iosr-JNHS   Volume-8 ~ Issue-4 ~ July-August 2019

Abstract: Objective. To study the effects of introducing an Enhanced Recovery After Surgery (ERAS) protocol modified for gynecological surgery, on length of stay and patient satisfaction following elective abdominal hysterectomy. The aim was to apply Enhanced Recovery After Surgery (ERAS) protocol for elective abdominal hysterectomy. Methods: the study used a quasi-interventional research design. Setting: The study was conducted at the New General Mansoura Hospital, Mansoura city, Dakahlia Governorate from October 2017 to October 2018. The study sample was 60 participant women admitted to the previously mentioned setting...........

Key words: abdominal hysterectomy, Enhanced Recovery After Surgery, length of stay.

[1]. Carmichael, J. C., Keller, D. S., Baldini, G., Bordeianou, L., Weiss, E., Lee, L., ...& Steele, S. R. (2017). Clinical practice guidelines for enhanced recovery after colon and rectal surgery from the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons. Diseases of the Colon & Rectum, 60(8), 761-784.
[2]. Melnyk, M., Casey, R. G., Black, P., &Koupparis, A. J. (2011). Enhanced recovery after surgery (ERAS) protocols: Time to change practice?. Canadian Urological Association Journal, 5(5), 342.
[3]. Gustafsson, U. O., Hausel, J., Thorell, A., Ljungqvist, O., Soop, M., &Nygren, J. (2011). Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Archives of surgery, 146(5), 571-577.
[4]. Salmond, S. W., &Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing, 36(1), 12. [5]. Philp, S., Carter, J., Barnett, C., D'Abrew, N., Pather, S., & White, K. (2015). Patients' perspectives of fast-track surgery and the role of the fast-track clinical nurse consultant in gynecological oncology. Holistic nursing practice, 29(3), 158-166.

Abstract: Background: Carpal tunnel syndrome (CTS) is one of the most common upper limb compression neuropathies, it accounted for approximately 90% of all entrapment neuropathies. It is due to an entrapment of the median nerve in the carpal tunnel at the wrist Aim of the Study: To compare the effect of Laser therapy versus kinesio tape on carpal tunnel syndrome in treatment of type 2 diabetic patients. Subject and Methods: Thirty type 2 diabetic female patients suffering from carpal tunnel syndrome participated in the study. Their age ranged from 40......

Keywords:Laser, kinesio tape, carpal tunnel syndrome , diabetics.

[1]. Atroshi, I. (2016). Prevalence of CTS in a General Population. JAMA, 282(2), p.153.
[2]. Davis, T. (2012). Commentary on Wyatt et al. Lamb boning – an occupational cause of CTS? and Jenkins et al. CTS: the association with occupation at a population level. Journal of Hand Surgery (European Volume), 38(1), pp.73-74.
[3]. American Diabetes Association. (2018). Standards Of Medical Care In Diabetes. Diabetes Care: The Journal of Clinical And Applied Research and Education, 41(Supplement_1), pp.S11-S61.
[4]. Khanjani, N. (2016). Prevalence of Carpal Tunnel Syndrome in Diabetic Patients with and without Metabolic Syndrome. Journal of Endocrinology and Diabetes Mellitus, 4(1), pp.10-16.
[5]. Johnson, T. and Behar, B. (2016). Endoscopic Carpal Tunnel Release. CSurgeries, 4(7), pp.43-49.

Abstract: Prevalence of dental health problemsamong primary school children at selected Govt. Senior Sec. School Doltabad, Gurugram.The objective of the study was to assess the Prevalence of dental health problemsamong primary school children at selected school of Gurugram.The data collection procedure was carried out in month of December 2018. Samples consist of 100 primary school children ofGurugram. The results of the current study reveals thatprevalence of dental problems that 81% of children had decayed teeth, 32% of children had filled teeth, 26% of children had missed teeth and total DMFT of the children had 46%.Thus most of the study samples were having dental caries.

Key Words: Prevalence; dental problems;primary school children, DMFT,Assess.

[1]. Aparna M, Sharanya S, Teenu, vijay H ( 2018 ) Assessment of dental caries experience among 5 to 16 year old school going children of Manggalore, Karnataka, India : A cross sectional study, AED 10: 1 doi: 10.24105/ aedj.2018.10.2
[2]. John Rufus J, Daniel B, Paneerselvam D, RajendranG .A cross sectional study was conducted onPrevalence of Dental Caries, Oral Hygiene Knowledge, Status, and Practices among Visually Impaired Individuals in Chennai, Tamil Nadu.(2017)
[3]. Padmini .C, Namineni.SA cross sectional study was conducted to assess the dental Caries Status and Barriers For Under Utilization of Dental Care among 5-13 Year Old Children in the Town of Vikarabad.2015;14(8);123-136.
[4]. P. D. Garkoti, Rajesh Kumar Singh, C. M. S. Rawat, ShubhamPandey. "Prevalence of dental caries among Primary school children of Haldwani : A cross Sectional Study " Journal of Evolution of Medical and Dental Sciences 2015;4( 41);7096-7100. DOI: 10.14260/ jemds/2015/1032.
[5]. Singh A, Kumar A, Berwal V, Kaur M. Comparative Study of Oral Hygiene status in Blind and Deaf Children of Rajasthan. J Adv Med Dent Science 2014;2(1):26-31.

Abstract: Introduction: The misuse of antibiotics is one of the major health problems worldwide, especially in Arab countries. Antibiotics are types of medicine, which used to treat bacterial infections. Research problem: Few studies have been done in Arab countries particularly Saudi Arabia in regarding misusing antibiotics drugs. Thus, the aim of this study is to assess the level of knowledge and attitude regarding antibiotics use and misuse among non-medical female students at King Abdulaziz University (KAU). Materials The study questionnaire was adapted from a validated survey that was previously used. Method: Descriptive cross-sectional in design. A convenient non-probability sample of 250 non-medical female students at KAU.............

[1]. K. Y. Abujheisha, R. Al-Shdefat, N. Ahmed, & M. I. Fouda, (2017). Public Knowledge and Behaviours Regarding Antibiotics Use: A Survey among the General Public. International Journal of Medical Research & Health Sciences, 6(6), 82-88
[2]. Advantages & Disadvantages of Descriptive Research - Center for Innovation in Research and Teaching. (2018). Cirt.gcu.edu. Retrieved 26 April 2018, from https://cirt.gcu.edu/research/developmentresources/research_ready/descriptive/advan_disadvan
[3]. A. R. Alnemri, R. H. Almaghrabi, N. Alonazi, & A. R. Alfrayh, (2016). Misuse of antibiotic: A systemic review of Saudi published studies. Current Pediatric Research
[4]. M. Andre, A.Vernby, J. Berg, Lundborg CS (2010) A survey of public knowledge and awareness related to antibiotic use and resistance in Sweden. J Antimicrob Chemother 65: 1292–1296. doi: 10.1093/jac/ dkq104 PMID: 20360063
[5]. A. I. Awad, & E. A. Aboud, (2015). Knowledge, attitude and practice towards antibiotic use among the public in Kuwait. PloS one, 10(2), e0117910

Abstract: Background: Viral hepatitis is a serious and the most terrible life-threatening disease in the world. It has now become a ubiquitous health problem by affecting billions of women and men at any age. Although five types of virus have been identified that are responsible for causing hepatitis, among them till now HBV and HCV infection are considered as the devastating and rapidly spreading disease worldwide including Bangladesh. For the lack of proper knowledge, this infection has become the primary cause of morbidity and mortality in developing countries. So a population-based cross-sectional study was conducted in Mymensingh city, Bangladesh by the estimating age, sex and serological markers specific preponderance for HBV and HCV infection by calculating the absolute number of population that were chronically infected.............

Key Words: HBV, HCV, Prevalence, ELISA, Chemiluminescence

[1]. Parvin, M. N., Uddin, R., & Chowdhury, S. A. (2011). Hepatitis in Bangladesh: Pattern and treatment options. Journal of Applied Pharmaceutical Science, 1(6), 118.
[2]. Khan, W. I., Sultana, R., Rahman, M., Akhter, H., Haq, J. A., Ali, L., ... & Khan, A. K. A. (2000). Viral hepatitis: recent experiences from serological studies in Bangladesh. Asian Pacific journal of allergy and immunology, 18(2), 99.
[3]. Marinho, T. A., Lopes, C. L. R., Teles, S. A., Reis, N. R. S., Carneiro, M. A. D. S., Andrade, A. A. D., & Martins, R. M. B. (2013). Prevalence of hepatitis C virus infection among recyclable waste collectors in Central-West Brazil. Memórias do Instituto Oswaldo Cruz, 108(4), 519-522.
[4]. Leroi, C., Adam, P., Khamduang, W., Kawilapat, S., Ngo-Giang-Huong, N., Ongwandee, S., ... & Jourdain, G. (2016). Prevalence of chronic hepatitis B virus infection in Thailand: a systematic review and meta-analysis. International Journal of Infectious Diseases, 51, 36-43.
[5]. Sarker, N. R., Saha, S. K., Ghosh, D. K., Adhikary, A., Mridha, A., & Alam, M. R. (2014). Seropositivity of hepatitis viral markers in icteric children. Bangladesh Medical Journal, 43(1), 26-29.

Abstract: Medical records completeness is an important task in effective and efficient health care service provision. The completeness provide timely patient information at delivery points. The completeness play a vital role during planning and provision. This study aimed to evaluate the status of inpatient medical records clerking at Nakuru Provincial General Hospital. In order to: 1) determine the completeness of bio data, 2) completeness of family history, 3) completeness of patients' medical history, 4) completeness of patients' treatment history and 5) to establish the rightful usage of specific forms at inpatient services. A retrospective record review (3R) study design reviewing 200 inpatient medical records of discharges through a checklist, between the periods 12th February to 25th February............

Key Words: completeness, incompleteness, Medical Records, Clerking, right usage

[1]. Henry M.Tufo and Joseph J.Speidiel(1971) Problems of Medical Records, Medical Care Non-Dec 1971 , Vol. IX. No. 6
[2]. Alexander Conor Hollis, Samuel Robert Ebbs (2016). An examination of inpatient medical record keeping in the Orthopaedic Department of Kilimanjaro Christian Medical Centre (KCMC), Moshi, Tanzania. The Pan African medical journal, 23, 207. doi:10.11604/pamj.2016.23.207.808
[3]. Assefa Tamrat, Abera Birhanu, Bacha Tiya, Beedemariam Gebremedhin. Prescription Completeness and Drug Use Pattern in the University Teaching Hospital, Addis Ababa, Ethiopia. J Basic Clin Pharma 2018;9:90-95.
[4]. Beers Mark, Munekata Mark, Storrie Michele. The accuracy of medication histories in the hospital medical records of elderly persons.J Am Geriatr Soc. 1990; 38:1183-7
[5]. Bhosale Manisha, Nisharani Jadhav, Charles Adhav. Analysis of completeness and legibility of prescription orders at a tertiary care hospital. Int J Med Public Health 2013;3:180-3.

Abstract: The study was conducted to evaluate the effectiveness of controlled video assisted teaching programme on knowledge and practice regarding home care management of diabetes mellitus among diabetic patients. Pre experimental design was used for the study. Convenient sampling is done to select 100 samples from different areas of Bikaner town and nearby villages. Demographic data, structured knowledge questionnaire and practice check list was used to collect the data. A structured video that include both the instructional modules, videos of diabetes care and preventive managements was used to improve the knowledge and practice of diabetic patients. The collected data was analyzed in terms of objectives with differential and inferential statistics. Paired t-test is used to compute the effectiveness.

Key Words: Diabetes mellitus, Diabetic patients, nursing care, video assisted teaching programme

[1]. D Kapoor, A K Bhardwaj, D Kumar and S K Raina, Prevalence of diabetes mellitus and its risk factors among permanently settled tribal individuals in tribal and urban areas in northern state of Sub-Himalayan Region of India, International Journal of Chronic Diseases, 2014, 1-9.
[2]. H Kaur, Effectiveness of structured teaching programme regarding self care management in relation to prevention of complications among diabetics, Asian Journal of Nursing Education and Research, 4(3), 2014.
[3]. Vasudevan N. J., Sara B. A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Management of Type 2 Diabetes Mellitus among Patients with Type 2 Diabetes Mellitus attending Diabetic OPD, RMMCH, Annamalai University, International Journal of Nursing Education and Research 2(2), 2014, 113-116.

Abstract: Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS) is one of the main perilous diseases across all over the humankind. This condition is a mainly significant community health problem in Ethiopia and is gradually increasing every year. The present study focuses on the estimation of HIV/AIDS distribution and the possible awareness system in Ethiopia using Geographical Information System (GIS) software tool. The characterization of the geospatial analyses of HIV prevalence in the country as well as description of the possible determination of HIV rate variation can direct surveillance efforts and assist in the development of HIV/AIDS control and prevention programs...........

Key Words: Ethiopia, GIS, HIV/AIDS, Prevalence, Spatial distribution.

[1]. Kaplan, E.H and R Brookmeyer. 1999. "Snapshot Estimators of Recent HIV Incidence Rates." Operations Research 47: 29-37.
[2]. Salomon, J.A and C.J.L Murray. 2001. "Modeling HIV/AIDS epidemics in sub-Saharan Africa using seroprevalence data from antenatal clinics." Bulletin of World Health Organization 79:596-607.Syacumpi
[3]. Brookmeyer, Rand A Damiano. 1989. "Statistical methods for semi-term projections of AIDS incidence." Statistics in Jvfedicine8:23-34.
[4]. Brookmeyer, Rand M.H Gail. 1986. "Minimum size of the acquired immunodeficiency syndrome (AIDS) epidemic in the United States." Lancet 2:1320-1322.
[5]. Kaplan, E. Hand R Brookmeyer. 1999. "Snapshot Estimates of Recent HIV Incidence Rates." INFORJ1v! S 47:29-36.

Abstract: Background: Brachial plexus injury (BPI) is a relatively recurrent state leading to a complex functional damage of the upper limb and disability. BPI evaluation and treatment have developed over the past few decades. Aim:To evaluate effect of educational guidelines program on mothers' knowledge and practice regarding neonates and young children with brachial plexus injuries Design:A quasi-experimental design was utilized. Setting:The study was conducted at Outpatient Clinic of Benha Specialized Pediatric Hospital. Sample: A purposive sample of 100mothers and their neonates and young childrenfrom the previously mentioned setting..........

Key Words: Brachial plexus injuries, Educational guidelines, Mothers 'knowledge and practice,Neonates, Young children

[1]. Abdel-Kafy, E. M., Kamal, H. M., &Elshemy, S. A. (2013). Effect of modified constraint induced movement therapy on improving arm function in children with obstetric brachial plexus injury. The Egyptian Journal of Medical Human Genetics, 14(3), 299-305. doi:10.1016.j.ejmhg.2012.11.006
[2]. Abdullah E. Kattan and Gregory H. Borschel (2014). Anatomy of the brachial plexus Division of Plastic Surgery, The Hospital for Sick Children, and University of Toronto, Toronto, Ontario, Canada 1874-5393/11/$27.50 © 201 I -IOS Press and 'the authors. All rights reserved.
[3]. Abuaraba, K., (2016). Profile of Caregiver Experiences of Infants with Obstetric Erb's Palsy Treated at A tertiary Institution. A thesis submitted in partial fulfilment of the requirements for a master's degree in Physiotherapy in theDepartment of Physiotherapy, Faculty of Community and Health Sciences, University of the Western Cape.1-13.
[4]. Akel, B. S., Öksüz, Ç., Oskay, D., Fırat, T., Tarakcı, E., &Leblebicioğlu, G. (2013). Health-related quality of life in children with obstetrical brachial plexus

[5]. Al-Ayed,I., H. (2010). Mothers' knowledge of child health matters: Are we doing enough? Journal Family Community Med, 2010 Jan-Apr; 17(1): 22–28.

Abstract: Background: Antenatal Kegel's exercise as a type of conservative intervention is a safe and an effective techniquethat help the muscles control well during gestationAim:This study aimed to assess the effect of Kegel's exercises during third trimester of pregnancy on maternal outcome. Design: A quasi experimental research design was used. Setting: This study was conducted atantenatal clinic, intrapartum unit and postpartum ward of General KafrElSheikh Hospital.SubjectsA purposive sample of 110 pregnant women, assigned to intervention group (n=55) who received instructions to practice Kegal's exercises during third trimester and control group (n=55) who received a routine.........

Key Words: Kegel's exercise,Labor Duration,Mode of delivery, Tears, Third trimester, Perinealpain

[1]. Abd El fttah, H.A.,(2015): Effects of Prenatal Perineal Massage and Kegel Exercise on the Episiotomy Rate. IOSR Journal of Nursing a nd Health Science; 4, (4) 61-70.
[2]. Abd-El Hamid, A.A., Azzam, H.F., Ismail, G.M. &Gaafar, H.M., (2012): Effect of a structured antenatal kegel exercises protocolon labor progress among women attending antenatal clinics. Egyptian Nursing Journal, 3, 2090-2106.

[3]. Abdel Tawab, N,.Oraby, D., Hassanein, N., (2018): Cesaeran section deliveries in Egypt: Trends, practice, perception and cost: Available at, https://www.researchgate.net/publication/324685128
[4]. Baghdari, N., Sahebzad, E. S., Kheirkhah, M., &Azmoude, E., (2016): The effects of pregnancy-adaptation training on maternal-fetal attachment and adaptation in pregnant women with a history of baby loss. Nursing and midwifery studies; 5(2) 1-8.

[5]. Balaya, V., Uhl, J.F., Lanore, A., Salachas, C., Samoyeau, T., &Ngo, C., et al,. (2016): 3D modeling of the female pelvis by computer-assisted anatomical dissection: applications and perspectives. J Gynecol. Obstet. Biol. Reprod. (Paris). 45:467–477..

Abstract: Bangladesh is going through rapid urbanization and urban growth. Currently, about 27% of total population of Bangladesh lives in urban areas. The primary health care infrastructures in the cities have not been able to grow at a rate commensurate with the growth of the population of the cities. The result has been the very poor state of the health care situation of the urban populace. The main objective of this study was to exhibit the socio-demographic conditions of the clients received services from urban primary health care centers. This cross-sectional study was conducted in three selected urban primary health care centers in Kushtia municipality, Bangladesh from November 2017 to February 2018. A total of 576 patients were included in the study and their socio........

Key Words: UPHCSDP, Municipality, Socio-demographic status.

[1]. Rahman et al, 2005. Poor People's Access to Health Services in Bangladesh: Focusing on the Issues of Inequality.
[2]. World Health Organisation. 2000. WHO Country Cooperation Strategy: Bangladesh. Who Country Office, Bangladesh.
[3]. Asiatic Society of Bangladesh. 2002. Banglapedia: The National Encyclopedia. Dhaka: The Asiatic Society of Bangladesh.
[4]. Titumir, Rashed Al Mahmud (ed). 2005. Millennium Development Goals A Reality Check: Bangladesh Public Policy Watch 2005. Dhaka; Unnayan Onneshan -The Innovators.
[5]. NIPORT, Mitra and Associates and ORC Macro; (2005): Bangladesh Demographic and Health Survey 2004, Dhaka.