iosr-JNHS   Volume-7 ~ Issue-1 ~ Jan-Feb 2018

Abstract: Healthcare organizations must position themselves in a way that promotes competence mechanisms to improve the patient safety, quality patient care performance, staff satisfaction. The healthcare organizations require centrally managed and highly active leadership for the development and advancement of nurse's career and productive professional life. Aim: The study purposes to assess the Transformational Leadership Style and Barriers of Application as Perceived by First Line Nurse Managers and Registered Nurses. Methods: Quantitative, descriptive cross sectional research design was conducted in this study. Setting: The present study was carried.......

Keywords; First Line Nurse Managers, Registered Nurse, Transformational Leadership Style

[1] West, M., Armit, K., Loewenthal, L., Eckert, R., West, T., and Lee, A. (2015). Leadership and leadership development in healthcare: the evidence base. London: The Kings Fund.
[2] Glickman, C. D., Gordon, S. P., & Ross-Gordon, J.M. (2014). Super Vision and instructional leadership: A developmental approach (9th ed.). New York: Pearson Education.
[3] Zori, S. and Morrison, B. (2009). Critical thinking in nurse managers. Nursing Economics, 27(1), (2), 75 – 80 .
[4] Ricci, R., & Wiese, C. (2011). The Collaboration Imperative: Executive Strategies for Unlocking Your Organization's True Potential. White paper, Cisco Systems, Incorporated, Chicago, San Jose, California.
[5] Needleman, J., and Hassmiller, S. (2009). The role of nurses in improving hospital quality and efficiency: real-world results. Health Affairs, 28(4), w625-w633.

Abstract: Radiation therapy is highly targeted highly effective way to destroy cancer cell that may linger after surgery and this will reduces recurrences, many patients have misperception and great fear about radiation therapy and its side effect .in addition there is marked lack of knowledge among patients regarding the importance of radiation therapy and benefit to start the treatment early and not to interrupt the course of treatment. For all these above mentioned reasons, this project selected to assess the effect of education in reducing side effect of radiation therapy for breast cancer patient treated with radiotherapy......

Keywords ;Keywords: health educational program, breast cancer, radiotherapy side effects

[1]. Allafrica.com/stories/201610260301.html
[2]. Early Breast Cancer Trialists' Collaborative Group; Darby S, McGale P, et al. Effect of radiotherapy after breast-conserving surgery on 10-year recurrence and 15-year breast cancer death: meta-analysis of individual patient data for 10,801 women in 17 randomised trials. Lancet. 2011;378(9804):1707–1716.
[3]. Early Breast Cancer Trialists' Collaborative Group; McGale P, Taylor C, et al. Effect of radiotherapy after mastectomy and axillary surgery on 10-year recurrence and 20-year breast cancer mortality: meta-analysis of individual patient data for 8135 women in 22 randomised trials. Lancet. 2014;383(9935):2127–2135.
[4]. Boonyawat K., Caron F., Li A., Chai-Adisaksopha C., Lim W., Iorio A., Lopes R.D., Garcia D., Crowther M.A., Association of body weight with efficacy and safety outcomes in phase III randomized controlled trials of direct oral anticoagulants: a systematic review and meta-analysis, J Thromb Haemost. 2017 Apr 13 (pubmed).
[5]. Karazivan P., Dumez V., Flora L., Pomey M.P., Del Grande C., Ghadiri D.P., Fernandez N., Jouet E., Las Vergnas O., Lebel P., The patient-as-partner approach in health care: a conceptual framework for a necessary transition, Acad Med. 2015 Apr;90(4):437-41 (pubmed)...

Abstract: Radiation therapy is highly targeted highly effective way to destroy cancer cell that may linger after surgery and this will reduces recurrences, many patients have misperception and great fear about radiation therapy and its side effect .in addition there is marked lack of knowledge among patients regarding the importance of radiation therapy and benefit to start the treatment early and not to interrupt the course of treatment. For all these above mentioned reasons, this project selected to assess the effect of education in reducing side effect of radiation therapy for breast cancer patient treated with radiotherapy.............

Keywords; health educational program, breast cancer, radiotherapy side effects

[1]. Breast cancer .org (2012). http://www. Breastcancer .org/research-news/20121126.Aerobic Exercise helps ease cancer-related fatigue. Retrieved at 28/9/2012. 11PMID: 12096292 [Pub Med
[2]. Breast cancer. In: Fowble B, Yom SS, Yuen F, Arron S, editors. Skin Care in Radiation Oncology A Practical Guide. Springer International Publishing: 2016:93–122 (http:// - indexed for MEDLINE
[3]. Campbell, A., Mutrie, N., White, F., McGuire, F. & Kearney, N. (2005). A pilot study of a supervised group exercise program as a rehabilitation treatment for women with breast cancer receiving adjuvant treatment. European Journal of Oncology Nursing; 9: 56-63. 13.
[4]. Cancer and radiotherapy [a short guide for nurses and medical student by: Walter CHuv Chill living stone, Eden burgh and London 2nd edition 1973.
[5]. Cantarero-Villanueva, I., Fernández-Lao, C., DíazRodriguez, L., Fernández-de-las-Pe˜nas, C., MoralAvila, R.,& Arroyo-Morales, M. (2011). A multimodal exercise program and multimedia support reduce cancer-related fatigue in breast cancer survivors: A randomized controlled clinical trial. European Journal of Integrative Medicine; 3, e189-e200..

Abstract: Parkinson's is a progressive disease so patients require more and more assistance in everyday life which increase caregivers' burden. Aim of the study was to evaluate effect of instructional guidelines on caregivers' burden of care and quality of life in Parkinson's patients. Design: A quasi-experimental design was used. Setting: The current study was conducted at the neurological outpatient clinics of Benha Teaching Hospital and Benha University Hospital. Subjects: Purposive sample was used in this study. 30% of patients with Parkinson's and their caregivers were chosen randomly from the mentioned setting, the total number 60 patients with Parkinson's and 60 caregivers. Tools of data collection: Three tools were used. I- A structured interviewing questionnaire: consisted of 3 parts to assess: 1) demographic characteristics of Parkinson's patients and their caregivers. 2) The caregiver's.......

Keywords; Instructional guidelines, Caregivers, Burden of Care, Quality of Life and Parkinson's Patients

[1]. American Parkinson Disease Association,(2016): Parkinson's Disease Handbook,available@https://www.apdaparkinson.org/uploads/files/Handbook_FINAL-2016-Sp0.pdf
[2]. Australia,‖ Rural and Remote Health Journal; 11(4): P.1658.
[3]. Baik, J., Kim, J., Koh, S., Cho, J., Lee, PH., Ma, H., Kim, Y., Ahn, T., Kim, S., Kim, Y., Choi, S., Lee, H., and Kim, H. (2017): Patients and Their Caregivers' Burdens for Parkinson's Disease in Korea, JMD Journal;10(3): PP. 109-115.
[4]. Cholewa, J., Gorzkowska, A., Szepelawy, M., and Nawrocka, A.(2014): Influence of Functional Movement Rehabilitation on Quality of Life in People with Parkinson's Disease, Poland, J. Phys. Ther. Sci; 26(9): P. 1330.
[5]. Clack A. L., Ashman J., Widmer Ch. And Rieman L.B.(2017):Assessing changes in cognitive function and Quality of life associated with exercise in individuals with Parkinson's disease and their caregivers, Biomed Journal Science & Technology Research; 1(4):Pp. 229-234.

Abstract: Tuberculosis is caused by Mycobacterium tuberculosis that most often affect the lungs and it is completely curable, preventable one. Globally in 2015, the world had an estimated 10.4 million new tuberculosis cases. The overall success rate of tuberculosis treatment in the WHO South-East Asia Region stood at 79% in 2015, the lowest in the last five years, largely because, India's private sector healthcare system accounting for a large proportion of tuberculosis patients did not report to the National tuberculosis Programme. So every effort is being made to engage the private sector in India and improve the quality of care provided by private practitioners.Public private partnerships play very effective role in eliminating tuberculosis. By implementing this we will get hand full of cases and there is no chance for missing cases and will enhance to reduce the tuberculosis mortality and prevention of Drug Resistant Tuberculosis.

Key words:Tuberculosis,Public-Private partnership

[1]. World Health Organization. Fact Sheet No.104: Tuberculosis [Internet]. Geneva: WHO; 2017.
[2]. World Health Organization. Global tuberculosis report 2017 [Internet]. Geneva: WHO; 2017
[3]. Central TB Division, Government of India. TB India 2017-Annual Status Report
[4]. [Internet]. New Delhi: DGHS, Ministry of Health and Family Welfare; 2017
[5]. Pai, M "Formidable killer: drug-resistant tuberculosis", The Tribune, India, August 6, 2013www.tribuneindia.com/2013/
[6]. Bhalchandra Chorghade "To fight MDR-TB, act on time", http://dnasyndication.com/dna/MUMBAI/
[7]. Barnagarwala, T "Free TB treatment plan a hit in Mumbai, ministry to replicate project in other cities, Indian Express 2015, Mumbai-free-tb-treatment-plan-a-hit
[8]. TB India 2017 Revised National TB Control Programme Annual Status Report", New Delhi, 2017 www.tbcindia.nic.in

Abstract: Tube feeding is a medical device used to provide nutrition to patients who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation. Aim of the study: to assess nurses' performance through assess nurses' knowledge, practice and attitude regarding nasogastric tube feeding among critically ill patient. Research design: A descriptive design was utilized. Methods: All available nurses working in ICU settings of Cairo University Hospitals, 40 nurses from both genders, with different ages, educational levels and years of experience was selected for this study. Data were obtained through three main tools; Self-administered questionnaire sheet, observational checklist and Nurses attitude questionnaire sheet...............

Keywords; Knowledge, Practice, attitude, tube feeding, ICU nurses, Intensive care unit (ICU)

[1]. Abdel-Mageed, A.H. (2014): Nurses' knowledge and practices regarding implantable cardiac devices at El-Manial university hospital, P. 68.
[2]. Abdullah, M. (2014): Nurses' Knowledge and Practices about Administration of Medications via Nasogastric Tube among Critically Ill Patients, Journal of Education and Practice, 5(1), Pp. 147-159. Retrieved from http://www.iiste.org/ Journals/index. php/JEP/article/ view/10736. Accessed on 23 December 2015.
[3]. Ahamed, N. (2014): Assessment of Knowledge and Practice of Staff Nurses Regarding Ryle's Tube Feeding in a Selected Hospital of Kolkata, West Bengal, SMU Medical Journal, 1(2), Pp. 294-302. Retrieved from http://smu.edu.in/ content/ dam/manipal/smu/documents/Journal%20issue%202/Assessment%20of%20Knowledge%20and%20Practice%20of%20Staff%20Nurses%20Regarding%20Ryle%E2%80%99s.pdf. Accessed on 14 March 2016.

[4]. Ahmed, F.A. (2009): Quality of Nursing Care for High Risk Neonate Receiving Nasogastric Tube Feeding, Benha University, Pp. 75-79. Retrieved from https://www.researchgate.net/publication/278375793_Quality_of_Nursing_Care_for_High_Risk_Neonate_Receiving_Nasogastric_Tube_Feeding

Abstract: Background: Dmpa Is Hormonal Contraception Has High Effectiveness In Controlling Birth. Dpma Utilization For Long Term Period May Cause Many Side Effects, One Of Them Is Mood Disorder Of Depression. Progestin Used Periodically Or For Long Term Period May Disrupt Formation Process Of Vitamin B6 In The Body. Vitamin B6 Is Essential Vitamin In The Brain Due To It Is Necessary To Convert Tryptophan To Be Serotonin And If It Is Used In The Long Term Period, Then Progestin May Decrease Serotonin Level Which Lead To Depression.................

Keywords; Depo Medroxyprogesterone Acetate, Vitamin B6 Level, Depression.

[1]. Africander, Dj. Comparative Study Of The Molecular Mechanism Of Action Of The Synthetic Progestins, Medroxyprogesterone Acetate, And Norethisterone Acetate. Stellenbosch University 2010
[2]. Gbarbea, Eshere. Contraception: Past, Present, And Future. Boston University 2015
[3]. Bagade, Et Al. Increasing Use Of Long Acting Reversible Contraception: Safe, Reliable, And Cost Effective Birth Control. World Journal Of Pharmacy And Pharmaceutical Sciences 2014;3(10):364-392
[4]. Lisa, Welling. Psychobehavioral Effects Of Hormonal Contraceptive Use. Evolutionary Psychology 2013;11(3):718-742
[5]. Spevack E. The Long-Term Health Implications Of Depo- Provera. Integrative Medicine 2013;12(1):27-34
[6]. Bhowmik, Kumar, Srivastava, Paswan, And Dutta. Depression: Symptoms, Causes, Medications, And Therapies. Thepharmajournal 2012;1(3)

Abstract: Breast cancer is a serious disease with potential high morbidity and mortality. It is the commonest malignancy in women. Approximately one million new cases of breast cancer are diagnosed each year worldwide. Breast cancer is the commonest cancer among women in Egypt. Late presentations of breast cancer cases have been consistent for three decades. The efficacy of breast self-examination in helping to reduce mortality from breast cancer has not been rigorously demonstrated. The study was designed to evaluate the effect of breast self-examination training program on the knowledge, attitude and practice of breast self-examination among female nursing students in Faculty of Nursing, Alexandria University, Egypt. The research hypothesis showed that, the knowledge, attitude and practice of female nursing students in Faculty of Nursing, Alexandria University, Egypt will be improved after implementation of the structured training program. Methods: A quasi experimental design was utilized in this study.................

Keywords; Knowledge, attitude, practice, breast self-examination (BSE).

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[2]. Aboalkhair, O., Al Tahan, F.A., Young, S.E., and Musaad, S.A (2010): From the King Saud bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia from the Kendle International, Cincinnati, Ohio, USA, 30 (5):350-357.
[3]. Adderly-Kelly B, Green PM. Breast cancer education, self-efficacy
[4]. Adebamowo CA, Adekunle OO. Case controlled study of the epidemiological risk factors of breast cancer in Nigeria. Br J Surg 1999; 86:665–8.
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[6]. Akhtar SS, Reyes LM. Cancer in Al-Qassim, Saudi Arabia: a

Abstract: Background: Smoking is regarded as a social activity but with adverse effects. This study investigated the cardiac status of active tobacco smokers in Nnewi, South Eastern, Nigeria. Methods: A total of 100 subjects compromising of 50 apparently healthy active and non- smokers respectively were recruited for the study. Their blood pressure readings and weight were obtained. Well – structured questionnaire was used to obtain their bio-data. Blood sample was collected from each subject and estimated for apolipoproteins (Apo A-1, Apo B), creatine kinase –MB (CK-MB) and Troponin I. Standard routine analyses were used for estimation of parameters. Data obtained were statistically analyzed using student t-test and Pearson r correlation................

Keywords; Smokers, CK-MB, ApoA-1, ApoB, Troponin I.

[1]. West, Robert; Shiffman, Saul (2007). Fast Facts: Smoking Cessation. Health Press Ltd. p. 28.
[2]. Vital signs: current cigarette smoking among adults aged ≥18 years–United States, 2005-2010 MMWR Morb Mortal Wkly Rep, v.60, p.1207, 2011, Centers for Disease Control and Prevention.
[3]. U.S. Department of Health and Human Services. The Health Consequences of smoking-50 years of progress: A report of the Surgeon General. Atlanta: U.S. Department of Health and Human Service, Centres of Disease Control and Prevention, National Centre for Chronic Disease Prevention and Health Promotion, office on smoking and Health (Accessed May, 2016).
[4]. Kastan MB (2008). "DNA damage responses: mechanisms and roles in human disease: 2007 G.H.A. Clowes Memorial Award Lecture". Mol. Cancer Res. 6 (4): 517–24.
[5]. Bernstein C, Prasad AR, Nfonsam V, Bernstein H. (2013). DNA Damage, DNA Repair and Cancer, New Research Directions in DNA Repair, Prof. Clark Chen (Ed.), ISBN 978-953-51-1114-6, InTech, http://www.intechopen.com/books/new-research-directions-in-dna-repair/dna-damage-dna-repair-and-cancer

Abstract: Background: Indonesia is the fourth most populous country in the world with the high rate of population growth and maternal mortality. To overcome this problem, Indonesian government implemented a program of "Family Planning". According to BKKBN 2007, 55.5% of women used contraceptive injections and the majority had a high BMI. BMI that increasesis associated with an increase in the number of adipose cells in body that affects the leptin level. Objective: To determine the correlation between body mass index (BMI) and leptin levels in contraceptive users of Depo Medroxy Progesterone Acetate.................

Keywords: Depo Medroxy Progesterone Acetate, Body Mass Index, Leptin Levels.

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[4]. Bappenas, 2014. Laporan Pencapaian Tujuan Pembangunan Milenium Indonesia 2010. Jakarta: Bappenas.
[5]. BKKBN, 2013. Survei Demografi dan Kesehatan Indonesia. Jakarta: Badan Pusat Statistika.

Abstract: Death of women during pregnancy, delivery and postpartum period often preventable remains a serious health burden in developing countries. One major factor responsible for high maternal and neonatal deaths in developing countries is ignorance which has impeded healthy health seeking behaviour among pregnant women. This study seeks to investigate awareness of pregnant women about danger signs in pregnancy, labour and postpartum periods and its effect on their choice of delivery facility. This study is carried out in Oshimili South Local Government Area of Delta State, Nigeria. It adopts an exploratory design to investigate the influence of knowledge on choice of delivery facility. Questionnaires were used to obtain data from a sample of 100 pregnant women. Data analyzed were presented using frequencies, percentages and charts. Results show that 71.0% of respondents............

[1]. Burger, J.M. (1993). Personality .3rd ed. Pacific Grove California: Books/Cole. 412-415.
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[3]. Collymore, Y. (2005). Tracking and Reducing maternal Deaths presents major Challenges. Retrieved Sept. 10, 2005, from http.//www.prb.org.
[4]. Department for International Development: (2007). DFID'S Maternal Health Strategy Reducing maternal deaths: evidence and action. DFID Second Progress Report.
[5]. Essien, E. et al. (1997). Community loans funds and transport services for obstetric emergencies in Northern Nigeria. JHPIEGO/Maternal and Neonatal Health (MNH) Program, 2004, Monitoring Birth Preparedness and Complication Readiness; Tools and Indicators for Maternal and Newborn Health. JHPIEGO: Baltimore, MD.987-1000.Retrieved Sept. 9, 2005, from www.jhpiego.com.

Abstract: Dengue virus (DENV) has emerged as major health concern, as DENV infection has been shown to be associated with severe disease symptoms. As the largest protein component within the DENV replication complex, NS5 plays key roles in the life cycle and survival of the virus through its N‐terminal methyltransferase (MTase) and C‐terminal RNA‐dependent RNA polymerase (RdRp) domains. Here, we present the blast result of DENV NS5 RdRp. We have identified the conserved features of DENV NS5 RdRp structures that could lead to development of current antiviral inhibitors being used against dengue virus, including flaviviruses.Our structural analysis should inform and accelerate the structure‐based design of antiviral compounds against DENV.This leads to the identification of a potential drug-binding site of DENV NS5, which might facilitate the development of novel antivirals for DENV..

Keywords: Flavivirus, Denv, NS5, Blast, Drug-

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Abstract: Recently, psychiatric health is considered a unique scope in promoting rights of patient safety, although there are few scientific researches that provide information about patient safety frameworks, coaching, politics and providing suitable patient care without harm Aim: this study aimed to assess the relation between patient safety and organizational culture inpatient care at psychiatric hospitals. Design: descriptive correlational design. Setting: This study was carried out at Mansoura & Benha Psychiatric hospital. Sample: All nurses worked at the studied hospitals..............

Keywords: Patient safety, organizational culture, psychiatric hospital.

[1]. Cameron, K., and Quinn, R. (2010): Organizational Culture Assessment Instrument (OCAI), available at https://www.ocai-online.com/userfiles/.../ocai_pro_example_report.
[2]. Chiu, C., Pan, W., & Wei, C. (2008): Does Organizational Culture Impact Patient Safety Management?, Asian Journal of Health and Information Sciences, 3(1), pp. 88-100
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