iosr-JNHS   Volume-6 ~ Issue-2 ~ March-April 2017

Abstract: Typhoid fever remains a global health problem for Salmonella typhoid in pediatric population. The aim of this study was to assess the effect of integrated clinical pathway regarding care of children with typhoid fever through, assessing nurses' knowledge regarding integrated clinical pathway, designing and implementing integrated clinical pathway regarding care of children with typhoid fever and evaluating the effect of integrated clinical pathway on nurses' regarding care of children with typhoid fever. Research design: A quasi-experimental design was used. Settings: This study was carried out at Benha Fever Hospital and Toukh fever Hospital affiliated to ministry of health and population............

Keywords: Typhoid fever, Integrated clinical pathway and Nursing Management

[1]. Karkey A, Thompson CN, Tran Vu Thieu N, Dongol S, Le Thi Phuong T, Voong Vinh P, et al.( 2013) Differential epidemiology of Salmonella Typhi and Paratyphi A in Kathmandu, Nepal: a matched case control investigation in a highly endemic enteric fever setting. PLoS Negl Trop Dis. 7(8):e2391.
[2]. Yanagi D, de Vries GC, Rahardjo D, Alimsardjono L, Wasito EB, De I, et. (2009): al. Emergence of fluoroquinolone-resistant strains of Salmonella enterica in Surabaya, Indonesia. Diagn Microbiol Infect
[3]. Parry CM, Threlfall EJ.( 2008): Antimicrobial resistance in typhoidal and nontyphoidal salmonellae. Curr Opin Infect Dis. Oct. 21(5):531-8. [4]. WHO position paper (2013): Typhoid vaccines', WKLy Epidemiology Rec. 83(6), pp: 49-59
[5]. WHO position paper (2 Effa EE, Lassi ZS, Critchley JA, et al.( 2011): Fluoroquinolones for treating typhoid and paratyphoid fever (enteric fever). Cochrane Database Syst Rev. Oct 5. CD004530..

Abstract: Nurses play a vital role in the healthcare system, providing continuous 24-hour care to hospitalized patients. Nurses have also established themselves as an essential element of other disciplines within the hospitals. Despite the significant role of the nursing staff, there is a shortage of nurses worldwide. Hospitals in the Ministry of Health in Saudi Arabia are facing notable deficiencies in staffing. The present quantitative study assessed Saudi nurses' perceptions of nursing as a profession to determine the reasons that may lead to nursing staff turnover. A questionnaire consisting of two parts was administered, with the first part eliciting demographic information and the second asking questions related to the nurse's perceptions, the reasons that may lead to nursing turnover and factors to improve the retention of nurses, their point of view, and suggestions. The sample comprised 350 nurses of both genders, selected randomly...........

Keywords: Perceptions, Nursing Profession, Retention, Shortage, Turnover

[1] C.A. Awynd, Current factors contributing to professionalism in nursing, Journal of Professional Nursing, 19(5), 2003, 251-261.
[2] Ministry of Health, Statistics book of the Ministry of Health (Kingdom of Saudi Arabia, 2015 ,26-27. Accessed 20 December 2015. Available from http://www.moh.gov.sa/Pages/Default.aspx en pdf.
[3] World Health Organization, Global standards for the initial education of professional nurses and midwives , 2009. Available from http:// www. who. int/ hrh/ nursing _midwifery/ hrh _global _standards_education.pdf.
[4] S. Abu-Zinadah, The current situation of nursing in Saudi Arabia (Saudi Council for Health Specialties, 2006 . Available at: www.nurse.scfhs.org.
[5] Ministry of Health, Nursing administration in the Jeddah region. Nursing Transfer Requests Report, 2015.

Abstract: Introduction Ankle Fractures are common fractures of Lower limb which require surgical intervention. 25% are usually Bimalleolar fractures .Cast Application has only role in undisplaced crack Fractures. As maintainance of Reduction is a big problem Surgical Fixation of both pillars of ankle has become a Dictum & Rule of Thumb............

Keywords: Bimalleolar , Primary Osteo-synthesis , Mortise Congruity.

[1]. Alexander Beris et al. surgical treatment of malleolar fractures. CORR, 1997, No 341,p 90.
[2]. Alfons F.C.C de Kort, Distal tibio fibular synostosis after ankle fracture, 1996 JBJS.
[3]. Ashurst-Bromer-Rockwood and greens fractures in adult, fourth edition 1996,s p 2201.
[4]. Astley Cooper-Rockwood and greens fracture in adults, fourth edition 1996, p 2201.
[5]. Baron Dupuytren – Rockwood and Greens fractures in adults, fourth edition 1996, p 2201.

Abstract: Asthma is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasms. Asthma statistics showed that 300 million people worldwide suffer from asthma, with 250,000 annual deaths attributed to the disease. Researcher felt that breathing exercises are more effective to improve the quality of life of asthmatic children. The objectives were; to assess the breathing pattern of asthmatic children before introducing breathing exercise in both experimental and control group, to teach techniques of breathing exercises to asthmatic children...........

Keywords: Breathing exercises; Asthma

[1]. Asthma Statistics American academy of allergy asthma and immunology, World Health Organization, Global surveillance, prevention and control of chronic respiratory diseases, a comprehensive approach. [Online]. 1996-2009 [cited 2009 Sep 20]; Available From: URL:http://www.aaaai.org/media/statistics/asthma-statistics.asp.
[2]. Donna LW. Whaley & Wong's nursing care of infants and children. 6th ed. St. Louis: Mosby; 1999. p.1499.
[3]. Gaining asthma relief through breathing exercises. Ads by goggles [Online]. 2007 [cited 2009 Sep 3]; Available From: URL:http://www.whatisasthma.net/breathing-exercises.php

Abstract: It is estimated that 33 to 86% of patients experience muscle cramps during haemodialysis, which results in early termination of haemodialysis session. Objective: Evaluate the effect of intradialytic stretching exercises on muscle cramps during haemodialysis. Setting: The study was conducted at the dialysis unit-PSG, hospitals, Coimbatore. Patients and Methods: This is a quasi experimental study. Sixty samples were selected and 30 each in both intervention and comparison group. The pre test score of muscle cramps was assessed by a standardized cramp questionnaire chart and the visual analogue scale............

Keywords: Intradialytic, Muscle cramps, Intradialytic stretching exercises, Routine care

[1]. Abali,C., Adejumo,O., Chukwuonve,I., Ogah,S.O., Okwuonu,C.G. (2013). Awareness level of kidney functions and diseases among adults in a Nigerian population. Journal of American Science, 25,158-163.
[2]. Robert A Star. Treatment of acute renal failure. International Journal of Kidney, 2015; 54(3): (accessed doi:10.1046/j.15231755.19980020).
[3]. Magnard et al. Effects of a six – month intradialytic physical activity program and adequate nutritional support on protein energy wasting, physical functioning and quality of life in chronic haemodialysis patients. British Medical Journal, (2013): (accessed 14.259-261.doi:10.1186/1471-2369-14-259).
[4]. Holley, et al. . Muscle cramps in dialysis patients. CANNT Journal2012; 25(3).
[5]. Hallegraff, et al. An effective stretching regimen to prevent nocturnal leg cramps. Journal of Physiotherapy 2012; 59(4): (accessed doi: 10.1061/S1836-9553).

Abstract: Aim: To evaluate the impact of spinal decompression surgery on the Health Related Quality of Life of patients affected by metastasis at some level of the spine. Method: This was a quantitative, descriptive, correlational and longitudinal, prospective study which included four evaluations: before surgery (T0), two (T1), four (T2) and six (T3) months after surgery. The instruments used for data collection were: structured questionnaire for sociodemographic and clinical characterization of the sample; Revised Faces Pain Scale (FPS-R); Health Related Quality of Life evaluation questionnaire (EORTC QLQ-C30). Results: The sample consisted of 22 patients............

Keywords: Palliative Surgery, Vertebral Metastasis, Neoplasms, Quality of Life

[1]. A.J. Aboulafia, A.M. Levine, D. Schmidt, and Aboulafia D. Surgical therapy of bone metastases. Seminars in Oncology, 34, 2007, 206–214.
[2]. R. Wedin, H.C. Bauer, and L.E. Rutqvist. Surgical treatment for skeletal breast cancer metastases: a population-based study of 641 patients. Cancer, 92, 2001, 257-262.
[3]. F. Zairi, A. Arikat, M. Allaoui, P. Marinho, and R. Assaker. Minimally invasive decompression and stabilization for the management of thoracolumbar spine metastasis. J Neurosurg Spine, 17, 2012, 19-23.
[4]. G. Maccauro, M.S. Spinelli, S. Mauro, C. Perisano, C. Graci, and M. A. Rosa. Physiopathology of spine metastasis. Int J Surg Oncol, 2011, 2011, 1-8.
[5]. T.F. Witham, Y.A. Khavkin, G.L. Gallia, J.P. Wolinsky, and Z.L. Gokaslan. Surgery insight: current management of epidural spinal cord compression from metastatic spine disease. Nat Clin Pract Neurol, 2, 2006, 87-94.

Abstract: A quasi-experimental study aimed to study the effect of an educational program based on the PRECEDE model on improving sexual function among diabetic women. Study was conducted at diabetic outpatient clinic at Ain shams university hospital. A convenience sampling technique was used to recruit one hundred seventy six (176) women with type II diabetes those were randomly divided into two equal groups. Data collected through three tools: 1st tool PRECEDE model questionnaire, 2nd tool Female Sexual Function Index and 3rd tool ENRICH Marital Satisfaction Scale. Results:..........

Keywords: PRECEDE model, diabetic women, Female Sexual Function Index, Marital satisfaction scale.

[1] International Diabetes Federation. (2014): IDF Diabetes Atlas, 5th edition. Update. Brussels, Belgium: International Diabetes Federation.
[2] Jason Gandhi, GautamDagur, Kelly Warren, Noel Smith and Sardar Ali Khan., (2016): Effect of Diabetes Mellitus on Sexual Arousal and Intercourse. Transl Biomed.7:2.
[3] Zeliha Kaya Erten, Handan Zincir, Filiz€Ozkan, AlimeSelc_uk and FerhanElmalı., (2013):Sexual lives of women with diabetes mellitus (type 2) and impact of culture on solution for problems related to sexual life. Journal of Clinical Nursing, 23, 995–1004.
[4] Maria Ida Maiorino, Giuseppe Bellastella, and Katherine Esposito (2014): Diabetes and sexual dysfunction: current perspectives. Diabetes, Metabolic Syndrome and Obesity; 7: 95–105.
[5] Kelli L. Copeland, Jeanette S. Brown, Jennifer M. Creasman, Stephen K. Van Den Eeden, Leslee L. Subak, David H. Thom, Assiamira Ferrara, and Alison J. Huang. (2012): Diabetes Mellitus and Sexual Function in Middle-Aged and Older Women. Obstet Gynecol.120 (2) 331–340

Abstract: Background: Various researches had studied the occurrence of constipation among general population but little concentrated on its occurrence among critically ill patients. Critically ill patients have different consequences that can affect gastrointestinal motility resulting in bowel movement disturbance as constipation. Aim: To assess constipation occurrence among critically ill patients. Methods: A descriptive study was conducted on 105 critically ill adult patients at Causality Care Unit I and General Intensive Care Unit III of Teaching Main university Hospital, Alexandria University, Egypt. Tool: "Constipation occurrence contributing factors assessment" tool was used............

Keywords: constipation, critically ill patients, critical care nurse, occurrence.

[1] Nassar AP, Da Silva FMQ, De Cleva R. Constipation in intensive care unit: Incidence and risk factors. Journal of Critical Care 2009; 24: 630.e9-630.e12.
[2] Bharucha AE, Dorn SD, Lembo A, Pressman A. American Gastroenterological Association medical position statement on constipation. Gastroenterology. 2013;144:211-7.
[3] Rooprai R, Bhat N, Sainani R, Mayabhate MM. Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation. International Journal of Basic & Clinical Pharmacology 2017;6 (2):1-11.
[4] Kadamani I, Itani M, Zahran E, Taha N. Incidence of aspiration and gastrointestinal complications in criticallyill patients using continuous versus bolus infusion of enteralnutrition: A pseudo-randomised controlled trial. Australian Critical Care 2014; 27: 188–93.
[5] Basso F, Berdin G, Virzì M, Mason G. Fluid Management in the Intensive Care Unit: Bioelectrical Impedance Vector Analysis as a Tool to Assess Hydration Status and Optimal Fluid Balance in Critically Ill Patients. Blood Purif journal. 2013;36:192–9.