iosr-JNHS   Volume-4 ~ Issue-5 ~ Sep-Oct 2015

Abstract: The diagnosis of child with cerebral palsy can trigger a range of emotional responses in the parents. Also, it will constitute a crisis that requires extraordinary psychological adjustment on a parent's part. Aim of this study was to evaluate nursing intervention of parent's adjustment for caring of C.P children. Research Design was Quasi experimental for this study. Setting the study was conducted in the neurology outpatient clinic of Ain Shams University Hospital. Sample Purposive sample of 120 children was used in this study. Tools of data collection were an interviewing questionnaire that include four parts; Part I: Socio-demographic characteristics of the child and caregiver; Part II: Family Impact of Childhood Disability (FICD). Part III: was concerned with assessment of child dependency in the activities of daily life (ADL). Part IV: caregiver assessment about the healthcare needs of the child with cerebral palsy.

[1]. UNICEF, United Nations Children's Fund, Website: www.unicef.org.2006
[2]. Betz C.L. Rehabilitation In: Family centered Nursing care of children. 2 nd ed., Philadelphia: Saunders; 2008, pp.127-132.
[3]. Neff W., and Weiss R. Childhood chronic illness prevalence severity and Impact. Journal of public Health; 2004, 82:364-371.
[4]. Thomsen A., and Akoben. Technical aspects of feeding the disabled child current opinion in clinical nutrition and metabolic care, 2nd ed., Louis, New York, Tokyo; 2001, pp.220-221.
[5]. Faulkner M. Quality of life for persons with development disabilities; 2003, 13(3):234-252.
[6]. Polit D., and Hungler B. Nursing Research, principles and methods, New York: J.P Lippincott Company; 1999, p.225.
[7]. Bowden R., Dickey B., and Greenberg S. Children and their families: The continuum of care. Philadelphia: W.B. Saunders; 2002,pp.933-945.

Abstract: Nurses have relied on expert and opinions in clinical decision-making. However, these ways of practicing may be unsafe. Experienced-based knowledge may be associated with biased thinking that lead to errors. Scientific research is the standard by which sciences derive knowledge. This study aims to explore factors influencing the effective implementation of evidence-based practice among nurses working in outpatients clinics in hospitals of Assiut city. A cross-sectional comparative study was carried out on 807 nurses. Data were collected by interview questionnaires from January to June 2014. The present study included 414 nurses working in Assiut University Hospitals and 393 nurses from hospitals of Ministry of Health. Nearly 40% of the both studied groups never looked for information, research or evidence to support their nursing practice.

[1]. J. McDonald and J. Smith, Evidence-based health care and community nursing: issues and challenges. Australian Health Review, 24 (3), 2001, 133- 140.
[2]. E.M. Brown, Appraisal and Application of Research in Evidence-Based Practice for Nurses (Second Edition), Jones and Bartlett Publishers, 2012.

[3]. D.T. Ubbink, H. Vermeulen, A.M. Knops, D.A. Legemate, K. Rengerink, M.J. Heineman, Y.B. Roos, C.J. Fijnvandraat, H.S. Heymans, R. Simons and M. Levi, implementation of evidence-based practice: outside the box, the hospital Journal of Medicin, 9 (2), 2011, 87-93.

[4]. A. Richardson, M. Miller and H. Potter, Developing, delivering, and evaluating cancer nursing services: searching for a United Kingdom evidence base for practice. Cancer Nurs, 25 (5), 2002, 404- 415.

[5]. C.L. Carlson and D.J. Plonczynski, Has the barriers scale changed nursing practice? An integrative review. J Adv Nur, 63 (4), 2008, 322- 333.

[6]. M.P. Nix and C.M. Clancy, Translating research into evidence-based nursing practice and evaluating effectiveness. Journal of Nursing Care Quality, 21 (3), 2006, 195- 202.

Abstract: Calcium is an important component of a healthy diet. It is essential for all living organisms as it signals the various cellular processes. It also helps in mineralization of bone, teeth and its maintenance throughout life. . Pregnancy causes a tremendous shift in maternal calcium metabolism as calcium becomes important for the fetal bone mineralization. This study establishes the effects of calcium on the fetal birth weight. Method: This cross sectional study was conducted among 100 antenatal subjects. Ethical clearance and the necessary permission from Obstetrics department of Sri Ramachandra University were obtained. Written informed consent obtained from the subjects. Biochemical analysis of calcium was done at the SRMC central laboratory.

[1]. Heidi J et al Bone Mineral Changes During Pregnancy and Lactation, Endocrine, vol. 17, no. 1, 49–53, February 2002
[2]. Sana M Ceesay et al Effects on birth weight and perinatal mortality of maternal dietary supplements in rural Gambia: 5 year randomised controlled trial. BMJ Volume 315 27 September 1997,:786–90.
[3]. Christopher S. Kovacs et al Calcium and Bone Metabolism in Pregnancy and Lactation.Journal of Clinical Endocrinology & Metabolism, Vol. 86, No. 6

Abstract: Infertility is a stressful experience, yet little is known about the specific issues confronting infertile women. In the present study, therefore, the objective of this study is to identify prevalence of stress of women going to infertility clinic in Riyadh.descriptive cross-section design was used, Methods .A convenient subject 150 women , the study conducted at king Fahd Medical City(KFMC) - Riyadh, in vitro fertilization clinic(IVF), Tools clients were interviewed individually using interview questionnaire sheet which formed by the researchers &composed of 2 parts ; The first one : is about the sociodemographic data as (age, Living Area, Accommodation, Job, Education, Family income, ..etc.).

[1]. Sohrabvand F&Jafarabadi M. 'knowledge and attitude of infertile couples about assisted reproductive technology '2005 .Iran Journal Reproductive Medicine 3(2) 90-94www.scirp.org/journal/PaperInformation.aspx?PaperID=7674
[2]. Bovin J, Bunting L , Collins J&Nygerine K .International estimates of infertility prevalence and treatment –seeking potential needs and demands for infertility medical care. 2007 .Human Reproduction .22:(6) ;1506-1512
[3]. Larsen U. Research on infertility : which definition should we use ?.2005 .Fertility and Sterility , 83(4),846-852
[4]. Dubey A & Singh S. Role of emotional response in marital adjustment and satisfaction in couples undergoing infertility treatment 2014.Indian Journal of Positive Psychology .5(2),125-130
[5]. Niaz U & Hassan S .Culture and mental health of women in South East Asia .2006. World Psychiatry ,5(2)118
[6]. Alhumidan H .Depression among women with primary infertility attending an infertility clinic in Riyadh , Kingdom of Saudi Arabia :rate ,severity and contributing factors .2011.Int .J.HealthSci (Qassim)5(2), 108-115,http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521829

Abstract: Incidence and prevalence of head lice is very high among school children in India. As it is a contagious problem, managing it at the very beginning is very essential. Present study focuses on identifying the effectiveness of neem extrats in managing head lice. The neem formulation varies according to the severity of infection. Objective of the study wasto develop a protocol for the management of head lice and to pre - test it for its effectiveness. Evaluative approach was used with pre experimental design.Data were collected from 40 primary school children chosen using non probability convenient samplingat selected areas of Katapady, Udupi district, using Demographic proforma and Screening checklist. Based on the severity, samples were categorized into mild, moderate and severe infestation.

[1]. Head licemanagement (online). Dec10, 2006 (cited Nov 6, 2006); Available from URL: http://www.wikpedia.com/managinghead lice
[2]. J Harris , J Crawshaw , S Millership . Incidence and prevalence of head lice in a district health authority area.Community District Public Health journal. 2003 Sep ; 6(3):246-9.
[3]. Home remedies for pediculosis management (online). 2008. Available from URL:http://www.iloveindia.com/healthyliving/ home remedy

Abstract: Knee is among the most commonly affected joints in rheumatoid arthritis, which is the most common form of inflammatory arthritis, affecting 1% of men and 3% of women.Total Knee Arthroplasty in the rheumatoid patient presents unique challenges, such as the systemic nature, poor bone quality as a result of prolonged steroid use soft-tissue deformities, valgus fixed deformities and flexion contractures and the disease process itself. The purpose of our study is to look out for clinical outcomes in midterm and long term follow up of rheumatoid patients operated for total knee replacement.This is a retrospective study of 100 consecutive primary TKR in 61 patients with rheumatoid arthritis. A total of 61 patients, (49 females, 12 males) with a mean age of 58.4 years underwent the surgery.

[1]. INSALL JN, RANAWAT CS, SCOTT WN, et al, Total condylar knee prosthesis: Preliminary report, Clin Orthop 120: 149, 1976
[2]. Richard Laskin: Total condylar knee replasment in RA. The journal of bone and joint surgery
[3]. K. K. Anbari,J. P. Garino:Understanding the Rheumatoid Knee: Total Knee Arthroplasty 2005
[4]. Yamanaka, Hajime, Ken-ichiro Goto, and Munetaka Suzuki. "Clinical results of Hi-tech Knee II total knee arthroplasty in patients with rheumatoid athritis: 5-to 12-year follow-up." Journal of orthopaedic surgery and research 7.1 (2012):
[5]. LEE H. RILEY , DAVID S. HUNGERFORD: Geometric Total Knee Replacement for Treatment of the Rheumatoid Knee The Journal of Bone and Joint SurgeryVOL. 60-A, NO. 4. JUNE 1978 523
[6]. J A Rand et al. "Long-term results of various treatment options for infected total knee arthroplasty." Clinical orthopaedics and related research 248 (1989): 120-128
[7]. Trib K, Schmid M, Stulnia t: long term outcome of total knee replacement in patients with rheumatoid arthritis. Joints bone spine(2008) 163-166.

Abstract: This study aims to determining the performance of management functions of head nurse managers, measuring nurses' productivity, finding out the effect of management functions of head nurse managers on nurses' productivity. Subjects and Methods: The subjects consisted of head nurses and nurses working at medical units, surgical units, casualty ICU and post operative ICU. Their total numbers are twenty one head nurses and ninety five nurses. Data collected for the period of six months by observation of nurses and by interviewing head nurses and nurses for personal data.

[1]. American Association of critical care nurses (2007): Membership demographic. Retrieved January 2011: http: / / www.aacn.org/aacn/ Membership.nsf Files/ Membdemographic/ file/ Membdemographicpdf
[2]. American Organization of Nurse Executives (1992): the role and functions of hospital managers. In-American hospital Association Advisory. Chicago: American hospital association.
[3]. Ancona, P. (1993): How to measure productivity and improve effectiveness among workers. San Antonio Express-News.Pp. 1B.
[4]. Aref, S. (2000): Measuring the level of nurse productivity of staff nurses in general surgical unit in Elminya University Hospital, Doctorate thesis, faculty of nursing, Assiut University. Egypt.
[5]. Armstrong, M. (2001): A hand book of management techniques. 3 rd ed, kogan page limited, London. P. 142-727.

Abstract: The present study was focused on phonetic inventory in Malayalam English bilingual children with the age range of 3-5 years. The Malayalam diagnostic articulation test was administered to 40 typically developing children. Subjects were divided into two groups with an inter age interval of 12 months (3-4 years, 4-5 years) in urban and rural areas.The results revealed that there was a significant difference (p<0.05) across the age groups and across regions for some phonetics. The performance varied across age groups. As age increased, the scores also increased indicating the inventory of phonetics with the age and regions due to neuromuscular maturation and stimulation (bilingual).

[1]. American Speech - Language-Hearing Association.(1982).Language [Relevant Paper].Available from www.asha.org/policy.
[2]. Banik,A.(1988).Articulation testin Bengali.Unpublishedmaster's dissertation submitted in part–fulfillment for the master's degree in speech and hearing.University of Mysore.
[3]. Divya,P.(2010).Articulatory acquisition in typically developing Malayalam speaking children: 2-3 years. Unpublished master's dissertation submitted in part–fulfillment for the master's degree in speech and hearing.University of Mysore.
[4]. Fudala&Reynolds (1986). Cited in Hegde, M. N. (2000).Assessment and treatment of articulation and phonological disorders in children. United States of America. Pro-ED Inc.
[5]. Goldstein,B.,& Washington,S.P.(2001).An Initial Investigation of Phonological Patterns in Typically Developing 4-Year-Old Spanish-English Bilingual Children.Language, Speech, and Hearing Services in Schools, 32, 153-164. doi:10.1044/0161-1461(2001/014).

Abstract: The mastery of clinical skills must be a key component of courses leading to registration of nurses,as clinical performance of today's nursing students holds a lot for the future of Nursing profession. The aim of the study is to identify the perception of nursing students and their preceptors about factors facilitating and inhibiting clinical performance of nursing students.A descriptive design was conducted among 400 and 500 level students of the department of Nursing science, University of Maiduguri and Nurses in all medical, surgical, obstetrics and gynecology wards of university of Maiduguri Teaching Hospital. A self developed questionnaire was used to collect data from the respondents by the researcher, the questionnaires were analyzed using SPSS version 17.0.Hypothesis was tested using chi-square.

[1] Altman,T.L.,2006. Preceptor selection, orientation and evaluation in baccalaurate Nursing Education. International Journal of nursing scholarship, 3(1): 1-16.

[2] Andrews.G., Brodie,A., Andrew.J., Hillan,E., Thomas, B., Wang, J.,Rixon, L., 2006.A qualitataive study of nursing students perceptions and some models for practice. International Journal of nursing studies, 43 (7): 861:874.

[3] Bartleff.H., Simonite.V.,Westcott.E., Taylor. H., 2000. A comparison of the nursing competence of graduates and Diplomates from U.K Nursing programmes, Journals of clinical nursing, 9:369-379.

[4] Chan, D.S., 2001a. Development of an innovative tools to assess hospital learning environment. Nurse Education Today, 21:624-631.

[5] Chan, D.S .,2001b. Combining qualitative & quantitative methods in assessing hospital learning environment, International journal of nursing studies, 38:447-459.

[6] Cope.P.,Cauthbertson.P., Stoddert.B., (2000). Situated Learning in the practice placement. Journal of Advanced nursing 31(4):850-856.

[7] Cook, J.L., 2005. Inviting teaching behavior of clinical faculty and nursing students‟ anxiety. Journal of Nursing Education, 44:156-161.

Abstract: Background: the pollution of wood charcoal smoke may causes many health disorders, among these lipid peroxidation and disturbance of antioxidant levels, in addition to the poisoning with some toxic elements, which in turn affect the level of vital elements in the human body. In this work, the exposure effect of wood smoke on 100 Iraqi workers was studied. The aim of this study is to investigate the effect of charcoal smoke on lipid peroxidation marker malondialdehyde (MDA) , vitamins (A, C, E), albumin, hemoglobin and (Hg, Pb, Mg, Zn, Se) levels in sera of the workers.

[1]. Wondwosen Bogale. 2009. Preparation of Charcoal Using Agricultural Wastes. Ethip. J. Educ. & Sci. Vol. 5 (1) p.80-94.
[2]. Stephen S. Leonard, Suwei Wang, Xianglin Shi, Bryan S. Jordan, Vince Castranovaa, Michael A. Dubick. 2000. Wood smoke particles generate free radicals and cause lipid peroxidation, DNA damage, NFkB activation and TNF-a release in macrophages. Toxicology 150 147 – 157.
[3]. Elsa Nielsen, Marianne Dybdahl. Health effects assessment of exposure to particles from wood smoke. Danish environmental protection agency, Environmental project. No. 1235. 2008.
[4]. Wei Y. L and Adeline S. 2012. Biomass fuels and lung cancer. Respirology. 17, 20–31.
[5]. Orozco L.M, Garcia J, Villar A, Ramirez S, Anto J.M and Jea J. 2006. Wood smoke exposure and risk of chronic obstructive pulmonary disease. Eur Respir J; 27: 542–546.
[6]. Krajcovicova M, Paukova V. and Dusinska M. 2004. Lipid peroxidation in relation to vitamin C and vitamin E levels. Cent. Eur. J. Publ. Health; 12 (1): 46-48.

Abstract: Background: Thalassemia is an autosomal recessive congenital disease originating from the countries of the Mediterranean region. Deficiencies in globin chain synthesis may lead to severe anemia requiring regular blood transfusions and iron chelating therapy starting at an early age Objective: A descriptive analytic study design was carried out to assess Self-Efficacy among Thalassemic Adult Patients in Baghdad City- Iraq.

[1]. Rund D, Rachmilewitz E: Beta-thalassemia, New Eng. J. Med, 353 (11); 2005: 1135-46.
[2]. Karimi M, Bagheri MH, Tahmtan M, Shakibafard A, Rashid M: Prevalence of hepatosplenomegaly in beta thalassemia minor subjects in Iran, Eur J Radiol, 69(1); 2009: 120-2.
[3]. Derakhshandeh-Peykar P, Akhavan-Niaki H, Tamaddoni A, Ghawidel-Parsa S, Naieni KH, Rahmani M, et al: Distribution of beta-thalassemia mutations in the northern provinces of Iran. Hemoglobin, 31(3); 2007: 351-6.
[4]. Goljan E. Pathology, 2nd ed. Mosby Elsevier, Rapid Review Series 2009. Available from: www.ask.com. [Accessed on 1/4/2010].
[5]. Wood J, Origa R, Agus A, Matta G, Coates T, Galanello R: Onset of cardiac iron loading in pediatric patients with thalassemia major, Haematologica, (93); 2008: 917–920.
[6]. Taher A, Isma'eel H, Cappellini MD: Thalassemia intermedia: revisited, Blood cells, Molecules and Diseases, 37(1); 2006: 12-20.
[7]. Schulz M: Light Microscopic Analysis in Skeletal Paleopathology: a new approach to the study of ancient diseases", in Ortner D.J. 2003, "Identification of Pathological conditions in Human Skeletal Remains", Academic Press.