The Expected Role of Triage Nurse in Emergency Reception of a University Hospital, in Egypt

Triage is a system used by medical or emergency personnel to give care when the number of casualties needing care exceeds the resources available to perform care. It is designed to help those who can most benefit from the available care. The current study aimed to identify the expected role of the triage nurse at EL-Manial University Emergency Reception. A descriptive exploratory design used to achieve the aim of the present study. The study was carried out at EL-Manial University Emergency Reception. Convenient samples of (96) doctors and (34) staff nurses working at EL-Manial University Emergency Reception were included in the study. For the purpose of this study, the investigator developed an expected role of triage nurse questionnaire consisted of two parts as follow: The first part concerned with socio-demographic data and the second part concerned with expected role of triage nurse. Result of this study, the current study showed that there was significant difference between expected role of triage nurse and years of experience. The results concluded that there was a consensus about most activities of the expected role of triage nurse between nurses and medical groups. The study recommended that consider, revise and approve the proposed job description of triage nurse at Emergency department in El-Manial University Hospital: a) dissemination of the triage nurse job description and b) developed the proposed flyer containing information about triage nurse role, triage, and system and disseminated among emergency nurses. Keywords: Triage, Role expectation and Emergency Receptio

QuEChERS Method Followed by Solid Phase Extraction Method for Gas Chromatographic-Mass Spectrometric Determination of Polycyclic Aromatic Hydrocarbons in Fish

A gas chromatography equipped with mass spectrometer (GCMS) method was developed and validated for determination of 16 polycyclic aromatic hydrocarbons (PAHs) in fish using modified quick, easy, cheap, effective, rugged, and safe (QuEChERS) method for extraction and solid phase extraction for sample cleanup to remove most of the coextract combined with GCMS for determination of low concentration of selected group of PAHs in homogenized fish samples. PAHs were separated on a GCMS with HP-5ms Ultra Inert GC Column (30 m, 0.25 mm, and 0.25 µm). Mean recovery ranged from 56 to 115%. The extraction efficiency was consistent over the entire range where indeno(1,2,3-cd)pyrene and benzo(g,h,i)perylene showed recovery (65, 69%), respectively, at 2 µg/kg. No significant dispersion of results was observed for the other remaining PAHs and recovery did not differ substantially, and at the lowest and the highest concentrations mean recovery and RSD% showed that most of PAHs were between 70% and 120% with RSD less than 10%. The measurement uncertainty is expressed as expanded uncertainty and in terms of relative standard deviation (at 95% confidence level) is ±12%. This method is suitable for laboratories engaged daily in routine analysis of a large number of samples

Development and validation of stability indicating spectrophotometric and HPTLC methods for determination of acemetacin

Three simple and sensitive methods were developed for the determination of acemetacin (ACM) in presence of its degradation product, indomethacin (DEG). Several methods were evaluated and are presented. Method A was based on measuring the peak amplitude of the first derivative of the ratio spectra 1DD at 244 nm. In method B, mean centering of ratio spectra method (MCR) was applied, which depends on measuring the mean centered values of ratio spectra of ACM at 234 nm. Method C provided separation of ACM from its DEG on pre-activated silica gel 60F254 HPTLC plates using hexane:ethyl acetate:glacial acetic acid (6:4:0.3, v:v:v) as developing system followed by scanning at 254 nm. The suggested methods were validated in compliance with the International Conference on Harmonisation (ICH) guidelines and were successfully applied for quantification of ACM in its commercial capsule. The proposed methods were also statistically compared to a reported HPLC method with no significant difference in performance; indicating the ability of the proposed method to be reliable and suitable for routine analysis of drug product

Development and validation of three spectrophotometric methods for determination of pyridostigmine bromide in the presence of its alkaline-induced degradation product

Three simple, accurate and validated spectrophotometric methods were developed for the determination of pyridostigmine bromide (PB) in presence of its alkaline-induced degradation product, 3-hydoxy-N-methylpyridinium bromide (3-OH NMP) in powder form and in pharmaceutical formulations. Method A, is first derivative method (1D), which is based on measuring the peak amplitude of the first derivative spectra (1D) of PB at 260 nm. Method B, is first derivative of ratio spectra (1DD) which allows the determination of PB at 267.4 nm using (50 µg/mL) of 3-OH NMP as a suitable devisor. Finally, method C depends on mean centering of ratio spectra (MCR) of PB with different concentrations, which were recorded over 200-400 nm and divided by the spectrum of 20 µg/mL of 3-OH NMP as a devisor. The obtained ratio spectra were mean centered and the concentrations of PB were then determined from the calibration graphs obtained by measuring the amplitudes at 338 nm. The proposed methods were successfully applied for assay of PB both in pure form and in pharmaceutical formulations. The proposed methods were validated in compliance with International Conference on Harmonization (ICH) guidelines. The results obtained by the developed methods were statistically compared to those obtained by the reported HPLC method using F- and student's t-tests showing no significant difference regarding both accuracy and precision

FREQUENCY OF INTESTINAL PARASITIC INFECTIONS AMONG SCHOOLCHILDREN IN IBB CITY-YEMEN

Objectives:  Intestinal parasitic infections are widely distributed and remain one of the most health problems in Yemen. This is a cross-sectional study aimed to determine the prevalence of intestinal parasitic infection and associated factors among schoolchildren in Ibb City, Yemen. Methods:  A total of 300 stool samples were collected from schoolchildren between January to April 2018 and examined by direct smear and formalin ether concentration techniques. Results:  The result showed that 62.7% were positive for intestinal parasites, with a higher frequency of single than multiple infections (85.1 vs. 14.36%, respectively). Also, 85.64% were infected by protozoa whereas 14.36% infected by helminths. The prevalence of infection was 61.70% for Entameba histolytica, 23.94% for Giardia lamblia, 7.45% for Ascaris lumbricoides, 4.3% for Hymenolepis nana, and 2.61% for Enterobius vermicularis. Moreover, the highest prevalence of E. histolytica, G. lamblia, and A. lumbricoides was within group aged 9-12 years. H. nana was between age groups of 9-12 and 13-16 years while E. vermicularis was found among 5-8 and 9-12 years. In addition, females were 69% infected significantly higher than males 54.55%. Besides, the various signs and symptoms associated with intestinal infections have been documented. Conclusion:  High prevalence of intestinal infection was documented among schoolchildren drinking from cistern water, poor hygiene practices, poor food sanitation, non-swimming, and non-previously treated for Schistosoma parasite. High frequency of intestinal parasitic infection between schoolchildren in the study area requires more effort to implement the appropriate programmers that warrant to control and prevention the prevalence of intestinal parasitosis.                         Peer Review History: Received 1 March 2020; Revised 7 April; Accepted 3 May, Available online 15 May 2020 Academic Editor: Ahmad Najib, Universitas Muslim Indonesia,  Indonesia, [email protected] UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 8.0/10 Reviewer(s) detail: Prof. Dr. Hassan A.H. Al-Shamahy, Sana'a University, Yemen, [email protected] Hebatallaha A  Moustafa, Ain Shams University, Egypt, [email protected] Similar Articles: COCCIDIAN INTESTINAL PARASITES AMONG CHILDREN IN AL-TORBAH CITY IN YEMEN: IN COUNTRY WITH HIGH INCIDENCE OF MALNUTRITIO

VULVOVAGINAL CANDIDIASIS PREVALENCE AMONG PREGNANT WOMEN IN DIFFERENT HOSPITALS IN IBB, YEMEN

 Background and aims: Candida species are opportunistic yeasts that affect the genital urinary tract that causes vulvovaginal candidiasis in the most females, particularly in developing countries. This work aims to find the prevalence of vulvovaginal candidiasis among pregnant women in Ibb, Yemen. Material and methods: Two hundred and eighteen samples of females attending outpatient obstetrics and gynecology clinics were chosen from several hospitals (Al-Thawra, Maternity and Childhood Center, Maternal Reproductive Health Center, and Nasser General Hospital) located in Ibb, from December 2019 to March 2020. The laboratory works were performed in the microbiology department of Al-Thawra Hospital, Ibb. Vaginal swabs were cultivated on Sabouraud dextrose agar, then the species of Candida identification and anti-fungal sensitivity tests were performed regarding the standard procedure of microbiology. Results: The findings revealed that out of 218 cases, 134 (61.5%) were infected with Candida species, and the rate of candidiasis was higher among women coming from rural areas than among women in urban areas; and in the age group 28-37 years. C. albicans (61.2%) were the most prevalent species followed by C. tropicalis (21.64%), C. glabrata (11.19%), and C. kefyr (5.97%). Susceptibility tests showed that the most isolated Candida species were sensitive to nystatin (94.8), fluconazole (91.04%), amphotericin B (88.80%), voriconazole (78.35%), clotrimazole (75.37%), ketoconazole (73.13%), and itraconazole (69.40%). Conclusion: It can be concluded that Candida vaginitis is very common among pregnant women, and the tested anti-fungal agents continue to be effective against all isolates of Candida species. In contrast, there was a slight increase resistant against itraconazole, ketoconazole, clotrimazole, and voriconazole which raises concern about a rise in Candida species that are resistant to these drugs.                    Peer Review History: Received 27 June 2020; Revised 15 July; Accepted 12 August, Available online 15 September 2020 Academic Editor: Dr. Muhammad Zahid Iqbal, AIMST University, Malaysia, [email protected] UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 6.5/10 Average Peer review marks at publication stage: 8.5/10 Reviewer(s) detail: Ashwaq Ali Hezam Al-Arossi, Sana'a University, Yemen, [email protected] Prof. Dr. Hassan A.H. Al-Shamahy, Sana'a University, Yemen, [email protected] Dr. A.A. Mgbahurike, University of Port Harcourt, Nigeria, [email protected] Similar Articles: PREVALENCE AND RISK FACTORS ASSOCIATED WITH VULVOVAGINAL CANDIDIASIS DURING PREGNANCY IN SANA'A, YEMEN TETANUS IMMUNIZATION AMONG PREGNANT WOMEN: COVERAGE RATE AND RATE OF PROTECTION AT TIME OF DELIVER

The relationship between tissue transglutaminase IgA antibodies and the clinical manifestations in a group of children, adolescent and adult patients with type -I diabetes mellitus

Background: Type-1 diabetes mellitus (T1-DM) is the commonest endocrine-metabolic disease in childhood. The prevalence of CD in type-1 DM ranges from 0.6 to 16.4% compared with 0.01–0.03% in the general population. The mechanism of association between the two diseases involves a shared genetic background of HLA genotype. Serum tissue transglutaminase IgA antibodies (tTG IgA) are considered specific and sensitive markers for screening of Celiac disease in more than 95 % of patients.Objective: Screening for the presence of serum tissue transglutaminase IgA antibodies (tTG ab) as a specific and sensitive biochemical marker for Celiac disease in patients with type-1DM and its relation to the clinical manifestations of those patients.Methods: One hundred-forty-nine patients with type-1 DM attending the out-patient clinic of endocrine and metabolism, Minia University Hospital were screened for the presence of serum tissue transglutaminase IgA antibodies during the period from March 2014 to November 2015.Results: Out of 149 patients 8 patients (5.3%) were positive for IgA tTG antibodies. They who were predominantly of female gender (75% were females). According to each age group, there were four sero-positive cases in children (with age group between 9 and ≤ 12 years); two cases in adolescents (with age group between 12 and ≤ 16 years) and two cases in adults (with age group 16-21 years). Intestinal manifestations, chronic diarrhea, recurrent abdominal pain/ distension, recurrent aphtha's stomatitis, anemia and bleeding tendency were significantly more common in sero-positive cases (P=0.001, 0.001, 0.016, 0.00, 0.001and 0.04 respectively). All sero-positive cases (100%) had lower BMIs than normal. There were no correlations between the tTG antibodies levels and HbA1c levels.Conclusions: The presence of tTG IgA antibodies is associated with significant changes in the clinical status of patient with type-1 DM. Celiac disease related manifestations like weight loss; anemia and chronic diarrhea were more common in sero-positive diabetic patients. Serological screening for CD should be performed in all patients with type-1DM for early diagnosis and prevention of complications.Keywords: Type-1 DM, tissue transglutaminase, IgA antibodie

Antifungal susceptibility pattern of Candida species isolated from pregnant women

IntroductionCandida species, opportunistic yeast, are the second most common cause of female vulvovaginal candidiasis. This study aimed to evaluate the antifungal susceptibility profile of the isolated Candida species in pregnant women in Hajjah governorate, Yemen.MethodsA hospital-based cross-sectional study was conducted among 396 pregnant women attending Authority AL-Gumhorri Hospital Hajjah between February and July 2023. Vaginal swabs were collected, and Candida species were isolated and identified based on the standard laboratory method. Furthermore, the antifungal drug susceptibility of Candida species was determined by the Kirby-Bauer technique.Results and discussionThe prevalence of vaginal Candida infection among pregnant women was 61.4%. Candida albicans was the most predominant species (59.26%), followed by Candida krusei(13.58%), Candida Tropicalis (11.12%), Candida Grabata (9.87%), and Candida dubliniensis (6.17%). The highest rate of Candida infections was among women aged 24–30 years (71.9%) who finished primary school (77.8%), with the third trimester (80%), multigravida (66.1%), and recurrent infection (67.7%) showing significant differences (P < 0.05). The Candida albicans isolates were resistant to clotrimazole and itraconazole at 34.7% and 23.6%, respectively.In addition, the resistance of Candida krusei, Candida tropicalis, Candida glabrata, and Candida dublinensis isolates to fluconazole, voriconazole, voriconazole, and nystatin was 57.6%, 63%, 43.8%, and 60%, respectively. Additionally, approximately 46.2% of isolated Candida albicans exhibited one kind of antifungal drug resistance, whereas 38.7% of isolated non-albicans exhibited resistance to three different antifungal agents. According to the above findings, Candida infection is highly prevalent in Yemen and quite widespread. Interventions in health education are advised to increase women’s knowledge of vaginitis and its prevention. The antifungal susceptibility test may also be helpful in determining the best medication for each patient