Background: Vital parameters can draw attention to impeding clinical deterioration of patient with stroke. So; therapeutic positioning is important to promote patients' functional recovery. Aim: to investigate the effect of different therapeutic positions on selected vital parameters among patients with stroke. Design: A randomized control clinical trial design was utilized. Tools: I: Personal and Medical Background Information Form. II-Observational checklist tool records the selected vital parameters. III-Numerical Pain Rating scale. Setting: at the stroke unit in one of the Cairo University hospitals-Egypt. Sample: 104 adult patients who were diagnosed as stroke; their Glasgow Coma Scale were 9 to15. Results: There was a statistically significant difference before and after performing different therapeutic positioning in relation to selected vital signs; for example, in relation to heart rate scores on the second day of semi fowler's position (T test =1.930, p-value=0.056) and respiratory rate scores on the second day of semi fowler's position (T test =2.248, p-value=0.027). In addition, there was a significant difference between the study and control groups regarding oxygen saturation scores of all positions; for example, semi fowler's position (T test =2.35 , p-value=0.020) at the third day of positioning. Furthermore, the study and control groups respectively had no pain in the following positions: for example, semi fowler's position (88.5%), (84.6%). Conclusion: Vital parameters were improved after therapeutic Positioning.

No abstract

Background: Apparently; the most common causes of hyperthyroidism represent in Graves' disease. Shaker Exercises implementation through head lift exercise and tongue strengthening exercises aim to improve motility and strength the muscles of the neck and enhance swallowing capabilities as well. Aim of the current study was to examine the effect of shaker exercises on swallowing disturbance among patients with hyperthyroidism at a selected University Hospital, Egypt. Design: A quazi-experimental design time series Non-equivalent design was utilized, the study conducted at surgical departments at one of University Hospital; Egypt. Research hypothesis: H1: Study group who received the Shaker Exercises will have a significant lower mean swallowing disturbance score than the control group who received only routine hospital care. H2 (a,b,c & d): Study group who received the Shaker Exercises will have higher correlation between total swallowing disturbance score and selected related sub-Items than the control group who received only routine hospital care. Sample: 60 adult male and female patients divided randomly into two equal groups, control group (n=30 patients) received the routine hospital treatment of the hyperthyroidism, and study group (n=30 patients) received routine hospital in addition to the Shaker Exercises. Tools: Tool I: Demographic and medical data sheet. Tool II: Swallowing Disturbance Questionnaire (SDQ). Results: there was a statistical significant difference among study group comparing to control group regarding the swallowing disturbance after shaker exercise interventions. Conclusion: study group patients who received the Shaker Exercise in addition to their routine hospital care "which was medical treatment" was improved significantly comparing to the control group who received only their medical treatment. Recommendation: Replicate the study on a larger group to add to solid evidence practice and replicate the study on other disease rather than hyperthyroidism that interfere with swallowing function.

Ideal wound care for split-thickness skin graft donor sites should include dressings that promote healing, prevent complications, and are cost-effective. The aim of this study is to evaluate the effect of hydrocolloid dressing versus paraffin gauze dressing for split thickness skin grafting donor sites in terms of pain and wound healing. Methods: quasi-experimental design was conducted over period of one year for 35 patients who admitted for skin graft. The participants were recruited from one of the big teaching hospitals in Cairo at Egypt. The Numeric Rating Scale (NRS) and Bates Wound Assessment Tool (BWAT) were used alongside a background/medical data sheet to collect the data. The selected two dressing material were changed for three to four times. Result it was observed that there was a gradual decrement in the Bates Wound Assessment Tool scores during 4 th ,7 th ,10 th ,and 14 th days during changing the dressing at duoderm /hydrocolloid and paraffin gauze dressing sites, But, decrement at the duoderm sites was greater and faster than paraffin gauze dressing sites with a mean and standard deviation equal to(23.34±.998, 16.20±2.03, and 13.77±1.13 versus 25.80±1.53, 23.14±2.15,and 18.85±1.61)respectively. The mean healing time for complete re-epithelialization was equal to 8.6 day ±1.08, for hydrocolloid sites versus 15.2 day± 3.02 for paraffin gauze site)respectively. Also, there were a statistical significance difference between the three durations of changing the dressing at the paraffin and duoderm sites for the same subjects with F/ratio/P value equal to(17783.959 / .000*).As regards to pain subjects exhibited lesser pain intensity during ,7 th ,10 th ,and 14 th days during changing duoderm dressing sites in comparison with paraffin gauze sites. Conclusion: Hydrocolloid dressing resulted in shorter healing time, faster re-epithelialization, fewer dressing changes and reduced pain when compared with paraffin gauze dressing. Recommendation Hydrocolloid dressing is recommended dressing for partial split thickness skin grafting donor sites. A larger randomized study is required to generalize the findings.

No abstract

Diabetes mellitus (DM) is multifarious group of disorders distinguished with hyperglycemia. Streptozotocin (STZ) induced diabetes frequently occurs animal model in the medical researches. Hence, amelioration of hyperglycemia associated with diabetes is a cardinal target for therapeutics. Therefore, this work aimed to assesses the possible ameliorative characteristic of Aloe vera and Amaryl in STZ-induced diabetes. In this study, forty male Wistar rats within average weight 130±20 gm and age 6-7 weeks were used. The animals were evenly divided; 10 rats of each as follow. Group 1 served as control. Group 2 only received STZ. Group 3 received STZ + Aloe vera extract. Group 4 received STZ + Amaryl. Venous blood samples collected for biochemical assay using colorimetric methods. Besides this, specimens from pancreas were excised for the histological findings. Biochemically, STZ induced diabetic rats led to significant elevation in mean levels of blood glucose, total bilirubin and malondialdehyde (MDA) when compared with control. Contrary, activity of superoxide dismutase (SOD) was significantly decreased in STZ induced group in comparison with control. In contrast, the administrations of Aloe vera and amaryl to STZ diabetic rats showed an improvement in the mean values of the altered parameters. Histopathology, diabetic group revealed vacuolation of the pancreatic B-cells, besides inflammatory edema. Aloe vera and amaryl treated groups exhibited apparently normal pancreatic tissues. Depending on theses evidence, we could say that Aloe vera followed by amaryl could have contributed for an improvement of the pathophysiological alterations promoted by STZ induced diabetes.

No abstract

Assessment and recording of hand grip strength plays an essential part in the rehabilitation process.Objective: The aim of the study was to investigate how hand dominance could affect the handgrip strength in left handed normal girls.Subjects: Seventy six female students were selected from King Abdulaziz University in Jeddah with no previous history of diseases or injuries in both upper limbs.Methods: Using a dynamometer, the strength of Hand grip was assessed in both hands. This procedure was repeated for several trials and recorded the average value.Results: A significant difference between right-handed and left-handed subjects was detected regarding grip strength ratio of the dominant and the non dominant hands (P˂0.05). Conclusion