iosr-JNHS   Volume-4 ~ Issue-4 ~ July-August 2015

Abstract: Aim: The aim of the present study was to evaluate the effects of early post an-esthetic chest physiotherapy nursing intervention (Breathing exercises ) on ventilatory functions, pulmonary complications and Length of postoperative hospitalization) in patients undergoing upper abdominal surgery (UAS). Subjects and Methods: Sixty consecutive patients undergoing upper abdominal surgery were recruited into the study. They were divided into two groups of equal number, both received the routine physical therapy (early ambulation ),while those only in the study group received breathing exercises after surgery, while still in the post anesthesia care unit (PACU) . The patients in both groups were evaluated on the day before surgery and on the second postoperative day. Pulse oximetry and spirometric tests were performed twice; before beginning intervention and on the second day after surgery. Information regarding Surgery duration, length of hospital stays and postoperative pulmonary complications (PPCs) were gathered from patients' medical records.

[1]. Pasquina P, Tramèr MR., GranierJM and Walder B: Respiratory Physiotherapy To Prevent Pulmonary Complications After [2]. Barisione G, Rovida S, Gazzaniga GM and Fontana L.: Upper abdominal surgery: does a lung function test exist to predict early severe postoperative respiratory complications? Eur. Respir. J.1997; 10: 1301–8
[3]. Samantha T. Grams, Lariane M. Ono, Marcos A. Noronha, Camila I. S. Schivinski, Elaine Paulin .Breathing exercises in upper abdominal surgery: a systematic review and meta-analysis. Rev Bras Fisioter. 2012;16(5):345-53.
[4]. Kanat F, Golcuk A, Teke T, Golcuk M. Risk factors for postoperative pulmonary complications in upper abdominal surgery. ANZ J Surg. 2007;77(3):13541.
[5]. Renault, J.A., Costa-Val, R. and Rossetti, M.B. (2008). Respiratory physiotherapy in the pulmonary dysfunction after cardiac surgery. Rev Bras Cir Cardiovasc. 23:562-9.
[6]. Law S, Wong KH, Kwok KF, Chu KM, Wong J. Predictive factors for postoperative pulmonary complications and mortality after esophagectomy for cancer. Ann Surg. 2004;240(5):791-800.

Abstract: Screening is a fundamental approach for control and prevention of tuberculosis (TB). The aim of the current study was to determine the prevalence of TB among university female students in an educational setting in Saudi Arabia and to implement TB prevention and control program. Asample of 209 university female students completed the study. A cross-sectional design was used for tuberculosis screening. The study was conducted at an academic educational setting in the center region of Kingdom of Saudi Arabia (KSA). Two tools were applied for the study(1) aquestionnaire which includes (a) socio-demographic data sheet, (b) Tuberculosis data sheet.And (2) a tuberculin skin test was used. The study results showed that 91% of the studied sample was tuberculin negative (-ve) while 9% was tuberculin positive (+ve).

[1]. World Health Organization (2013) Global Tuberculosis report: 2013. Geneva: World Health Organization.59-68.
[2]. Ministry of Health (2014) Statistics Book Year 2014. Riyadh: Ministry of Health, Saudi Arabia. 52-53.
[3]. Varghese B., Supply, P., Shoukri, M., et al. Tuberculosis transmission among immigrants and autochthonous populations of the Eastern Province of Saudi Arabia. PLoS One. 24(11), 2013, 243-254.
[4]. Restrepo BI., Camerlin, AJ.,Rahbar, MH., et al. Cross-sectional assessment reveals high diabetes prevalence among newly-diagnosed tuberculosis caese. Bull World Health Organ. 89, 2011, 352-359.
[5]. American College Health Association's Tuberculosis Guidelines. Tuberculosis screening and targeted testing of college and university students. www.acha.org. Accessed April 21, 2014.

Abstract: Preterm babies are more prone to develop disorders and so require immediate intensive care. In the conventional neonatal intensive care, the baby is kept in the incubator, separated from the mother. Some actions have been taken in order to make this mother-child separation less traumatic. One of these actions is the Kangaroo Mother Care (KMC) characterized by skin-to-skin contact between mother and her newborn. The spreading acceptance of Kangaroo Mother Care is an indication of its function as a human incubator which is easily available. It is not only satisfying to both the baby and the parents and costs nothing but also results in early discharge and infant survival. In view of the benefits KMC brings to the infants and parents, this practice has to be encouraged. Keywords: Preterm babies, Kangaroo Mother Care.

[1]. Indumathy.S et al. "Premature Labor Symptoms, Prevention and Treatment", Nightingale Nursing Times, 2009 Jan.
[2]. Padmaja.A et al. "An Overview of Kangaroo Care", Nightingale Nursing Times, 2008 Apr.
[3]. Sivapriya.S et al. "Effectiveness of a structured teaching programme on Kangaroo Mother Care among the mothers of preterm babies", Prism‟s Nursing Practice 2007 Vol 2 (4) 174-176.
[4]. J Trop Pediatr. 2010 Oct; 56(5):342-4. doi : 10.1093/tropej/fmq063.Epub 2010 Jul.

Abstract: As in many other developing count ries, public service at several fields such as education, health, public transport, housing, social welfare, nutrient, electricity and drink water, has been delivered by governmental bureaucracy aimed to improve social welfare of the people. Therefore, the access to the decision-making to determine the allocation of public service and also the access to the bureaucracy to determine the distribution of service will be important to achieve the evenly distribution of service. records.

[1]. Kellough, J.E., 2003. The Reinfention Of Public Pesonal Administration: An Anlysis of The Diffusion of Personel Manajemen Reform in The state. Washington: Public Administration Review. Vol.63.
[2]. Farnham D., Horton, S., White, G., 2003. Organizational Change and Staff Participation and Involment in Britain's Public Service. The International Journal of Public Sector Manajemen, Vol. 16, No. 06. pp. 434-445.
[3]. Savas, E.S. 2002. Competition and Choice in Newyork City social Service Washington :Public Administration Review. Vol. 62.
[4]. Beblavy, M., 2002. Manajemen of Civil Service Reform in Central Europe. Decentralization and Public Administrration Reform. April, 2002

Abstract: Burn injuries are one of the major health problems throughout the world. The problem of infection in burn wound is considered the cause of death in burned patients. Aim of the study: To determine the effectiveness of ozone therapy dressing technique on the healing process of recent 2nd degree burns.

[1]. Lewis S. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 8thed. St. Louis: Elsevier Science Health Science Division; 2010.
[2]. Monanhan F. Medical surgical nursing health and illness perspective. Europe 2012; 1911-23.
[3]. Gonce P. Essential of critical care, burn injuries. Philadelphia: Lippincott Williams & Wilkins; 2013.
[4]. Statistical Department. Hospital statistical records of burn patients. Egypt: Alex University; 2012.
[5]. Demling R. Medical progress burns. N Engl J Med 2011; 313(22):1389-9.
[6]. Perry A, Potter P. Fundamental of nursing concepts, process and practice. 3rded. St. Louis: Mosby; 2007.
[7]. Ebrahim A. Conventional occlusive dressing versus polythene gloving on second degree burn hand. Master Thesis. Faculty of Nursing, Alexandria University; 2009.

Abstract: Pain is a perceptual experience, which involves multiple integrated systems that act in a coordinated fashion. Pain plays such an important role in our life. Can we imagine a life without this perception of pain? There are certain rare diseases which results in loss or reduction of pain sensation. One such condition is hereditary sensory and autonomic neuropathy. The present study was conducted to assess the living pattern of children from same family who are suffering with this rare disease called hereditary sensory and autonomic neuropathy. 3 participants were included in the study by using purposive sampling technique. Qualitative research design was adopted for the study.

[1]. Axelrod FB: Autonomic and Sensory Disorders. In Principles and Practice of Medical Genetics. Volume 3.5th edition. Edited by Rimoin DL, Connor JM, Pyeritz RE, Korf BR. Edinburgh: Churchill Livingstone; 2007::2802-2816. [2]. Axelrod FB, Pearson J: Congenital sensory neuropathies. Diagnostic distinction from familial dysautonomia. Am J Dis Child 1984, 138:947-954. PubMed Abstract
[3]. Auer-Grumbach, M (Mar 18, 2008). "Hereditary sensory neuropathy type I.". Orphanet journal of rare diseases 3: 7. doi:10.1186/1750-1172-3-7.
[4]. Hicks, E (1922)."Hereditary perforating ulcer of the foot". Lancet: 319–21.

Abstract: Mucositis is an important adverse effect of cancer treatment. The aim of this study was to identify the efficacy of cryotherapy on oral mucositis prevention among patients with head and neck cancers who undergoing radiotherapy. Subjects and Methods: quasi-experimental design was conducted on 60 head and neck cancer patients who underwent radiotherapy. The patients were randomly divided into two study and control groups of 30 each. The patients in the study group received instructions for sucking ice cubes before and after each radiotherapy session for five minutes during the study period. Oral assessment and oral mucositis grading as well as its severity were evaluated on the 1st (first), 7th (midst), and 14th (latest) days of the radiotherapy.

[1]. Audrey, S. Rousseau, A. and B.Cécile, Head and Neck: Squamous cell carcinoma: an overview, Atlas Genet Cytogenet Oncol Haematol, 2(2) 2012, 145-155. [2]. Ridge, JA. Glisson, BS. and Lango ,MN. Head and Neck Tumors (Hoskins, WJ, 2008)
[3]. Sonis, ST. Oral Mucositis in Cancer Therapy, J Supportive Oncology, 2(12) 2004, 3-8.
[4]. Chiappelli, FThe molecular immunology of mucositis: Implications for evidence-based research in alternative and complementary palliative treatments, Evid Based Complement Alternat Med, 2 (2)2005,489-94.
[5]. Epstein, JB. And Schubert, MM. Oral mucositis in myelosuppressive cancer therapy, Oral Surg Oral Med Oral Pathol Oral Radiol Endod,88(23)1999,273-6.
[6]. Gibson, RJ. Bowen, JM. And Keef, DM. Technological advances in mucositis research: new insights and new issues, Cancer Treat Rev,34 (13) 2008,476-82.

Abstract: Background: Infection is one of the main complications among burned patients. Nurses working with such patients must possess competencies and knowledge in order to ensure delivery of quality of care. Aim: This study was carried out to assess nurses' knowledge and practice for prevention of infection in burn unit at a University Hospital; as well to suggest nursing guidelines according to study results. Research questions: Q1: What is the nurses' knowledge for prevention of infection in the burn unit? Q2: What is the nurses' practice for prevention of infection in the burn unit?

[1]. Qader, A.R., Muhamad J.A. (2010): Nosocomial infection in sulaimani burn hospital,
[2]. Iraq. Ann Burns Fire Disasters; 23(4):177-81.
[3]. Peck, M.D. (2012). Epidemiology of burn injuries globally. Wolterskluwerhealth. Available @ http://www.uptodate.com/contents/epidemiology-of burn -injuries-globally.
[4]. WHO. Global Burden of Disease 2004 Summary Tables. Geneva, World Health Organization, 2008. www.who.int/healthinfo/global_burden_disease/estimates_regional/en/index.html (Accessed on September 20, 2011).
[5]. Azimi, L., Motevallian, A., Namvar, A., Asghari, B and Lari, A. (2011). Nosocomial infections in burned patients in Motahari hospital, Tahran, Iran. Dermatology research and practice.
[6]. Berman, A., & Snyder, S. J. (2012). Kozier & Erb's Fundamentals of nursing: Concepts, process, and practice (9th ed.). Upper Saddle River, NJ: Pearson.