Aim and objectives: The main aim of this study is to explore the perceptions and understanding of meticillin-resistant Staphylococcus aureus (MRSA) infections among adults' and children's nurses. Specifically the objectives are: ■ to assess and compare adults' and children's nurses' self-reported practices ■ to examine the correlation between knowledge and self-reported practices among nursing staff members ■ to investigate the factors that influence nurses' compliance with good infection control practice. Background: MRSA is notorious for having serious physical and economical implications for patients, healthcare managers and practitioners. Therefore, it is important that healthcare professionals and managers are given adequate information to enhance their knowledge and understanding of the condition in order to minimise and control it. There are few studies from the United Kingdom that address nurses' knowledge, attitudes and self-reported practices, and hence a gap in human knowledge is identified, which provides a good rationale for this study. Design: A combined quantitative and qualitative research design, which comes from a positivist paradigm perspective, was used in this study. Methods: A cross-sectional survey with a purposive sample was used. Adults' and children's nurses' (n = 144) knowledge and self-reported practices were studied using a self-reporting questionnaire devised for the study using information from the literature. Results: The overall level of knowledge of infection control was relatively inadequate. However, adults' nurses scored significantly higher on knowledge (p = 0.001) and self-reported practice (p = 0.001) than did children's nurses. In addition, there was no significant difference in self-reported practices between nurses who had received infection control training and those who did not receive training (p = 0.16), in both specialties. Conclusion: Adults' nurses in this sample have higher levels of knowledge and self-reported practice than children's nurses with regard to MRSA. Moreover, there is a correlation between subjects' knowledge and self-reported practices. Relevance to clinical practice: Educational interventions and training should be implemented with nurses of different disciplines in order to improve their knowledge scores and practice proficiency. Repeating the study in other settings and in a larger sample size would be worthwhile to see if these conclusions can be generalised.
Adnexal torsion is a gynecological emergency that requires immediate surgical intervention to prevent permanent loss of the affected ovary. Here, we present a case of a 25-year-old female who presented to the emergency with a six-day history of lower abdominal pain. A computed tomography scan showed a clinical picture of ovarian torsion, hence, the patient underwent laparoscopic ovarian tissue-sparing right ovarian cystectomy with shortening of the right utero-ovarian ligament for a twisted right ovarian cyst. Intraoperatively, a left pelvic mass was seen sitting freely in the cul-de-sac, which was thought to be the left adnexa that possibly underwent complete torsion in the past, went unnoticed, and got amputated and separated from its pedicle. Postoperatively, the patient had a smooth recovery and was discharged within four days, in stable condition. Three months later, the patient began having her periods, though irregularly.
Uterine fibroids are a common, benign gynecological smooth muscle neoplasm highly prevalent in women of reproductive age which can lead to multiple complications including small bowel obstruction.We report a case of a 31-year-old female, primigravida at 13 weeks gestation, a known case of uterine subserosal fibroids who presented to the emergency with complaints of dark red vaginal bleeding and cramping abdominal pain. On examination, her abdomen was 38 weeks in size. An abdominal ultrasound showed intrauterine retained products of conception measuring 5x5 cm. She was admitted as a case of incomplete miscarriage and underwent an evacuation of retained products of conception (ERPOC) immediately.A post-procedure computed tomography (CT) scan done showed the presence of multiple large uterine fibroids. The patient continued to worsen clinically with complaints of abdominal pain and diarrhea. Further laboratory tests revealed a continuous rise in inflammatory markers with positive stool clostridium toxins. She was hence shifted to the intensive care unit (ICU) as a case of sepsis. In the following days, she developed signs and symptoms of small bowel obstruction, and the diagnosis was supported by abdominal Xrays. Despite starting her on conservative management for the same, she deteriorated clinically, and a repeat CT abdomen showed new signs of small bowel obstruction. The gynecology team performed an exploratory laparotomy during which a myomectomy was done. The patient recovered well post-operatively and was discharged in a stable condition.In view of the presented case, small bowel obstruction should be considered as a complication of uterine fibroids in females with a history of large leiomyomas despite it being quite rare as it can cause considerable morbidity and mortality.
Background: Childbirth classes help to prepare pregnant woman during labor and delivery to reduce the complications, increase a mother's confidence, and understand how to cope with the pain during labor and delivery. Aim of study: To measure the effectiveness of childbirth classes regarding labor's Knowledge and practices on primigravida pregnant women. Methodology: A quasi-experimental design, of sixty primigravida women who participate in program (30 women for study group and 30 for control group) at Al-Elwiya Teaching hospital for period from on 4th July to 25th November 2018. The data were collected through the use of constructed questionnaire format, interview technique, and observational checklist. Descriptive (mean and stander deviation) statistic was used to data analysis).
The democratic era in Iraq that began in Iraq after the spring of 2003 resulted in a conflict among political, ethnic, religious and nationalism components of Iraq. This paper provides an unprecedented research based on scientific foundations to discover the conflicts and alliances among the components of the Iraqi people and determine future Iraqi's tendencies. It depends on the concepts of rough set and conflict analysis. The research required many steps to be achieved. Such steps are: determining the Iraqi vital issues, creating what so-called "information system" database, (IS), submitting the IS to rough set and conflict theory depending on the general system for conflict analysis presented in [1], and modification of conflict model to predict the extension of "Enmity" and "friendship" concepts depending on the suggested algorithms and operations presented in [2].Twelve vital issues were selected, depending on rough set's reduct operation, out of 31 issues. 5692 Iraqis, belong to eight Iraqi blocs, expressed their opinions about the selected issues. The opinions were attained using electronic opinion acquisition system prepared for this purpose. The participator's opinion may be positive, neutral, or negative. The research discovered 42, 11, and 43 positive, neutrals, and negative opinions respectively. However, the overall conflict situation was 17 alliances, 10 conflicts, and 1 neutral relation. The paper includes the prediction that the unique neutral relation would change to an alliance relation. The degree of the strongest conflict between two major Iraqi components was 0.9166667, while the degree of the highest alliance between two Iraqi components is 0.04166667.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.