] Felitti, V. J., Anda, R. F.; Nordenberg, D. F.; Williamson, D. F.; Spitz, A. M.; Edwards, V. J.: Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study, American Journal of Preventive Medicine,: 14(4),1998,p. 245-258.
[4] Grimstad, H., and Schei, B. :Pregnancy and delivery for women with a history of child sexual abuse. Child Abuse and Neglect,: 23(1),1999, 81-90.
[5] N. Kruger, E. Gouws, and A. Dicker, The Adolescents: An Educational

Abstract: Objective: to assess the impact of physical climacteric changes on quality of life of middle age women in Baghdad city Methodology: A descriptive analytic study was conducted to study the quality of life of middle age women due to physical climacteric changes from February 2013- July 2013 A purposive sample consisted of three hundred (300) women aged (40-65) years who were attending health centers in two sectors in Baghdad / AL- Russafa and AL- karhk .The data were collected through using interview technique , and questionnaire format , which comprises two parts, first part consist (socio-demographic characteristic , the second part quality of life domains ( phyical domain ) .. The reliability of the questionnaire was determined through a pilot study and, the validity through a panel of (18) experts. Descriptive and inferential statistical analysis procedures were employed for data analysis; all the statistical procedures were tested at P> 0.05 or less ..

[1]. Wayne P ,Kiel D ,Buring J,Connors E,Bonato P,Yeh G,Cohen C,MancinelliC,and Avis R: Impact of Tai Chi exercise on multiple fracture related risk factors in post.menopausal osteopenic women:apilot pragmatic, randomized trial. (2010) Wayneetal. BMCComplementaryandAlternativeMedicine2012,12:7 http:// www .bio-medcentral.com/1472-6882/12/7
[2]. Gharaibeh M, Al-Obeisat S, and Hattab J:Severity of menopausal symptoms of Jordanian women.Climacteric.(2010): , 13 (4): 385-394.
[3]. Nisar N and SohooA :Severity of Menopausal symptoms and the quality of life at different status of Menopause: a community based survey from rural Sindh, Pakistan. (2010):International Journal of Collaborative Research on Internal Medicine & Public Health, 2 (5):118-130.
[4]. Moilanen J, Mari Aalto A , Raitanen J,,Hemminki E, RAro A andLuoto R :Physicalactivityandchangeinqualityoflifeduringmenopause .-an8-yearfollow-upstudy , Health and Quality of life Outcome (2012) , 10, 8 :2-7

Abstract: Objectives: We evaluated patients' and nurses' perspectives on patients' rights among Egyptian patients and nurses. Methods:We used a descriptive design was done on (100 nurses and 100 patients).We Multivariable logistic regression analysis identified correlates of patients' rights and age, experience, gender, and education. Results:The results implied that statistically significant differences between nurses and patients regarding perception of patient's rights. Also there was a significant statistically between the opinions of patients and education level.

[1]. GC Williams, ZR Freedman, and EL Deci. Supporting autonomy to motivate patients with diabetes for glucose control. Diabetes Care,1998: 21(10):1644–1651.
[2]. S Lauri. Developing the nursing care of breast cancer patients: an action research approach. Journal of Clinical Nursing, 1998: 7(5): 424–432.
[3]. S Joolaee, AR Nikbakht-Nasrabadi and Z Parsa-Yekta. Patient rights practice in Iran: A phenomenological research. Thesis for PhD in Nursing education. Nursing & Midwifery School, Tehran University of Medical Science, 2007.
[4]. Joint Consultation Between the WHO Regional Office for Europe, The Nordic Council of Ministers and The Nordic School of Public Health. Patients' rights and citizens' empowerment: Through visions to reality. Copenhagen, Denmark, 1999.

Abstract: Aim: This study aimed to assess the effects of prenatal Perineal Massage and Kegel exercise on the episiotomy rate. Subjects and Methods: Randomize controlled trial was carried out at Antenatal Outpatient Clinic and Labour and Delivery Ward at El Mansoura University Hospital, Egypt. This study comprised a random study sample of180 pregnant mothers out of randomized 225was recruited for this study according to certain criteria who were between 18 and 35 years of age, 35 gestational weeks, expected to vaginal delivery. They were randomly assigned to three groups; Perineal Massage(50 women), Kegel exercise(60 women) and control (70 women).Four tools were used for data collection: Data Collection Form included REEDA Scale, Kegel Exercise Training Hand Out, Prenatal Perineal Massage Learning Guide, Labour and Follow up Assessment Sheet were used.

[1]. A Carla,bouzahr,Br and Med Bull.Pregnancy: Reducing maternal death and disability.67 (1):2003; 1-11.
[2]. F.D Sayiner and Demirci, N.Prenatal Perineal Massage(Effectiveness of Prenatal Perineal Massage in Vaginal Delivery).Florence Nightingale Hemsirelik Dergis.15(3):2007;146-154.
[3]. L.L. Albers and Borders N.Minimizing Genital Tract Trauma and Related Pain Following Spontaneous.Vaginal Birth.Journal of Midwifery & Women's Health.52(2):2007;246-253.
[4]. M Geranmayeh, Habibabadi Z.R, Fallahkish B, Mahdi, Azizabadi, Farahani M.A, Zohreh,Khakbazan Z, Abbas Mehran A.Reducing Perineal Trauma through Perineal Massage in Second Stage of Labor.Archives of Gynecology and Obstetrics.2012;285, 77-81.
[5]. S Manzanares,Cobo D, Moreno, Martinez M.D, Sanchez, Gila M, Pineda A.Risk of Episiotomy and Perineal Lacerations Recurring after First Delivery Birth.2013; 40.

Abstract: Low birth weight neonates are the special group which requires extra attention and care; they need continuous warmth and tender care, as they are in the womb. A pre-experimental research approach was utilized to evaluate the effectiveness of the structured teaching programme regarding care of low birth weight babies in terms of knowledge of postnatal mothers in Choithram Hospital & Research Centre & Mission hospital, Indore. Total 30 postnatal mothers were selected by purposive sampling technique who met the inclusion and exclusion criteria.

[1]. Resolution WHA65.6. Comprehensive implementation plan on maternal, infant and young child nutrition. In: Sixty-fifth World Health Assembly Geneva, 21–26 May 2012. Resolutions and decisions, annexes. Geneva: World Health Organization; 2012:12–1)
[2]. The Partnership for Maternal Health NaCH: A Global Review of the key Interventions Related to Reproductive, Maternal, Newborn and Child Health (RMNCH). Geneva, Switzerland: The Partnership for Maternal Health, Newborn and Child Health and the Aga Khan University; 2011.
[3]. (ref: Feb. 2013-unicef global data base 2012).
[4]. Cleaveland K: feeding Challenges in the late preterm infant ,neonatal network, 2010, 29(10: 37-41
[5]. Baqui AH, Ahmed S, El Arifeen S, et all, Effect of timing of first postnatal care home visit on neonatal mortality in Bangladesh: a observational cohort study. BMJ 2009, 339:b2826

Abstract: Students are exposed to a substantial level of pressure due to academic stresses. They are not able to sleep most of the time due to the number of assignments, examinations and other academic responsibilities. A literature search was conducted in the year of 2014 to understand about the academic performance of nursing and medical students.

[1]. Murphy, T., Richard, M., Masaki, H., &Segalowitz, S. (2006). The effect of sleepiness on performance monitoring: I know what I am doing, but do I care? Journal of Sleep Research, 15(1), 15-21
[2]. El-Sheikh, M., Buckhalt, J., Cummings, E., & Keller, P. (2007). Sleep disruptions and emotional insecurity are pathways of risk for children. Journal of Child Psychology and Psychiatry, 48(1), 88-96.
[3]. Teixeira, L., Lowden, A., Turte, R., Moreno, C., &Latorre, M. (2007). Sleep and sleepiness among working and non-working high school evening students. Chronobiology International, 24(1), 99-113.
[4]. Assaad, S Costanian, C Haddad, G Tannous, Fida, (2014) Sleep Patterns and Disorders among University Students in Lebanon. Journal of Research in Health Sciences 14 (3), 198-204
[5]. De Carvalho, L Bizari Coin, do Prado, LB FernandesFerrreira, V Ruotolo da R Figueiredo, M Bezerra, Jung, Aline, de Morais, J Fausto, do Prado, G Fernandes (2013). Symptoms of sleep disorders and objective academic performance. Sleep Medicine 14 (9), 872-876.

Abstract: Background: the second stage of labor is a period of increased risk for the fetus. So, providing safe and effective pushing methods to assist women deliver babies is an important goal in the management of the obstetric practice. Aim of the study: aim of the study was to evaluate the effect of spontaneous versus Valsalva pushing techniques at the second stage of labor among primipara women on labor outcomes. A Quasi-experimental design was adopted in the current study. Setting: The study was conducted at the vaginal delivery unit in Benha University Hospital during the period from January 2014 to December 2014.

1]. Buldin C. (2010):World health care reforms for childbirth. J PerinatEduc ;9:1-3. [2]. Hanson, L. (2009). Second-stage labor care: Challenges in spontaneous bearing down. Journal of Perinatal and Neonatal Nursing, 23(1), 31-39. [3]. Prins M, Boxem J, Lucas C, Hutton E. (2011):Effect of spontaneous pushing versus Valsalva pushing in the second stage of labour on mother and fetus: A systematic review of randomized trials. BJOG ;118:662-70.
[4]. Gupta JK, Hofmeyr GJ, Smyth R (2006). Position in the second stage of labour for women without epidural anesthesia. The Cochrane Database of Systematic Reviews, Issue 1. Art No: CD002006.pub2.DOI: 10.1002/14651858.CD002006.pub2.
[5]. Storton S (2007). The Coalition for Improving Maternity Services: Evidence basis for the ten steps of mother friendly care. Step 4:Provides the birthing woman with freedom of movement to walk, move, assume positions of her choice. J. Perinat. Educ., 16(1): 25-27.