KEYWORDSIntrauterine insemination; Human chorionic gonadotropin trigger; Timing of IUI; 48 h after hCG injection.Abstract Objective: Intrauterine insemination (IUI) is a simple procedure which has been used to treat unexplained infertility. There is no agreement about the optimum time for IUI. An interval of only a few hours exists in which it can be performed. The aim of this study was to find out whether there is a difference in pregnancy rate if IUI is performed 48 h rather than later than 36 h after Human chorionic gonadotropin (hCG) Injection. Setting: infertility clinic, Kasr Alainy, Cairo University Hospital. Materials and methods: A randomized case-control prospective study in which subjects in Group A will perform IUI 48 h after hCG injection after controlled ovarian stimulation, in comparison with Group B (control) in which the IUI will be performed 36 h after hCG injection. Main outcome measures: Pregnancy rate in group A was 22.6% while group B was 10.6% (p = 0.049). The mean Number of mature follicles in group A was 2.6 ± 1 follicles, while that of group B was 2.1 ± 0.9 follicles (p = 0.002). Conclusions: A lot of controversy surrounds the correct timing of IUI. Our study showed a statistically significant increase in pregnancy rate up to 22.6% in patients performing IUI 48 h after hCG trigger, compared to the 10.6% in the patients having the procedure done 12 h earlier. Ó 2015 The Authors. Production and hosting by Elsevier B.V. on behalf of Middle East Fertility Society. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/).
Poisoning of children is one of the most common and important subject in the field of pediatric nursing. Many children are admitted to hospital because they have been poisoned by eating, drinking, or even inhaling poisonous substances. There are several unique aspects in the clinical assessment and management of childhood poisoning that need to be considered. So, the aims of this study were to assess the nurses' knowledge and practice about care given to the child with poisoning. A descriptive study design was carried out. The subjects included 30 nurses working in emergency unit of Assuit University Children Hospital. Data collection tools were a structured questionnaire interview sheet and an observation checklist. In conclusion, the study revealed deficiency in knowledge and practices. Statistically significant relations were shown between knowledge and practices among studied nurses. The study recommended developed program should be applied for nurses about care given to the child with poisoning.
Hospitalization in neonatal intensive care units predisposes preterm neonates to negative stimuli such as continuous 24-hourlighting. Potential benefits and harms of different lighting in neonatal units have not been quantified. Therefore, this study aimed to evaluate the benefits of a cycled lighting (light/dark cycle) in the Neonatal Intensive Care Unit on weight and cardiorespiratory function in premature infants. A Randomized Clinical Trial: Performed on preterm neonates who hospitalized in NICU at Assiut University Children Hospital, Egypt. From admission to discharge, neonates were randomly exposed to cyclical lighting (study) or continuous lighting (control) groups, twenty in each one. A structured questionnaire was used to collect data and included personal data, weight and cardiorespiratory assessment.The Results: Of the study revealed that mean of neonates' weight in the study group was significantly greater than control group (P. 0.017). Mean pulse rates at 10 days and at discharge were significantly more stable in the study group compared to control group (p< 0.002 & p< 0.028). Moreover, the mean O2 saturation is significantly better in study group than control (P< 0.045). Conclusions: Cycled lighting is an effective strategy to improve premature neonates' weight and cardiorespiratory function. Recommendations: T Nurses should be aware of the importance of applying the Cycled lighting at NICU to improve preterm neonates' health.
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