bluuebunny/crossref_metadata_2025 huggingface dataset:
Psychological Assessment with Objective and Projective Techniques along with Self-Report: A Case Study of Young Widow with Major Depressive Disorder
Authors: Khan Saima , Rafique Maria , Ikram Sobia
Published: May 2022

The study investigated the psychological concerns of a young widow, who lost her husband just at the age of 21 and examined how psychotherapeutic techniques helped her overcome them in the present case study. Using a structured clinical interview and a complete report, we documented the impact of this significant loss on both temperament and emotional wellbeing. Including the Beck Depression Inventory (BDI), The Standard Progressive Matrices (SPM), Thematic Apperception Test (TAT), Rotter’s Incomplete Sentence Blank (RISB), Bender Gestalt Test (BGT), and Human Figure Drawing Test (HFD). These studies were crucial in assessing a diagnosis as well as a treatment strategy. The girl had a significant depressive episode and met all the diagnostic criteria. In similar circumstances, this mixture of psychological testing could help establish an accurate diagnosis and comprehend the behavioral and psychological consequences of Major Depressive Disorder (MDD). The study also indicated that Cognitive Behavior Therapy (CBT) is an effective treatment option for people suffering from Major Depressive Disorder. Keywords: objective and projective techniques, cognitive behavior therapy, major depressive disorder
Comparison between Percutaneous Drainage vs Operative Intervention in Treatment of Appendicular Abscess: A Retrospective Study
Authors: Dawani Surrendar , Ali Mansab , Khan Madiha Masood , Jafferi Salman , Siddiqui Adeela Z , Kumar Rakesh
Published: May 2022

Aim: To evaluate the outcomes of percutaneous drainage and surgery in periappendiceal abscesses. Study design: A Retrospective study Place and Duration: This study was conducted at Jinnah Postgraduate Medical Centre Karachi Pakistan from January 2020 to December 2021. Methodology: For this study, we defined abscess as fluid collection adjacent to the appendix with 0-20 Hounsfield units (HU) attenuation on CT scan. Classification of Jeffrey, et al was used to grade abscesses. According to the classification patients with abscess or phlegmon, lesser than or equal to 3cm were represented in the grade 1 category. Grade 3 comprised those patients who had larger abscesses extending to the pelvic cavity. Patients of periappendiceal abscess aged above 16 years were enrolled for this study. The diagnosis was based on CT findings. The patient's discharge summary was used for confirmation. All the patients underwent two treatment options; Surgery or ultrasonography or CT-guided percutaneous drainage. Results: Out of 67 cases 44 (65.6%) cases underwent percutaneous drainage while 23 (34.3%) patients underwent surgery. Male participants were 37, 55.2% with a relative ratio of females (30, 44.7%). The mean symptoms onset was reported as 5 days ranging from 1-to 30 days. We observed that the percutaneous drainage group had 84.1% (37 cases) successful outcomes with a 15.9% (7 cases) failure ratio whereas only a single case of failure was observed by a surgery. Conclusion: Our results concluded that percutaneous drainage is effective for treating abscesses >6cm with a low risk of recurrence. However, this procedure lengthens the hospital stay until the complete resolution of the abscess. Keywords: Abscess, Percutaneous drainage, Surgery
Knowledge, Attitude and Practice among Women Regarding Postnatal Exercises; A Cross-Sectional Study Across Lahore in Private Sector
Authors: Majeed Rabia , Zehra Samer , Furqan Zaara , Shoukat Mamoona , Samad Mahnoor , , Gulzar Tayyaba , Waris Sadaf
Published: May 2022

Objective: This study is aimed to assess knowledge, attitude and practice among women regarding post-natal exercises. Methodology: A cross sectional study was conducted across private sector in the gynecological and obstetrical department of Punjab Social Security Hospital, Ittefaq Hospital, Hameed Latif Hospital and Khair-un-Nisa Hospital. Through non-probability convenient sampling, 120 postpartum mothers were chosen. A structured questionnaire was used to collect socio-demographic and gynecological data, as well as to assess knowledge, attitude, and practice regarding PNE. Married females of ages 18-40 were included and females with postpartum hemorrhage and active infection/sepsis were excluded from the study. An informed consent was taken from the study participants. SPSS 25 was used for data analysis. Results: 53.3% had lower segment caesarian section. Breathing exercises were the most common type of exercise among participants (51.7%).74.2% believed that uterine prolapse can be prevented through PNE.99.2% of the study population agreed that PNE is necessary while 81.7% felt guilty on omitting PNE. For 50% of participants, Household work was the most common barrier in performing PNE. Conclusion: There was significant correlation between knowledge, attitude and practice. More than half of the participants had knowledge (mean score=4.116) about PNE but they were not fully aware of its potential benefits and lack adherence. It is important to create awareness and educate people about the postnatal exercises so that postpartum dysfunctions can be prevented and women health can be improved. Keywords: Puerperal period, pelvic floor muscles, pelvic floor dysfunction, postnatal exercises.
Pain Management for Patients with Acute Myocardial Infraction: An Interventional Study for Nursing Staff
Authors: Abdul-Hussein Hadeer Naeem , Hattab Waffa Abed Ali
Published: May 2022

Background: Coronary artery disease is the most common type of heart disease. It encompasses a spectrum of clinical conditions ranging from asymptomatic atherosclerosis and stable or unstable angina to acute coronary syndrome caused by atheroma changes in the coronary arteries. It is one of the leading causes of death. Assessing risk factors for coronary artery disease and attaining the knowledge on how to deal with the symptoms’ pain is the first step in its prevention. Objective: To find out the effectiveness of an interventional program on Nurses’ knowledge and practices about pain management for patients with acute myocardial infraction at Coronary Care Units. Methodology: A pre-experiment design (one group pretest-posttest design) is applied has been done to obtain the study goals. A non- probability (purposive) sample was chosen to obtain representative and accurate data. From total (41) nurses working at CCU, (11) nurses were excluded from the educational program (five nurses for the pilot study, four nurses previously participated in pain management courses, and two nurse did not complete the program). The total number of nurses participating in the program of the study were (30) nurses. The sample had been taken in one group. The program is established and designed based on the preliminary assessment of nurses' knowledge and practices about pain management for patients with acute MI at CCU, and also on the information obtained from the related scientific literatures and previous studies. The program content is reviewed by a group of experts. Statistical Package for Social Sciences (SPSS, version 23) was used to analyze the study data. Results of the study: The study findings presented that there was a highly significant differences of the knowledge between pre-test and post-test score at p value (.000), and a high significant difference between pre-test and post-test practices at p value (.000) related to pain management. Conclusion: The results of this study showed that the interventional program was an effective educational method that enables the nurses to improve their knowledge and practices towards pain assessment and management. Keywords: Pain Management, Acute Myocardial Infraction, Interventional Study, Nursing Staff
Nutritional Behavior and Medication Adherence among Patients Undergoing Hemodialysis
Authors: Shawwat Maitham Abed , Atiyah Hussein Hadi
Published: May 2022

Background: Chronic kidney disease is a progressive disease with five phases based on the glomerular filtration rate. In each of these stages, the patient continues to suffer from the condition and must take responsibility for his health, such as changing his diet and lifestyle and taking significant doses of medication. If not treated effectively, Chronic kidney disease can lead to a high rate of morbidity and mortality, lowering the quality of life and hastening death. Objectives: This study aimed to evaluate the effectiveness of an interventional program on patients' knowledge toward nutritional behavior and medication adherence as health-protective behaviors. Methodology: A quasi-experimental (tow-group pretest-posttest) design was used to conduct this study at the hemodialysis unit in Al-Hussain Teaching Hospital. A non-probability (purposive) sampling was used to select (80 patients) undergoing hemodialysis. To measure the effectiveness of the interventional program on patients' knowledge, the researcher used a knowledge form which included (40) questions. The validity of the questionnaire and the interventional program were verified by presenting it to (17) experts. The reliability was determined using the test-retest approach for the knowledge questionnaire. Results: The study findings showed that there are highly statistically significant differences between the scores of patients knowledge in two levels of measurements (pre-test and post-test) at p-value (0.000), where the statistical mean of the overall knowledge at p-value of patients in the pre-test was (0.896), while it becomes (0.000) in post-test. Conclusion: The study concluded that the interventional program positively affects the patients' knowledge concerning nutritional behaviors and medication adherence as health-protective behaviors. Keywords: Nutritional behavior, Medication adherence, Hemodialysis, Health promotion.
Scrutiny of Role of Indolamine Inhibition in Asthma Using Animal Model
Authors: khan M. Usman Ali , Salahuddin Zari , Saqib Maryam , Khan M. Yasoob Ali , Faheem Muhammad Asif , Ahmed Tunseer
Published: May 2022

Background: Asthma is a debilitating chronic inflammatory disease of airway with frequent episodes of exacerbations. It confers great burden on health systems due to associated symptoms like cough, wheeze, chest tightness and shortness of breath. We have explored the effect of an important indoleamine inhibitor on important asthmatic parameters in this study. Aim: Exploration of an alternative pathway of indoleamine inhibition for the treatment of asthma in future. Methods: Forty Wester rats were divided into four groups (normal control, disease control, prednisolone treated, methyltryptophan treated) with ten animals each. Blood samples were collected for eosinophil count. PCR was performed for measuring the IL-5 expression of the lung tissue. Results:1MT significantly reduced the eosinophil levels and mRNA expression of IL-5 through indoleamine inhibition. Conclusion: The pathway of indoleamine inhibition has appeared significant for reducing the inflammation and allergic response in asthma. Further exploration of this pathway can open new dynamics for asthma treatment. Keywords: Asthma, indoleamines, cytokines, eosinophils, inflammation
Preventive Effect of MG-132 on Monocrotaline Induced Pulmonary Hypertension in Rat Pulmonary Artery Hypertension Model
Authors: Hussain Tafseel , Shah M Adeel Alam , Humayun Farhat , Ghani Sajjad , Mushtaq Saira , Imdad Laraib , Xiang Li Man , Xie Xinming
Published: May 2022

Aim of Study: To Prevent the Monocrotaline induced extracellular matrix remodeling of pulmonary artery by inhibiting Ubiquitin Proteasome System in rat pulmonary artery hypertension model. Study Design: Experimental Study Place and Duration of Study: Xi’an Jiaotong University, Animal experiment center Xi’an China, from January 2016 to July 2018. Materials and Methods: Thirty-three male Sprague-Dawley rats were divided in to three groups namely control group, Monocrotaline (M.C.T) induced group and M.G-132 (a proteasome inhibitor) treated group. The pulmonary artery hypertension (P.A.H) model was established by giving intraperitoneal injection of Monocrotaline (M.C.T) furthermore the M.G-132 was given to hold back proteasome function. The right ventricular systolic pressure (R.V.S.P) and the right ventricular hypertrophy index (R.V.H.I) were used to assess the progress developing P.A.H. Vascular remodeling was determined by H&E staining and the level of ubiquitinated-PTEN protein was measured by Immunoblotting. Results: The final results revealed that the M.C.T increased R.V.S.P and R.V.H.I in rats, whereas these alterations were concealed in P.A.H induced rats which were treated by M.G-132. Also the Zymograghy results in control vs. experimental group revealed that the activity of Matrix metalloproteinase (MMP2/9) in the PAH model group was considerably elevated at (P<0.05), while treatment of M.G-132 in M.C.T-induced P.A.H-rats decreased the activity of MMP2/9 at (p<0.05). Conclusions: However, further in-depth investigations are need of a time to explore the transformations of ubiquitin proteasome & MMP activity in chronic MCT induced-pulmonary artery hypertension model. Keywords: P.A.H, Ubiquitin, Monocrotaline, Extra-cellular remodeling, M.M.P (Matrix metalloproteinases)
Effectiveness of an Educational Program on Oncology Nurses Knowledge about Diagnostic Bone Marrow Aspiration and Biopsy at Blood Diseases Center in Medical City Directorate
Authors: Al-Gbury Abbas Labeeb Wadi , Khudur Khalida M.
Published: May 2022

Background: Bone marrow aspiration and biopsy is a procedure which done for patients may be have a blood disorder or a suspected or previously diagnosed blood malignancy. Bone marrow examination is done during the initial diagnosis and/or staging and used to determine treatment response in patients with leukemia, lymphoma, and other blood disorders. Aims: To evaluate the effect of an educational program on nurse’s knowledge related to about Diagnostic Bone Marrow Aspiration and Biopsy at blood diseases center in medical city directorate. Methodology: A pre experimental study design (one group Pretest-Posttest study design) on 20 nurses who work in bone marrow examination unit, it is carried out through the application of pre-test and post-test approach for the study group, from the period 13th June to 13th of December 2021. Three sessions were submitted to the nurses that participate in an educational program. Results: The results of current study indicated that that there were significances differences between pre and post educational program related to nurses knowledge. Conclusion: Based on the study findings that the program applied has an observational enhanced nurses’ knowledge relating to the bone marrow aspiration and biopsy management. Keywords Effectiveness, Educational Program, Oncology Nurses, Knowledge, Bone Marrow Aspiration,
Tolerability and Efficacy of Rivaroxaban Versus Warfarin for Non Vulvular Atrial Fibrillation
Authors: Rehman Mahboob Ur , Rauf Asma , Shah Amjad Ali , Ali Anwar , Ibrar Amjad , Raza Ali
Published: May 2022

Introduction: Atrial fibrillation (AF) is the most widespread chronic heart arrhythmia, affecting 1–2 % of the general population. Objectives: Patients with non-valvular atrioventricular fibrillation are the major focus of this research. Rivaroxaban is compared against warfarin in terms of tolerability and efficacy. Material and methods: This cross sectional comparative study was conducted in Pakistan Institute of Medical Sciences Islamabad during January 2020 till December 2020. A total of 120 OPD patients who satisfied the study's inclusion and exclusion criteria were included in the research after it was given the green light by the hospital's ethics committee. A complete medical history and physical examination were required to ensure that all participants met the criteria for inclusion. It was determined that obtaining express written consent was essential. Results: As indicated above, 15 individuals were removed from the study; six patients in the NOAC group refused to participate and departed the study; while four patients were lost to follow-up. In this study, rivaroxaban was administered to twenty-one participants, whereas warfarin was administered to the remaining twenty-four. Conclusion: Oral anticoagulants for stroke prevention in non-valvular AF have advanced in development, benefiting patients and clinicians alike with fewer medication and food interactions, no monitoring need, and a wider therapeutic index.
Effectiveness of an Educational Program on Nurses’ Knowledge towards Physical Therapy for Patients with COVID-19
Authors: Mohammed Qasim Dali , Atiyah Hussein Hadi
Published: May 2022

Background: Traditional Chest Physical Therapy is a method of respiratory therapy in which the lungs are drained using an airway clearance technique; it consists of placement, drainage, and percussion. Techniques have been developed, as a result, new techniques emerged that facilitated secretion removal and even included strategies for increasing lung capacity and volume. Objectives: This study aims to evaluate the effectiveness of an interventional program on nursing staffs’ knowledge toward physical therapy for patients with COVID-19. Methodology: A pre-experimental (one-pretest-posttest) design was used to conduct this study. A non-probability (purposive) sampling was used to select (60 nurses) working in ICU. To measure the effectiveness of the interventional program, the researcher used a knowledge form that included (22) questions patient-oriented with COVID-19. The validity of the questionnaire and the interventional program was verified by presenting it to (12) experts. The reliability was determined using the test-retest approach for the knowledge questionnaire. Data analysis was done using the Statistical Package of Social Sciences (SPSS) version 25. Results: The study findings showed that there are highly statistically significant differences between the scores of nursing staffs’ knowledge in two levels of measurements (pre-test and post-test) at p-value (0.000), where the statistical mean of the overall knowledge of nursing staff in the pre-test was (1.657), while it becomes (12.297) in post-test, after the interventional program has been applied. Conclusion: The study concluded that the interventional program positively affects the nursing staffs’ knowledge concerning physical therapy for patients with COVID-19. Keywords: Physical therapy, COVID-19, Nursing, Educational program
Effectiveness of an Educational Program on Parents' Knowledge about Home Health Care Management to Children with Beta Thalassemia-Major at Thalassemia Center in Al-Zahra Teaching Hospital for Maternity and Children in Al-Najaf City
Authors: Atshan Riyadh Saad , Aziz Afifa Radha
Published: May 2022

Background Thalassemia is a hereditary condition that affects the formation of globin chains. Children with βeta-thalassemia major have a complete absence of globin production. βeta thalassemia- major is a severe type of disease that require life-long blood transfusions for survival. Objectives: To evaluate the effectiveness of an educational program on parents' knowledge regarding home health care management related to children with Beta Thalassemia-Major Methodology: A quasi experimental study was carried out at Thalassemia Center in Al-Najaf City during the periods 25 February 2021 to 20 March 2022. Non-probability (purposive) sample of (70) parents were selected from thalassemia center (38 mothers and 32 fathers). Results: The study findings show that there are high significant difference in overall main domains relating parents' knowledge of beta-thalassemia major between pre and post-tests 1&2 in the study group. In addition there is a statistical relationship between parental knowledge with regard to their age. Also there is high statistical significant relationship during parents’ knowledge with regard to their educational level Conclusion: The study finds that the efficacy of an educational program to improving parents' knowledge of home health care management for children with β-Thalassemia Major is high Keyword: Educational Program, Beta thalassemia, Children, AL-Najaf City
Impact of Preventive Measures upon Children's Emotional Behaviors during COVID-19 Pandemic in Mosul City
Authors: Ahmed Sinan Samer , . Mscn , Ma’ala Eqbal Ghanian Ali , . Phd
Published: May 2022

The study aimed to evaluate children's emotional behaviors during COVID-19 pandemic in Mosul city and to find out the relationship between children behavior and their socio-demographic characteristics. A quantitative research (descriptive study design) was carried out from the 11th of May until the 2nd of November 2021. A non-probability (Purposive) sample technique is chosen for the current study. The sample involved of (620) children selected from the pediatric consultation clinics in the three of Mosul Hospitals. Scale was used called strengths and difficulties questionnaire (SDQ) for children behavioral screening. The data analyzed by the use of both descriptive and inferential statistical analysis procedures by SPSS version 26. The results of the study reflects abnormal emotional behavior represent by highest percentage (79.4%), and then this percentage was followed by (19.5%) with normal behaviors, while represent (1.1%) by borderline,. children emotional behavior shows that is more affected by preventive measures (lockdown and social separation) during the COVID-19 pandemic outbreak. The result of the present study revealed that is only a high significant association between children emotional behaviors with their gender of child's (0.015) and residence (0.000) at P. value ≤ 0.05 levels. The study concluded that there is a clear impact upon children's behavior due to the preventive measures (lockdown and social separation) that were imposed due to the COVID-19 pandemic. Emotional behavior is more affected than other types of behaviors. Child's gender and residence of living shows high significant effects with total difficult score of behaviors. The study recommendation the following: detecting on children who have abnormal behavior and refer the suspected cases of having behavioral problems to psychological counseling clinics, that's because a long-term of disorderly behavior leads to mental disorders and may accompany children at puberty. Work on developing plans and programs for entertainment and dealing with children during the home confinement in the future when other pandemics occur or recurrent. Establishing psychiatric medical and Nursing consultations for children by communication with parents, or allocating a phone number for this purpose in the event of a lockdown when parents notice any changes in children behavior. Keyword: Impact, Preventive Measures, Children's Behaviors, Emotional Behaviors, COVID-19 Pandemic.
Application of Prone Position for Patient with Corona Virus Disease: An Interventional Program for Nursing Staff
Authors: Al-Badri Wissam Qassem , Khudur Khalida Mohammed
Published: May 2022

Background: The coronavirus disease (COVID19) epidemics began in Wuhan, China, in December and have since grown into a serious public health challenge for not only China but also countries around the world. Supportive therapy with advanced hypoxemic respiratory failure management has been demonstrated to improve oxygenation in COVID-19 patients, and the prone position has been proven to improve oxygenation in COVID-19 patients Aims of the study: Assessment of nurses' knowledge toward application of prone position for patient with corona virus, and Assessment of an effectiveness of Educational program on nurses' knowledge toward application of prone position for patient with corona virus Methodology: Pre-experimental study design was used with the application of pre and two post-tests approach. The study was carried out in Kut City/Wasit Province, at AL-Zahraa Teaching Hospital. A non-probability "purposive" sample had been consisted of (69) nurses were selected from at AL-Zahraa Teaching Hospital Results: The results indicate that the nurses at the pre-test are fail at all studied items (M ≤1.66) except, the items number (1 and 21) the responses were fair (M=1.67-2.33). While, after the application of intervention program, nurses expressed significant increased knowledge scores (p< 0.05). Conclusion: There were improving in nurses' knowledge and practices after posttest due to intervention program concerning application of prone position.. Keywords: barriers, nurses, emergency, pediatric, intravenous cannulation.
Quality of Nursing Care in Respiratory Isolation Units of Coronavirus Disease
Authors: Ali Zahraa Hussein , Hattab Waffa Abed Ali
Published: May 2022

Background: COVID-19 has had a significant impact and challenge, especially for nursing practices, and since the quality of nursing care is one of the most important priorities in the field of health care, it has had its share of these challenges and impacts due to the epidemic. The information available about quality of nursing care in healthcare facilities during the COVID-19 pandemic is very limited. Objective: This study aimed to fill this gap by assessing quality of nursing care in respiratory isolation units of coronavirus disease. Methodology: A descriptive cross-sectional design was carried out in four hospitals at isolation units of coronavirus disease from the period (21th December, 2021 to 27th January, 2022). A non-probability (convenience) sampling method consists of (112) patient were selected convenience based on the study criteria. The tool used to measure the quality of nursing care is the Patient Satisfaction with Nursing Care Quality Questionnaire-Arabic (PSNCQQ-Ar). Results of the study: presented that patients’ satisfaction with quality of nursing care were within high score in all items because the mean more than (3.18), except for item (19) which presented that patient reflected they have low level of health (Mean = 2.8). Conclusion: The level of quality of nursing care provided to patients in the respiratory isolation units for Coronavirus disease was not affected, as the level of quality of care remained high. Keywords: Quality of Nursing Care, Respiratory Isolation Units, Coronavirus Disease.
Assessment of Depression Disorder among Recovered Nurses from Covid-19
Authors: Raheem Alaa Kadhim , Mousa Ayad Majid
Published: May 2022

Objectives: The present study aims to assess depression disorder among recovered nurses from COVID-19 in Babylon Governorate Hospitals and to find out the relationship between depression disorder and demographic characteristics, which include age, gender, marital status, type of family size, education level, and years of experience in a health setting. Methods: A descriptive correlation design used in the present research established that for a period from October 10th, 2021 to March 20th, 2022. The study used a probability (convenient) samples of 143 nurses who recovered from COVID-19 and were drawn from wards of educational and non-educational hospitals. The instruments of the research are adopted and modified for the purpose of this research. Results: The current study showed that less than three-quarters (102, or 71.3%) of those aged (19–29) years of age of age, and more than two-thirds (94, or 65.7%) were female. Regarding marital status, more than half of the sample of 81 (56.6%) were single, and concerning family size, less than two thirds of 89 (62.2%) were small less than six individuals. In relation to educational level, more than a fifth (58, or 40.6%) were diplomas in nursing. It also revealed that about two thirds (93, or 65%) had had (1–5) years of experience in a health setting. Conclusions: Moderate depressive disorder was more prevalent in recovered nurses from the age group (19–29), specifically females, and they had served in health institutions for 1–5 years. Recommendations: Researchers must invest more in studies to measure a larger population to generalize the results. The Department of Continuing Medical Education must provide psychological support for recovered nurses from COVID-19, especially female nurses. Increased efforts should be made to hold epidemiological training courses on how to deal with transmissible viruses, as well as to understand their dangers and modes of transmission. Key word: depression disorder, recovered nurses and COVID 19.
Investigation of the Effect of Sedentary Life on the Health Status of Individuals
Authors: Cetinkaya Erkan , Şimşek Erkan , Zelyurt Ömer , Demirel Mehmet Yasin
Published: May 2022

Purpose: Exercise is essential to the protection of the organism against disease, as well as its essential to a healthy life. In this study, the aim was to study the effects of inert life on human organism and to contribute to the quality of life of exercise. Methods: The method of the study is to compile all those who will contribute to our current work that has been scanned using the keywords ‘stationary life’, ‘exercise and health’, ‘protection of health’ in light of the studies in the relevant literature. Conclusion: In the study, it was concluded that immobile life has many negative aspects of the health of individuals, but also has a negative effect on individuals both physiologically and psychologically. Keywords: Exercise and Health, Idle life, Health Protection
Effectiveness of an Education Program on Nurses Knowledge toward Enteral Nutrition Support for Unconscious Patients at Critical Care Unit in Imam Al-Hussein Medical City in Holy Karbala
Authors: Faris Haitham Ibrahim , Abed Rajaa Ibrahim
Published: May 2022

Background: Critically patients in the intensive care unit can suffer from malnutrition, which can have an adverse impact on patient outcomes. Nutrition, including enteral nutrition (EN), is largely neglected in clinical practice. As a result, dangers and safety issues for patients and healthcare professionals may arise. Objectives: to Measure the Effectiveness of an Educational Program on Nurses Knowledge toward enteral Nutritional Support for Unconscious Patients Methods: A quasi-experimental was conducted at the Critical Care Unit in Imam AL-Hussein Medical City in Holy Karbala for the period of November 24th, 2020 to April 27th, 2022. A non-probability "purposive sample" of (60) nurses who are working at critical care unit . the sample divided into two groups, control group consist of (30) nurses and study group consist of (30) nurses exposed to the nursing educational program. Data were collected by using Self-administered questionnaire form relevant to the nurses' knowledge and demographic data Results: The study's findings indicate that the study group's knowledge of enteral nutrition support for unconscious patients in critical care units is greater to that of the control group at the post-test, as compared to the control group's knowledge , so the educational program was effective in increasing nurses' knowledge. Conclusion: After a post-test for a study group on Nutritional Support for Unconscious Patients, there was an increase in nurses' knowledge. In comparison, the control group did not show any progress in their knowledge of Nutritional Support for Unconscious Patients at the pre and post-test. Recommendation: Special and long continuing educational program should be established and applied for nurses who are working in intensive care units concerning Nutritional Support for Unconscious Patients , and Work on the principle of reward and punishment in the application the guidelines of nutritional support in intensive care units. Keyword: Effectiveness, knowledge, enteral, nutrition, unconscious, patient critical.
Evaluation of Reasons for Partial Compliance and Non-compliance to the Routine Childhood Vaccination Schedule in Al-Russafa District
Authors: Azeez Ali H. , Khalifa Mohammed F.
Published: May 2022

Objectives: To evaluate reasons for partial compliance and non-compliance to the routine childhood vaccination schedule in Al-Russafa district. Methodology: Descriptive study, using the evaluation approach, is carried throughout the present study to determine the reasons for the Routine Childhood Vaccination at health care sectors and primary health care centers at Al-Russafa District in Baghdad City, Convenient, non-probability, sample of (90) mother who are recruited from health care sectors at Al-Russafa District in Baghdad City. All mothers, who have participated in the study, have signed consent form for their agreements for the participation in the study. An interview-schedule is constructed for the purpose of the study. The study instrument is constructed through review of relevant literature. It is comprised of reasons responsible for partial compliance and Reasons for Non-compliance to the routine childhood vaccination schedule. Content validity and internal consistency reliability of the study instrument are determined through pilot study. Data are collected using the study instrument and the application of the structured interview as means of data collection. Data are analyzed through the application of the descriptive data analysis approach of frequency and percent. Results: The study depicts that mothers present different reasons for partial compliance and non-compliance for routine childhood vaccination schedule. Conclusion: Reasons for partial compliance for routine childhood vaccination schedule include that the child is ill and family problem including illness of mother, fear of side effects, the vaccination is postponed until another time in Al-Russafa districts. These reasons are identified as part of the obstacles, lack of information and lack of motivation reasons and reasons for non-compliance for routine childhood vaccination schedule include that the child is unvaccinated because of illness, fear of side effects after vaccination and the time for vaccination is not convenient in Al-Russafa districts in Baghdad City. These reasons are discovered as the main causes of the vaccination delay. Recommendations: The study recommends that routine childhood vaccination schedule should be seriously implemented and monitored. Further national studies can be conducted on such topic and on a wide-range scale. Keywords: Partial compliance, Non-compliance, Routine Childhood Vaccination Schedule
Rezension von: Burkhardt, Heinz, Gottlob David Hartmann
Authors: Schweizer Günther , Burkhardt Heinz
Published: May 2022

Heinz Burkhardt: Gottlob David Hartmann. Komet am Himmel der Sturm- und Drangzeit. Das Leben eines früh verstorbenen schwäbischen Philosophen, Dichters und Theologen. Verlag IPa Mühlacker-Mühlhausen 2011. 320 Seiten. Hardcover € 49,80. ISBN 978-3-933486-73-8
Rezension von: Abele-Aicher, Christine, (Hrsg.) Die sanfte Gewalt
Authors: Wrobbel Sibylle , Abele-Aicher Christine
Published: May 2022

Christine Abele-Aicher (Hrsg.): Die sanfte Gewalt. Erinnerungen an Inge Aicher-Scholl. Süddeutsche Verlagsgesellschaft Ulm im Jan Thorbecke Verlag Ostfildern 2012. 176 Seiten mit 60 Abbildungen. Hardcover € 19,90. ISBN 978-3-7995-9121-8
Rezension von: Kilcher, Andreas B., (Hrsg.) Metzler Lexikon der deutschjüdischen Literatur
Authors: Setzler Wilfried , Kilcher Andreas B.
Published: May 2022

Andreas B. Kilcher (Hrsg.): Metzler Lexikon der deutschjüdischen Literatur. Jüdische Autorinnen und Autoren deutscher Sprache von der Aufklärung bis zur Gegenwart. 2., aktualisierte und erweiterte Auflage. Verlag J. B. Metzler Stuttgart 2012. XXXII, 576 Seiten mit 299 Abbildungen. Gebunden € 69,95. ISBN 978-3-476-02457-2
Rezension von: Arbeitsgemeinschaft Archive im Städtetag Baden-Württemberg (Hrsg.), Stadtgedächtnis – Stadtgewissen – Stadtgeschichte!
Authors: Lilla Joachim , Städtetag Baden-Württemberg. Arbeitsgemeinschaft Archive
Published: May 2022

Arbeitsgemeinschaft Archive im Städtetag Baden-Württemberg (Hrsg.): Stadtgedächtnis – Stadtgewissen – Stadtgeschichte! Angebote, Aufgaben und Leistungen der Stadtarchive in Baden-Württemberg. Verlag Regionalkultur Ubstadt-Weiher 2013. 191 Seiten mit 115 meist farbigenAbbildungen. Fester Einband € 17,90. ISBN 978-3-89735-746-4
Dondurarak ve Sıcak Hava ile Kurutulmuş Kamkat Dilimlerinin Bazı Kalite Özellikleri
Authors: Yıldız Turgut Demet
Published: May 2022

Bu çalışmada farklı kurutma yöntemleri ile kurutulmuş kamkat dilimlerinin toplam fenolik, toplam flavonoid, askorbik asit içerikleri ile antioksidan aktivite ve renk özelliklerinin karşılaştırılması amaçlanmıştır. Bu doğrultuda kamkat dilimleri dondurarak kurutma ve sıcak hava kurutma yöntemi (50℃, 60℃ ve 70℃ 1 m s⁻¹) ile kurutulmuştur. Araştırma sonuçları, dondurarak kurutulmuş kamkat dilimlerinin en yüksek L* ve h° ile en düşük a*, b* ve C* değerleri sergilediğini göstermiştir. Ayrıca dondurarak kurutulmuş kamkat dilimlerinin en yüksek toplam fenolik (778,79 mg GAE 100 g⁻¹), toplam flavonoid (151,26 mg CE 100 g⁻¹) ve askorbik asit içeriğine (113,19 mg 100 g⁻¹) sahip olduğu belirlenmiştir. Diğer yandan, sıcak hava ile kurutulan örnekler arasında en yüksek toplam fenolik, toplam flavonoid ve askorbik asit içeriği 60℃’de kurutulan kamkat dilimlerinde tespit edilmiştir. Kurutma yöntemleri arasında antioksidan aktivite açısından farklılıklar önemli bulunmamıştır. Sonuç olarak, dondurarak kurutma yönteminin kamkat gibi biyoaktif bileşen içeriği zengin meyveler için alternatif bir kurutma yöntemi olarak kullanılabileceği önerilmektedir.
Acute Health Consequences from Electronic Cigarettes: A Narrative Review
Authors: Laohaprapanon Sawanya , Saengow Udomsak
Published: May 2022

Electronic cigarettes (e-cigarettes) is relatively recently introduced to the market. Its long-term effects are still unclear and require years of research. On the other hand, knowledge about the short-term effects of e-cigarettes is emerging. The purpose of this review was to examine the current literature on the acute health consequences associated with the e-cigarette. We used pre-specified keywords to conduct searches in academic databases of articles published between 2011 and 2020. This review focused on acute health consequences of e-cigarettes in humans that can be directly attributed to the e-cigarette. Burns and injuries associated with device explosion, e-liquid intoxication, e-cigarette or vaping product use-associated lung injury, and pneumomediastinum were identified as acute health consequences associated with e-cigarettes. Except for pneumomediastinum, these acute health consequences are unique to an e-cigarette that are unlikely to be caused by a conventional cigarette. In the short term, the e-cigarette is likely more harmful than the conventional cigarette. Tightening safety regulations on the manufacturing, distribution, and sale of e-cigarette devices is recommended. Compulsory child-resistant containers for e-liquid containers, banning or restriction the use of colorful labels on e-liquid containers, and compulsory warning labels on e-liquid containers are recommended to prevent child’s ingestion of e-liquid.
Estado nutricional de crianças e adolescentes do Brasil: uma revisão bibliográfica sistemática
Authors: Pitanga Fábio Herget , Souza Adriéllen da Silva , Batista Gustavo Del Sent , Rocha Ricelli Endrigo Ruppel da
Published: May 2022

O estado nutricional de crianças e adolescentes do Brasil: uma revisão bibliográfica sistemática trata-se de um estudo com objetivo de avaliar os resultados obtidos na literatura acerca das prevalências do estado nutricional de crianças e adolescentes escolares no Brasil. Formam eleitos 141 artigos, sendo as Regiões Sul e Sudeste as com maiores números de estudos (53 artigos de cada). A Região Sul apresentou a maior prevalência tanto de baixo peso (5,1%) quanto de obesidade (9,3%). As Regiões Sudeste (24,2%) e Sul (24,0%) apresentaram as maiores prevalência de excesso de peso. A nível nacional os resultados foram os seguintes: baixo peso: 3,2%, eutrófico: 71,7%, excesso de peso: 24,8%, sobrepeso:17,8% e obesidade:8,3%. Sendo assim, conclui-se que são altas as taxas de excesso de peso e obesidade no Brasil. Políticas públicas de incentivo à prevenção e tratamento de distúrbios nutricionais devem ser implementadas, principalmente nas Regiões Sul e Sudeste.
Educação Física em tempos de pandemia no IFCE: metodologias e conteúdo de maior relevância na visão do estudante
Authors: Matos Maria Erlene Vieira
Published: May 2022

O objetivo do artigo é relatar a metodologia e os conteúdos de maior relevância nas aulas de Educação Física na modalidade ensino remoto emergencial, durante a pandemia Covid-19. O estudo foi desenvolvido em um dos Campus do Instituto Federal do Ceará. Participaram do estudo 46 alunos, sendo 12 do sexo masculino e 24 do feminino, idade 20-40 anos. O estudo se caracteriza como exploratório e descritivo. Pesquisa realizada por meio de questionário elaborado na Google Forms, com lacunas para sugestões, aplicadas no penúltimo dia de aula. Os resultados demonstraram que o processo de aprendizagem pode estar associado às metodologias aplicadas, relação professor e aluno, motivação e interesse pelo conteúdo. Os alunos obtiveram maior aprendizagem nos conteúdos que julgaram mais relevantes: erros comuns na execução de exercícios físicos e doenças causadas por disfunção hormonal e os efeitos da atividade física.
Analisis Realisasi Anggaran Rutin Badan Pengelola Keuangan dan Aset Daerah Kabupaten Minahasa
Authors: Zebua David Tuberta Saronitema , Manaroinsong Jhony , Moroki Florence
Published: May 2022

Abstrak
Tujuan riset ini adalah untuk menganalisis realisasi anggaran rutin badan pengelola keuangan dan aset daerah Kabupaten Minahasa dengan maksud menentukan dasar bagi pemerintah dalam menyajikan laporan pencapaian anggaran dalam rangka pencapaian tujuan akuntabilitas publik. Riset ini merupakan jenis riset kuantitatif metode deskriptif. Populasi riset ini adalah Laporan Realisasi Anggaran Pemerintah Kabupaten Minahasa dan sampelnya diambil dari Laporan Realisasi Anggaran Pemerintah Kabupaten Minahasa tahun 2016–2019. Desain penelitian berfokus menganalisis data Pengelolaan Keuangan dan Aset Daerah Kabupaten Minahasa berdasarkan rasio efektivitas dan rasio efisiensi. Teknik analisis datanya dilakukan dengan menganalisis, menafsirkan dan mengolah data. Dari hasil analisis kinerja keuangan Pemerintah Daerah Kabupaten Minahasa kurang berjalan dengan baik karena rasio efektivitas pendapatan daerah mengalami penurunan dan rasio efisiensi kinerja keuangan cenderung menunjukkan kategori kurang baik. serta setiap tahun terjadi peningkatan Pendapatan Asli Daerah Pemerintah Kabupaten Minahasa namun aparatur daerah kurang mampu menata hasil pendapatan asli daerah sehingga harus bergantung dengan Dana Pemerintah.
Analisis Perilaku Wajib Pajak Usaha Mikro Terhadap Pelaksanaan Pemungutan Pajak Menggunakan Self Assessment System Di Kota Tomohon
Authors: Sihaloho Nico , Kewo Cecilia , Mundung Bertha
Published: May 2022

Tujuan dari penelitian ini adalah untuk mengetahui perilaku wajib pajak usaha mikro terhadap pelaksanaan pemungutan pajak menggunakan Self Assessment System di Kota Tomohon. Penelitian ini menggunakan metode kualitatif deskriptif. Sampel yang digunakan dalam penelitian ini terdiri dari 10 informan dengan menggunakan metode purposive sampling yaitu pengambilan sampel dengan kriteria tertentu dan. Teknik pengumpulan data yang dilakukan yaitu observasi parsipatif pasif dan observasi terus terang atau tersamar, wawancara tak berstruktur dan dokumentasi. Hasil penelitian ini menunjukkan perilaku wajib pajak usaha mikro terhadap pelaksanaan pemungutan pajak menggunakan Self Assessment System di Kota Tomohon masih belum berjalan dengan baik dan juga belum berjalan sesuai dengan apa yang diinginkan. Didalam pelaksanaan pemungutan pajak menggunakan Self Assessment System juga masih terdapat penghambat dalam menjalankannya yaitu masih kurangnya penyuluhan dari fiskus yang membuat wajib pajak usaha mikro menjadi kebingungan atau tidak mengetahui apa yang menjadi kewajiban perpajakannya.
Stress, anxiety and perceived social support among hemodialysis patients with chronic kidney disease
Authors: George Soneymol , Zaidi S. Z. H. , Kazmi Syed Sajid Husain
Published: May 2022

Hemodialysis Patients face an emotional challenge due to several modifications required in their lifestyle and the impairments in physical and role functioning. Therefore, it is essential to find out resources that buffer them from the adverse effects of stress and anxiety. Purpose of this study was to examine the level of Stress, Anxiety and Perceived Social Support among Hemodialysis Patients with Chronic Kidney Disease in India. Also, the relationship between stress, anxiety and perceived social support has been explored using Cross Sectional Study design. The sample of the study consisted of 50 Hemodialysis patients with Chronic Kidney Disease, within the age range of 35 to 55 years who were purposively selected from two private hospitals in Uttar Pradesh. Data was collected using Depression Anxiety and Stress Scale (DASS-2, 1995) and Multidimensional Scale of Perceived Social Support (MSPSS, 1988). The descriptive statistics were applied to describe the level of Stress, Anxiety and Perceived Social Support among Hemodialysis Patients. Spearman’s Rank-Order Method was applied to assess the correlation between the variables. The results showed severe level of Stress and Anxiety, and moderate level of Perceived Social Support among the Hemodialysis Patients.
Molecular analysis of clinical isolated Pseudomonas aeruginosa by ERIC PCR
Authors: Najem Sura Abdul-Aziz , Shubbar Ebtehal E.
Published: May 2022

Pseudomonas aeruginosa is a significant mortality factor due to nosocomial infections in humans. P. aeruginosa has been known with severe infections, high incidence, and multiple drug resistance The present study aims to rapidly diagnose and biotype the isolates of P. aeruginosa isolated from human infections in intensive care units, Al-Sadder Medical City, Al-Hakeem General Hospital, and the burn center in Najaf city by ERIC-PCR. From 156 clinical sample   23 P. aeruginosa were isolated including burn 17/77 (22%), 2/21wound (9.5%), 3/43 urine (6.9%), 1/15 throat swab(6.6) between August 2021 to February 2022. After phenotypic confirmation, isolates were examined by PCR for molecular confirmation Enterobacterial Repetitive Intergenic Consensus (ERIC) PCR were done on 24 isolates. In ERIC-PCR Genetic analysis of P. aeruginosa isolates depending on ≥ 75% similarity revealed the presence of 8 different cluster as figure 2, four of them with single isolate other two clusters with two similar isolates while the two other clusters contained seven identical isolates profile each.
Distribution of AmpC-Family genes among Acinetobacter spp isolates in Najaf City, Iraq
Authors: Al-Ghazaly Naseer Flaih Zghair , Tuwaij Nabil Salim Saaid
Published: May 2022

Acinetobacter species have produced numerous complications in nosocomial infections. AmpC beta-lactamases are regarded as one of the most significant mechanisms of resistance in this pathogen, therefore this study included molecular investigation of AmpC family gene among Acinetobacter spp. in Najaf City, Iraq. The results of culture growth showed that of the 928 affected patients, 487(52.47%) were female and 441(47.52%) were male and 522(56.25%) showed bacterial growth while 406(43.75%) showed no growth. The results revealed that bacterial growth was higher in females 13(4.49%) compared to 15(6.79) in males. Current study recorded 28 (5.36%) Acinetobacter spp. isolates. recoverd from the different infections, the results of microbial diagnosis showed that 26 isolates were attributed to A. baumannii, while 2 isolates were attributed to A. lwoffii. The PCR data revealed that all Acinetobacter spp. isolates in the current study carried 28 (100%) DHA genes, while only 2 (7.14%) isolates from A. baumannii carried ACC genes that appeared in positive bands with the correct product size. At the same time, PCR data showed that the genes of CIT, FOX, EBC and MOX were not detected.