iosr-JNHS   Volume-5 ~ Issue-5 ~ Sep-Oct 2016

Abstract: Background: Cervical cancer is the most common cancer and leading cause of death from cancer among women in Nigeria owing to late presentation. This is attributed to lack of an effective national cervical cancer screening programme or poor utilization of the few existing services. Objective: This study was undertaken to determine the perception of female employees of the Jos University Teaching Hospital (JUTH) and those from its immediate environ regarding cervical cancer and Pap smear, their attitude towards Pap smear and their uptake of the available cervical screening service in the hospital........

Keywords: Cervical cancer, Pap smear cytology,perception, Pap smear uptake

[1]. Parkin D.M, Laara E, Muir C.S. Estimates of the worldwide frequency of sixteen major cancers in 1980. Int J Cancer, 1988; 41(2): 184-197.
[2]. Parkin D.M, Pisani P, Ferlay J. Estimates of worldwide incidence of 18 major cancers in 1985. Int J Cancer, 1993; 54:594-606.
[3]. Solanke T.F. Cancer in Nigeria. Nigerian Medical Association (OyoState) Annual Guest Lecture, 1996
[4]. Ayinde O.A, Ogunbode O.O, Adebayo O.J. Determinants of cervical cancer knowledge and the utilization of screening among a Nigerian female population. Trop J Obstet Gynaecol, 2005; 22(1): 21-24.
[5]. Edozien L.C, Adewole I.F. Cervical cancer in Nigeria – A need for early detection. Afr. J Med Sci, 1993; 22:87-92.

Abstract: Humour is considered as an universal language. It influences the human life at various stages. A randomized controlled study involving 90 patients who were to undergo surgery was conducted at Coimbatore Medical College Hospital,Coimbatore.45 patients selected at random and were exposed to the comedy videos which was played at their bedside from admission to one day post operatively and they receive analgesic immediately after surgery and further pain was assessed using VAS and if needed analgesics given and recorded in observational chart..............

Keywords: Humour videos, Pain management, Post operative pain, virtual reality, Analgesic requirement

[1]. Fields HL, Basbaum A. Central nervous system mechanisms of pain modulation. In: Wall PD, Melzack R, editors. Textbook of Pain. Churchill Livingstone; Edinburgh: 1999. pp. 309–329. 1999.
[2]. Hoffman HG, Patterson DR, Carrougher GJ. Use of virtual reality for adjunctive treatment of adult burn pain during physical therapy: a controlled study. Clin J Pain. 2000;16:244–250.[PubMed]
[3]. Lee DWH, Chan ACW, Wong SKH, Fung TMK, Li ACN, Chan SKC, Mui LM, Ng EKW, Chung SCS. Can visual distraction decrease the dose of patient-controlled sedation required during colonoscopy? A prospective randomized controlled trial. Endoscopy. 2004;36:197–201.[PubMed]
[4]. Miller AC, Hickman LC, Lemasters GK. A distraction technique for control of burn pain. J Burn Care Rehabil. 1992;13:576–81.[PubMed]

Abstract: Objectives: To assess the effect of Hemodialysis on the Hemodynamic (systolic, diastolic of blood pressure, and heart rate before , during and after Hemodialysis ) Methodology: Descriptive study was carried out at the Hemodialysis word in Baghdad teaching hospital during the period from 20 July 2015 to 20 April 2016. A purposive (non-probability) sample of (30) patients with end stage of renal failure who were systematically admitted to the hospitals were selected one by one. A questionnaire was constructed for the purpose of the study, which comprise of four parts that included Part I: Sociodemographic characteristics which included age ,gender, and occupational status. Part II: Clinical characteristics Which included past medical history.............

Keywords: Hemodialysis, Hemodynamic, systolic, diastolic of blood pressure

[1]. Orofino,L,Marcen,R,Quereda, C, et al., : Epidemiology of symptomatic hypotension in hemodialysis :Is cool dialysate beneficial for all patients ,Am J Nephrol ,Vol.10,1990,P.177.
[2]. Jermy,L.,Julie, M.,and Edwina, B, Oxford Handbook of Dialysis, 2nd ed., 2004.
[3]. Henrich, WL: Hemodynamic instability during hemodialysis , Kidney Int Vol.30, 1986,P. 605.
[4]. Van der, Sande FM, Kooman, JP, Leunissen, KM :Intradialytic hypotension-new concepts on an problem ,Nephrol Dial transplant J.Vol.15, 2000 P.1746.
[5]. Kouw, PM,Kooman, JP, Cheriex, : Assessment of postdialysis dry weight: A comparion of techniques, J Jm Soc Nephrol,Vol.4, 1993 P.98.

Abstract: Aim and design: This is a reflexive study that aims to present the elements of children's vulnerability to health damage. This discussion is focused on the conceptual framework of vulnerability and its potential contributions for children's health promotion. Discussion: Children are vulnerable to suffer health damages due to the influence of elements from their individual characteristics and environment. The analysis of vulnerable situations in child health and the impairments arising from them should consider familiar, affective, social, economic, political and programmatic elements...............

Keywords: Health Vulnerability, Comprehensive Health Care, Child Health (Public Health).

[1]. AJ Barros, C Ronsmans, H Axelson, Loaiza E, Bertoldi AD, França GVA, et al. Equity in maternal, newborn, and child health interventions in Countdown to 2015: a retrospective review of survey data from 54 countries. Lancet 2012- 379(9822):1225–33. doi:10.1016/S0140-6736(12)60113-5
[2]. Shi L, Stevens GD, Lebrun LA, Faed P, Tsai J. Enhancing the measurement of health disparities for vulnerable populations. J Public Health ManagPract. 2008; 14 Suppl:S45-52. doi: 10.1097/01.PHH.0000338386.59565.dc
[3]. Dorsen C. Vulnerability in homeless adolescents: concept analysis. J AdvNurs. 2010; 66(12):2819-27. doi: 10.1111/j.1365-2648.2010.05375.x
[4]. Grabovschi C, Loignon C, Fortin M. Mapping the concept of vulnerability related to health care disparities: a scoping review. BMC Health Serv Res. 2013; 13: 94. doi: 10.1186/1472-6963-13-94
[5]. Arora SK, Shah D, Chaturvedi S, Gupta P. Defining and measuring vulnerability in young people. Indian J Community Med. 2015; 40(3):193-97. doi: 10.4103/0970-0218.158868

Abstract: As chemotherapy administration is the responsibility of the nursing personnel, it has been a major concern of nurses to prevent any damage to the veins resulting from thrombophlebitis. Objectives: The objective of the study was to determine the effectiveness of planned teaching programme on knowledge regarding prevention and management of thrombophlebitis in cancer patients receiving chemotherapy among staff nurses................

Keywords: Chemotherapy, Prevention and management of thrombophlebitis, Staff nurses, Thrombophlebitis.

[1] J. Ferlay, H.R. Shin, F. Bray, D. Forman, C. Mathers and D.M. Parkin, Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008, International Journal of Cancer, 127(12), 2010, 2893-2917.
[2] S.C. Smeltzer, Brunner and Siddarth textbook of medical surgical nursing (Lippincot Publication, New York, 2010).
[3] P. Wallis, Phlebitis, Intravenous nursing, Newsletter, New Zealand, 2003-2006.
[4] R.J. Chan, A. Alexander, M. Bransdon, J. Webster, B.G. Hughes, L. Brown, T. Graham et. al, Challenging the distal-to-proximal cannulation technique for administration of anticancer therapies, Cancer nursing, 2011.
[5] S. Abedin, G. Kapoor, Peripherally inserted central venous catheters are a good option for prolonged venous access in children with cancer, Pediatric Blood & Cancer, 51(2), 2008, 251–255.

Abstract: Pesticides represent a major environmental hazard. The toxic effects of pesticides are a concern among high risk groups, especially children. Aim: To evaluate the effect of an educational program for farming mothers to protect their children from pesticide exposure. Subjects and method: Quiz-experimental design was used for this study. The study was conducted in general pediatric out- patient clinics at Assuit University Children Hospital. The study subjects included a convenient sample of 60 farming mothers................

Keywords: Pesticides, farming mothers, knowledge, practices,.

[1]. C. Ramesh & Gupta, Toxicology of Organophosphate & Carbamate Compounds. Academic Press,2011,pp. 352–353. ISBN 978-0-08-054310-9.
[2]. R. Gilden, K Huffling & B Sattler, Pesticides and health risks. J Obstet Gynecol Neonatal Nurs 39 (1)2010:103–10. doi:10.1111/j.1552-6909.2009.01092.x. PMID 20409108.
[3]. E. Cha , Y Ho Khang & W Lee, Mortality from and Incidence of Pesticide Poisoning in South Korea: Findings from National Death and Health Utilization Data between 2006 and 2010, J PLoS One. 2014; 9(4): e 95299.
[4]. R. Langley & S Mort, Human exposures to pesticides in the United States. J Agromedicine, 17,2012,300–315.
[5]. T. Farahat, F Farahat & A Michael, Eastern Mediterranean Health Journal, 15, (1), 2009.

Abstract: This study examined the effectiveness of assertive training program on social interaction anxiety and self esteem among institutionalized patients with chronic schizophrenia. Quasi-experimental design (pre -post test-groups) was utilized in this study. The present study was conducted at the Al Abassia mental health hospital. Stratified random sample consisted of 15 institutionalized female chronic schizophrenic patients which were selected from 6 inpatient wards of chronic patients...............

Keywords: Institutionalization, chronic schizophrenia, Assertive training, social anxiety, self esteem

[1]. Allas, A. (2014). Effectiveness of Assertiveness Training on Self Esteem among Adolescent Girls.M.Sc. Nursing Dissertation protocol submitted toRajiv Gandhi University of Health Sciences, Karnataka, Bangalore.
[2]. Abo ElElla,E,. Hashim,N; Elhabiby,M;Khalil,S; Shorab,I&Mounir, M. (2015). Negative symptoms and functioning in institutionalized versus outpatient schizophrenic patients.Middle East Current Psychiatry. 22:65–69. [3]. Barakat, M., Khodiar,A., Elmalky, M., &Elashry, N. (2015). The Effect of an Assertiveness Training Program on Schizophrenic Patients.Benha University. [4]. Ebrahimi, H., Navidian, A., &Keykha, R. (2014). Effect of Supportive Nursing Care on Self Esteem of Patients Receiving Electroconvulsive Therapy: A Randomized Controlled Clinical Trial. J Caring Sci.; 3(2): 149–156. [5]. ElGamal, M., Eltybani,M., &Bassim, R. (2012). Psychiatric Morbidity of Chronic Institutionalized Patients With Schizophrenia (Implications For Future Community Care).The Egyptian Journal of Psychiatry. http://www.new.ejpsy.eg.net/images/logo.png

Abstract: Menopause is a natural part of a woman's life, it is the phase when a woman no longer experience menstruation when her body begins to produce progressively lesser progesterone and estrogen and eventually her menstrual cycles cease.The study assessed awareness and knowledge of menopause and establish relationship between menarche, menopause, lifestyle modification and non communicable diseases with the view of encouraging positive healthy behavior. The study adopted a descriptive cross sectional design. Sample size was calculated using Leslie-Fisher's formula. Self-administered, structured questionnaires which were designed, piloted, and validated were used to collect data from 306 female teachers...............

Keywords: Awareness, Knowledge, Menopause, Nutritional Status, Teachers.

[1]. Blake, J. (2006). Menopause. Evidence-based practice. Best practice & research Clinical obstetrics &gynaecology, 20(6), 799-839.
[2]. Sievert, L. L. (2015). Menopause (evolution). The International Encyclopedia of Human Sexuality.
[3]. McLellan, A. R., Gallacher, S. J., Fraser, M., & McQuillian, C. (2003). The fracture liaison service: success of a program for the evaluation and management of patients with osteoporotic fracture. Osteoporosis international, 14(12), 1028-1034.
[4]. Nigeria National Population Commission (2006) Population Distribution By Age and Sex: 2006 Census Priority Tables ... retrieved from http//:www.population.gov.ng/.../141-population-distribution-by-age-and-sex-2006-census-...
[5]. Sembulingam K, (2012) Identification and treatment of osteoporosis in fractures. Current rheumatology reports Sembulingam P. Essentials of medical physiology. JP Medical Ltd; 2012 Sep 30.

Abstract: Background: Liver transplantation (LT) is often the most effective treatment for chronic life-threatening liver diseases. The first step of the teaching-learning process for liver transplant clients is to asses what the clients already know and how they behave. The aim of the study was to asses the knowledge and daily living activities of post liver transplant clients. Design: Cross sectional descriptive study was conducted at liver transplant clients' homes through home visits at Dakahlia governorate to clients received liver transplant at Gastrointestinal Tract Hospital affiliated of Mansoura University. One hundred and five of liver..............

Keywords: Liver transplant clients, Knowledge, Daily living activities

[1]. Watt KDS, Charlton MR. Metabolic syndrome and liver transplantation: A review and guide to management. Hepatology. 2010; 53(1):199–206. doi:10.1016/j.jhep.2010.01.040.
[2]. Gitto S, Villa E. Non-alcoholic fatty liver disease and metabolic syndrome after liver transplant. International Journal of Molecular Sciences. 2016; 17(4):490. Doi: 10.3390/ijms17040490.
[3]. Alqahtani SA, Larson AM. Adult liver transplantation in the USA. Current Opinion in Gastroenterology. 2011; 27(3):240–247. doi:10.1097/mog.0b013e3283457d5d.
[4]. Foundation NK. Getting a liver transplant. Available at; http://www.kidney.org/atoz/content/livertx.
[5]. Singh S, Watt KD. Long-term medical management of the liver transplant recipient: What the primary care physician needs to know. Mayo Clinic Proceedings. 2012; 87(8): 779–790. doi:10.1016/j.mayocp.2012.02.021.

Abstract: Nursing profession is composite, energetic and assorted, so nurses still encounter confrontations concerning their image that has extensive trace on their decision to take up and remain in nursing and to contribute to better positive health care outcomes. Self-esteem has its effect on how student nurses think, feel, communicate, and motivate themselves and act which with-no-doubt impacts on the care patients receive. Aim: The study aimed to detect the relationship between nursing image as a profession and self–esteem among secondary school students in Dakahlia Governorate...............

Keywords: Image of nursing, self -esteem, profession,nursingstudents.

[1]. Abdel El-Halem, G.E., El Hawashy, Z.I., Gamal El-Dein, A. A., Taha, E.E., (2011): Undergraduate Male Nursing students' Perception about the Image of the Nursing Profession. Journal of American Science; 7(3):614-23.
[2]. Abdlkarim, N., El Khouly, A., &Reizian, A. (2004): Male student nurses: concerns, expectations and fears towards the profession. The 18th International Scientific Nursing Conference; 27.
[3]. Abualrub, R. F., Omari, F. H., & Abu Alrub, A. F. (2009): The moderating effect of social support on the stress–satisfaction relationship among Jordanian hospital nurses. Journal of Nursing Management, 17, 870-878.
[4]. Al Jarrah, I. (2013): Associate nursing students‟ perceptions toward nursing profession in Jordan. European Scientific Journal February; 9(6): 1857- 7431.
[5]. American Academy of Nursing (AAN),(2007): Raise the voice. Retrieved from http://www. aannet.org.g.

Abstract: Study Objective: Pain is a sensory and emotional experience shown by the patient as a response to the damage of the skin tissue or muscle. In fact, it is usually found that diabetic patients who experience pain during wound care treatment can not be handled properly. The purpose of this study is to find out the effect of TENS intervention towards the level of pain in DM patients with peripheral neuropathy in diabetic foot ulcer treatment. Design: Random control trial (RCT)...............

Keywords: TENS, Diabetes Mellitus, Pain, Wound Care

[1]. IDF. Panduan Global Untuk Diabetes Tipe 2. 2014; Available from: www.idf.org.communication@idf.org
[2]. Brunner and Suddarth. Keperawatan Medikal Bedah Edisi 8 Volume 2. Jakarta: Penerbit Buku Kedokteran EGC. 2001;
[3]. Kristianto H. Perbandingan Perawatan Luka Tekhnik Modern dan Konventional Terhadap Transforming Growth Factor Beta 1 dan Respon Nyeri Pada Luka Diabetes Melitus. Tesis dipublikasikan. Jakarta: FIK Program Magister Ilmu Keperawatan. 2010;1.
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[5]. R W. Pain assessment and management in patients with chronic wounds. Nurs Stand. 2008;22(32):62–8.

Abstract: Background: Epilepsy is a chronic medical condition, which requires long term management. Adherence to antiepileptic drugs (AEDs) is crucial for preventing the risk of recurrent seizures. Aim of this study is to examine the impact of educational Sessions on maternal knowledge, adherence to antiepileptic drugs and seizure severity among their epileptic children. Methods: A quasi experimental design (pre, post three month and follow up after six month) was conducted on 100 mothers with their epileptic children who willing to participate at inpatient unit and outpatient clinic of neurology department at Mansoura University Children's hospital. Three tools were used to collect the required data; structured interview questionnaire, medication adherence scale and seizure severity scale, then educational sessions was developed according to mothers needs...............

Keywords: Adherence, Antiepileptic drugs, Maternal knowledge, Seizure severity, Children, Educational sessions

[1]. Al-Qazaz HK, Hassali MA, Shafie AA, Sulaiman SA, Sundram S, Morisky DE. (2010): The eight-item morisky medication adherence scale MMAS: translation and validation of the malaysian version. Diabetes Res Clin Pract ; 90:216-21.
[2]. Badawy G. GH. (2015): Maternal knowledge and management of their children with epilepsy. Unpublished Thesis of Master Degree in Pediatric Nursing, Mansoura University.
[3]. Banerjee, P.N., Filippi, D., Allen-Hauser, W., (2009). The descriptive epidemiology of epilepsy-a review. Epilepsy Res. 85 (1), 31–45.
[4]. Behrouzian, F. and Neamatpour, S. (2010): Parental knowledge and mental health in parents of children with epilepsy. Pak Journal Medical Science; Vol 26. No (1): Pages 191-194
[5]. Carbone L, Zebrak B, Plegue M, Joshi S and Shellhaas R. (2013) Treatment adherence among adolescents with epilepsy: what really matters? Epilepsy Behav; 27(1): 59–63.