iosr-JNHS   Volume-6 ~ Issue-6 ~ Nov-Dec 2017

Abstract: Autism spectrum disorder (ASD) is a complex developmental condition that characteristically reveals in the first three years of life. (ASD) is the fastest developing neurodevelopmental disorder in children. Aim:to design, plan, implement and evaluate the effect of educational program oncognition and behavior forcaregivers of children with autismregarding relation between nutritional status and autism manifestations improvementDesign: A quasi-experimental research design was carefully selected for the current study. Setting:A convenience sample including all available caregivers (100) of children with autismstudents attended at outpatient students' Health Insurance Clinic and affiliated to EltarbiaAlfkriahSchool in Beni-Seuf, Tools:A- Structured Interview Questionnaire Sheet for caregivers...........

Keywords: Autism, Caregivers, Nutritional Status, Educational Program,Cognition and Behavior

[1] Berding K., & Sharon M. D.,.,(2016):Micro biome and nutrition in autism spectrum disorder: current knowledge and research needs. Nutrition Reviews R Vol. 74(12):723–736
[2] Emad K. A.,, Sharkawy S.,A.,; Mobarak, A., A.,&Mohamed, N., T.(2013): Study of Eating Habits for Children with Autism at AssiutCity.Journal of American Science 2013;9(11),http://www.jofamericanscience.org.
[3] Centers for Disease Control & Prevention (2015): Community Report From the Autism and Developmental Disabilities Monitoring (ADDM) Network Prevalence of Autism Spectrum Disorders (ASDs) Among Multiple Areas of the United States in (Published December 9, 2015).
[4] Sandin S, Lichtenstein P,&Kuja-H. R.,(2014): The familial risk of autism. JAMA.;311:1770–1777.
[5] SchmidtRJ,TancrediDJ,KrakowiakP,etal.Maternalintakeofsupplementalironandriskofautismspectrumdisorder.AmJEpidemiol.(2014);180:890–900.

Abstract: Teaching-learning contributes to the development of professional values, attitudes and behavior through a partnership of accountability between teacher and learner. Self-directed learning (SDL) has evolved as a method of learning into nursing education over the last few years. It is an educational concept aimed to advances in learning process that has been used increasingly in adult education. It provides a more flexible approach with regards to the time and place for learning to be undertaken. Method: A cross sectional descriptive study was conducted from February up to April, 2015 at College of Nursing, King Abdulaziz University, Saudi Arabia. A total of 145 undergraduate..........

Keywords: Self-directed learning (SDL), Self-directed learning readiness (SDLR),Nursing Students,self-control, self-management, desire of learning

[1] Ironside PM. Covering content and teaching thinking: deconstructing the additive curriculum. Journal of Nursing Education. 2004; 43(1): 5-12.
[2] Fisher M., King J., &Tague G. Development of a self-directed learning readiness Scale for Nursing Education Today. 2001; 21: 516-25. PMid:11559005 http://dx.doi.org/10.1054/nedt.2001.0589
[3] Tabatabaei, O..The Effect of Self-Directed Learning on Critical Thinking of Iranian EFL Learners. Journal of Educational and Social Research.2012;2, 55-64.
[4] Fisher, M.J., King, J.,. The self-directed learning readiness scale for nursing education revisited: a confirmatory factor analysis. Nurse Education Today. 2010; 30 (1), 44–48.
[5] Stewart, R.A. Investigating the link between self-directed learning readiness and project-based learning outcomes. European Journal of Engineering Education.2007;32 (4), 453–465.

Abstract: Objectives: The aim of the current study was to evaluate the awareness regarding diabetes mellitus' risk factors and preventive measures among Saudi adult population in Riyadh. Methods: A descriptive design was used in this study, with a convenient sample of 315 Saudi adults older than 20 years and resident of Riyadh were participated in the study. Data was collected through a questionnaire that consisted of 4 sections, the first was about the demographic data (age, sex, educational level, and family history of the disease). The second section focused on general knowledge regarding Diabetes Mellitus, and had 11 questions like the definition of diabetes and the types of it... etc., with total score of 11. The third section was about the risk factors which had 15 questions (family history, obesity… etc.) with total score of 15. And the last section was covered the preventive measures (exercise, healthy..............

Keywords: Awareness, Diabetes mellitus, Saudi Adult

[1] Weymann, N., Härter, M., & Dirmaier, J. (2014). Information and decision support needs in patients with type 2 diabetes. Retrieved from http://jhi.sagepub.com/
[2] World Health Organization (WHO), (2011) . Global status report on noncommunicable diseases 2010.
[3] Al-Dahan, S. M., Albaik, M., Alomran, Y., Aldahan, F., & Albaik, S. (2013). Awareness and Knowledge of Diabetes among Al-Wazarat Family Medicine Health Center Attendants. Retrieved from http://www.usa-journals.com/wp-content/uploads/2013/11/Al-Dahan_Vol112.pdf
[4] Naeem, Z. (2015, July). Burden of Diabetes Mellitus in Saudi Arabia. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4633187/

[5] International diabetes federation (2015) Promoting diabetes care, prevention and a cure worldwide Retrieved from https://www.idf.org/.

Abstract: The prevalence of patients with Type 2 Diabetes Mellitus (T2DM) increases every year. The quality of life of diabetic patients is worse than the general population. Self-efficacy can be a consistent predictor of the quality of life. It is an important factor which leads to behavioral and mindset changes to minimize the symptoms and improve the quality of life. This study aimed to determine the relationship between self-efficacy and quality of life in patients with T2DM. This study used a correlational analytical design with a cross sectional approach. The respondents were patients with T2DM (n=189) who visited the medical polyclinics in Semarang City Public Hospital and Tugurejo Hospital in Semarang. The self-efficacy was assessed using a questionnaire of Diabetes Management Self-Efficacy Scale (DMSES), while the quality of life was assessed using a questionnaire of Audit of Diabetes-Dependent...........

Keywords: Type 2 Diabetes Mellitus, Self-efficacy, Quality of life

[1] Hu FB. Globalization of diabetes: The role of diet, lifestyle, and genes. In: Diabetes Care. 2011. p. 1249–57.
[2] Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Vol. 87, Diabetes Research and Clinical Practice. 2010. p. 4–14.
[3] Aditama W. The Relation of Self-Care, Self Efficacy, and Social Support with Glycemic Control (HbA1c) Among Type-2 Diabetes Melitus Patients in Banyudono 1 and Ngemplak Public Health Centres in Boyolali District Central Java Province. Gadjah Mada University Yogyakarta; 2011.
[4] Song D, Xu T-Z, Sun Q-H. Effect of motivational interviewing on self-management in patients with type 2 diabetes mellitus: A meta-analysis. Int J Nurs Sci [Internet]. 2014;1(3):291–7. Available from: http://www.sciencedirect.com/science/article/pii/S2352013214000684
[5] Yeung NCY, Lu QL, Lin W. Specificity may count: not every aspect of coping self-efficacy is beneficial to quality of life among Chinese cancer survivors in China. IntJ Behav Med. 2014;21:629–37..

Abstract: Epidemiology evidence reported that women who had a baby are at increased risk of developing urinary incontinence, particularly those who have had vaginal deliveries (27). Conservative intervention such as pelvic floor muscle training (PFMT) are superior in preventing and treating urinary incontinence (15). Purpose: To systematically review the literature and present the best available evidence for the efficacy and effectiveness of antenatal pelvic floor muscle training in preventing and treating the urinary incontinence rather than non-intervention.............

Keywords: Antenatal pelvic floor exercise, non –intervention, urinary incontinence, pelvic floor exercise training..

[1] Abrams P, Cardozo L, Khoury S, Wein A. Incontinence. In: Proceedings from the 3rd. International Consultation on Incontinence. Paris health publications, 2005: 2: 798-1677
[2] Aqur WI, Steggles P, Waterfield M, and Freeman RM.: The long-term effectiveness of antenatal pelvic floor muscle training; 8-year follow up of a randomized controlled trial. Published in British journal of Obstetrics and gynaecology 2008 July
[3] Boyle R, Hay-Smith EJ, Cody JD, Morkved S: Pelvic floor muscle training for prevention and treatment of urinary and fecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2012 Oct 17;10:CD007471. doi: 10.1002/14651858.CD007471.pub2. Review
[4] Chiarelli P.: Promoting urinary continence in women after delivery: randomized controlled trial. BMJ; 2001: 324.7348.
[5] Dumoulin C, Hay-Smith J.: Pelvic floor muscle training versus no treatment, or inactive control treatment, for urinary incontinence in women. Cochrane database system review, 2010 January ISSUE 1 CD005654.

Abstract: Background:Health promoting behaviors is positively associated with diabetic control among elderly diabetics; this study indicated that practicing health promoting behaviors led to better control of diabetes. Aim: of the current study was to assess the health promoting behavior among elderly diabetics at outpatient diabetic clinic at Helwan general hospital Design: of the present study was a descriptiveresearch design. Setting:at the outpatient diabetic clinic at General Helwan Hospitals, Egypt, where 285 elderly diabetic were purposively selected............

Keywords: Diabetes mellitus, Elderly diabeticsand Health promoting behaviors

[1]. United Nations Population Fund [UNFPA]: Ageing in the Twenty-first Century: A Celebration and a Challenge. New York. [Online]. 2015 [cited 2016 July 23]; Retrieved fromhttps://www.unfpa.org/sites/default/files/pub-pdf/Ageing%20report.pdf.
[2]. Central Agency for Public Mobilization and Statistics: Arab Republic of Egypt [CAPMAS]: A Press Statement on Sunday 30/9/2013 on the occasion of "International Day of Older Persons". [Online]. 2013[cited 2016 Mar 24]; Retrieved from http://www.capmas.gov.eg/pepo/473_e.pdf [3]. World Health Organization [WHO].(2014). Diabetes Available from http://www.who.int/topics/diabetes_mellitus/en/ Accessed: September 1, 2015 at3.00pm.
[4]. American Diabetes Association [ADA]. (2015). Older adults. Sec. 10. In Standards of Medical Care in Diabetes 38:S67-S69; doi: 10.2337/dc15-S013 Available from:http://care.diabetesjournals.org/content/38/Supplement_1. Accessed: September 1, 2015 at 2.00pm.
[5]. Chentli. F, Azzoug.S, and Mahgoun.S (2013).Diabetes mellitus in elderly.Indian Journal of Endocrinology and Metabolic.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673801/sm..

Abstract: Background: Today the insertion of peripheral intravenous cannulas is a common practice in hospitals, however local and systemic complications may be raised because of presence of such cannulas in situ. Aim: The aim of this study was to evaluate the effects of execution of the peripheral intravenous cannula care bundle on reducing the incidence of infection. Methods: this study was carried out in a Critical Care and Convalescence Unit at Mansoura Main University Hospital with 60 patients who have had a peripheral intravenous cannula and all staff nurses who are working at the previously mentioned setting and willing...........

Keywords: care bundle, peripheral cannula, infection, incidence.

[1]. Boyd S et al Peripheral intravenous catheters: the road to quality improvement and safer patient care. Journal of Hospital Infection;2011. 77: 37-41.
[2]. Brunelle, D. Impact of a dedicated infusion therapy team on the reduction of catheter-related nosocomial infections. J InfusNurs. 2003 Nov-Dec;26(6):362-6.
[3]. Carlet J, Astagneau P, Brun-Buisson C, Coignard B, Salomon V, Tran B, et al. French national program for prevention of healthcare-associated infections and antimicrobial resistance, 1992–2008: positive trends, but perseverance needed. Infect Control HospEpidemiol 2009;30:737–45. pmid:19566444
[4]. Darouiche RO, Wall MJ Jr, Itani KM, et al. Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis. N Engl J Med. 2010;362:18-26.
[5]. Department of Health High Impact Intervention No 2: Peripheral Intravenous Cannula Care Bundle.2011, tinyurl.com/DH-HIA2-cannula.

Abstract: Surgical Suite Disinfection techniques are a set of method to prevent the spread of hospital acquired infection. To protect patients from pathogens during medical and surgical procedures, health care forces use Surgical Suite Disinfection techniques. Objectives: To assess knowledge and the efficiency of Surgical Suite Disinfection Techniques teaching program among nurses in Dessie Regional & Referral Hospital, Eastern Amhara, Ethiopia. Methodology: Institution based pre-experimental one group pre and post test design was used and 51 study subjects were selected by convenient sampling technique.............

Keywords: Efficiency, Surgical Suite, Disinfection, Techniques.

[1]. Prevention of hospital-acquired infections: a practical guide. Geneva: World Health Organization; 2002.
[2]. Burke JP. Infection control - a problem for patient safety. N Engl J Med 2003; 348:651–6.doi: 10.1056/NEJMhpr020557 PMID: 12584377.
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[4]. S. Lolekha, B. Ratanaubol, P. Manu Nosocomial infection a teaching hospital in Thailand Phil J Microbiol Infect Dis, 10 (1981), pp. 103-114.
[5]. Abdella et al (2014). Hand Hygiene Compliance and Associated Factors among Health Care Provider in Gonder University Hospital. BMC Public Health, 14(96), 1-7.
[6]. The hospital in rural and urban districts. Report of a WHO Study Group on the functions of hospitals at the first referral level. WHO Technical Report Series, No. 819,1992. ISBN 92 4 120819 8, Order No. 1100819..

Abstract: Background: Pressure ulcers are significant health issues and one of the biggest challenges that organizations face daily. Many new modalities of wound treatment have been promoted including wound care through using growth factors such as insulin. Topical application of insulin in PUs promote the ulcer healing . The aim of this study was to evaluate the effect of using topical insulin for improving PUs healing. Method; Quasi-experimental research design was conducted in Neurological Department at Mansoura University Hospital. The sample of this study composed of 60 patients who were divided into two equal groups; study group who received dressing with topical insulin and control group who received ordinary hospital dressing..........

Keywords: Topical insulin , Pressure ulcers, Healing.

[1]. Abdelkader D., Osman M., Elgizawy S., Faheem A., and Mccarron P., (2016). The role of insulin in wound healing process; Mechanism of action and pharmaceutical applications. Journal annual pharmacy research;1(2). 00007. DOI: 10.15406/japlr.2016.02.0000.
[2]. Miller D., (2016). Bedsores; A preventable healthcare problem. Infection control tips;1-4.Avialble at https://infectioncontrol.tips/2016/02/19/1582/.
[3]. Shahin S ., Dassen T., and Halfens J., (2009). Incidence, prevention and treatment of pressure ulcers in intensive care patients; A longitudinal study. International journal of nursing studies; (46):413-421.
[4]. Agency for Healthcare Researchand Quality(2013). Pressure ulcer risk assessment and prevention; Comparative effectiveness. AHRQ Publication No. 12(13)-EHC148-EF. Available at www.effectivehealthcare.ahrq.gov/reports/final.cfm.
[5]. Elahi N., Mojdeh S., and Poordad A., (2012). The effect of fish oil on improvement of first stage bedsores. Iranian journal of nursing and midwifery research;17 (4):313-317..

Abstract: A nosocomial infection also called "hospital acquired infection" can be defined as: An infection acquired in hospital by a patient who was admitted for a reason other than that infection. An infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission.The present study was conducted to assess knowledge regarding nosocomial infection among nursing officers in selected hospital, Hyderabad. Method: the research approach for this study is evaluative approach with quasi experimental research design, one group pre-test and post-test design adopted. Sample: The target population was 60 nursing officers and sampling technique was non probability purposive sampling. Tool: structured questionnaire with 25 items was prepared........

Keywords: Assess; effectiveness; Structured teaching program; knowledge; Nosocomial Infection, Infection Control.

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[4]. Parvcz et al., Nosocomial infections: Measures for prevention and control. Nursing Journal of India (12505741) 2005 Mar (cited 2007 Nov 7); 56 (1): 59-66. Available from URL: http:// www. pubmed.com/
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[6]. Nosocomial infection-Wikipedia, the free encyclopedia; available at http://en.wikipedia.org/wiki/Nosocomial infection.
[7]. Long.Barbara C; Phipps. Wilma J; Casseyer. Virginial. "Medical- Surgical Nursing A Nursing Process Approach". 3rd ed. Mosby publication;1993. p.349-350...

Abstract: Stress has been identified as a 20th century disease and has been viewed as a complex and dynamic transaction between individuals and their environments .Stressors can be broadly defined as situations .A descriptive study was undertaken to identify the stressors and coping strategies related to selected variables on 1st year Bsc Nursing students. In this study systematic random sample technique has been used to select 50 samples. Descriptive statistics was used to analyze data in the study. Family type of the students makes significance in interpersonal stress (where p value is 0.04) where students belong from nuclear family have more interpersonal stress with the mean score 22 and standard deviation is 3.30. Father's occupation makes significance for clinical stress with the p value of 0.04. Where students whose father's occupation is other than govt. have more clinical stress, mean score 18.13 with SD of 2.69. Family type make significance for engaging in demanding activities' coping strategy with the p value of 0.009.Family type make significance for 'being humorous' coping strategy with the p value of 0.01.Father's occupation make significance for 'seeking spiritual support' coping strategy with the p value of 0.02.

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