iosr-JNHS   Volume-9 ~ Issue-2 ~ Mar - apr. 2020

Abstract: The utmost devastating somatic complications resulting from pressure sores were mainly identified amongst the aged in various health settings. Decubitus ulcer pain could postpone the restoration, discharge of geriatric patients, and lengthen their illness resulting in their debility and death. Pressure sores is primarily significant in evaluating nursing care, as well as it is considered vital nurse-sensitive concern. Consequently, nurses' poor knowledge, negative attitude, and low standard practices have its own major impact on greater incidence of decubitus ulcer specifically amongst the aged patients . This study aimed to examine the effect of pressure sores preventive nursing interventions on knowledge, practices, and attitude of nurses caring hospitalized geriatric patients in Alexandria, Egypt. The present study was conducted in two university hospitals in Alexandria; Medical-Surgical Units and Intensive Care Units in the main university hospital and orthopedic wards in El-Hadara hospital. Subjects: Forty nurses were enrolled into this research, aged from 21-60 years, had a full-time work, had experience in direct patient care for at least six months. Five tools were utilized in this research namely; nurses....

Key Word: Pressure Ulcers, Geriatric Patients, Preventive Nursing Interventions, Knowledge, Attitude, Practices.

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[4]. Islam S .Nurses‟ Knowledge, Attitude, and Practice Regarding Pressure sores Prevention for Hospitalized Patients at Rajshahi Medical College Hospital in Bangladesh . Published master thesis of Nursing Science. Prince of Songkla University. 2010.
[5]. Boyko T, Longaker M, and Yang G. Review of the Current Management of Pressure soress .Journal of Advanced Wound Care (New Rochelle). 2018; 7(2): 57–67

Abstract: This paper is a proposal concerning the use of educational interventions to improve the competence and confidence of intensive care unit (ICU) nurses and coronary care unit (CCU) nurses at critical care units in Saudi Arabiain care of patients on Extra Corporeal Membrane Oxygenation (ECMO) machine, also known as extracorporeal life support (ECLS). The importance of this project is that a significant proportion of patients who are placed on ECMO machines often die (Kimet al., 2018). Part of the reasons why patients placed on ECMO have higher than average rates of mortality is the result of the lack of expertise and experience among staff concerning the use of ECMO machines. National Institute for Health and Clinical Excellence (Kimet al., 2018) state that the lack of competence in the use of ECMO machines is that they are not used often enough for staff to gain adequate competence and confidence. The first adult survivor after being placed on ECMO was placed on the machine in 1972(Vuylstekeet al., 2017). Barbaroet al., (2015) state that ECMO machines have reduced mortality rates among adults and children suffering from varied ailments and.......

[1]. (Aldisi, M., et al., 2017). Design and implementation of a modular ECMO simulator. Qatar Medical Journal, 2017(1), pp.62.
[2]. (Ameh, C.et al., 2016).‟ Knowledge and skills of healthcare providers in sub-Saharan Africa and Asia before and after competency-based training in emergency obstetric and early newborn care. ‟PloS one, 11(12), pp. e0167270.
[3]. American Thoracic Society. (no date). What is ECMO? Retrieved from https://www.thoracic.org/patients/patient-resources/resources/what-is-ecmo.pdf
[4]. (Armenia, S.,et al., 2018). The role of high-fidelity team-based simulation in acute care settings: A systematic review. The Surgery Journal, 4(03), pp. e136-e151.
[5]. (Barbaro, R.et al., 2015). Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality. Analysis of the extracorporeal life support organization registry. American journal of respiratory and critical care medicine, 191(8), pp.894-901..

Abstract: A descriptive survey approach was used to study metabolic disorders and lifestyle practices of psychiatric patients taking psychotropic drugs and attending psychiatric OPD in selected hospitals in Kolkata,West Bengal.The conceptual framework for the study was based on Health Belief Model. Non Probability sampling technique was used to select 51 schizophrenia patients who attended OPD during the study time. Data was collected through valid and reliable semi structured interview schedule, medical record proforma , physical examination and structured lifestyle assessment scale. All of the the psychiatric patients under study had either of the metabolic disorders. Maximum(58.8 %) patients had disorder in HDL i.e. low HDL level.Therefore maximum had dyslipidemia. Majority of patients under study had very good life style practices (54.90%) and......

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Abstract: Background: Aging is an inevitable developmental phenomenon. As a person ages, possibility of problems multiplies. A variety of physiological changes may occur and they become more vulnerable to illnesses. The body's natural relaxation response is a powerful antidote to stress. Relaxation techniques such as deep breathing, visualization, progressive muscle relaxation, music, physical exercise, meditation and yoga can help to activate the relaxation response. Objectives: To assess the effect of relaxation therapy on physiological variables among elderly in selected homes for the aged. Materials and Methods: True experimental pre-test, post-test design. 120 elderly clients.....

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[4]. Must A and Anderson S.E. (2006).Body mass index in children and adolescents: considerations for population-based applications,Int J Obes, 30(4):590-594.
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Abstract: Rhabdomyosarcoma (RMS) is a malignant soft tissue tumor with phenotypical and biological features of skeletal muscle cells. This tumor is more common in children and is exceptional in adults. In fact, it accounts for less than 1% of all malignant tumors and 3% of soft tissue tumors in adults; as a result, there is a lack of information regarding the management and prognosis of the patients. In the differential diagnosis with RMS of the paranasal sinuses, the main tumors to be considered are in the category of the so-called 'small round blue cell tumors'. The......

Index words: Embryonal botryoid rhabdomyosarcoma, Adult, Nasal cavity

[1]. Ghadah Al Saanna, Judith Bovée, Jason Hornick, Alexander Lazar. WHO Classification of Tumors of Soft Tissue and Bone. 2013. ESUN Book.
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[4]. Lester D. R. Thompson, Vickie Y. Jo, and al. Sinonasal Tract Alveolar Rhabdomyosarcoma in Adults: A Clinicopathologic and Immunophenotypic Study of Fifty-Two Cases with Emphasis on Epithelial Immunoreactivity. Head and Neck Pathol. 2018 Jun; 12(2): 181–192.
[5]. Lee JH, Lee MS, Lee BH, et al. Rhabdomyosarcoma of the head and neck in adults: MR and CT findings. AJNR Am J Neuroradiol. 1996;17:1923–1928.

Abstract: Background:Asthma is a common non-communicable inflammatory disease that causes airway hyper-responsiveness, mucosal edema and mucus production. This inflammatory response ultimately leads to recurrent episodes of asthma symptoms. Therefore, asthma needs more attention to control symptoms and prevent exacerbations.The Suppression of inflammation early in the disease may potentially prevent change in lung function. While, noncompliance to inhaler therapy decreases the expected outcome of medication and can lead to poor treatment response, excessive use of medication, unnecessary costs, life-threatening exacerbations, and ultimately death. So, the existence of an association between compliance and outcomes of the therapy deserve attention, particularly by a health care provider. Patient noncompliance is expensive in terms of time, money, and other resources....

Key Words:Asthmatic patient, Compliance of inhaler therapy, Health beliefs.

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[5]. Jamee R, Castillo MD, Stephen P .Asthma exacerbations: pathogenesis, prevention and treatment .J Allergy Clin Immunol Pract 2017; 5(4): 918–927.

Abstract: Background: Negative pressure wound therapy (NPWT) is new strategy for wound management that can be helpful to accelerate wound healing in both acute and chronic wounds. The application of NPWT dressing requires an understanding of how the therapy works and training in the use of device. Staff responsible for dressing changes should have the appropriate knowledge and practice to ensure optimum wound care.The aim of this study:To evaluate effect of educational program on nurses' knowledge and practice regarding negative pressure wound therapy among patients with acute and chronic Wounds.Research design:A quasi-experimental research design was utilized to conduct the current study.Setting: The current study was conducted ingeneral surgery department at zagaziguniversity.......

Keywords: Educational Program, Negative pressure wound therapy, Nurses' Knowledge and Practice

[1]. Webster J, Liu Z, Norman G, et al. Negative pressure wound therapy for surgical wounds healing by primary closure. Cochrane Database Syst Rev 2019; P. 22.
[2]. Gombert A, Babilon M, Barbati M, et al. Closed Incision Negative Pressure Therapy Reduces Surgical Site Infections in Vascular Surgery: A Prospective Randomised Trial (AIMS Trial). Eur J VascEndovascSurg, 2018; 56:442.
[3]. SabourA, ElgamilA,Elhadi M.Assessment of nurses' knowledge and practices regarding wound vacuum assisted closure therapy. ISOR Journal of nursing and health science (ISOR-JNHS), 2017; 6(5):27-32.
[4]. NagarajS, Hosmani R, & Shankar R. Negative Pressure Wound Therapy versus Conventional Wound Therapy in Large Wounds.International Journal of Scientific and Research Publications, 2015; 5 (5):PP. 1-10.
[5]. Mohamed E, AbdElmoniem A,Elmowafi H, SheblA.Effect of training program on performance of nurses caring for patient with negative pressure wound therapy.ISOR Journal of nursing and health science (ISOR-JNHS), 2019; 8 (1):PP. 31-35.