iosr-JNHS   Volume-7 ~ Issue-2 ~ March-April 2018

Abstract: Background: Postoperative Pulmonary Function Is Affected Be Upper Abdominal Surgery, As Observed By Impairment Of Lung Volumes Such As Total Lung Capacity, Vital Capacity And Tidal Volume. Diaphragmatic Breathing Exercise And Flow Incentive Spirometer Is An Importance Practice In Patients With Upper Abdominal Surgery. Aim: To Evaluate The Synergistic Effect Of Flow Incentive Spirometer And Diaphragmatic Breathing Exercise For Patients With Upper Abdominal Surgery On Respiratory Measures, Post-Operative Pulmonary Complication And Patients Length Of Hospital Stay: Setting: The Study Was Conducted In Surgical Department And Post-Operative Care Unit At Aswan University Hospital. Sample: A Convenience Sample Of 120 Adult Patients Undergoing Upper Abdominal Surgery Were Divided On Random Basis Equally Into Three Groups (40 For Each)...........

Key words: Synergistic, Flow Incentive Spirometer, Diaphragmatic Breathing , Exercise, Upper Abdominal Surgery

[1]. Alaparthi G. K. Augustine A. J. Anand R. & Mahale A. (2013). Comparison Of Flow And Volume Oriented Incentive Spirometry On Lung Function And Diaphragm Movement After Laparoscopic Abdominal Surgery: A Randomized Clinical Pilot Trial. International Journal Of Physiotherapy.1 (5):274–278.
[2]. Alaparthi GK. Alfred Joseph Augustine A J. Anand R, & Ajith Mahale A. (2016). Comparison Of Diaphragmatic Breathing Exercise, Volume And Flow Incentive Spirometry, On Diaphragm Excursion And Pulmonary Function In Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial, Minimally Invasive Surgery, Article ID 1967532, 12.
[3]. Ambrosino N. & Gabbrielli L. (2010). Physiotherapy In The Perioperative Period. Best Pract Res Clin Anaesthesiol. 24:283-289.
[4]. Ambrosino N. Venturelli E. Vagheggini G. & Clini E. (2012). Rehabilitation, Weaning And Physical Therapy Strategies In Chronic Critically Ill Patients. Euro Respire J. 39:487-492.
[5]. Ashraf A. El-Marakby. Ashraf D. Ehab A. Ahmed M. Salwa R. E . Riziq Al. Gaowgzeh, & A Jad. (2013). Aerobic Exercise Training And Incentive Spirometry Can Control Postoperative Pulmonary Complications After Laparoscopic Cholecystectomy. Middle-East Journal Of Scientific Research 13 (4): 459-463.

Abstract: Standards Of Nursing Overall Performance Describe A Competent Stage Of Behavior In The Expert Function, Which Incorporates Activities Related To Ethics, Education, Evidence-Based Practice And Research, Quality Of Practice, Verbal Communication, Management, Collaboration, Expert Practice Assessment, Beneficial Resource Usage, And Environmental Health. The Aim Of This Study Was To Apply Standards For Nursing Care To Improve The Quality Of Nursing Performance At First Stage Of Labor. A Quasi-Experimental Research Design Was Utilized. The Study Was Carried Out At Labor And Delivery Units In Minia Hospitals (Obstetric University Hospital, General Hospital, And Health Insurance At Labor Unit Convenience Sample For All (50 Nurses) Who Were Working In Different Labor And Delivery Units During The Study In The Previous Settings.............

Key words: Standards For Nursing Care, Improve The Quality, Performance At Labor Unit, First Stage Of Labor

[1] Abdel-Hady S., Mashaly A., Sherief L., Et Al. (2012): Why Do Mothers Die In Dakahlia, Egypt? Japan Society.
[2] Bertucci V., Boffo M., Mannarini S., Et Al. (2012): Assessing The Perception Of The Childbirth Experience In Italian Women: A
Contribution To The Adaptation Of The Childbirth Perception Questionnaire. Midwifery, 28 (2): 265-74.
[3] Fistula Care And The Maternal Health Task Force, (2016): Revitalizing The Partograph: Does The Evidence Support A Global
Call To Action? Report Of An Expert Meeting, Desmond Tutu Center New York, NY 10011 USA. Retrieved From
Htttp://Www.Fistulacare.Org/Pages/Pdf/Programreports /Engenderhealth-Fistula-Care-Partograph-Meeting-Report-9-April-12.Pdf.
[4] Gibbs L. And Engebretson J. (2013): Maternity Nursing Care. 2nd Ed. The United State Of America, Delmar Cengage Learning
Co., Pp. 95, 96, 469, 471, 495-549.
[5] Kagema F., Ricca J., Rawlins B., Rosen H., Lynamp.( 2014): And KIDULA N.: Quality Of Care For Prevention And
Management Of Common Maternal And Newborn Complications: Findings From A National Health Facility Survey In Kenya. Are
Services Provided According To International Standards? United States Agency For International Development's (USAID).
Maternal And Child Health Integrated Program (MCHIP) Retrieved From Http://Www.Mchip.Net/Node/455.

Abstract: The study aimed to assess the impact of the educational program on the knowledge of mothers to prevent bronchiolitis of their children under the age of two years. Design:A Quasi-Experimental research was utilized as design. Material andMethods:These study settings were the inward pediatric department at Qena university hospital and Qena general hospital. A Convenient sample was utilized, that composed of eighty (80) from mothers of children with bronchiolitis from the previously mentioned settings. Two tools were used to collect the data, an interview questionnaire sheet composed and the educational program according to mothers' knowledge needs about how to prevent bronchiolitis. The booklet guideline for mothers of children with bronchiolitis and bronchiolitis prevention were designed..............

Key words: Knowledge, Educational Program, Prevention, Bronchiolitis.

[1] Abu-Baker, N. N., Gharaibeh, H. F., Al-Zoubi, H. M., Savage, C., &Gharaibeh, M. K. (2013). Mothers' Knowledge And Practices Of Managing Minor Illnesses Of Children Under Five Years. Journal OfResearch In Nursing, 18(7), 651-666.
[2] Bansal, A., Parmar, V. R., Basu, S., Kaur, J., Jain, S., Saha, A., &Chawla, D. (2017). Zinc Supplementation In Severe Acute Lower Respiratory Tract Infection In Children: A Triple-Blind Randomized Placebo Controlled Trial. The Indian Journal OfPediatrics, 78(1), 33-37.
[3] Chisti, M. J., Salam, M. A., Smith, J. H., Ahmed, T., Ashraf, H., Bardhan, P. K., &Pietroni, M. A. (2015). Impact Of Lack Of Breast Feeding During Neonatal Age On The Development Of Clinical Signs Of Pneumonia And Hypoxemia In Young Infants With Diarrhea. Plos One, 6(10), E25817.
[4] Ghimire, M., Bhattacharya, S. K., &Narain, J. P. (2017). Pneumonia InSouth-East Asia Region: Public Health Perspective. The Indian Journal Of Medical Research, 135(4), 459.
[5] Hockenberry, M. J., Wilson, D., &Rodgers, C. C. (2016). Wong's Essentials OfPediatric Nursing-E-Book. Elsevier Health Sciences.

Abstract: Background: Sickle Cell Anemia (SCA) Is One Of The Most Common Chronic Inherited Diseases Worldwide. It Results From Destruction Of An Abnormal Shaped Red Blood Cells That Known As Sickling .This Shape Disrupts The Normal Flow Of Rbcs Through The Blood Vessels Of The Body Which Deprive The Prevent Tissues From Receiving Adequate Oxygen. It Affects Many Aspects Of The QOL Including Physical, Psychological, Intellectual, And Social Aspects Of School-Age Children. A Competent And Qualified Nurse Has A Comprehensive Role In Assessing And Maintaining QOL Of Children With SCA. Objective: The Aim Of This Study Was To Assess The QOL Of Children With Sickle Cell Anemia Setting: This Study Was Conducted In Out And In Patient Departments At Al-Diwaniya Pediatrics Teaching Hospital-Iraq. Subjects: Convenience Sample Of 100 Children With Sickle Cell Anemia And Their Mothers Comprised The Study Subjects And Who Fulfill The Following Criteria, A- Age Ranges From 6 To12 Years............

Key words: Quality Of Life; Children; Sickle Cell Anemia; Children With Sickle Cell Anemia.

[1] Costa F, Conra N. Sickle Cell Anemia: From Basic Science To Clinical Practice. Philadelphia: Springer; 2016. 353-6.
[2] World Health Organization (WHO). Sickle-Cell Disease And Other Hemoglobin Disorders. 2011; Available From:
Http://Www.Thelancet.Com/ Journals/ Langlo/ Article. Retrieved On 12/11/2016.
[3] Carvalho J. Sickle Cell Disease Case Management Model: Principles Practice And Evolution. Philadelphia: Xlibris Corporation;
2012 .30-2.
[4] Right Diagnosis From Health Grades. Statistics By Country For Sickle. 2015; Available From:
Http://Www.Rightdiagnosis.Com/S/Sickle_Cell_Anemia/Stats-Country. Retrieved On 7/10/2016.
[5] Allison A. Abnormal Hemoglobin And Erythrocyte Enzyme-Deficiency Traits. In: Harrison. 2nd Ed. Philadelphia: Springer; 2012.
85-3..

Abstract: Objectives: To determine the reasons for stress in mothers who had a hospitalized baby in the neonatal intensive care unit (NICU). Methods: The data were collected using a self-administered questionnaire that was distributed to 150 mothers who had infants in the NICU. The questionnaire included some of the mother's and baby's characteristics, "parental stressor scale: neonatal intensive care unit", and "nurse parent support tool". Results: The mean age of mothers was 27.7±6.9 years. The reasons for infant hospitalization included: sepsis (27.3%), respiratory complaints (26.0%), prematurity (25.3%), and other causes (21.3%). According to the parental stressor scale, mothers were most likely to become stressed in situations related to their baby's appearance and behaviors. There was a significant relationship between the mean score obtained from the baby's appearance and behaviors and gestational age, baby's length at birth.............

Key words: Mother-infant relations; neonatal intensive care; nurse

[1] Al Maghaireh DF, Lim Abdullah K, Chan CM, Piaw CY, Al Kawafha MM. Systematic review of qualitative studies exploring parental experiences in the neonatal intensive care unit. Journal Of Clinical Nursing 2016;25:2745.2756
[2] Obeidat HM, Bond E A, Callister LC. The parental experience of having an infant in the newborn intensive care unit. The journal of Perinatal Education 2009;18(3):23.29
[3] Heidari H, Hasanpour M, Fooladi M. The Iranian parents of prematüre infants in NICU experience stigma of shame. Medical Archives 2012;66:35.40
[4] Miles MS, Funk SG, Carlson J. Parental stressor scale: Neonatal intensive care unit. Nurses. 1993;42:148.152
[5] Pritchardve,Montgomery-Hönger A. A comparison of parent and staff perceptions of setting-specific and every day stressors encountered by parents with very preterm infants experiencing neonatal intensive care. Early Human Development 2014;90:549.555

Abstract: background :- Thalassemia is a chronic genetic hematological disorder affect children from birth and remain for long life as all available treatment is supportive not curative. So that, critical psychological burden result from chronicity of thalassemia and its long-lasting treatment. This psychological burden include anxiety, depression, low self-esteem, guilt and shame. For all of these factors, thalassemic children use coping strategies to mediate psychological burden to maintain quality of life at normal level. Aim: the main point of this study was to evaluate prevalence of coping strategies among children with thalassemia. Methods: - descriptive cross-sectional study is carried out on a sample of 300 of thalassemic children belonging to in-patient and outpatient department at children Hospital of Mansoura University, Egypt. Socio-demographic characteristics and clinical data of the children and the Children's Coping Strategies Checklist- Revision 1 (CCSC- R1) were used to collect data...........

Key words: Coping Strategies, Thalassemia, Adaptation, Maladaptation

[1] Kelly N. Thalassemia. Pediatrics in Review. 2012; 33:434.
[2] Benz EJ. Clinical manifestations and diagnosis of the thalassemia. http://www.uptodate.com/home. Accessed Sept. 15, 2016.
[3] Muncie, HL Jr. Campbell, J. (2009). Alpha and Beta Thalassemia. American Family Physician, Vol. 80, No. 4, Aug 2009, pp. 339-44, 0002-838X (Print).
[4] Melody J.Cunningham (2010). Update on Thalassemia: Clinical Care and Complications. Hematology/Oncology Clinics of North America, Volume 24, Issue 1, Pages 215-227. Doi: - 10.1016/j.hoc.2009.11.006.
[5] DeBaun MR, Frei-Jones M, Vichinsky E. Hemoglobinopathies. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Saunders Elsevier; 2011: chap 456.

Abstract: Adolescence Is A Second Period Of Rapid Growth Which Is Also Associated With Cognitive, Emotional And Hormonal Changes. The Dramatic Increase In Physical Growth And Development Puts Greater Pressure On The Need For Nutrients. This Study Aimed To Assess The Dietary Habits Of Adolescents Especially The Intake Of Fruits, Vegetables, Milk And Water Intake And Its Association With Socio Demographic Characteristics. A Total Of 300 Adolescents Aged 13 To 18 Years Residing In Chennai Were Selected As Samples. An Exploratory Survey Was Conducted And A Structured Questionnaire Was Used To Collect Data. Convenient Sampling Technique Was Used. The Study Results Revealed That Approximately 50% Of The Adolescents Consumed One Tumbler Milk And 1-2 Lts Of Water. Carrot And Tomato Were The Most Preferred Raw Vegetables And Guava Is The Preferred Fruit. There Was A Statistically Significant Association Between Dietary Habits With Age And Gender At 0.05 Level And Dietary Habits With Religion At 0.01 Level.

Key words: Adolescence, Dietary Habits, Vegetables, Fruits, Milk, Water

[1] Bogart, L.M., Babey, S.H., Patel, A.I., Wang, P & Schuster, M.A. (2015), Lunch Time School Water Availability And Water
Consumption Among California Adolescents, Journal Of Adolescent Health, 58(1); 98-103.Doi: 10.1016/J.Jadohealth.2015.09.007
[2] Guelinckx, I (2015). Intake Of Water And Beverages Of Children And Adolescents In 13 Countries. European Journal Of
Nutrition. 54(Suppl 2): 69–79. Doi: 10.1007/S00394-015-0955-5
[3] Kotecha P.V. Et Al (2013) Dietary Pattern Of School Going Adolescents In Urban Baroda, India, Journal Of Health Population
Nutrition, 31(4): 490–496. Https://Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/PMC3905643/
[4] Shokrvash B. Et Al., (2013). Fruit And Vegetables Consumption Among Adolescents: A Study From A Developing Country, World
Applied Sciences Journal. 21 (10): 1502-1511, DOI:10.5829/Idosi.Wasj.2013.21.10.2920
[5] Kotecha P.V. Et Al (2013) Dietary Pattern Of School Going Adolescents In Urban Baroda, India, Journal Of Health Population
Nutrition, 31(4): 490–496. Https://Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/PMC3905643/

Abstract: Background: The goal of this work was to show the efficacy of gradual hand skills progression training evaluated by Azzam hand skills progression scale in reacquisition of hand dexterity in hemiplegic C.P. children. Method: Group A (object manipulation with levels progression plus regular physiotherapy program), and group B (regular physiotherapy program only). Azzam reacquisition skill grading scale for detecting the intention level of hand skill progression to be the base of treatment. Modified Ashworth scale for detecting the reduction of spasticity and handheld dynamometer for detecting hand grip strength. This measurement was taken before initial treatment and after 3 months of treatment. Results: Measurement scores were available on the 30 hemiplegic C.P. children shared in the study. The mean value of the study group had an expressive improvement at (post-treatment) (p˂0.05) The variance between pre and post-treatment results was significant in the study............

Key words: hand dexterity- hand skills progression- hemiplegic C.P.

[1]. Penta M, Tesio L, Arnould C, Zancan A, Thonnard JL. The ABILHAND questionnaire as a measure of manual ability in chronic stroke patients: Rasch-based validation and relationship to upper limb impairment. Stroke (2001) 32:1627–3410.1161/01.STR.32.7.1627 [PubMed] [Cross Ref]
[2]. Magill, RA. Motor learning and control: Concepts and Applications. 9th ed. McGraw Hill; 2011.
[3]. Carr, JA.; Shephard, RB., editors. Movement science: Foundations for physical therapy in rehabilitation. Aspen Publishers; Rockville, MD: 2000. p. 111-187.
[4]. Kleim JA, Hogg TM, VandenBerg PM, Cooper NR, Bruneau R, et al. (2004) Cortical synaptogenesis and motor map reorganization occur during late, but not early, the phase of motor skill learning. J Neurosci 24: 628-633.
[5]. Steenbergen B, Verrel J, Gordon AM (2007) Motor planning in congenital hemiplegia. Disabil Rehabil 29: 13-23.