Apr 16, 2018
Apr 17, 2018
Apr 18, 2018
Wassil NowickyDirector, Nowicky Pharma & President of the Ukrainian Anti-Cancer Institute, Vienna, Austria
Director, Nowicky Pharma & President of the Ukrainian Anti-Cancer Institute, Vienna, Austria
Cancer is the third leading cause of fatalities in the UAE, with prostate cancer attributing to 20% of cancer cases reported in men. The efficacy of NSC-70 (NSC-631570, “Ukrain”) in prostate cancer has been confirmed in a controlled clinical study. In the study patients, all standard treatment modalities had been exhausted. The cancer relapsed and/or progressed and no therapy protocol was available. The patients were treated with NSC-70 and partially with local hyperthermia. Following results were achieved: full remission in 54 patients (73%), partial remission in 16 patients (22%). Only in 4 patients (5%) the therapy did not affect the course of the disease. ______________________________________________________________ Total number Full remission Partial remission Disease progression of patients ______________________________________________________________ 74 54 16 4 ______________________________________________________________ 100% 73% 22% 5% ______________________________________________________________ The good efficacy of NSC-70 in prostate cancer has been confirmed in another study. This study included 15 patients with newly diagnosed prostate cancer with an average age of 71 years (62-85 years). The patients received NSC-70 at a total dose of 100 mg (10 mg intravenously every second day, 10 injections altogether). After two to three injections of NSC-70, all the patients noted considerable subjective improvements in their state. NSC-70 increased the amount of total T-lymphocytes, including "active" T-lymphocytes, decreased the content of T-suppressors and increased that of T helpers, correspondingly raising the T helper/T-suppressor ratio. These results undoubtedly indicate the efficacy of NSC-70 in the treatment of prostate cancer.
Bruce SackmanPresident at Society of Professional Investigators, USA
President at Society of Professional Investigators, USA
The intensive care unit nurse needs to take immediate steps to salvage forensic evidence if an unexpected or sudden death occurs in the unit. Although there may be no criminal undertones associated with the death at the time it occurs, questions may arise later, bringing into question antecedent events or personnel actions that might be relevant to understanding the unexpected or suspicious death. Policies and procedures are essential to ensure that evidence is not overlooked or lost. The value of a careful analysis of the scenario may lead to important findings about treatment errors, medical equipment or device failures, and even criminal behavior of personnel caring for the patient. Key words: crime scene, forensic evidence, serial killers, suspicious deaths
Hana KadhomDirector of Nursing Bridging Programme Bahrain/Saudi Aramco RCSI Medical University of Bahrain
Director of Nursing Bridging Programme Bahrain/Saudi Aramco RCSI Medical University of Bahrain
Breast cancer is a major health burden in Bahrain. Breast self-examination is one of the screening techniques which aid the early detection of abnormalities. Bahrain has a paucity of educational programs related to screening for breast cancer in schools. Nursing students, and in turn, nursing professionals have a pivotal role and a unique responsibility to protect themselves and the public through information. We performed a study which explored the knowledge level and the attitudes that influence the compliance with recommended practices for breast self-examination, among student nurses. This was a cross-sectional quantitative descriptive study. A total of 348 undergraduate nursing students at a School of Nursing and Midwifery in Bahrain were selected randomly and surveyed using a questionnaire. Our findings showed a positive attitude and a moderate level of knowledge regarding breast self-examination. However, 61.2% of participants did not performing breast self-examination. The main motivating reason for students to carry out regular examination was to become more aware of their breasts (28.7%). The main reason for not performing breast self-examination was because participants had not experienced any symptoms (36.2%). A significant relationship was found between the knowledge score and the attitude (P < 0.05). There was a significant difference in the mean knowledge score between their age, year of study, and sex. There was also, a significant relationship between sex and attitudes. This highlights the need for breast self-examination awareness and the implementation of educational training programs. Improved awareness should improve performance of professional nurses in their role as educators within the community.
ALIREZA HEIDARIProfessor, California South University, USA
Professor, California South University, USA
Fusun TerziogluIstinye University, Dean of Faculty of Health Science Director of Nursing Services of MLPCare System,Istanbul, Turkey
Istinye University, Dean of Faculty of Health Science Director of Nursing Services of MLPCare System,Istanbul, Turkey
Methods: The sample of the study consisted of 60 nursing students. Before the implementation of the study, the students' cognitive skills and trait anxiety levels were evaluated. The students were divided into five groups and five nursing activities (Leopold’s maneuvers, teaching breastfeeding, family planning education, teaching vulvar self-examination and teaching breast self-examination) were specified for each group. They implemented these nursing activities under the supervision of a faculty member in the nursing skills laboratory, standardized patient laboratory and clinical practice environment respectively. In each instructional environment, the students' psychomotor and communication skills, state anxiety levels and satisfactions were evaluated. Results: The median scores for psychomotor skills [Nursing Skills Laboratory=73.1; Standardized Patient Laboratory=81.5; Clinical Practice Environment=88.6] and communication skills [Nursing Skills Laboratory=64.9; Standardized Patient Laboratory=71.6; Clinical Practice Environment=79.0] were found to increase as the students went on practicing in a more complicated environment (p<0.05). Similarly, it was determined that the students' anxiety levels decreased as they were practicing incrementally [Nursing Skills Laboratory=33.0; Standardized Patient Laboratory=32.0; Clinical Practice Environment=31.0]. As the instructional environments were getting more similar to the reality, the students' satisfaction levels were found to become higher.
Hamid Yahya HusainPreventive services centre / Dubai health Authority, Dubai
Preventive services centre / Dubai health Authority, Dubai
Background: Health care workers job satisfaction and burnout are constant public health concerns. Burnout predispose to rapid staff turnover, absenteeism or illness that ends in decreased job satisfaction. Burnout and satisfaction among nurses are serious conditions that threaten their own and patients health. Objectives :To explore levels and determinants of job satisfaction and burnout among nurses working in Primary Health Care facilities, Dubai Health Authority, Dubai, UAE. Methods: A cross sectional study targeting all nurses working at PHC centres (400) was carried out using self-administered questionnaires containing socio-demographic, work related, personal health status, burnout (emotional exhaustion, depersonalization, and personal accomplishment) and satisfaction variables. Results: Overall nurses reported moderate satisfaction levels and low burnout state. Correlation between burnout and job satisfaction was significant, weak and of opposite course. Burnout increased in older and divorced nurses. Emotional exhaustion related significantly to high income level, performing physical activity and nurses’ intention to leave. Emotional exhaustion had intermediate correlation to job satisfaction. Depersonalisation was higher in nurses with chronic disease and had negative association to job satisfaction. Personal accomplishment had significant positive correlation to nurses’ job satisfaction. Perception of personal accomplishment increased with age, high BMI levels and in nurses with chronic disease. Conclusion: Findings from this study contributes to the understanding of the relationship between nurses' job satisfaction and burnout syndrome and points out that nurses burnout is not uncommon among nurses working in PHC in Dubai. Nurses burnout and satisfaction levels proved to have special characteristics relating to the unique composition of health care in the UAE. The study also indicates that some dimensions of job satisfaction and burnout had proven to be relevant to nurses’ turnover tension. Recommendations: There is a need to develop periodic screening for signs of distress, burnout or dissatisfaction, and to establish preventive strategies that are practical and can be implemented within the current healthcare structure. This will result in increasing nurses’ satisfaction, commitment and motivation which will in time reflect on the quality of healthcare services and daily performance indicators.
Sessions:Adult Health Nursing, Clinical Nursing, Psychiatric and Mental Health Nursing
Wegdan Bani issa
Associate Professor University of Sharjah, UAE
Harumi HashimotoGunma Prefectural of Health Sciences, Gunma 3710052, Japan
The purpose of this study is to prepare a provisional scale to be the original scale measure at the middle stage of developing comprehensive dyspnea feeling impact evaluation scale of cancer patients. The method is as follows. We created an item pool of the proposed scale item based on the contents extracted from the previous research related to breathing difficulty, the existing scale, and the conceptual analysis result. Next, we examined correction and deletion of items from the results of supervisions. The results are as follows. First, we extracted the contents of the previous study related to feeling of dyspnea in cancer patients, concept analysis, existing scales, and the influence of breathing difficulty from the literature. As a result, it was classified into 5 aspects of the influence on daily life activities, the influence on the physical side, the influence on the psychological aspect, the influence on the social aspect, the influence on spirituality. This is item pool. Next, the item pool was overviewed, and 73 items of question item drafts were prepared by emphasizing the contents duplicatedly extracted and contents peculiar to cancer patients. In response to the supervision, 28 items with an agreement rate of 70% or less were judged to be deleted items, and finally a provisional scale of 45 items was completed. In the future, we will carry out this survey with a questionnaire consisting of this provisional scale and existing scale, aim to complete this scale after confirming the reliability and validity of the scale.
Pulluri Surender ReddyCollege of Medical and Health Sciences, Samara University, PO Box 132, Samara, Afar, Ethiopia
Background: Abortion is one of the leading causes of maternal mortality and morbidity in the world and the same in Ethiopia. University youths are disproportionately affected by the consequences of unsafe abortion. Hundreds of thousands of students become pregnant without intention, and many of them decide to end the pregnancies into abortion. University students are more susceptible to risky sexual exposures and unwanted pregnancies; therefore the objective of this study was, to assess the magnitude and factors associated with abortion among Samara University students. Methods: Cross sectional study with self-administered questionnaire. Multi stage cluster sampling with 509 samples. Results: The rate of abortion was found to be 88 per 1000 students, making fourfold of the national rate of abortion for Ethiopia (23/1000 women aged 15–44). 100% abortions were induced and 50% were reported to be safe. Alcohol use, Participation in Youth Friendly Services, having multiple sexual partners and using emergency contraceptive were found to be statistically significant. Alcohol use was found to have statistically significant association with Abortion; those students who ever had alcohol have 5.5 times more likelihood of having Abortion than their counterparts. Similarly, student who did not participate in Youth friendly services were more likely to have abortion compared to students who participate in youth friendly services. Conclusions: The rate of abortion among Samara University Students was higher as compared to all Abortion study rates elsewhere. It was four times as high as the rate for the general population in Ethiopia. Higher proportions of abortions (77.8%) were performed under unsafe circumstances. It is imperative that improved sexual reproductive health education; with focus on safe and legal abortion services should be rendered and wider availability of Youth Friendly Services where young men and women congregate
Sumera NoshinCollege of Nursing CMH Multan Brig. Irfan Zafar Haider, HOD Surgery, CMH Multan
Doctors and nurses as healthcare providers are critically observed by the society as highly respectable members of the society. They not only deal with the lives of the patients rather with their emotions, feeling and thoughts with an extreme of accountability and responsibility. Medical/nursing profession is very sensitive and one error, no matter how minor or insignificant for the professionals, can stamp badly to the minds of patient, family and community. To pass up such serious repercussion, it is imperative that medical/nursing graduates should have the requisite sound professional knowledge, skills, and most importantly attitude to deal head on with the challenges that real life brings to them. In recent past the paradigm shift of professional educational system have brought certainly a rise in professional education but unfortunately a fall in professionalism and decline of ethical human care. Fundamentally education is one of the most important issues that could affect nurses and doctors to work in an ethical and professional manner. Objectives: To evaluate the consequences of individualized education and systematic social contract education through exploring education systems of various training institutes Materials & Methods: Qualitative design was applied and data were collected through using interview guide/topic guide. Data was collected on emails, telephone, and face to face interviews, till saturation. Data was collected in the months of January and February 2017 with different types of participants. Participants were selected using purposive and networking sampling from various medical/nursing colleges. Finally, 4 patients, 4 students 4 faculty members 6 academic key informants, were selected for interview. The study protocol complies with the ethical guidelines of the 1975 Declaration of Helsinki and approved by the higher authorities of GHQ. Results: After analyzing and data interpretation, the challenges and issues are categorized in four main themes , including 1. Deficient Multidisciplinary /multi-setting teaching methodology, 2. Curriculum paradigm shift, 3. Curriculum misalignment and 4. Need for Professionalism. Each of these main themes comprises several subthemes and accordingly each subtheme encompasses several issues. Each issue is presented in form of verbatim.
MauriceB. SilaliSchool of Medicine, Maseno University, Private Bag ( 40150) Maseno Kenya.
Maternal & child Health information forms cradle human right, that allow mothers to access quality and reliable health care hence, decrease morbidity and mortality rates, aimed to be achieved in global goals number 3 and 17 of 2015 by 2030. Globally over 80% of community households have limited access to effective, reliable, efficiency and quality Maternal & child health information, especially in Sub Saharan Africa ( SSA),and depends solely on health professionals and community health workers (CHWs), as their main sources of health information, with large diversified society of demographic, socio-economic and socio-cultural factors. The aim of this study was to determine factors influencing accessibility of maternal & child health information. Specifically to determine how health professions and community health workers influence accessibility of maternal health information, investigate association that exists between source of maternal & child health information received and health practices and establish how demographic and social cultural factors influence utilization of maternal health & Child information among rural women in Kenya, using cross sectional and descriptive design. Cluster sampling design was used to identify study participants, mothers with children aged 0-11 months. Results showed that, health professionals remain main source of health information (46.2%) followed by community health workers (32.9%), in Kenya However, since CHWs are accessible and reliable sources in rural areas, they form most efficient community health linkages with health facilities, so it’s important to empower them for sustainable healthcare at community level.
KIYOKO KANDAKIYOKO KANDA is from Gunma University Graduate School of Health Sciences, Gunma 3718514, Japan
The purpose of this study was to identify factors affecting the concern scores of cancer patients receiving outpatient chemotherapy and to examine the need for nursing support. Methods: Cross-Sectional Designs. The survey was conducted in patients with performance status (PS) 0-3 receiving outpatient chemotherapy who were capable of answering the questionnaire. The survey items were CCRS (a 15-item scale), basic therapeutic factors/symptom-related factors, and mental state/quality of life (QOL). The study was carried out 5 Hospital in Japan. We analyzed the 397 data by the IBM SPSS. The outline of the subjects was 164 male and 232 female. The average age of the subjects was 61.5 years old (SD = 11.3). The mean CCRS score was 29.7 (SD 9.2). The analysis of affecting factors revealed that the CCRS score was higher in females than in males (p < 0.01). There was a strong correlation between concerns scores and distress (r = 0.500), disturbance of daily activities (r = 0.061), or QOL (r = -0.599). The multiple regression analysis revealed that factors significantly affecting concerns were QOL, distress, and symptoms of malaise (R2 = 0.459). For continuation of treatment, it is essential to maintain QOL by reducing factors associated with patient concerns. The survey results suggest that it is essential to manage QOL, mental health, and malaise as factors affecting concerns in patients. The CCRS used in this survey showed a strong negative correlation with QOL, suggesting its clinical application as a complementary tool.
Adenotonsillectomy is the most common operation in ENT Clinic. A frequent indication of tonsillectomy are infections, especially infections with pus. Children who undergo the operative intervention of removal of tonsils are usually small children. They have different pain levels, ranging from very severe pain on the day of operation to lighter pain on the following days. The aim of our study was to make an assessment of post-operative pain in children after tonsillectomy and adenoidectomy since the first hours after surgery until the seventh day. The study was prospective, conducted during the period January to December 2014 at anesthesia unit of ENT Clinic, department of children. Subject of study were the parents of 424 children who underwent operative intervention. Nurse’s monitoring for first two hours after the operation provides data that 91% of operated children have not had pain (evaluation by VAS 0-2) and at all times have been quiet. In telephone interviews, on the seventh day after surgery (evaluation for days 2-7) parents give evidence that the intensity of pain was greater in children operated by the tonsils, whereas in children operated by adenoidectomy was lower. This makes us conclude that numerous studies done by different authors, as well as our research, give us data that our work should be oriented in most qualitative pain treatment (through right dosage), regular (in defined time intervals) and parent’s education. Clear, precise, and accessible explanations should be given to parents for home treatment of pain.
AYUMI KYOTAAYUMI KYOTA is from Gunma University Graduate School of Health Sciences, Gunma 3718514, Japan
End-of-life cancer patients experience losing their capabilities for what they previously could do normally with a gradual deterioration of disease conditions. In addition, patients have to receive care of others and are forced to rethink the meaning of their life. The purpose of this study was to identify the meaning of life experienced by end-of-life cancer patients undergoing palliative care at home and in the hospice. We interviewed 12 terminal cancer patients receiving home and hospice palliative care with a life expectancy of half a year or shorter. We analyzed the data by the phenomenological psychology approach. This study was approved by the ethics review board of the institution to which the researcher belongs. In terms of ethical considerations, we ensured the voluntary participation of the subjects in the study and the protection of their privacy. The outline of the subjects was 4 males and 8 females, 6 at home patients and 6 patients at hospice entry. The average age of the subjects was 72.6 years old (SD = 13.6). The interview time was 63.9 minutes on average, totaling 2492 minutes. As a reconsideration of the meaning of life, the subjects ask themselves why I must become a cancer patient, whether it worth causing a great inconvenience to family members and surrounding people, does my life have any meaning even though I cannot do anything for the other. Nurses need to encourage them to realize that patients still can do something for others even if they are bedridden
Fadwa N Alhalaiqa
Background: Adherence among mentally ill patients is generally low and leads to increase the frequency of patient’s admission and relapse. Objectives: To assess adherence level among psychiatric patients in Jordan. Methods: A cross-sectional quantitative design was applied to collect data by using Morisky medication adherence scale eight items. The relation between adherence and selected demographic variables was identified by correlation coefficient. Results: A total 108 patients participated in this study; most of them were male (80.6%) and their mean of age 40.9 years. Around 83% of participants were found to have low adherence. Findings showed a significant negative correlation between level of adherence and frequency of hospital admission and a positive correlation between adherence level and frequency of follow up appointment. Conclusion: Non-adherence to psychotic medication in Jordan was high. Health care providers need to assess the reasons that prevent patients from taking medication and to tailor appropriate individualized intervention to enhance adherence. Keywords: Adherence, Morisky Medication adherence scale, Mental ill, Jordan
Mei YunMei Yun, Yu Fooyin University, Taiwan
Statement of the Problem: Building up the clinical curriculum for nursing students in operation room is a unique program. The learning outcome of the program is nursing students practice in a fast and effective environment in a well-adjusted and positive attitude.Perioperative clinical curriculum is entirely different from others. For reasons of lacking related literature, a new conceptual strategy combines simulative teaching and advocating students in high-stress situations of operation rooms has already been developed. Methodology & Theoretical Orientation: “Time-Limited Strategies” means students have to pass tests in certain time periods to be qualified into clinical field. Reflexive, Responsive communication strategy means flipping nursing students as the key person of their learning process, encouraging them to reflex the process and response to adjusting the learning process. It contains "Plan Drawing of operating rooms " and "Challenge of gowning and gloving in one minute,"b both including the factor of “Time-Limited” to push students practicing and achieving the learning goal. Well-know the hardware and moving lines of operation room are one of the first priorities when nursing students arrive perioperative nursing clinical curriculum. After guided by the instructor, students deliver "Plan Drawing of operating room" in 30 minutes to prove their well-recognizing of operation room to be qualified as an assistant circulating nurse. Skillful surgical techniques is another top priority for students. Performing "Challenge of gowning and gloving in one minute" is the criteria for students qualified as an assistant scrub nurse. Findings: "Plan Drawing of operating rooms " is an effective way to familiarize with the operating room hardware setting and moving lines; "Challenge of gowning and gloving in one minute" contains factors of time-stress-simulation and skillful and professional technique to enhance nursing-students’ motivation to practice. There were 35 participants from March to July 2015 .According to both Likert’s Scale and the narrative quality feedback from nursing students, both of these teaching strategies have received positive recognition.
Melike ErtemMelike Ertem is from Abant Izzet Baysal University, School of Health, Bolu,Turkey
Nursing process quality is highly impacted with level of skills in human relationship and interaction capabilities. Amelioration in interaction capabilities and the process management are detrimental to improve the quality of nursing services mutually. Psychiatric patients, who are subject to functional disability, cognitive-perceptual changes, orientation disorders, changes in thought content and vice versa, can have difficulty making the right decision for themselves about the treatment and care. In this context, providing quality health care services is firmly bound up with attitude and behavior of the psychiatric nurses. Positive nurse attitudes exhibited during the treatment process relax the patients, promote their integration into the environment and finally facilitate their response to the treatment. In contrast, negative nurse attitudes bring about poor social interactions with the patients leading to problems such as patients progressively disconnecting from their environments and generating high resistance to the treatment. There are various models and approaches used as guidelines for the health professionals to show in what ways and under which circumstances the treatment behavior is affected. Transactional analysis theory is an approach which is widely used from the field of psychotherapy to education. Particularly, it is emphasized that this theory is a viable model in helping nurses to have a better understanding of how their reactions and behaviors have impact on the patients. The key elements of the transactional analysis theory are the ego states, transactions, physiological games and life positions.
Sessions:Surgical Nursing,Emergency And Ambulatory Care Nursing, Critical Care Nursing & Emergency Nursing, Dental Nursing, Nursing Education and Research, Public Health
Director, Nowicky Pharma & President of the Ukrainian Anti-Cancer Institute, Vienna, Austria
Mengestie Mulugeta Belay
Introduction: Low back pain (LBP) related to Nursing Profession, is a very common public health problem throughout the world. Various risk factors have been implicated in the etiology and LBP is assumed to be of multi-factorial origin as individual, work-related and psychosocial factors can contribute to its development. Aim: To determine the prevalence and to identify risk factors of LBP among Nurses working in Addis Ababa City Public Hospitals, Ethiopia, in the year 2015. Settings: Addis Ababa University, Black-Lion (‘Tikur Anbessa’) Hospital-BLH, is the country’s highest tertiary level referral and teaching Hospital. The three departments in connection with this study: Radiology, Pathology and Orthopedics, run undergraduate and residency programs and receive referred patients from all over the country. Methods: A cross-sectional study with internal comparison was conducted throughout the period October-December, 2015. Sample was chosen by simple random sampling technique by taken the lists of Nurses from human resource departments as a sampling frame. A well-structured, pre-tested and self-administered questionnaire was used to collect quantifiable information. The questionnaire included socio-demographic, back pain features, consequences of back pain, work-related and psychosocial factors. The collected data was entered in to Epi Info version 3.5.4 and was analyzed by SPSS. A probability level of 0.05 or less and 95% confidence level was used to indicate statistical significance. Ethical clearance was obtained from all respected administrative bodies, Hospitals and study participants. Results: The study included 395 Nurses and gave a response rate of 91.9%. The mean age was 30.6 (±8.4) years. Majority of the respondents were female (285, 72.2%). Nearly half of the participants (n=181, 45.8% (95% CI (40.8%- 50.6%))) were complained Low Back Pain. There were statistical significant association between Low Back Pain and working shift, physical activities at work; sleep disturbance and felt little pleasure by doing things. Conclusion: A high prevalence of Low Back Pain was found among Nurses working in Addis Ababa Public Hospitals. Recognition & Preventive measures like providing resting periods should be taken to reduce the risk of Low Back Pain in Nurses working in Public hospitals Keywords: LBP, Risk factors, Nurses, and Public Hospitals
Nahla Mansour Al AliJordan University of Science and Technology, Faculty of Nursing, Jordan
School bullying is the most common school violence among adolescents and has become a global concern. Little is known about the characteristics associated with bullies and victims among Jordanian students. The aim of the study was to examine student perceptions of school bullying—specifically, the characteristics of perpetrators and victims and how to stop bullying—and assess differences in perceptions between boys and girls. Cross-sectional study, using self-reported questionnaires, was employed to collect data from eighth-grade students (N = 913; 51% male) from a mixed rural and suburban area in northern of Jordan during the 2013–2014 school year. Descriptive statistics were used to summarize item responses. Chi-squared tests were performed to compare responses between the male and female students. Most of the students described a bully as one who is a coward underneath (78.9%), lacks respect for other people (70%), wants to show power (67.5%), wants to impress others (60.8%), and wants to feel superior (59.6%). Students perceived victims of bullying as having low self-esteem (68.2%), talking or sounding different than others (50.9%), shy (35%), and having no friends (27.1%). Students suggested that, to stop bullying, the victim should stand up for himself (75.4%), should become psychologically stronger (75.1%), and should involve adults (teachers, family, or others; 45.9%). There was a significant gender difference, in which boys and girls were describing victims and bullies differently. The results offer valuable information necessary to design and implement school bullying prevention and intervention programs.
Rosario Arcaya NieveraRosario Arcaya Nievera, RN,BSN, AnnFick,PT,DPT,CCS and Hilary K.Harris, MSPT, Barnes Jewish Hospital, St. Louis, Missouri
To assess the safety of mobility in patients receiving low dose norepinephrine (.05 μg /kg/min) by examining mean arterial pressure (MAP) and heart rate (HR) before and after activity with parameters set by the physician. Background: Norepinephrine is a peripheral vasoconstrictor administered for acute hypotension. Norepinephrine is quick acting and increases arterial BP with little effects on HR or cardiac output. During activity, blood flows to the periphery to supply muscles with oxygen which may oppose norepinephrine vasoconstriction. Questions exist regarding the safety of mobilizing patients receiving norepinephrine. Methods: A retrospective chart review of physical therapy (PT) intervention of 47 patients during the first patient transfer to chair or ambulation with norepinephrine infusing. Data including HR, MAP, norepinephrine dose and activity performed were extracted. Paired t-tests compared MAP and HR pre and post PT. A Kruskal-Wallis H test was conducted to evaluate differences among norepinephrine doses and physical activity levels. Results: Forty-one of the forty-seven patients (87%) tolerated the activity within safe vital sign ranges as recommended per their physician. The change in patients' MAP from pre to post activity was not statistically significant (p=.160), while a significant increase in HR occurred after activity (p <.001). A Kruskal-Wallis H test showed no significant difference in the norepinephrine dose and activity level (χ2 = 6.34, p = 0.17). There were no instances of cardiopulmonary or respiratory arrest during any PT sessions. Conclusions: The results of this study offer preliminary support of the safety of mobilizing patients receiving low dose norepinephrine
Wubshet EstifanosBSC, MSc in Adult Health Nursing)
Introduction: - Hypertension is one of the most important cardiovascular risk factor but its control is still a challenge all around the world. Control of blood pressure can reduce cardiovascular morbidity and mortality, so the compliance to antihypertensive drugs and life style modification play an important role for the control of hypertension. Long-term compliance with treatment is always a problem which requires a change in behavior which may be extremely difficult. Introducing individual behavioral change is often met with some difficulty and skepticism which are attributable to personal characteristics such as beliefs, attitudes, knowledge and motivation regarding the behavior. Objective: - the aim of this study was to assess compliance to anti-hypertension treatment and associated factors among hypertension patients on follow up in hospitals in Gamo Gofa Zone. Methods: - Institution based cross sectional study was conducted in three hospitals in Gamo Gofa Zone namely Arebaminch general hospital, Chencha hospital and Sawula hospital. The study population was hypertensive patients who are using antihypertensive treatment that attended the hypertensive clinics. A total of 416 patients were included in the study; the study used simple random sampling. A pre tested structured questionnaire was used. Data was entered by using Epidata3.1 and exported to SPSS version 16 for analysis. Frequency distributions was used to organize the data and present the responses obtained. Measures of central tendency was calculated and utilized for appropriate variables to describe the data. Binary logistic regression was used to see the association between independent variable and dependent variable. Result: In this study the proportion of participants with treatment compliance was 61.5%, the mean age (SD) of participants was 48.6 ± 11.0 years. 22.4% were compliant in making lifestyle modifications. knowledge about HTN and its treatment (AOR =3.2, 95%CI = 2.2, 6.3), distance from the hospital ((AOR = 7.5, 95% CI = 3.3,17.1). variables were found significantly associated with treatment compliance. Conclusion: In this study, compliance with antihypertensive medication was reported by 61.5% of patients, and compliance with lifestyle modifications was only reported by 22.4% of patients. The findings from this study can be used to isolate the factors that are contributing to poor treatment compliance among patients in three Gamo Gofa Zone Hospitals and to teach them about suitable management of hypertension.
High school students are more likely to be at risk of HIV/AIDS. Knowledge gaps and misconceptions in areas of HIV transmission, unfavorable attitudes and risky sexual behavior are the major hindrances to prevent the spread of HIV. To assess the determinants of the risk behavior towards HIV/AIDS among high school students in Hawassa city, a cross sectional study was conducted. Percentage was used to determine the level of knowledge, attitude, perceived behavioral control and subjective norm of students. Logistic regression analysis; P-value, odds ratio and confidence interval was computed. Out of 367 study participants, 245 (66.8%) have good knowledge towards HIV/AIDS. Student’s behavior is found significantly affected by their gender, a type of school, perceived behavioral control and attitude towards HIV at (p<0.05). Multivariable Logistic regression analysis revealed the student’s behavior is significantly affected only by their attitude at (p<0.001). The study highlighted misconceptions about preventive methods of HIV transmission and risky sexual behaviour which need to be addressed. Specified, focused, continued and strengthened education on HIV/AIDS to bring change in behavior, through modifying their attitude is recommended.