Quality of Nursing Care at National Center for Diabetes Endocrinology and Genetics: Patients Satisfaction

Patients satisfaction is used as an important indicator of quality care and is frequently included in healthcare planning and evaluation. “The aims of this study is to” To study patients' satisfaction regarding the quality of nursing care of the center , identify the main dimensions of patients' satisfaction regarding quality of nursing care. And determine the association between sociodemographic variables and patients' satisfaction regarding quality of the nursing care. The study was conducted during the period from1stDecember 2013 to 1stmaye 2014. The design of this study is Descriptive cross-sectional facility based study. The study sample was 305 patients who were selected randomly. All of them actually participated in the study and completed face to face interviewed questionnaire prepared according to Likert scale and data was analyzed by SPSS. The results showed that participants were moderately satisfied with the quality of nursing care in National Center for Diabetes Endocrinology and Genetics ,by used different dimensions, The total satisfaction mean was (3.22), with higher satisfaction levels in the physical environment of the center (M = 3.85) than technical quality (M =3.20). Patients from both settings were less satisfied with the responsiveness and convenience (M = 2.88). Age, sex, marital status, level of education, income and the diagnosis show statistically significant effects on patients' level of satisfaction. On the other hand duration of diabetes and current occupation did not show statistically significant effects on patients' level of satisfaction. In conclusion, the present study concluded that reforming community health nursing care policies to place more attention on increasing the level of enhance of responsiveness skills of nursing to patients communication and the interpersonal aspects of the provided care could probably increase their satisfaction. Lack of experience and professional skills of nursing care staff, in addition to overload work and the huge number of diabetic patients, increase the need for intensive training for nurses, and the involvement of the patient in treatment plan

Social Profile of Elderly In Al -Gadarif Region in Eastern Sudan: 2014-2015.

Population ageing is a current phenomenon that occurs worldwide due to improved standard of life and health care and services in most of the world countries. In recognition of this phenomenon, geriatric education was recently introduced as part of medical and health sciences. The overall objective of the study to assess the health status and factors affect the health of elderly 65 years and above in El Gadarif region (locality) in Eastern Sudan. This was descriptive cross-sectional study conducted in ElGedarif region. Data were collected by using standardized interview questionnaire for 388 participants. Statistics analysis was done using SPSS and chi-square test. The survey findings showed that 8.4% of the participants of the survey required assistance on eating, 9.5% , on bathing, 8.8%on dressing, while 46.4% required assistance on shopping, and 25% on taking medication. The findings also showed that 45.6% of the participants spent time watching T.V, 44.6% listening to radio, 48.4% engaging in interpersonal communication, and 14.8% reading. Chi-square results for testing significant relationship between taking medication and hypertension showed (P Value 0.06), the equivalent results between chronic disease and assistance in shopping was P value=0.000, between health status and exercise sports was ( p-value 0.000)and between Exercise Sports and sufficient sleep was ( P Value: 0.0). The results of the study reflected the very crucial role of the family in supporting the elderly in El Gadarif region, and showed that most of the participants were able to practice their daily life (routine) activities by themselves

Patients Satisfaction regarding Quality of Nursing Care in the National Center for Diabetes, Endocrinology and Genetics in Amman, 2013

It is important for any health system to provide high quality health Nursing services and respond to the needs of service users. The aims of this study is to study patients' satisfaction regarding the quality of nursing care of the center, to identify the main dimensions of patients' satisfaction regarding quality of nursing care. And determine the association between sociodemographic variables and patients' satisfaction regarding quality of the nursing care. This study was conducted during the period from1st December 2013 to 1st may 2014. The design of this study is Descriptive cross-sectional facility based study. The study sample 305 patients, who were selected randomly, all of them actually participated in the study and completed face to face interviewed questionnaire prepared according to Likert scale and data was analyzed by SPSS. Participants were moderately satisfied with the quality of nursing care in the National Center for Diabetes Endocrinology and Genetics. The total mean was (3.09), with higher satisfaction levels in the General impressions (M = 3.83) than in Communication, interaction and reaction (M = 2.57). Patients from both settings were less satisfied with the Accessibility of services (M = 2.89). Age, sex, marital status, level of education, income, and the diagnosis show statistically significant effects on patients' level of satisfaction. On the other hand duration of diabetes, and current occupation did not show statistically significant effects on patients' level of satisfaction. The present study concluded that reforming community health nursing care policies to place more attention on increasing the level of communication and the interpersonal aspects of the provided care could probably increase their satisfaction. And the geographical redistribution of community diabetes health center to enable the patient's easy access to nursing services in all Jordan regions, increase number of home visits, for the patients' nursing team need to improve communication, interaction skills of nursing care staff and in formats. Nursing team needed training for nurses on communication skills and interaction with patients and their families

Endomarketing e identidad corporativa en colaboradores de la empresa Todhogar Inversiones EIRL, Tarapoto – 2022

La presente investigación tuvo como objetivo determinar la relación entre el endomarketing e identidad corporativa en colaboradores de la empresa Todhogar Inversiones EIRL, Tarapoto – 2022. El tipo de investigación fue básica, con un diseño no experimental. La población y muestra estuvo formada por 30 colaboradores. La técnica empleada fue la encuesta y como instrumento el cuestionario. Los resultados muestran el nivel del endomarketing en los colaboradores de la empresa Todhogar Inversiones EIRL, que alcanza un 37% correspondiente a un nivel regular, y un nivel de la identidad corporativa de un 37% correspondiente a un nivel malo. El estudio concluyó que existe una relación significativa entre el endomarketing e identidad corporativa en colaboradores de la empresa Todhogar Inversiones EIRL, Tarapoto – 2022, con un coeficiente de Pearson de 0,509 y un p valor igual a 0,004 (p-valor ≤ 0.05)

Vaginal cytology as a tool to predict the time of ovulation in goats and sheep.

The detection of ovulation is of great importance for the use of reproductive biotechnologies in small ruminants. The ovulation is efficiently determined by ultrasound (US), equipment that is not always available and of relatively high cost. Therefore, the aim of this study was to identify the efficacy of vaginal cytology as a tool to determine the ovulation time in these species. The study was carried out during the non-breeding season, in Coronel Pacheco, Minas Gerais (21°35'S and 43°15'W). In sheep, the standard chosen was anucleated, but it had a high CV (23.7%), which led to non-high accuracy (66.7%). Therefore, PPV and NPV were 26% and 88%, respectively; the specificity was 45% and 64% at 24 h and 12 h before ovulation respectively; and finally, the sensitivity at the moment of ovulation was 55%. It can be concluded that the vaginal cytology may be an efficient tool to determine the moment of ovulation in goats, however it is less accurate in sheep

Different progestagens sources do not affect the follicular population and the morphological quality of oocytes during ovarian stimulation in Santa Inês ewes.

In attempt to develop a hormonal protocol more suitable to produce good quality oocytes for use in biotechnologies, an earlier study demonstrated that FSH applied in multiple decreasing doses produced better quality oocytes. However, different progestagens implants used during ovarian stimulation have not yet been tested. The aim of this study was to investigate the effect of different progestagens during ovarian stimulation on follicular population and oocyte morphological quality in Santa Inês ewes. In conclusion, the source of progestagens used during the ovarian stimulation protocol does not affect the follicular population, nor the oocyte quality. Exogenous progestagens may not be necessary when postsynchronization ovulation is confirmed by ultrasonography

Superovulation and transcervical embryo recovery in Lacaune ewes raised under tropical conditions.

This study assessed two superovulatory treatments and the feasibility of transcervical embryo recovery in Lacaune ewes. Ewes (n=23) received medroxyprogesterone acetate sponges (60mg, Progespon®, Syntex, (Prolise®, Tecnopec, São Paulo, Brazil) 24 h before sponge removal and were superovulated with 133 mg of porcine FSH i.m. (Folltropin®-V; Bioniche Animal Health, Belleville, Canada) in six decreasing doses (twice daily) at 60 h before sponge removal, under a crossover design. In conclusion, both treatments showed high variability in ovulatory response which might reduce the embryo yield average from donors. The protocol for cervical relaxation allowed the transcervical embryo recovery in high percentage of Lacaune ewes

Use of hCG, eCG or p-FSH on estrus induction of goats and their effects on luteal dynamics and conception rate.

The present study tested the hypothesis that hCG and pFSH stimulate the follicular development and consequently corpora lutea, in a manner equivalent to those induced by eCG in goat. Eighty-five Toggenburg goats, during the seasonal transition period (December, 21ºS), underwent a short-duration estrus induction/synchronization protocol with a sponge impregnated with medroxyprogesterone acetate (60 mg MAP, 6 days). In conclusion, the use of hCG and pFSH in protocol of estrus induction/synchronization in goats induces equivalent luteal dynamics and conception rate, being substitutes for eCG

Comparison of stress and animal welfare caused by the procedures of embryo collection by either surgical or non-surgical via in sheep.

In ovine species, embryo collection is commonly done by laparotomy (LP). However, this technique promotes adhesions in the reproductive organs leading to fertility impairment and affecting animal welfare. The non-surgical method, done by transcervical route (TC), although less invasive and expensive, can also affect animal welfare due to the cervix mechanical manipulation. In this perspective, biochemical markers of inflammation, as acute phase proteins, are considered reliable parameters of the systemic response to inflammatory processes

Impact of Maternal HIV Infection and Placental Malaria on the Transplacental Transfer of Influenza Antibodies in Mother-Infant Pairs in Malawi, 2013-2014

Background: Maternal influenza vaccination protects infants against influenza virus infection. Impaired transplacental transfer of influenza antibodies may reduce this protection. Methods: We conducted a cross-sectional study of influenza vaccine–naïve pregnant women recruited at delivery from Blantyre (urban, low malaria transmission) and Chikwawa (rural, high malaria transmission) in Southern Malawi. HIV-infected mothers were excluded in Chikwawa. Maternal and cord blood antibodies against circulating influenza strains A/California/7/2009, A/Victoria/361/2011, B/Brisbane/60/2008, and B/Wisconsin/1/2010 were measured by hemagglutination inhibition (HAI). We studied the impact of maternal HIV infection and placental malaria on influenza antibody levels in mother–infant pairs in Blantyre and Chikwawa, respectively. Results: We included 454 mother–infant pairs (Blantyre, n = 253; Chikwawa, n = 201). HIV-infected mothers and their infants had lower seropositivity (HAI titer ≥1:40) against influenza A(H1N1)pdm09 (mothers, 24.3 vs 45.4%; P = .02; infants, 24.3 vs 50.5%; P = .003) and A(H3N2) (mothers, 37.8% vs 63.9%; P = .003; infants, 43.2 vs 64.8%; P = .01), whereas placental malaria had an inconsistent effect on maternal and infant seropositivity. In multivariable analyses, maternal HIV infection was associated with reduced infant seropositivity (A(H1N1)pdm09: adjusted odds ratio [aOR], 0.34; 95% confidence interval [CI], 0.15–0.79; A(H3N2): aOR, 0.43; 95% CI, 0.21–0.89). Transplacental transfer was not impaired by maternal HIV or placental malaria. Conclusions: Maternal HIV infection influenced maternal antibody response to influenza A virus infection, and thereby antibody levels in newborns, but did not affect transplacental antibody transfer