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Article
Evaluation of topical versus systemic medications in the treatment of neuropathic orofacial pain A prospective study

Author: Ihsan A. Kumail احسان كميل
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: special issue 1 Pages: 53-59
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Neuropathic orofacial pain is a multifactorial condition and mainly treated by systemic anticonvulsantand antidepressant medications which result in unpleasant side effects and may contradict or interact with othermedications especially in elderly. This study demonstrates preparation of alternative topical treatment andevaluation of its efficacy versus systemic treatment in respect to period taken for pain reduction and side effects.Sample and Method: A prospective study was conducted on systemically healthy 41 patients treated forneuropathic orofacial pain attended the Oral Medicine Clinic/ Dentistry College/ Mustansiria University and privateclinic. Patients were divided into 2 groups of almost similar ages, genders and pain severities. Microemulsive gel wasprepared to carry specific concentrations of active agents by transdermal permeative vehicle to the affected sites.The first group received topical medications only (n = 21), while the second group was treated with systemicmedications only (n = 20). The intensity of pain was recorded for each on a Visual Analog Scale (from 0= no pain to10= intolerable pain) at diagnosis, and at 4 successive weeks after initiation of treatment. Reduction in pain severitywas considered only if it equals 30% or more. The two methods of treatment were evaluated according to the periodrequired for 30% pain reduction and side effect(s) caused by each type of treatment.Results: After initiation of treatment, 81% of patients (no= 17) on topical treatment showed 30% reduction inneuropathic orofacial pain levels (which is considered a good response) within 2 weeks, the rest 4 patients (19%)reached 30% pain reduction within the third week. In systemic group, 50% of patients (no= 10) showed 30% painreduction within 2 weeks, 4 patients (20%) showed 30% reduction in the third week and 6 patients (30%) of the samegroup did not experienced 30% pain reduction until the fourth week. Ten patients of systemic group experiencedside effects, while patients on topical treatment did not complain of any side effect along term of treatment.Conclusion: Topical medication as a single treatment is more efficient in reduction of neuropathic orofacial painwithin shorter period and no side effects than systemic medications. Younger patients (≤ 40 years) responded totreatment better than elderly in both groups


Article
Bacteraemia Following Different Orthodontic Treatment Procedure

Author: Mustafa M. Al-Khatieeb* BDS, MSc
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 2 Pages: 130-135
Publisher: Baghdad University جامعة بغداد

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Background: since the occurrence of transient bacteraemia is fatal following different dental procedures in patients at-risk of bacterial endocarditis, the purpose of this research was to estimate the percentage and nature of bacteraemia following four orthodontic treatment procedures which were: an upper alginate impression, separator placement, band fitting or placement, and arch wire adjustment on a fixed appliance.Materials and methods: the study group consisted of 40 patients (25 females and 15 males) ranging from 17-25 years of age attending Orthodontic Department in the College of Dentistry/Baghdad University, and out patients department from private clinic. The 40 patients were divided into four groups (10 patients each). A cannula was inserted into either the left or right antecubital fossa using an aseptic technique. A 5ml of blood was taken immediately before orthodontic treatment procedure and a second 5ml sample was taken 1-2 minutes after the procedure.Results: the blood samples showed a percentage of bacteraemia of 50%, 40%, 30%, and 20% in cases of post-band placement, post-separator placement, post-arch wire adjustment, and post-alginate impression procedures respectively.Conclusion: this investigation demonstrated that the placement of separator and fitting of band procedures could cause a significant bacteraemia, thus these procedures for patients at–risk of bacterial endocarditis should be placed in consideration, and prescribe the necessarily antibiotic coverage.


Article
Natural History of Symptomatically Treated Children with Cystinosis

Author: Nariman Fahmi A.Azat
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 2 Pages: 254-257
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:Cystinosis is an autosomal recessive disorder of lysosomal transport of cystine . Nephropathic (infantile) cystinosis is the most common and the most severe clinical expression of the disease .OBJECTIVE:To highlight the natural history of symptomatically treated children with cystinosisPATIENTS AND METHODS :A retrospective study was done on cystinotic patients who were diagnosed and treated symptomatically in children welfare teaching hospital in Baghdad from period Jun 2002 –July 2011.RESULTS:Twenty nine patients ,19 (66%)males and 10(34%) females who were diagnosed as cystinosis and treated symptomatically were included in the study; their ages ranged between (0.6 -12 ) years median 4 years . the age of onset of symptoms of tubular dysfunction ranged from (0.3-3.5 yrs) median (1.1 yrs.), positive family history of cystinosis was found in 11(37.9 %) cases and parents were consanguineous in 25 (86.2%) families.All patients presented with history of polyuria, polydypsia, anorexia, vomiting, constipation and failure to thrive.Rickets was found in 22(75%)and photophobia was found in 19 (65.5%) patients.Follow up data showed renal insufficiency in eighteen patients(62%) at a median age of 9(4-12) years ,hypothyroidism diagnosed in one patient(3.44%)at the age of 11 years , six (20.68%) patients died , three (10.3%)patients secondary to renal failure .CONCLUSION AND RECOMMENDATIONS:Cystinosis causes extensive morbidity and death in childhood and because of high rates of consanguineous marriages in our society ,we encourage a high index of suspicion in infants presenting with fluid and electrolyte loss aiming at early diagnosis and treatment of cystinosis . leukocyte cystine levels is still needed to be available to confirm diagnosis in infants who have negative ocular examination .and to win in the fight against this terrible disease cysteamine treatment need to be available for these patients


Article
Human Chorionic Gonadotropin in Treatment of Preterm Labour

Authors: Ibtissam Yousif AL- Saffar --- Hala Ibrahim Salih
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 3 Pages: 288-292
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Preterm labour is a major healthcare problem throughout the world, it is a major cause of perinatal morbidity and mortality, that is not significantly altered by the current drug therapies, most of which are associated with significant maternal or fetal side effects. OBJECTIVE: To evaluate the role of human chorionic gonadotrophin (HCG ) in the treatment of preterm labour. METHODS: Fifty-seven women with preterm labour were enrolled in this clinical trial at Al- Yarmouk Teaching Hospital/ department of Obstetrics and Gynaecology – Baghdad /Iraq during the period from April, 1st 2006 till November, 30th 2006, and were assigned to receive a single intramuscular injection of 5000 units of HCG followed by a drip of 10000 units of HCG in 500 ml 5% dextrose over 6 hours. 30 women continued the study and the mean prolongation of the pregnancy was calculated for all of them. RESULTS: The mean prolongation of pregnancy was 32.97 ± 17.6 days and it was highest among gestational ages of 29-30 weeks ( 43.3± 19.85 days ), with the mean gestational age at birth was 35.7 ± 2.8 weeks. All babies born to these women had weight appropriate for their gestational age at birth with a mean birth weight of 2.7 ± 0.64 kg and 60% of babies weighed > 2.5 Kg at birth. CONCLUSION: It was shown through this trial that human chorionic gonadotropin was effective in exhibiting potent tocolysis and prolonging pregnancy in preterm labour without causing adverse effects to the mothers or their babies. This can make a major contribution to the management of this common obstetrical complication.

Keywords

HCG --- preterm labour --- treatment


Article
Transurethral Microwave Thermotherapy (TUMT) for Benign Prostatic Hyperplasia; Our Experience

Author: Yousuf M. Al-Hallaq
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 3 Pages: 297-299
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:Minimally invasive office – based treatments for benign prostatic hyperplasia (BPH) are challenging the traditional surgical and medical management options for symptomatic BPH.OBJECTIVE:The aim of this study is to assess the efficacy of transurethral microwave therapy (TUMT) on spontaneous voiding, maximum flow rate and residual urine volume in patients with otherwise poor general health and BPH.METHODS:Thirty (30) patients with associated comorbid diseases and retention of urine (acute and chronic) due to BPH were subjected for TUMT as an outpatient procedure, from January 2002 to November 2003. Follow up was performed 10 days post TUMT, and then monthly until 3 months clinically and by assessing, spontaneous voiding, maximal flow rate and residual urine volume.RESULTS:Out of 30 treated patients, 5 were able to void spontaneously (without catheter) at the end of 12 weeks following TUMT. There was a little improvement of maximum urinary flow rate and residual urine volume at the end of the same period.CONCLUSION:TUMT is an alternative choice for the treatment of patients with BPH and chronic medical illnesses or those refusing surgery. However low energy protocol TUMT is not an effective treatment mode for patients with urinary retention due to BPH


Article
Club Foot Deformity Conservative Versus
مرض القفد الفحجي (دراسة مقارنة بين العلاج التتحفظي والجراحي)

Author: Sadeq A . Al-Mukhtar
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2009 Volume: 12 Issue: 2 Pages: 245-256
Publisher: University of Kufa جامعة الكوفة

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Background: Congenital talipes equinovarus is a complex deformity of foot .It is a collection of different abnormalities, with different etiologies. Consequently, Severity varies with difficulties in evaluating treatment strategies with outcome results.Clubfoot deformity consists of adduction of the forefoot, inversion and varus of the hind foot, and equines at the ankle and subtalar joints, some cases are complicated by an additional cavus deformity. The severity of clubfoot varies widely from case to case, ranging from deformed but flexible to extremely rigid and difficult to move.The treatment of congenital club foot remains controversial. The results of any form of treatment vary according to the severity of the deformity. Usually, the orthopaedist"s goal is to obtain anatomically and functionally normal feet in all patients, but this is not realistic because in many club feet the deformities of the bone , joint, and ligaments of the foot and ankle are too severe to be fully corrected. Before 1950 extensive posteromedial soft-tissue releases were done commonly in different clinics to achieve an anatomical correction of the deformity. These operations often resulted in considerable stiffness of the foot and ankle, and recurrences or over-corrections of the deformity were observed.In this study which was done in three hospitals in Baghdad in the period between 5th of April 1995 and 20th of May 2004, we depended mainly on conservative methods of the treatment of clubfeet.Aim: Validity of early conservative treatment in clubfeetPatients and Methods: The number of patients involved in this study were 470(745 feet),323 were male and 147 were female. It involved only patients with age less than six months.Each patient in this study filled out a questionnaire that provides information. Full Examination, general and local, full neurological examination. Radiological assessment also done for every patient. The protocol of treatment was modified Ponseti method.Follow up of patients for four years. The patients were divided into two groups. Group A, included patients age less than one month, while group B, included patients age between One to six months.Results: The male to female ratio was 2.2:1. Group A- patients were 315, while group B, were 155 patients. Bilateral was 51.7%. Simple clubfoot was 77%.%.Radiologicl assessment; before starting the treatment, 85% of patients, their talo-calcaneal indices were 0-40 degrees and 15% were 40-50 degrees and after 9 months of treatment, we found that 80% of uncorrected patients their indices were 34-40 degrees and 205 with indices of 40-50 degrees . . After 6 weeks of conservative treatment in group A 83.8% got correction, while in group B, 56% only. After 9 weeks of conservative, in group A 91.4%were corrected, while in group B only 58.7% were corrected. Percutaneous tenotomy of T.A. was done in8.3% of group A , while in group B in 18.7%. Soft tissue release with or with out tendon transfer was done in 3.2% in group A and in group B was 25.8%. Follow up for 4 years,14 patients(4%) developed relapse in group A, while in group B, 22 patients(14.2%). The results, using rating system the result in both groups were excellent in 42% , good in 24%,fair in 8.4%, and poor in 25.6% (7.9% in group A, and 43.2% in group B). Conclusions: 1-Understanding the main pathology of club foot, and the ideal method of conservative methods of correction of the deformities systematically before starting the treatment.2- In all types of club foot, we must start conservative treatment.3- Starting the treatment from the first day of life give good results.4- In assessment of the patients, we must depend on clinical, radiological, and functional outcome.5- Follow up is important in long-term treatment, but not more than two years6- Parental compliance is very important in the treatment of clubfoot.

ان مرض القفد الفحجي هو تشوه مقعد القدم حيث يشمل تغيرات متعددة نتيجة لأسباب مختلفة وهذا بالضرورة ينعكس على اسلوب العلاج .ان هذا التشوه يتكون من كون الجهة الامامية للقدم مقربة الى الداخل ، انقلاب داخلي مع فحج الجهة الخلفية من القدم ،مع مفصل الكاحل ومفصل تحت العقب وفي بعض الحالات تكون الأكثر تعقيداً نلاحظ وجود تشوه اضافي وذلك في تجويف القدم (تقوس) .ان علاج هذا التشوه مختلف بأختلاف المدارس ونتيجة هذا العلاج ايضاًمختلفة وتعتمد على شدة التشوهوان هدف المعالج هو للحصول على قدم ذات شكل صحيح تشريحياً ووظيفياً وفي بعض الحالات لا يمكن الوصول الى هذا الهدف لكون التشوه شديد .في هذه الدراسة التي اجريت في ثلاث مستشفيات في بغداد للفترة ما بين شهر نيسان 1995 ولغاية مايس 2004 اعتمدت الدراسة على المعالجة بالطريقة التحفظية.ان الهدف من الدراسة هو لتقييم دور العلاج التحفظي منذ ولادة المريض ومقارنة مع العلاج في فترات اخرى من حياة الطفل.اجريت الدراسة على 470 مريض (745 قدم). (223)ذكر و(147) انثى لمرضى اعمارهمتقل عن ستة أشهر واجراء الفحوصات الشعاعية لتقييم الحالات وتمت معالجتهم تحفظياً الا في بعض الحالات يكون جراحياً وتمت المتابعة لأربع سنوات وكانت نتائج الدراسة مشجعة حيث انه كلما عولج المريض في الايام الاولى من الولادة كلما كانت النتائج ممتازة (91.4%) ونستنتج من هذه الدراسة بأن معالحة هذه التشوهات تحتاج الى معالج متفهم للتغيرات التشريحية والوظيفية الحاصلة في القدم. وطريقة العلاج التحفظي مبينة على اسس علمية بخطوات متتالية بالاضافة الى أهمية التعاون بين المعالج وذوي المريض للحصول على الهدف .


Article
Reading Treatment
العـلاج بالقراءة

Authors: Ali Abd al-Samad Khudair علي عبد الصمد خضير --- Abdul Nabi Shinta Faraj عبد النبي شنته فرج
Journal: ADAB AL-BASRAH آداب البصرة ISSN: 18148212 Year: 2011 Issue: 58 Pages: 349-362
Publisher: Basrah University جامعة البصرة

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تناول البحث مشكلة وهدف العلاج بالقراءة ومطلحاته وبداياته كما تناول انواع العلاج بالقراءة واهدافه وخطواته ومرحله وفوائد استخدامه واساليبه والوسائل المستخدمة فيه وايضا ً المسؤول عن العلاج بالقراءة اضافة الى ذكر تجربة لاحدى المستشفيات وينتهي البحث الى بعض التوصيات لمستقبل العلاج بالقراءة .


Article
Treatment Outcomes of Inmates with Pulmonary Tuberculosis in Baquba Penitentiary: A Follow-Up Study
نتائج معالجة السجناء المصابون بالتدرن الرئوي في سجن بعقوبة- دراسة متابعة

Authors: Abdul-Razak Shafiq Hasan د. عبد الرزاق شفيق حسن --- Abdul-Razak Ali Hasan د. عبد الرزاق علي حسن --- Jalil I Al-Meshhadani
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 4 Pages: 315-319
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Objective: To assess the treatment outcomes of inmates with pulmonary tuberculosis (PTB) in Baquba penitentiary.Patients & methods: The treatment outcomes of 23 prisoners with PTB in Baquba penitentiary were followed-up for the period from 1stApril 2000 to 30th September 2001. The mean age of patients was 23.5 years. The diagnosis of PTB was based on standard clinical, radiological and bacteriological criteria. The treatment regimens followed the World Health Organization (WHO) guidelines, the directly observed therapy short course (DOTS). Follow-up investigations based on chest X-ray and sputum examination for acid fast bacilli (AFB). For isolation of Mycobacterium tuberculosis (MTB) culture was done on Lowenstein-Jensen medium. The susceptibility to (40 μg/μl) rifampicin and (0.2 μg/μl) isoniazide was tested by proportional method.Results: The results showed that 17(80.9%) of patients were newly diagnosed (NDPTB), and 4(19.1%) were relapsed cases. Of the NDPTB and relapsed cases, 14(82.3%) and 3(75%) were sputum smears positive respectively. The cure rate of sputum smears positive NDPTB after completion of the first course of (2HRZS/4HR) was 92.3%. Additionally, all sputum smear negative NDPTB were cured after completion of treatment with 2HRZS/4HR or 2HRZE/4 HR. Concerning the relapsed cases, 3 (75%) were cured after treatment with 2HRZES/1HRZE/5HRE. Whereas, the treatment was failed in the fourth patient, who underwent a second course of treatment. Culture and sensitivity test showed that the MTB isolated from the sputum of that patient was resistant to rifampicin and isoniazide.Conclusion: The implementation of DOTS strategy has undoubtedly increases the cure rate of PTB regardless the sputum smear status. However, the emergence of multidrug resistant MTB in such settings may have unfavorable consequences.Keywords: penitentiary, tuberculosis, Treatment outcomes

أجريت هذه الدراسة في سجن بعقوبة (مركز محافظة ديالى) لمتابعة نتائج معالجة 23 سجينا مصابون بالتدرن الرئوي بأتباع ستراتيجية المعالجة قصيرة الأمد تحت الأشراف المباشر. تم اعتماد المواصفات القياسية السريرية، الشعاعية والمختبرية في تشخيص حالات التدرن الرئوي. تنمية عصيات التدرن اجري على وسط Lowenstein-Jensen واختبار فعالية الأدوية اجري بطريقة التجانس. أظهرت النتائج بان 17(80,9%) من الحالات قد شخصت لأول مرة، وان 14(82,3%) منها كانت موجبة اللطخة، أما الحالات الناكسة فشكلت نسبة (19,1%) من مجموع الحالات، وان 3(75%) منها كانت موجبة اللطخة. إن معدل الشفاء بين الحالات موجبة اللطخة المشخصة حديثا كانت (92,8%) بعد إكمال دورة علاج واحدة من (2HRZS/4HR)فضلا عن ذلك فان جميع الحالات سالبة اللطخة قد اكتسبت الشفاء بعد دورة علاج واحدة من ) (2HRZS/4HR أو ) .(2HRZE/4HR أما الحالات الناكسة، فان 3(75%) منها اكتسبت الشفاء بعد دورة علاج واحدة من (2HRZES/1HRZE/5HRE )، في حين اظهر اختبار الفعالية الدوائية لعصيات التدرن المعزولة من المريض الرابع مقاومتها لكل من الريفادين والايزونيازايد. إن إتباع ستراتيجية المعالجة قصيرة الأمد تحت الإشراف المباشر قد أعطى نسبة شفاء عالية بغض النظر عن سلبية أو إيجابية اللطخة، ومع ذلك فان ظهور عترات من عصيات التدرن مقاومة للأدوية في مثل هذه الأماكن قد يكون ذي عواقب غير مرغوبة على نزلاء السجن وعموم المجتمع.


Article
Treatment Related Misconceptions among Diabetic Patients; a Call for Action

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Background: Diabetes mellitus is one of the most widely distributed metabolic disorders which occur in almost all populations of the world at a variable prevalence. Patients' behaviours and level of education constitute obstacles to compliance with treatment. One of these behavioural attitudes is treatment–related misconceptions, such misconceptions may reflect negatively on patients.Patients and Methods: A cross sectional study on treatment-related misconceptions among diabetic patients was carried out during the period between 1st March and 31st August 2004. A total of 985 diabetic patients were included in the study sample. Data collection was achieved through interviews using structured questionnaire. Results: The results showed that the most frequent misconceptions with an impact on treatment was considering vitamins necessary for diabetics in 656 (66.6%) and believing that oral anti-diabetic drugs to be more effective than injectable insulin in 609 (61.8%). Gender, family history, and duration of disease did not show a statistical significant association with the score of misconceptions. The logistic regression findings with risk of having a high score of misconception as the dependent factor and several independent variables revealing the significance of age, educational level, and type of Diabetes mellitus. Conclusions &recommendations: Treatment-related misconceptions present in the study group at high rates. Being old age, illiterate, and having type II diabetes mellitus are more prone to these misconceptions. A wide scale national study is recommended and a community based health education need to be enhanced by; all mass media channels, and by establishing health education units in all diabetic centers. Keywords: Treatment-related misconceptions, diabetic.

المقدمة: السكري هو احد أهم الاضطرابات الايضيه الواسعة النطاق والتي تحدث في جميع سكان العالم بمعدل انتشار متباين. بالرغم من أن التثقيف الصحي هو حجر زاوية في معالجة السكر، إلا انه في معظم الأحيان لا يعرض بشكل صحيح. سلوك المرضى ومستوى المعرفة تشكل عقبات أمام المطاوعة للمعالجة. ومن هذه المواقف السلوكية هي المفاهيم الخاطئة المتعلقة بالمعالجة والتي قد تنعكس سلبا على المرضى.طريقة البحث: أجريت هذه الدراسة المقطعية حول المفاهيم الخاطئة المرتبطة بعلاج مرض السكري في المركز الوطني لبحوث وعلاج داء السكري التابع لكلية الطب-الجامعة المستنصرية في بغداد للفترة ما بين الأول من آذار إلى الحادي والثلاثين من آب للعام 2004م. كان الغرض من الدراسة هو تقييم المعارف الخاطئة المرتبطة بعلاج عينة من مرضى السكري وبيان علاقتها ببعض المتغيرات الاجتماعية والسكانية والتي تشمل العمر، الجنس، المستوى التعليمي، نوع داء السكري، وجود تأريخ مرضي في العائلة.شملت عينة البحث 985 مصاباً بداء السكري. تم جمع المعلومات من خلال إجراء مقابلات مع المرضى وباستخدام استبيان مصمم خصيصاً لهذا الغرض. تم تحليل النتائج باستخدام نظام إحصائي خاص.النتائج: أظهرت نتائج الدراسة بأن أكثر مفاهيم العلاج الخاطئة شيوعاً هي تلك التي تتعلق (بضرورة أخذ الفيتامينات بالنسبة لمرضى السكري) والتي ذكرت من قبل 66.6% من المرضى والاعتقاد التالي هو (أن الأدوية المستخدمة لعلاج السكري عن طريق الفم أكثر فاعلية من الحقن بعقار الأنسولين) والتي ذكرت من قبل 61.8% . متغيرات الجنس وتاريخ العائلة المرضي وفترة الإصابة بالمرض) لم تظهر لها علاقة إحصائية معنوية مع مستوى المفاهيم الخاطئة للعلاج لدى عينة البحث.بعد إجراء التحليل الإحصائي الخاص ظهر أن هنالك أربع عوامل خطورة مؤثرة على المعتقدات الخاطئة للعلاج وهي: الفئات العمرية الكبيرة والجهل والمرضى الذين كانت زياراتهم أقل من ست زيارات سنوية للمركز والمرضى المصابين بداء السكري من النوع الثاني غير المعتمد على الأنسولين.التوصيات: أظهرت الدراسة أن مستوى المعتقدات الخاطئة كان عالياً لدى عينة البحث لذلك يوصي الباحثون بضرورة أجراء بحث مشابه على مستوى القطر وتفعيل التثقيف الصحي من خلال كل القنوات الإعلامية وضرورة إنشاء وحدة للتوعية الصحية في كل مركز متخصص بداء السكري.


Article
Evaluation of Nurses’ Practices throughout Hemodialysis Treatment for Patients in hemodialysis unit at Baghdad teaching hospitals

Author: Serwan Jafar Bakey
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2012 Volume: 2 Issue: 2 Pages: 64-76
Publisher: University of Kufa جامعة الكوفة

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Abstract

Abstract:Objectives: Evaluation of nursing staff practices throughout hemodialysis treatment for patients in hemodialysis units and to determine the relationship between nurses’ practices and their demographical characteristics. Methodology: A descriptive study was carried out at hemodialysis units of Baghdad teaching hospitals started from December 25th, 2011 through May, 9th, 2012. Non-probability (purposive sample) of (30) nurses, who were working in hemodialysis units, were selected from Baghdad teaching hospitals. The data were collected through the use of constructed questionnaire, which consist of two parts (1) Demographic data form that consist 10-items and (2) Nurses’ practices form that consist of 25 items, by means of direct interview technique and visualization of the nurses. Reliability of the questionnaire was determined through a pilot study and the validity through a panel of (9) experts. Descriptive statistical analysis procedures (frequency, percentage, mean of score) and inferential statistical analysis procedures (person correlation coefficient, contingency coefficient) were used for the data analysis. Results: The findings of the study indicated that there was a deficit in the nurses’ practice that should be applied to the patient throughout hemodialysis treatment. No significant relationship was found between nurses’ practice and their gender, level of education, years of experience in hemodialysis units, while significant relationship was found between nurses’ practice and their marital status. Recommendations: The study recommended that the importance of employing Academic nurse in Hemodialysis units, a booklet should be designated and distributed to all nurses who were working in hemodialysis units including the standard actions that should be applied and followed to care for patients in hemodialysis units, and an educational program should be designated to the nurses who were working in hemodialysis units including the standard actions that should be applied to care for patients in hemodialysis units

الخلاصة:الهدف: تقويم مهارات الممرضين العاملين في وحدات الإنفاذ الدموي خلال مدة إجراء الإنفاذ الدموي للمرضى, وتحديد العلاقة بين هذه المهارات والصفات الديموغرافية للممرضين. المنهجية: أجريت دراسة وصفية في وحدات الديلزة الدموية في مستشفيات بغداد التعليمية للمدة من 25 كانون الأول 2011 ولغاية 9 أيار 2012. اختيرت عينة غير احتمالية "غرضية" من (30) ممرض و ممرضة يعملون في وحدات الإنفاذ الدموي في مستشفيات بغداد التعليمية.جمعت المعلومات من خلال استخدام استبانة مصممة و مكونة من جزأين, جزء شمل صفحة البيانات الديموغرافية و يحتوي (10) فقرات و جزء شمل صفحة مهارات الممرضين المتكون من (25) فقرة, و جمعت المعلومات بطريقة المقابلة المباشرة والمراقبة للممرضين. حددت ثباتية استمارة الاستبانة من خلال إجراء الدراسة المصغرة و حددت مصداقيتها من خلال مجموعة من الخبراء. استخدمت إجراءات التحليل الإحصائي الوصفي (التكرارات, النسبة المئوية, الوسط الحسابي) و إجراءات التحليل الاستنتاجي (معامل الارتباط و معامل التوافق) في تحليل البيانات.النتائج: أظهرت نتائج الدراسة إن هناك نقصا و قلة في مهارات الممرضين الواجب تطبيقها في وحدات الإنفاذ الدموي. كما و أظهرت النتائج عدم وجود علاقة معنوية بين مهارات الممرضين وبين (الجنس, المستوى التعليمي و سنوات الخدمة في وحدات الإنفاذ الدموي), بينما أظهرت وجود علاقة معنوية بين مهارات الممرضين وبين الحالة الزوجية. التوصيات:أوصت الدراسة بضرورة توظيف الممرضين الجامعيين في وحدات الإنفاذ الدموي، ضرورة تصميم وتوزيع كتيب يدوي لكل الممرضين العاملين في وحدات الإنفاذ الدموي تحوي المهارات القياسية الواجب تطبيقها وسلوكها للعناية بالمرضى في وحدات الإنفاذ الدموي، وضرورة إعداد برنامج تثقيفي لكل الممرضين العاملين في وحدات الإنفاذ الدموي يتضمن تعليم معايير العناية الواجب إتباعها في وحدات الإنفاذ الدموي.

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