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

Abstract: Triage, is often one of the weakest parts of the health care system in low-income countries as compared to industrialized countries; but if well-organized it can be life-saving and cost-effective. Many hospitals in low-income countries lack a formal triage system. knowledge about triage is a key in triage decision making. Effective decision making can influence the health outcomes of presenting children. Anxious parents visiting Pediatric Emergency Services (PES) insist the management of their children first. Because of the potentiality for rapid deterioration of a child, children who require emergency life saving support are missed causing adverse effects. A descriptive design was undertaken to assess the knowledge of the nursing personnel regarding paediatric triaging in a tertiary care hospital of south India. Purposive sampling technique was employed and fifty nurses were recruited...............

Keywords; Triage knowledge, Paediatric nurses , Paediatric Emergency Services (PES), Triage scenarios

[1]. Aloyce, R., Leshabari, S., & Brysiewicz, P. (2014). Assessment of knowledge and skills of triage amongst nurses working in the emergency centres in Dar es Salaam, Tanzania. African Journal of Emergency Medicine, 4(1), 14-18. [2]. Considine, J., Ung, L., & Thomas, S. (2000). Triage nurses‟ decisions using the National Triage Scale for Australian emergency departments. Accident and emergency nursing, 8(4), 201-209.
[3]. Agani Afaya , Thomas Bavo Azongo , Vida N. Yakong "Perceptions and Knowledge on Triage of Nurses Working in Emergency Departments of Hospitals in the Tamale Metropolis, Ghana." IOSR Journal of Nursing and Health Science (IOSR-JNHS) Vol 6, Issue 3 May - June 2017 .PP 59-65.
[4]. Sapp, R., Brice, J. H., Myers B, & Hinchey, P. (2017) "Triage performance of first-year medical students using a multiple-casualty scenario, paper exercise" South African Medical Journal 2017;107(3):243-247. [5]. Bergeron, S., Gouin, S., Bailey, B., & Patel, H. (2002). Comparison of triage assessments among pediatric registered nurses and pediatric emergency physicians. Academic Emergency Medicine, 9(12), 1397-1401

Abstract: Introduction: Neonates undergoing surgeries in hospitals worldwide undergo average to severe postoperative pain. Surmounting evidence demonstrates that, controlling pain in the neonatal period is beneficial in improving physiologic, behavioral, and hormonal outcomes. However, there is paucity of information by the health care providers regarding knowledge and skills on postoperative neonatal pain management. Objective: The objective of the study was to describe management of postoperative pain among neonates at the new born unit in Moi Teaching and Referral hospital (MTRH), Kenya. Methodology: The study design was a prospective descriptive study conducted at the newborn unit, MTRH. Data collection tools and procedures used were check list for observation...........

Key words: Neonate, management practices, postoperative pain

[1]. Bartocci, M., Bergqvist, L.L., Lagercrantz, H., & Anand, K.J. (2006) Pain activates cortical areas in the preterm newborn brain. Pain, (122):109–17.
[2]. Bellù, R., de Waal, K.A., & Zanini, R. (2008) Opioids for neonates receiving mechanical ventilation. Cochrane Database Systemic Review
[3]. Bhalla, T., Shepherd, E., & Tobias, J.D. (2014) Neonatal pain management. Saudi Journal on Anaesthesia ;( 8):89-97.
[4]. Bhavani-Shankar, K., & Jasmeet, O. (2015) Management of postoperative pain. http://www.uptodate.com/contents/management-of-postoperative-pain(Retrieved on 22nd March 2015).
[5]. Burt, N., &Havidich, J. (2006) Perioperative Pain Management in Newborns. EMedicine Specialties. Available from: http://www.emedicine.com/ped/topic2856.htm(Retrieved 2015).

Abstract: A pre experimental one group pre-test post-test study was conducted to assess the effectiveness of structured teaching programme on knowledge and practice regarding electro convulsive therapy among 60 GNM 2nd year students studying in selected Schools of Nursing, Tumkur, Karnataka by using purposive sampling technique. Structured questionnaire and checklist was used to assess the knowledge and practice of the students. The findings of the study revealed that the mean post test scores were significantly higher than mean pre test scores.

Keywords: Structured Teaching Programme, Electro convulsive therapy, Students

[1]. Scott AIF (ed) et al (2005), "The ECT hand book", 2nd edition, The 3rd report of the Royal College of Psychiatrist, Special committee on ECT, retrieved 2008-07-26.
[2]. Townsend C Mary, "Psychiatric Mental Health Nursing", 5th Edition, Jaypee Publishers, Page no. 314-15.
[3]. Malik Santosh and Anand Navneet, "Textbook of Psychiatric Nursing", 1st Edition, Lotus Publishers, Page no. 285
[4]. Mental Health, a report of the Surgeon general, Chapter 4, Retrieved 2007-12-29.
[5]. Read, J; Bentall, R (2010 Oct-Dec). "The effectiveness of electroconvulsive therapy: a literature review.". Epidemiologia e psichiatria sociale 19 (4): 333–47.

Abstract: Background: Infrastructure reform of nursing work environment in Egypt is becoming an imperative issue for healthcare organizations. Where, efforts are exerted worldwide for improving nations' health and nurses as key role players and most consistent fellow of the multidisciplinary team are profoundly important in healthcare field. Therefore, attention from hospitals to create a healthy environment where nurses are comfortable working will promote competencies needed for improving present and prospect targeted healthcare quality. Aim: The study aims to design and validate a compatible tool to measure Infrastructure of nursing work environment across various hospitals within the scope of the Egyptian healthcare services sectors located in Cairo and Giza..........

Keywords; Infrastructure Reform, Nursing Work Environment, Egyptian Healthcare Services Sectors

[1] Kramer M, Hafner L. (1989): Shared values: impact on staff nurse job satisfaction and perceived productivity. Nurs Res.38 (3):172-177. [2] Kramer M, Schmalenberg C. (2008): Staff nurses identify essentials of magnetism. In: McClure M, Hinshaw AS, editors. Magnet hospitals revisited: Attraction and retention of professional nurses. American Nurse Association; Silver Spring, MD.
[3] McPeck William (2016): The Healthy Work Environment: How well are you addressing HWE?
[4] Rees C. S., Breen L. J., Cusack L., and Hegney D. (2015): Understanding individual resilience in the workplace: the international collaboration of workforce resilience model. Front Psychol; 6 (5):73.
[5] Breen L. J., O'Connor M., Hewitt L. Y., and Lobb E. A. (2014): The "specter‟ of cancer: exploring secondary trauma for health professionals providing cancer support and counseling. Psychol. Serv. 11, 60–67. 10.1037/a0034451.

Abstract: Hepatitis C virus (HCV) infection and its complications are one of the most leading health challenges over the world.Where it causes tissue damage, causing cirrhosis of the liver gradually. Liver biopsy and Fibro-scan are the standard methods to measure fibrosis before treatment. however, those methods have its own limitations, risks and cost.Liver fibrosis has been determined usingroutine laboratory tests. The laboratory tests are Alanine Aminotransferase (ALT), aspartate aminotransferase (AST), platelet count (PLT), Total Bilirubin(TB), Direct Bilirubin (DB), Total Proteins (TP) and Albumin (ALB). The aim of this paper, estimate cirrhosis using laboratory tests and multilayer perceptron (MLP) neural networks.Research applied on 582 liver patient in Egypt.Testing phase is comparison between Fibro-index results and Neural Network result. Visual studio 2015 C# and SQL-Server are used to develop a windows application. General Terms Liver disease.

Key words: Cirrhosis, Liver, Multilayer perceptron neural networks.

[1] HelenS.Te, DonaldM.Jensen, "Epidemiology ofHepatitis B and CViruses: A GlobalOverview",Clin Liver Dis. 2010
[2] Alberti A,"Natural History of Hepatitis C Infection", Hepatitis C Online,2017.
[3] Masahiko Koda,Yoshiko Matunaga,Manri Kawakami, et el, "FibroIndex, a Practical Index for Predicting SignificantFibrosis in Patients with Chronic Hepatitis C",American Association for the Study of Liver Diseases., 2007.
[4] Dakshata Panchal and Seema Shah," Artificial Intelligence Based Expert System For Hepatitis B Diagnosis "International Journal of Modeling and Optimization, Vol. 1, No. 4, October 2011
[5] GhumbreShashikantUttreshwar and A.A. Ghatol,"Hepatitis B Diagnosis Using Logical Inference and Self-Organizing Map",Journal of Computer Science 4 (12): 1042-1050, 2008

Abstract: Leukemia is the most common cancer in children, representing approximately one- third of pediatric cancers.Breastfeeding is common but not universal in very early infancy in Egypt.Among infants under two months of age, 71 percent are receiving only breast milk. However, the proportion exclusively breastfed drops off rapidly among older infants. By age 4-5 months, only around 1 in 8 children were being exclusively breastfed. This study aimed to explore the relation between breast feeding and acute lymphoblastic leukemia .A descriptive correlational design was utilized ona Purposive sample with a total of 200 mothers with previous breast feedingand their children were younger than 18 years. This study was conducted at the National Cancer Institute (NCI), Cairo, Egypt. A structured interview questionnaire sheet was constructed by the researchers. Results revealed that no statistically...........

Keywords; breast feeding, acute lymphoblastic leukemia, children, risk factors

[1]. American Cancer Society (2016).Cancer Facts &Figure s.http://www.cancer. org/acs/groups/content/@rese arch/documents/document/acspc-047079.pdf. 2016Accessed17.06.16.
[2]. Christine Hsu (2012). Longer period of infant formula feeding may increase leukemia risk. Medical Daily.Oct 18, Medical daily, http://www.medicaldaily.com.
[3]. Inaba H, Greaves M, Mullighan CG. (2013). Acute lymphoblastic leukaemia.Lancet. . doi: 10.1016/S0140-6736(12)62187-4.
[4]. Todd P., Metayer C., Wiemels J., Singer A & Miller M. (2016). Childhood Leukemia and Primary Prevention, Current Problems Pediatric and Adolescent Health Care;46:10;317-352.
Guaraldi F., &Salvatori G. (2012). Effect of Breast and Formula Feeding on Gut Microbiota Shaping in Newborns. Front Cell Infect Microbiol. 2: 94.
[5]. World Health Organization. UNICEF.Global strategy for infant and young child feeding. 2003.http://www.who.int/nutrition/publications

Abstract: Urinary tract infections are considered as the most common bacterial infection in both pregnant and non-pregnant women. About eight million women visit a physician annually for evaluation of urinary tract infections. Aim: to assess the prevalence of urinary tract infections during pregnancy at Al Dawadmi, Riyadh, Saudi Arabia. It was found that the more than half (58%) of women had UTI (29%) of them were due to fungal causes. Out of one hundred women, thirty one reported urinary symptoms. Most common urinary symptoms in these women was (35%) had dysuria & pain ,while less than quarter (23%) had fever & only( 12 %) had rigors. We concluded that the prevalence of urinary tract infection in pregnant women attending antenatal clinics found more than half (58%) of women had UTI and (29%) had fungal causes. We recommended that repeated urine analysis during pregnancy is needed.

Keywords; Prevalence, urinary tract infection, pregnancy

[1]. Akinloye O, Ogbolu DO, Akinloye OM, Terry Alli OA. Asymptomatic bacteriuria of pregnancy in Ibadan, Nigeria: a re-assessment. Br J Biomed Sci 2006; 63:109-112.
[2]. Al Senani N,(2011) Asymptomatic Bacteriuria in Pregnant Women MBBCh, MSc Bahrain Medical Bulletin, Vol. 33, No. 4, December 2011
[3]. Al Sibiani S (2010): Asymptomatic Bacteriuria in Pregnant Women in Jeddah,MB, BCH, CABOG , Department of Obstetrics and Gynecology. Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaJKAU: Med. Sci., Vol. 17 No. 1, pp: 29-42 (2010 A.D. / 1431 A.H.) DOI: 10.4197/Med. 17-1.4
[4]. Amiri ,M.H. Rooshan ,M.H.Ahmady & M.J. Soliamani (2009): Hygiene practices and sexual activity associated with urinary tract infection in pregnant women La Revue de Sante de la Mediterranee orientale vol 15 No1, 104-10.
[5]. Amiri M, Lavasami Z, Norouzirad R, Najibpour R, Mohamadpour M, Nikpoor A, Raeisi M, and Marzouni H: (2015): Prevalence of urinary tract infection among pregnant women and its complications in their newborns during the birth in the hospitals of Dezful city, Iran, 2012- 2013, Iran. Red Crescent Med J; 17 (8): pp. 1-8.

Abstract: Managing healthcare complexity and challenges requires competent first-line nurse managers (FLNMs). The role of FLNMs is critical and cannot be underestimated in any successful healthcare organization, because they form a direct link between the administration's vision, mission and staff nurses working in direct healthcare. Furthermore, there is a need to study managerial and leadership competencies of FLNMs within the context of Makkah city`s hospitals. Aim of study: To explore managerial and leadership competencies of first-line nurse managers in Makkah city...........

Keywords; First-line nurse managers, front-line nurse managers, leadership competencies, management competencies.

[1] Khaled A., Virginia P. & Margaret O. (2012). Nursing Management in Saudi Arabia: evaluating strategies for succession planning. Asia Pacific Journal of Health Management, 7:1, 25-36.
[2] Laframboise L.E. (2011). Making the case for succession planning :who's on deck in your organization? Canadian Journal of Nursing Leadership 24 (2), 68–79

[3] Lenda R. (2013). Management and Leadership for Nurse Administrator (6th ed.). Burlington: Jones & Bartlett Learning.
[4] Shirey R. (2010). Understanding nurse manager stress and work complexity. Journal of Nursing Administration,40(2), 82–91.
[5] Stichler J. (2008). Succession planning: why grooming their replacements is critical for nurse leaders. Nursing for Women's Health, 525–528.

Abstract: Hemodialysis patients are high risk to the development of healthcare-associated infections because of various predisposing factors, as they under invasive procedures, depressed their immune system, they not have physical barriers between patients in the outpatient Hemodialysis environment, and recurrent contact with healthcare workers during procedures and care. Performance of proper hand hygiene technique before and after contact with dialysis catheter site or during the dressing reduces the possibility of infection. Proper hand hygiene performed by nurses lead to remove most of harmful microorganisms; and break the chain of infection. If Hemodialysis nurses have knowledge about correct hand hygiene technique, and its opportunities; these influence their good practices in infection control measures. Aim of the study: To assess nurses' knowledge and practice regarding hand hygiene and its opportunities application in hemodialysis units..........

Keywords; Hand hygiene, Hand hygiene opportunities, Hemodialysis.

[1]. Gerogianni, et al.,: Concerns of patients on dialysis: A Research Study. Health Science Journal.2014; 8 (4). [2]. Nobahar & Reza: Barriers to and Facilitators of care for hemodialysis patients; a qualitative study. J Renal Inj Prev. 2016; 5(1): 39–44.
[3]. Alireza Sharif, et al.,: Knowledge, Attitude, and Performance of Nurses toward Hand Hygiene in Hospitals. Glob J Health Sci. 2016 Aug; 8(8): 57–65.
[4]. Hosseinialhashemi, et al.,: Knowledge, attitudes, and practices of health care personnel concerning hand hygiene in Shiraz University of Medical Sciences hospitals, 2013-2014. Am J Infect Control. 2015; 43(9):1009–1011.http://dx.doi.org.
[5]. Asadollahi, et al.,: Nurses' Knowledge Regarding Hand Hygiene and Its Individual and Organizational Predictors. Journal of Caring Sciences. 2015;4(1):45.