ISSN 2379-8203

BIOMEDICINE & NURSING

Biomedicine and Nursing
Quarterly
Volume 6 - Issue 2 (Cumulated No. 21), June 25, 2020. (COVER)
  
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1. Impact of Intervention Program on Nurse's Knowledge and Practice Regarding Management of Fourth Stage of Labour and Pre Discharge Counseling
Eman Ahmed Gouda Ahmed, Noura Mohammed Attia Ahmed

Lecturer of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University, Egypt
Email: emyahmed1985@yahoo.com


Abstract: Background: the first 2 hours after birth are exciting and joyous as mother and baby get to know each other. Transitions from pregnancy to postpartum and from in utero to extrauterine life are also times of risk, even for seemingly healthy mothers and babies. Aims of this study, are to Improve and develop the skills & knowledge of the staff nurses in the management of fourth stage of labor, Plan, implement & evaluate an educational training program for upgrading nurses' knowledge and practice pertaining to the proper nursing intervention for women during fourth stage of labor and pre-discharge plan. Design, quasi- experimental design was used to the current research. Setting, The study was conducted at Zagazig University Hospital, Tools, two tools were used for data collection; structured interviewing quationnaire sheet, nurses knowledge quationnaire and Observational checklist for evaluation of management of fourth stage of labor. Results, results indicated that the score of nurse's knowledge and performance before and after the program implementation was satisfactory with statistically significant differences. The study concluded that, after repeated training, the staff nurses were able to fill the nursing assessment sheet and performed all the steps for the management of fourth stage of labor. Recommendations, Based on the results of this study, the following recommendations are suggested: in nursing practice, the instructions for the procedure and the nursing assessment sheet will help nurses develop their skills in the management of the fourth stage of work.
[Eman Ahmed Gouda Ahmed, Noura Mohammed Attia Ahmed. Impact of Intervention Program on Nurse's Knowledge and Practice Regarding Management of Fourth Stage of Labour and Pre Discharge Counseling. Biomedicine and Nursing2020;6(2): 1-9]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 1. doi:10.7537/marsbnj060220.01.
Key words: Fourth stage of labor, Pre Discharge Counseling


2. Organizational Cynicism and its effect on Staff Nurses Job Embeddedness and Organizational Citizenship Behaviors 
Ibtisam Ahmed Mohamed1, Rasha Mohamed Nagib Ali2
1Lecturer of Nursing Administration, Faculty of Nursing. Minia University, Egypt
2Lecturer of Nursing Administration, Faculty of Nursing. Minia University, Egypt

tamem.ali23@yahoo.com

Abstract: Background: Health care organizations cannot develop without productive staff nurses. Enhancing the productivity and performance of health care workers to improve efficiency in health interventions, is a significant challenge. Objectives: This study determined whether there was an effect of organizational cynicism on job embeddedness and organizational citizenship behaviors among staff nurses. Methods: A correlational descriptive research design was carried out to achieve the aim of the current study. Setting: The study was conducted at Minia General Hospital. Subject: a convenience sample of staff nurses who were working at Minia General Hospital (n=331). Fourth tools were used for collecting data for this study, 1st: Personal data questionnaire 2nd: Organizational Cynicism Scale (OCS), 3rd: Job Embeddedness Scale, and 4th: Organizational Citizenship Behaviors Questionnaire. Result: The findings of the present study revealed that the majority percent of Minia general hospital staff nurses exhibited "high "responses toward organizational cynicism dimensions. On the contrary, the high percentage of the nurses were responses to "low" for total job embeddedness and nurses exhibited "low" responses toward organizational citizenship behavior dimensions. Conclusion: From this study, it can be assumed that there was a negative correlation between organizational cynicism and job embeddedness and organizational citizenship behavior. Also, there was a positive correlation between job embeddedness and organizational citizenship behavior. Recommendation: it is advised that each manager in institutions requires to perform a more active and vital role in limiting cynicism, and managers necessitate to be more understanding about the causes of cynicism and how to dealing with all employees.
[Ibtisam Ahmed Mohamed, Rasha Mohamed Nagib Ali. Organizational Cynicism and its effect on Staff Nurses Job Embeddedness and Organizational Citizenship Behaviors. Biomedicine and Nursing 2020;6(2): 10-21]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 2. doi:10.7537/marsbnj060220.02.
Keywords: organizational cynicism, job embeddedness, organizational citizenship behavior, and staff nurses


3. Emblica Officinalis (Amla): A Prospective Review On Distinctive Properties And Therapeutic Applications Of Amla
Syeda Mona Hassan1, Shahzad Sharif Mughal1*, Asma Aslam1, Maryam Mushtaq1, Muneeza Munir1, Sumaira Pervez1, Nageena Shabbir1, Ali Raza Ayub2, Muhammad Farman3
1Department of chemistry, Lahore Garrison University, DHA Phase 6 sector c, Lahore, Punjab, Pakistan
2Department of chemistry, university of Agriculture, Faisalabad, Punjab, Pakistan
3Department of chemistry, University of Engineering and technology Lahore, Punjab, Pakistan
*Corresponding author’s email: shezi1130@gmail.com


Abstract: Phyllanthus emblica Linn (Emblica officinalis Gaertn) usually referred as Amla is well known tree used for the production of herbal as well as pharmacological medicines. It is a famous truth so as to every components of amla are beneficial for the treatment of numerous illnesses. Among all, the maximum vital element is fruit. Amla fruit is extensively utilized in all around the world gadget of medication as antioxidant, hepatoprotective, nephroprotective, metabolic syndrome, cardioprotective, hair energizer, stomach-ulcer protective, sickness, as by myself or in aggregate with different herbs. The different research shows that it contains large number of biochemical components especially alkaloids, phenols, tannins, multivitamin and inorganic compounds. The organic chemical constituents present in amla involve Ellagic acid, Gallic acid; Emblicanin A & B, Phyllembein, Quercetin and Ascorbic acid are decided to be efficient for health. The review articles related to amla well-known its palliative, anti-coughing, anti-atherogenic, immune-booster; aerobic, intestinal-protective, kidney-protective and neuro-protective, chemo-preventive, radio-modulatory and anticancer homes. It is also stated to possess amazing unfastened radical scavenging, oxidation inhibitor, anti-inflammatory, anti-mutagenic, immune-modulatory sports, that are effectual inside the remedy and treatment of diverse illnesses like cancer, atherosclerosis, diabetes, liver and coronary heart illnesses. In this text, we communicate the nutritional fee, biochemical components, conventional makes use of, medicinal cost of amla and its use as a household treatment. We moreover emphasized the mechanisms entails in pharmacological sports based on the modern-day research critiques and attempted to summarize the results of studies carried out from the beyond five years with proper specifications on the destiny possibilities in a pharmacological perspective.
[Syeda Mona Hassan, Shahzad Sharif Mughal, Asma Aslam, Maryam Mushtaq, Muneeza Munir, Sumaira Pervez, Nageena Shabbir, Ali Raza Ayub, Muhammad Farman. Emblica Officinalis (Amla): A Prospective Review On Distinctive Properties And Therapeutic Applications Of Amla. Biomedicine and Nursing 2020;6(2): 22-30]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 3. doi:10.7537/marsbnj060220.03.
Keywords: Amla; conventional medicines; coronary; antioxidant; treatment applications


4. Correlation between Findings of Visual Evoked Potential and Optical Coherence Tomography of Macula and Optic Nerve Head in Patients with Multiple Sclerosis
Ayman Elsayed Omarah (MSCh)1, Mohamed Asharf Eldesouky (MD)1, Mohamed Hosney El-Bradey (MD) 1, Azza Abbas Ghali (MD) 2
1Ophthalmology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
2Neurology Department, Faculty of Medicine, Tanta University, Tanta, Egypt


Abstract: Background: MS is an immune-mediated demyelinating and axonal damage of the central nervous system. Some recent models support the presence of two connected mechanisms, inflammation and neurodegeneration, taking place in MS. However, the temporal relationship between them remains unclear. Visual disturbances including blurred vision, visual field defects, and color desaturation are frequently occurring symptoms in MS and are assumed to be caused by inflammation in and axonal damage to the optic nerve as part of the CNS. Acute ON affects 50%–70% of MS patients. Visual dysfunction is one of the main causes of disability in MS. The retina is a good model for the study of neurodegeneration since it lacks myelin, meaning that changes in the RNFL thickness will be due only to axonal damage. Recently, numerous reports suggest that OCT parameters might detect and monitor axonal loss in MS patients. Some authors advocate OCT as a useful biomarker of disease activity and recommended that OCT should be part of the routine monitoring of patients with MS 54. Peri-papillary RNFL has been forefront among these parameters and thinning of the RNFL, demonstrated by OCT, became a strong evidence of axonal injury related to the inflammatory demyelination process in MS. The advancements in OCT technology enabled measurement of discrete retinal layer thicknesses. After that, the assessment of GCIPL has been advocated to be taken into consideration. Aim of the study: This prospective, evaluate the optical coherence tomography of macular ganglion cell layer (OCT GCL) and optical coherence tomography of optic nerve head (OCT ONH) in MS patients as markers of axonal loss and correlate between these findings and optic nerve function recorded by visual evoked potential VEP. Patients and Methods: This study is included 30 eyes of patients with clinically defined multiple sclerosis according to the revised McDonald criteria 2017. Patients were divided into two subgroups: MS with history of optic neuritis (MS-ON) and they were 15 eyes. The other group is MS without history of optic neuritis (MS-NON) and they were 15 eyes.10 eyes of disease-free controls were age and sex-matched to the MS patients Results: There were no significant differences regarding the age and gender distribution of posterior uveitis among patients. The mean age of the patients was 32 years (range 12 to 56 years) and of the controls was 33 years (range 15 to 53 years). Gender distribution was 19 males (13 patients & 6 controls) and 26 females (17 patients & 9 controls). In the study Optic nerve structure were assessed by OCT macula (GCL/IPL complex) and OCT ONH. There is significant reduction of average GCL thickness in MS patients more than control group cases of MS ON show significant reductions in average GCL/IPL complex thickness comparing with MS NON and control group. There is no significant reduction in average GCL/IPL complex thickness between cases of MS NON and control group Regarding average RNFL thickness, cases of MS show significant reduction in average thickness in comparison with Control group. Cases of MS ON show significant reductions in average RNFL thickness comparing with MS NON and control group. There is no significant reduction in average RNFL thickness between cases of MS NON and control group. Regarding VEP, p 100 peak time and N75 – p 100 amplitude are measured. p100 peak time shows significant delay in MS patients. This delay in MS ON more than MS NON and control group. with no significant delay in p 100 peak time between MS NON and control group. N75 – p 100 amplitude is significantly reduced in MS patients. Conclusion: There is no correlation between average GCL/IPL thickness or RNFL thickness and VEP either P100 peak time or N75-P100 amplitude in MS patients with and without optic neuritis.
[Ayman Elsayed Omarah, Mohamed Asharf Eldesouky, Mohamed Hosney El-Bradey, Azza Abbas Ghali. Correlation between Findings of Visual Evoked Potential and Optical Coherence Tomography of Macula and Optic Nerve Head in Patients with Multiple Sclerosis. Biomedicine and Nursing 2020;6(2): 31-37]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 4. doi:10.7537/marsbnj060220.04.
Keywords: Multiple Sclerosis, Optical Coherence Tomography Ganglion cell layer and Retinal nerve fiber layer, Visual Evoked Potential


5. Burdens and Coping Strategies among Caregivers having Children with Disabilities at Special Needs Schools 
Azza El-Sayed Ali Hegazy 1, Hanem Awad Mekhamier 2, Huwida Hamdy Abd El-Monem 3, Nadia Ahmed El-Adham 4
1.,3. Pediatric Nursing, 2.,4. Community Health Nursing, Faculty of Nursing, El-Fayoum University, Egypt. 
asa19@fayoyum.edu.eg

Abstract: Background: Raising a child with a disability has been recognized as a major source of burdens and distress to family and their caregivers. Aim: This study aimed to assess the burdens and identify the coping strategies among caregivers of children with disabilities. Study design: A descriptive study design was utilized in this study. Setting: The study was implemented in three governmental mixed special needs schools in El-Fayoum city that were selected randomly. Sample: A multistage stratified sampling techniques was used in recruiting children and their caregivers. The study sample consisted of 360 caregivers of children with disabilities. Tools: Three tools for data collections consisted of, First tool: A structured interview questionnaire, Second tool: Zarit Burden Interview (ZBI) scale and Third tool: COPE Inventory scale. Results: The study findings revealed that 65.3% of caregivers had moderate to severe burden level while 21.9% had severe burden level. About 53.9% had moderately coping strategies, while 30.6% had low coping strategies. Conclusion: This study concluded that the majority of caregivers had moderate to severe burdens level, while minority of them had highly coping strategies. Regarding the total coping strategies, the studied caregivers' religious coping, active coping and substance use were statistically significant independent positive predictors. Recommendations: The current study recommended that providing support and educational programs for caregivers directly contributes to the needs of caregivers and leads to improving the care provided to children with disabilities, minimizing their parents' burden level as well as improving their coping responses.
[Hegazy A, Mekhamier H, Abd El-Monem H, El-Adham N. Burdens and Coping Strategies among Caregivers having Children with Disabilities at Special Needs Schools. Biomedicine and Nursing 2020;6(2): 38-48]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 5. doi:10.7537/marsbnj060220.05.
Keywords: Burdens, Coping Strategies, Caregivers, Disabled Children & Special Needs


6. Microperimetry Changes after Intra-Vitreal Injection in Diabetic Macular Oedema.
1Saeed Ahmed Saber, 1Mahmoud Ahmed Kamal, 2Khaled Gamal Abu-Eleinen, 1Ahmed Abdelkader Kottb
1Departments of Ophthalmology Faculty of medicine - Fayoum University, Egypt.
2Departments of Ophthalmology Faculty of medicine - Cairo University, Egypt.


Abstract: Purpose: To focus on morphological macular changes and their impact on the visual acuity and Retinal sensitivity that occur in diabetic macular oedema before and after intra-vitreal injections like Bevacizumab, Ranibizumab and Triamcinolone Acetate using Microperimetry. Methods: Sixty eyes received preservative free intravitreal injection delivered through the pars plana. Thirty eyes with intra vitreal triamcinolone acetate and the other thirty with intravitreal Anti-VEGF. The best corrected visual acuity (BCVA), foveal thickness, and the average retinal sensitivity were considered in our study. Patients were instructed to attend for BCVA, OCT and microperimetry-1 follow-up at baseline, one and three months. Results: At the baseline, mean macular thickness was 447.58 ± 101.49 micron, mean visual acuity was 0.34 ± 0.16 dB and Mean macular sensitivity determined with the microperimetry-1 was 8.19 ± 4.57 dB. After the 3month follow-up, mean OCT macular thickness decreased to 272.35 ± 84.27 microns (P < 0.001); mean BCVA improved to 0.54 ± 0.16 dB (P-value < 0.001) and mean retinal sensitivity improved to 11.58 ± 3.67dB (P-value < 0.001). Conclusions: In our study, we found that macular sensitivity is probably one of the most important predictors of visual function. MP-1 microperimetry seems to be a useful tool in evaluating visual outcome after intervention in eyes affected by DME.
[Saeed Ahmed Saber, Mahmoud Ahmed Kamal, Khaled Gamal Abu-Eleinen, Ahmed Abdelkader Kottb. Microperimetry Changes after Intra-Vitreal Injection in Diabetic Macular Oedema. Biomedicine and Nursing 2020;6(2): 49-64]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 6. doi:10.7537/marsbnj060220.06.
Keywords: Microperimetry (MP-1), Diabetic Macular Oedema, Intra-Vitreal Injection


7. Evaluation Of The Effects Of Anthonotha macrophylla (Hardwood), Dialium guineense (Softwood) And Gas, Oven On The Nutrient Composition And The Organoleptic Properties Of Smoked Dried Clarias gariepinus.
Okeke, P. A.1, Adibe, A. C.1, Ezenwenyi, J.U.2, Ogbonnaya, H.F.1, And Moghalu, K.1
1 Department of Fisheries and Aquaculture Management, Faculty of Agriculture, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria
2 Department of Forestry and Wildlife Management, Faculty of Agriculture, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.
Corresponding Author: pa.okeke@unizik.edu.ng


Abstract: A comparative evaluation of the effect of using Anthonotha macrophylla (Hardwood), Dialium guineense (Softwood) and gas oven on the nutrient composition and organoleptic properties of smoked dried Clarias gariepinus. Thirty (30) table size C. gariepinus species with mean weight of 500gm were procured, killed, eviscerated, rinsed with clean water and cut into steaks. They were shared into three batches as treatments A, B and C respectively. Each treatment was immersed in 10% brine solution for 30 minutes. Treatments A and B were smoked with charcoal of Anthonotha macophylla (Hardwood) and Dialium guineense (Softwood) for 24 hours, and treatment C with gas oven for 12 hours. They were allowed to cool at ambient temperature. There was no significant difference (p > 0.05) in the proximate nutrient composition of the fish samples from the three treatments as determined by A.O.A.C. (2000) method. There was no significant difference (p > 0.05) among the sensory parameters (texture, taste, aroma and flavour), using the 9 – point hedonic scale, except for the flavour. Treatments A and B had higher score of ash than those smoked with treatment C. Although crude fat content of treatment C of 25.46% was higher than those smoked with treatments A and B with 20.19% and 21.19% respectively. The research showed that A. macrophylla(Hardwood), D. guineense (Haedwood) and gas oven sources of energy are suitable for smoke drying fish without negative effects on nutrient composition and organoleptic qualities. Smoking with hardwood is preferred than others as shown by this study. 
[Okeke, P. A., Adibe, A. C., Ezenwenyi, J.U., Ogbonnaya, H.F., And Moghalu, K. Evaluation Of The Effects Of Anthonothamacrophylla (Hardwood), Dialium guineense (Softwood) And Gas, Oven On The Nutrient Composition And The Organoleptic Properties Of Smoked Dried Clarias gariepinus. Biomedicine and Nursing 2020;6(2): 65-69]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 7. doi:10.7537/marsbnj060220.07.
Key words: Clarias gariepinus, Hardwood and Softwood, Nutrient composition, Organoleptic qualities, Smoked dried


8. Review on Commonly used Veterinary Antibacterial and Anthelmintic Drugs in Ethiopia 
Abebe Mequanent
University of Gondar College of Veterinary Medicine and Animal Science, Department of Veterinary Clinical Medicine, Gondar, Ethiopia, P.O. Box: 196. E-mail:

abebemequanent@gmail.com

Abstract: Veterinarians are essential professional person of the efficient health care, and their tasks carry out is administrations of drugs to animals on the order of a veterinarian. Commonly used drugs in Ethiopia are penstrip, oxytetracycline, sulphamidine, ivermectine, albendazole 2500mg, fenbendazole, albendazole 300mg, tetraclozash 3400mg, tetramisol 900mg, tetramisol 600mg and diminazine aceturate are used for treatment of live stocks in the country.
[Abebe M.A. Review on Commonly used Veterinary Antibacterial and Anthelmintic Drugs in Ethiopia. Biomedicine and Nursing 2020;6(2): 70-75]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 8. doi:10.7537/marsbnj060220.08.
Key words: Antibacterial, anthelmintic and drugs


9. Learning Styles And Academic Adjustment As Predictors Of Academic Achievement And Self-Efficacy Among Nursing Students
1 Sanaa Moustafa Safan, 2 Hanan Ramzy Ahmed Atalla, Naglaa Abdelmawgoud Ahmed Mahmoud (3), and Dr. Hanaa E. El- Sayad (4)

1 Assistant Professor of Nursing Administrations, 2 Assistant Professor of Medical Surgical Nursing, Assistant Professor of Family and Community Health Nursing3, Lecturer of Medical Surgical Nursing4 Faculty of Nursing, Menoufia University

Abstract: Background: Differences in academic achievement among students are mostly due to different learning styles and academic adaptation, in turn, affecting the student's self-efficacy. Objectives: this study aimed to assess learning styles and academic adjustment as predictors of academic achievement and self-efficacy among nursing students. Design: A descriptive correlational research design was utilized. Setting: The study was carried out at faculty of nursing, Menoufia University, Egypt. Participants: A proportional allocation sample of 30% from the second, third, and fourth nursing students. Methods: data was collected using learning styles Questionnaire to measure the attitudes and styles of learning among university students, Academic Adjustment Questionnaire to assess the student’s adjustment to the academic demands of the university experience and Academic, and Self-Efficacy Scale to measure student confidence levels. Results: The most preferable learning styles among nursing students were deep and strategic style. The highest percentage had academic adjustment thus they were good organized to academic demands of the university experience. Moreover, students had highly level of academic self-efficacy. Finally, learning style and academic adjustment had a statistically significant positive correlation with academic achievement and self-efficacy among nursing students. Conclusion; Learning styles and academic adjustment considered as predictors of academic achievement and self-efficacy among nursing students. Recommendation: Create a comfortable environment in which students can adapt academically, and spend more time participating and collaborating with teachers and colleagues that may facilitate learning, thereby enhancing students ’academic achievement.
[Sanaa Moustafa Safan, Hanan Ramzy Ahmed Atalla, Naglaa Abdelmawgoud Ahmed Mahmoud, and Dr. Hanaa E. El- Sayad.Learning Styles And Academic Adjustment As Predictors Of Academic Achievement And Self-Efficacy Among Nursing Students. Biomedicine and Nursing 2020;6(2): 76-86]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 9. doi:10.7537/marsbnj060220.09.
Key words: Academic achievement, Academic Adjustment, Learning styles and Nursing Students


10. Effect of Educational Program on Self management based on Orem’s model among children with bronchial asthma in Buraidah Region, KSA
Samah El Awady Bassam

Associate Professor, Pediatric Nursing, Collage of Nursing, Qassim University, Kingdom Of Saudi Arabia
Email: s.basam@qu.edu.sa; awadysss@yahoo.com

Abstract: Background: Asthma is chronic diseases in the world. Shortage of asthma information can be caused to asthma exacerbations, emergency room visits, school absences, and reduced quality of life. In addition, the effectiveness of teaching intervention programs on asthma administration for school-aged students and their parents to the further side of inpatient clinic settings give good effectiveness. The target of this research estimate the influence of asthma teaching program based on Orem’s self-care model on the advancement of self-care activities of prep and secondary stage students with asthma. Design: a quazi-experimental research was utilized. Sample: a purposive sample carried out on 86 prep and secondary stage students with asthma in the pediatric outpatient clinic in this study. Data collected tools: The tools collect were utilized the demographic properties for students' stage prep and secondary. Results: The results observed that the improvement of the case of asthmatic children after adherence of prep and secondary stage students to medications was considering making greater Conclusion: School and community for asthma educational intervention have as the foundation Orem’s self-nursing is successfully become better the achievement of inhaler utilize. This research points out those self-nursing were influenced between students with asthma subsequent application of the program. Recommendations: could be recommended for attitude Orem’s self-nursing model for prep and secondary stage students with bronchial asthma in addition, it could be recommended to replicate this study in many prep and secondary schools to support its effectiveness.
[Samah El Awady Bassam. Effect of Educational Program on Self management based on Orem’s model among children with bronchial asthma in Buraidah Region, KSA. Biomedicine and Nursing 2020;6(2): 87-96]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 10. doi:10.7537/marsbnj060220.10.
Keywords: Educational program, self-management, Orem’s model, bronchial asthma


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