Introduction: Burns of the hand have devastating consequences not only for the functional outcome but also for the esthetic appearance. Post burn functional disabilities of the upper extremity are better prevented than treated. Aim: this study aimed to evaluate the effect of physiotherapy protocol on upper limbs' function post burn. Design: A quasi-experimental (time series) design submitted to meet the aim of the study. Subjects: A purposive sample of 27 male and female adult patients with 2 nd degree burn in hand assigned in the current study which was carried out in Burn Department and its outpatient clinic of General hospital at Minia city. Tools: Four tools were utilized to collect data of this study; demographic questionnaire, Disabilities of the Arm, Shoulder and Hand Scale (DASH), Manual Muscle testing, and Vancouver Scar Assessment Scale (VSS). Results: Twenty seven adult 2 nd degree burned patients with mean age 36.0 ± 11.22 are included in the study. Gradual improvement of the upper limbs' function measured through DASH scale was observed after application of physiotherapy protocol, this appear through significant decrease in complain from severe dysfunction among 25.9% after 2 months to 0% after 6 months; significant increase in muscle force (22.2%, 59.3%) and prominent improvement of burn scar measured by VSS. Conclusions: The data suggest that the upper limbs' function post burns can be improved by preventive nursing interventions including early range of motion, anti-contracture positioning and splinting of hand which has positive effects on burn scar. Recommendations: regular training programs to keep nurses in burn units updated with the evidence-based practices and array interventions for reducing burn scar and improving limbs' function and therefore patients' productivity.
Ninety random samples of fresh and frozen each of Tilapia niloticus, Mugil cephalus and Shrimp (15 of each) were collected from different fish markets at Qaliuobia Governorate. All collected samples were bacteriologically examined for determination of Aerobic Plate Count (APC), psychrotrophic count, Isolation and Identification of pseudomonas and Aeromonas species. The bacteriological examination revealed the mean values of APC in the examined fish samples was 1.52×10 6 ± 0.47×10 6 and 3.08×10 5 ± 1.31×10 5 in fresh and frozen Tilapia niloticus, 7.14×10 5 ± 1.84×10 5 and 2.59×10 5 ± 0.62×10 5 in fresh and frozen Mugil cephalus and 7.81×10 4 ± 2.07×10 4 and 1.36×10 4 ± 0.42×10 4 /g, in fresh and frozen shrimp . The mean values of psychrotrophic count in fresh and frozen Tilapia niloticus were 2.67×10 5 ± 0.45×10 5 and 5.36×10 5 ± 1.24×10 5 cfu/g, respectively. 4.91×10 4 ± 0.93×10 5 and 1.72×10 5 ± 0.46×10 5 / gm respectively in fresh and frozen Mugil cephalus. 7.81×10 4 ± 2.07×10 4 and 6.51×10 4 ± 1.80×10 4 /g, in fresh and frozen shrimp. The incidence of Pseudomonas species was 33.3% and 53.3%in the examined samples of fresh and frozen Tilapia niloticus, 46.7% and 60.0 %in fresh and frozen Mugil cephalu, respectively, 33.3 %and 40.0 %in fresh and frozen shrimp, respectively. The incidence of Aeromonas species were 46.7 %and 33.3 %in the examined samples of fresh and frozen Tilapia niloticus, 53.3 % and 40.0% in fresh and frozen Mugil cephalus, respectively, 33.3 % and 40.0 %in fresh and frozen shrimp, respectively.
Background and objective: Low back pain (LBP) is a serious medical problem and considered as the most common leading causes of disability. Aim of the study: To measure the relation between body mechanics performance and nurses’ exposure of work place risk factors on the low back pain prevalence.Methods: Subject and method: Correlation design was used. A convenient sample of one hundred (n = 100) nurses both male and female working in Minia university hospital were approached to participate. Setting: The current study was performed at Minia university Hospital in Intensive Care Unit, Coronary Care Unit, Medical Care Unit, Stroke Care Unit, operation room and surgical department.Results: The majority of nurses don’t use body mechanics when turning, moving, lifting, and transferring the patients and 88% of them had pain in lumber region.Conclusions and recommendation: The nurses’ working in Minia university hospital suffering from high prevalence of LBP. The LBP complication is mainly related to exposure to many risk factors such as obesity, lack of knowledge and practice regard to body mechanics. Educational programs among nurses about body mechanics when handling and lifting the patient have important role in decrease exposure to LBP.
Background: Acute skin toxicity is one of the most common side effects of breast cancer radiotherapy and these adverse events often negatively affect patient's self-esteem and willingness to continue the treatment. Aim of the study: assess the breast cancer patient's knowledge in relation to skin care during radiotherapy before the implementation of educational protocol and examine the effect of educational protocol on breast cancer patients' knowledge in relation to reducing skin reaction and improving self-esteem after the implementation of educational protocol. Subject and method: Quasi-experimental research design was utilized to achieve the aim of the study. Subject: A purposeful sample including (40) female adult patients were included in the current study. Setting: This study was carried out at oncology center in Minia city. Tools of data collection: Two scales were standardized and two tools were utilized to collect data: 1-Bio socio-demographic characteristics and structured interview schedule; 2-Educational proshour for instructions to reduce radiotherapy skin toxicity; 3-Common Toxicity Criteria-; 4-Rosenberg Self-Esteem Scale. Results: There were highly statistically significant differences among both study and control groups regarding their self-esteem and skin toxicity after educational protocol, there were a highest strong negative statistical significant correlation was found between skin toxicity and both knowledge and self-esteem scales among the study and the control group. Conclusion: the educational protocol reduced skin toxicity of radiotherapy in the study group and improves their self-esteem than control group. Recommendations: Based on the research findings the patients' health education about care radiation target area for breast cancer had a positive effect on patients' skin toxicity degree, design and implement an in-service training program for nursing staff about protocol that minimize radiotherapy skin toxicity.
Background: Using OSCE can help educators to evaluate students' competency, based on objective testing as well as it is foster students to develop many skills as problem solving, decision making, emotional intelligence, feedback seeking behaviors, emotional stability, and clinical judgment. The aim of the current study was to investigate the effect of OSCE on nursing students' emotional intelligence and feedback seeking behavior. Research design was a descriptive correlational design. Setting was Faculty of Nursing at Minia University. Subjects: included all first year and fourth year nursing students in the academic year 2018-2019 (N =717). Tools: Three tools were utilized to collect pertinent data for this current study. Results: the fourth year students had high score for OSCE feedback, EI, FSB than the first years who had moderate score. Conclusion: the current study concluded that the fourth year students had high score regarding their OSCE feedback, EI, and FSB than the first year. Also, there were positive correlations between the using of OSCE and students high level of EI as well as high level of FSB. Recommendation: encourage the use of OSCE to improve students' ability clinically, emotionally and cognitively.
Background: Diabetes Mellitus (DM) is a major 21 st century health and development challenge, this chronic and incurable non-communicable disease is large preventable but remains responsible for millions of deaths annually and many more life-threatening complications. Uncontrolled diabetes and poor diabetic patients' knowledge about disease can lead to a high morbidity and mortality. Aim of the Study: To evaluate the effect of nursing Instructions on adherence of diabetic patients to treatment. Research Design: A quasi-experimental design was utilized in this study. Setting: The study was conducted in outpatient clinic for diabetic follow up at Minia University Hospital and Minia General Hospital. Sample: A purposive sample of 144 adult with type two diabetes mellitus (T2DM) were divided in to two equal groups (study and control) from both sex with duration of diabetic disease more than one year and patients without comorbid disease, and without cerebrovascular accident. Tools of Data Collection: Structured Interview assessment questionnaire sheet (patient socio-demographic characteristics and medical data), Assessment Scale for Treatment Adherence to assess Compliance of T2DM to Diabetic management, and instructions about diabetes "Booklet". Results: Current study findings revealed that there was a highly a significant improvement in Compliance of T2DM patients to Diabetic management in study group than control group and in post 1st and 2nd follow up for study group than pre application of instructions. Conclusion: The diabetic instructions and the use of booklet would improve patient's Adherence to Treatment. Recommendations: Nurses should emphasis to provide instructions tailored to each diabetic patient and increase their awareness about the importance of diabetic instruction to improve glycemic control.
Background: Breast cancer is the most commonly diagnosed cancer in women across the world. The majority of women diagnosed with the disease undergo surgery. Many patients suffer from upper limb impairments that result from mastectomy may interfere with some women's ability to resume normal physical function lead to significant psychological morbidity e.g low self-esteem. The basic goal of nursing care for patients who have had a mastectomy is to return the patient to normal life in the shortest period of time with the fewest problems.
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