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المجلة العراقية الوطنية للعلوم التمريضية

ISSN: 18122388
الجامعة: جامعة بغداد
الكلية: التمريض
اللغة: Arabic and English

This journal is Open Access

حول المجلة

مجلة علمية تهتم بالبحوث التمريضية

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معلومات الاتصال

wadad_2005m@yahoo.com

جدول المحتويات السنة: 2011 المجلد: 24 العدد: 2

Article
Assessment of licensed indigenous midwives’ knowledge concerning prevention and management of postpartum hemorrhage in Baghdad city

المؤلفون: Eman A. Jaber --- Iqbal M. Abbas
الصفحات: 1-12
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الخلاصة

Objective(s): The aim of this study is to assess licensed indigenous midwives’ knowledge concerning prevention and management of postpartum hemorrhage in Baghdad City. Methodology: A descriptive analytic study is conducted on a purposive "non-probability" sample of one hundred licensed indigenous midwives who were selected what represents 26% of the target population, during period from March, 5th to May, 10th, 2008. The study is conducted at the two settings of Ministry of Health (Baghdad health directorate in Al-Karhk and Al-Risafa) sector during their annual renewed license for midwifery practice. The questionnaire form is consisted of three parts which included demographic data, knowledge concerning prevention and management of primary postpartum hemorrhage. Content validity and reliability of the questionnaire is determined through a pilot study, descriptive and inferential statistical are used to analyze the data. Results: The study results showed that the highest percentage (40%) of study sample is of the age group (50-59 years) and more than half of the study sample is primary school graduate and less. More than the half of the study sample is assigned to primary postpartum hemorrhage during their practices in midwifery. There were statistically significant relationships between knowledge of licensed Indigenous Midwives regarding prevention and management of primary postpartum hemorrhage and their ages and level of education. Recommendations: The study recommends that licensed indigenous midwife should be provided with information on safe delivery practices and the importance of healthy referral system. Committing licensed indigenous midwife to apply Ministry of Health instructions, do not allowing delivering risky pregnant cases. Establish midwifery department for medical technical institutes and higher diploma degree in midwifery for college nurse graduates

الكلمات الدلالية

Indigenous Midwives --- prevention --- management and postpartum haemorrhage


Article
Assessment of mothers' practices toward children with steroid – sensitive nephrotic syndrome at pediatrics hospitals in Baghdad city

المؤلفون: Feryal A. Zyarah --- Eqbal G. Mua’ala
الصفحات: 1-25
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الخلاصة

Objective(s): To assess mothers' practices toward children with steroid – sensitive Nephrotic Syndrome (SSNS) who are visiting nephrology consultation units, and to find out the relationships between their practices and the demographical data for mother and child. Methodology: A descriptive study was carried out at nephrology consultation units of Baghdad pediatrics hospitals (Child's Central Pediatric Teaching Hospital, Al-kadimiyia Teaching Hospital, and Welfare Teaching Hospital) started from February 18th to the end of July 2009. A purposive sample of (80) mothers who company their children were selected. The data were collected through a constructed questionnaire, with two parts; the first part is concerned with mother's and child's demographical characteristic, the second part is concerned with mothers' practices about steroid– sensitive nephrotic syndrome. An interview method was used to full questionnaire format. The validity was determined through a panel of experts. While, the reliability was determined through a pilot study. The data were analyzed by using descriptive and inferential statistical measures by using the statistical package of social science (SPSS) version (15). Results: The findings of the study showed that mothers have poor practices (61.3%). The study results revealed that there is a significant association between mothers' practices and their educational level, and duration of the child's disease. While mother's age, occupation, child's age, child's sex, child's age at onset (years), child's previous disease and heredity have no association with their practices. Recommendations: The study recommends that health education for mothers would improve their practices.


Article
Effect of metal wire and glass fibers on the impact strength of acrylic denture-base resin

المؤلفون: Makarem A. Jaber
الصفحات: 26-32
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الخلاصة

Objective(s): The aim of this study is to compare the impact strength of a heat cured denture-base acrylic resin reinforced with metal wire and glass fibers. Methodology: Forty five specimens were prepared from pink heat cure acrylic resin. Specimens were grouped into; group-I (control group) which consists of 15 specimens with no reinforcement, group-II which consists of 15 specimens reinforced with metal wire, and group-III consists of 15 specimens reinforced with glass fibers. Specimens were tested by using charpy impact machine. Results: The result showed that there was a highly significant difference in impact strength value among the testing groups at (P < 0.001). Conclusion: The impact strength of heat polymerized denture-base resin was enhanced considerably by using metal wire and glass fibers reinforcements. However, the addition of glass fibers was significantly more effective method to improve impact strength of denture base acrylic resin.

الكلمات الدلالية

Heat cured denture-base acrylic resin --- impact strength --- glass fiber --- metal wire


Article
Effectiveness of a dietary education program upon hypertensive clients' information

المؤلفون: Maher S. Khaleel --- Hakima S. Hassan
الصفحات: 33-43
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الخلاصة

Objective: To determine the effectiveness of a dietary educational program upon the hypertensive client’s information. Methodology: The sample of the study consists of (60) hypertensive clients who attended Al Anbar Health Office –Al Andalus Health Center during the period of the study from the14th of March 2010 to the 30th of September 2010. The sample is divided into two groups; study group (30) hypertensive clients who received dietary educational program and control group (30) hypertensive clients who received a routine care from the center. Three major instruments were used; these instruments included (1) knowledge test which was applied on both groups pretest and eight weeks post-test (2) questions to know what they eat in the last 24 hours in the main meals and in between meals (snacks) which were applied on both groups pretest and eight weeks post-test (3) Body Mass Index measurement was applied on both groups pre-test and eight weeks post-test. Results: The results show that there is highly significant difference concerns the decrease of BMI in post- test for hypertensive clients in the study group than the control group marked improvement in dietary status of the study group compared to the control group. The results of our study also show that there is a significant difference between study group and control group in post-test regarding the adequate grain vegetable fruit. Meat, poultry, and fish (MPF) and Nuts, seeds, and legumes (NSL) intake daily. Recommendations: The study recommends that all hypertensive clients should be involved in the application of nutritional educational programme which was developed in this study.

الكلمات الدلالية

Dietary Educational Program --- Hypertensive Clients


Article
Evaluation of the Hardness of Cold Cured Acrylic Resin Material by Processing at Different Temperature

المؤلفون: Amal A. Rashid
الصفحات: 44-51
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الخلاصة

Objective(s): This study aims to evaluate the hardness of two commercially available cold cured acrylic resin material (Vertex and PAN) when polymerized at different temperature in comparison to those polymerized by conventional methods in air at 23C ± 5C. Methodology: Eighty specimens, forty from cold cured acrylic (Vertex Type) and forty from cold cured acrylic (PAN type) were prepared, flasking and packing procedure were done according to manufacturer direction and divided according to processing as follow: 20 specimens (10 from Vertex type and 10 from PAN type) were processed in air for two hours at 23C ± 5C under press (bench curing) as a control, and 60 specimens (30 from Vertex type and 30 from PAN type) were processed by ivomat curing device containing water under air pressure 30 Pascal for 15 minutes at different temperature: 40C, 60C, and 80C (10 specimens for each groups). All specimens were tested for hardness test by shore D device. Results: Result showed that cold cured acrylic type PAN (polymerized by elevated temperature 80˚C) show the maximum value of hardness (88.696) followed by cold cured acrylic type vertex polymerized at 60˚C (88.471). While, control group type PAN (polymerized at air bench) recorded the minimum value of hardness (81.83). All groups that polymerized at high temperature: 40C, 60C, and 80C show the higher value of hardness in comparison to those processed by conventional methods (at air bench) with significant and highly significant differences. Recommendations: Studies need to study the effect of increasing time and pressure of curing process on the hardness of cold cure acrylic material, also to study the effect of increasing temperature of curing on the other properties of cold cure acrylic material.

الكلمات الدلالية

hardness --- cold cure acrylic --- processing temperature


Article
Early detection of first degree relatives to type-II diabetes mellitus

المؤلفون: Abdul-Kareem H. Shanon --- Batool A. Jaddou
الصفحات: 52-63
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الخلاصة

Objective(s): The study aims to assess the early detection of early detection of first degree relatives to type-II diabetes mellitus throughout the diagnostic tests of Glycated Hemoglobin A1C. (HgbA1C), Oral Glucose Tolerance Test (OGTT) and to find out the relationship between demographic data and early detection of first degree relatives to type-II diabetes mellitus. Methodology: A purposive "non-probability" sample of (200) subjects first degree relatives to type-II diabetes mellitus was selected from National Center for Diabetes Mellitus/Al-Mustansria University and Specialist Center for Diabetes Mellitus and Endocrine Diseases/Al-kindy. These related persons have presented the age of (40-70) years old. A questionnaire was constructed for the purpose of the study, it is composed of (3) major parts, and overall items, which are included in the questionnaire are (76) items. Reliability and validity of the questionnaire were determined through a pilot study which is carried out during the period of August, 1st, 2008 to February, 30th 2009. The study instrument and structured interview technique were used as means of data collection. The data were analyzed through the application of the descriptive statistical data analysis approach (Frequency and Percentage) and the inferential statistical data analysis approach Chi-square, Pearson correlation coefficient. Results: The results of the study confirmed that the mean of age is (55.7) year, and the majority of the sample are male, first degree relatives with diabetes mellitus type-II are within positive bio-social aspect and laboratory screening had an effect on the incidence of diabetes mellitus type-II for first degree relatives to type-II diabetes mellitus. Recommendations: The study recommends that the number of diabetes centers should be increased in Baghdad and Governorates, promote of HbA1c test from general hospitals laboratories, guide notebook about the predisposing factors of diabetes mellitus in his family, periodic screening for pre-diabetes and diabetes in high risk, asymptomatic, undiagnosed adults within the health care setting, prevention program to prevent and control on the predisposing risk factors for nondependent diabetes mellitus type-II and complication

الكلمات الدلالية

Early detection --- diabetes mellitus type-II


Article
Measuring of C-reactive protein titer in patients with acute hepatitis-C Virus infection

المؤلفون: Rana S. Naseer --- Salah M. Hasan --- Donia A. Razzaq Mahmod
الصفحات: 64-70
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الخلاصة

Objective(s): To measure serum C-reactive protein (CRP) titer as a predictive diagnosis of acute hepatitis C virus (HCV) infection. Methodology: Two hundred and ten patients with acute HCV infection and 234 apparently healthy individuals as control group were enrolled in this study in Baghdad medical city (Teaching Laboratories). The patents include 74(35.2%) females and 136 (64.8%) males with mean age (27±16.5) years. The control group includes 114 (48.7%) females and 120 (51.3%) males with mean age (26±5.8) years. Blood samples were collected from out patients from Alfadul in Baghdad city. Sera were separated and stored at 20 0C. The diagnosis of acute HCV infection was based on detection of HC Ag and anti- HCV IgM and standard liver function tests. Determination of CRP titer was assessed by semi-quantitative tube agglutination test. All data were statistically analyzed. Results: Based on 95% percentile, the baseline CRP titer in healthy individuals was 1:8 (16mg/l) and for patients 1:512 (1024mg/l). There was a statistically significant increase in the mean CRP titer in patients with acute HCV infection compared to healthy individuals (P< 0.001) .The validly of CRP titer 1: 64 as a cut –off value to predict HCV infection provide a sensitivity and specificity of 100 % and 96% respectively. Furthermore, there was a significant correlation between CRP titer and liver function test values. Recommendation: Therefore, in further studies, we recommends the evaluation of C- reactive protein titer in patients with acute hepatitis B Virus infection and patients with non–infectious diseases such as cardiovascular disease, diabetes mellitus and hyperlipidemia infection, and compare between them.

الكلمات الدلالية

C-reactive protein --- hepatitis-C virus


Article
Impact of Health Education Program upon Knowledge of Patients with End-Stage Renal Failure

المؤلفون: Ali D. Abbas --- Batool A. Jaddoue
الصفحات: 71-83
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الخلاصة

Objective(s): To determine the impact of health education program toward their end-stage renal failure (ESRF) patients’ knowledge through a follow-up approach each two months post program implementation for six months. Methodology: "Follow-up" longitudinal design by using time series approach of data analysis and the application of pre-post tests approach for the study group and the control group. The study is conducted in Al-Shahid Ghazi Hariri Teaching Hospital for Surgical Specialties/Centre for Disease and Renal Transplant, and Al-Khayal private Hospital for renal disease and transplantation during the period from August, 29th, 2010 through February, 28th, 2011. To achieve the objectives of the study, purposive "non-probability" sample of (40) ESRF patients was taken before operation. The sample is divided equally into study and control groups. Data were collected through the use of questionnaire which is related to ESRF patients’ knowledge test, which were developed for the purpose of the study. Instrument validity was determined through content validity, by a panel of experts. Reliability of the instrument was determined through the use of Pearson correlation coefficient for the test-retest approach, which is (0.82). Analysis of data is performed through the application of descriptive statistics (frequency, percentage) and inferential statistics (t-test and one way analysis of variance). Results: The results of the study indicate that the study group of ESRF patients benefited from the implementation of health education program. However, their knowledge were adequately improved and developed. Recommendation: The study recommends the health education program could be considered as an effective way in the development of knowledge ESRF patients on medical and nursing care after the operation of renal transplantation.


Article
Knowledge of Breastfeeding: A descriptive study among mothers in Kirkuk Governorate

المؤلفون: Nazar A. Mahmud
الصفحات: 84-93
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الخلاصة

Aims: The present study aims at assessing mothers’ knowledge of breastfeeding in Kirkuk governorate, besides determining the relationship between mothers’ knowledge and some of their demographic attributes. Methodolgy: A descriptive study was used the assessment approach and applied on mothers in Kirkuk governorate from January 15th 2011 to July 25th, 2011. Non-probability sampling a convenience sample of (72) mothers, attending pediatric general hospital in Kirkuk governorate for following up the health status of their children, was selected for the purpose of the study. A questionnaire was developed for the purpose of the study. It was comprised of two parts; the first part includes the mothers' demographic attributes and the second part assessed the knowledge of breastfeeding with (20) True or False questions. A pilot study was carried out for the period of January 15th to 25th, 2011 to determine the questionnaire reliability through the use of (Test – Retest). A panel of (8) experts was involved in the determination of the questionnaire content validity. Data were analyzed through the application of descriptive statistical data analysis approach (frequency and percentage), and inferential data analysis approach (chi-square). Results: The study findings revealed that more than half (58.3%) of mothers were young, (45.8%) of them had completed primary school, more than two-third (84.7%) of them were housewife mothers, (61.1%) of them have lived inside Kirkuk city, also (61.1) of mothers have more than one children, (63.9%) of them were regularly visited primary health care center during antenatal period and only (40.3%) of them have received antenatal orientation about breastfeeding. According to the level of knowledge of breastfeeding, (66.7%) of mothers answered correctly all questions about breastfeeding, and there was a highly significant relationship between health education during antenatal period and mothers’ knowledge of breastfeeding. Recommendations: The study findings highlight the need for excessive health education about breastfeeding during antenatal period and advice the mothers to comply with recommended visits during pregnancy period.

الكلمات الدلالية

Breast Feeding --- Mothers' Knowledge


Article
The Effect of Different Types of Separating Medium On Some Physical Properties of Processing Acrylic Denture-base with Two Investment Materials: A comparative Study

المؤلفون: Nihad H. Mohammed
الصفحات: 94-109
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الخلاصة

Objective(s): In the present study, glycerin is used as a substitute for tin-foil and cold mold seal (Alginate mould seal) in the process of curing heat and cold-cure acrylic resin denture base against stone and plaster. Methodology: 60 specimens were prepared from heat-cure acrylic resin and cold-cure acrylic resin denture base. The study includes 12 groups of specimens depending on the type of processing, investment material and type of separating medium that are used in curing process. Each group of them contains 5 specimens for each test. Some of physical properties of the processed acrylic denture base that (water sorption and solubility) have been compared with those processed using tin-foil and tin-foil substitute. Results: The results have shown that tin-foil is still the best separating medium that is used due to the best properties obtained when using tin-foil as a separating medium, while no significant differences have been observed between glycerin and cold mold seal specimens in respect to water sorption and solubility of the testing groups. Recommendations: that glycerin can be considered as a satisfactory separating medium for both heat and cold-cured acrylic denture base resins, especially because it is easy to get, easy to use and cheap.


Article
Oral health status of patients after replacement of removable partial dentures after three years

المؤلفون: Sahar A. Naji
الصفحات: 110-117
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الخلاصة

Objective(s): To assess the effect of removable partial dentures on the abutment teeth in comparison with that of the remaining dentition, and to investigate the effect of regular check up on periodontal health for patients using this type of prosthesis. Methodology: One hundred patients wearing removable partial dentures for at least three years included in the study. Teeth used as direct or in direct retainers for the removable partial denture were considered as the study group, while the remaining dentition in the same jaw was considered as the control group. The following periodontal parameters were registered for each tooth, plaque and gingival indices, clinical attachment level and tooth mobility. Patients were divided into two groups as regular and irregular attendants. Results: Among the 100 patient, 30 were regular attendants. A significant difference in clinical attachment level and plaque accumulation was detected between study and control group of teeth. In addition there was a statistically significant difference in all periodontal parameters between regular and irregular attendants Results: Among the 100 patient, 30 were regular attendants. A significant difference in clinical attachment level and plaque accumulation was detected between study and control group of teeth. In addition there was a statistically significant difference in all periodontal parameters between regular and irregular attendants. Recommendations: The Patient palaces for removable partial denture must maintain visits so we can check the removable partial denture and supporting teeth for any problem. Also, call for an appointment as soon as you develop any problem with your denture.

الكلمات الدلالية

periodontal removable partial denture


Article
Measles in Kirkuk Governorate: Cohort Study

المؤلفون: Sana'a H. Abdul Sahib --- Nazar A Mahmud
الصفحات: 118-123
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الخلاصة

Objective(s): To describe the demographic attributes, vaccination status of measles patients and the occurrence of the disease according to time and place in Kirkuk governorate during the year 2010. Methodology: The epidemiological study (a descriptive study) on measles cases was carried out in Kirkuk province which is one of the Iraqi governorates from January 20th to July 30th, 2011. Data were collected retrospectively by review of patients' files that were registered at the department of statistic in health directorate of Kirkuk during the year 2010. A purposive "non-probability" sample of (152) confirmed measles cases (clinically and laboratory) that were registered at the department of statistic in health directorate of Kirkuk during the year 2010, were selected for the purpose of the study. These data include demographic data, vaccination status, place and time of reporting the cases by month. The obtained data of the registered cases were entered in to the computer and analyzed through the use of the statistical package social sciences (SPSS 11.5); the data analysis was preformed through descriptive statistical approach, such as (frequency and percentage). Results: The study findings revealed that (49.3%) of measles cases were more than fifteenth years of age, (57.9%) of them were male. Up to half of cases occurred inside Kirkuk city, and according to vaccination status, (47.4%) of measles cases were vaccinated. Recommendations: The study highlighted the necessity of timely measles vaccine campaign, additional dose of vaccine to include also adolescents and adults who may be sensitive to measles, and importance of health education for unimmunized adult person.

الكلمات الدلالية

Measles --- Vaccination

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