The Effect of Guidance Booklet on Discharged Mothers of Children with Respiratory Tract Infection

Aim of the study to evaluate the effect of guidance booklet on discharged mothers of children with respiratory tract infection through: Identifying mothers' needs, developing guidance booklet of discharge according to mothers' needs and evaluating the effect of guidance booklet on the mothers. Design This study was a quasi experimental design. Setting This study was conducted in El- Menoufya University Hospital (Egypt) and El-Basher Hospital (Jordan) Sample Convenience sample of 80 mothers having children suffering from respiratory tract infection (40 mothers from each setting). Tools Data were collected through an interviewing questionnaire to assess socio-demographic data for mothers and their children, mothers' knowledge about respiratory disease, importance of nutrition and fluids. Mother’s practices by asking questions concerning hygienic measures and medications and practices through observation check-list based on modified Getting Ready for Discharge Checklist regarding, temperature measurement and tap compresses for their children. Results revealed that the statistical significant improvements (P<0.01) in mother’s knowledge and practices after giving the guidance booklet in both groups. There was improvement in hand washing procedure, nutritional importance, type of fluids given and importance of medication there was a statistically significant improvement after the guidance booklet of discharge instructions in both groups. Key Terms: guidance booklet of discharge, Respiratory infection, mother

The Effect of Guidance Booklet on Discharged Mothers of Children with Respiratory Tract Infection

Aim of the study to evaluate the effect of guidance booklet on discharged mothers of children with respiratory tract infection through: Identifying mothers' needs, developing guidance booklet of discharge according to mothers' needs and evaluating the effect of guidance booklet on the mothers. Design This study was a quasi experimental design. Setting This study was conducted in El- Menoufya University Hospital (Egypt) and El-Basher Hospital (Jordan) Sample Convenience sample of 80 mothers having children suffering from respiratory tract infection (40 mothers from each setting). Tools Data were collected through an interviewing questionnaire to assess socio-demographic data for mothers and their children, mothers' knowledge about respiratory disease, importance of nutrition and fluids. Mother’s practices by asking questions concerning hygienic measures and medications and practices through observation check-list based on modified Getting Ready for Discharge Checklist regarding, temperature measurement and tap compresses for their children. Results revealed that the statistical significant improvements (P<0.01) in mother’s knowledge and practices after giving the guidance booklet in both groups. There was improvement in hand washing procedure, nutritional importance, type of fluids given and importance of medication there was a statistically significant improvement after the guidance booklet of discharge instructions in both groups. Key Terms: guidance booklet of discharge, Respiratory infection, mother

Theodicy and End-of-Life Care

Acknowledgments The section on Islamic perspective is contributed by information provided by Imranali Panjwani, Tutor in Theology & Religious Studies, King's College London.Peer reviewedPublisher PD

Prevalence of psychosis in black ethnic minorities in Britain: analysis based on three national surveys

Purpose A considerable excess of psychosis in black ethnic minorities is apparent from clinical studies, in Britain, as in other developed economies with white majority populations. This excess is not so marked in population surveys. Equitable health service provision should be informed by the best estimates of the excess. We used national survey data to establish the difference in the prevalence of psychosis between black ethnic groups and the white majority in the British general population. Methods Analysis of the combined datasets (N = 26,091) from the British national mental health surveys of 1993, 2000 and 2007. Cases of psychosis were determined either by the use of the Schedules for Clinical Assessment in Neuropsychiatry (SCAN), or from a combination of screening items. We controlled for sex, age, social class, unemployment, design features and other putative confounders, using a Disease Risk Score. Results People from black ethnic minorities had an excess prevalence rate of psychosis compared with the white majority population. The OR, weighted for study design and response rate, was 2.72 (95 % CI 1.3–5.6, p = 0.002). This was marginally increased after controlling for potential confounders (OR = 2.90, 95 % CI 1.4–6.2, p = 0.006). Conclusions The excess of psychosis in black ethnic minority groups was similar to that in two previous British community surveys, and less than that based on clinical studies. Even so it confirms a considerable need for increased mental health service resources in areas with high proportions of black ethnic minority inhabitants

IMPACT OF BIOPOLYMERS ON ENHANCING SOIL PHYSICAL PROPERTIES

ones are the most dominant in the new reclaimed areas in Egypt. The main production constraints of this type  of  soil  are  low in organic carbon,  porosity,  stable aggregates, water retention capacity, and biological  activities. Agriculture soil should have not only a good structure but also a good structure which can persist for a long time (e.g., a structure of high quality and stability). Soil aggregates are structural units of soil, which create complex pore systems controlling gas and water storage and fluxes in soil. Formation and stability of natural soil aggregates are affected by dozens of different factors and their individual effects are hardly distinguishable. Therefore, to observe more clear the mechanisms governing their water and mechanical stability, it was found necessary to  study soil  aggregates. In that sence, some studies showed encouraging findings of increasing soil stable aggregates due to using different soil conditioners. The objective of this work is to assess some extracellular polysaccharides biopolymers, i.e., Dextran, Alginate, Xanthan, Pullulan, and Curdlan, which were produced in our laboratory under the most suitable production conditions, to test their effects on the physical proprerties of soil taken   from Toshka region at Aswan Governorate of Egypt. Data showed that soil porosity and MWDwet values have significant differences between all treatments and control under un-leaching processes. On the Other hand, in leaching processes, significant differences between all treatments and control were observed except in some treatments that using lower ratios of Pullulan and Curdlan biopolymers (i. e. 0.4, 0.6 and 0.8%). Generally, the beneficial order of enhancement of aggregate stability was obtained with Dextran, followed by Alginate, Xanthan, Pullulan, and Curdlan

Impact of perioperative chemotherapy on survival in patients with advanced primary urethral cancer: results of the international collaboration on primary urethral carcinoma

This is the first series that suggests a prognostic benefit of neoadjuvant treatment in a consecutive series of patients who underwent perioperative chemotherapy plus surgery for advanced primary urethral carcinoma. Further studies should yield a better understanding of how perioperative chemotherapy exerts a positive effect on survival in order to selectively advocate its use in advanced primary urethral carcinom

Fluorescence in-situ hybridisation on biopsies from clam ileocystoplasties and on a clam cancer

The incidence of carcinoma following an enterocystoplasty increases with time and is a major concern after such procedures. The aim of this study was to investigate genetic instability (in the form of numerical chromosomal aberrations) at the enterovesical anastomosis in patients who had undergone a clam ileocystoplasty using fluorescent in-situ hybridisation (FISH). Fluorescent in-situ hybridisation was performed on touch preparation samples prepared from fresh endoscopic biopsies obtained from the enterovesical anastomosis and native bladder remnant (control specimens) of 15 patients who had undergone a clam ileocystoplasty. Fluorescent in-situ hybridisation was also performed on one squamous cell cancer specimen. Significant aneusomic changes were found at the enterovesical anastomosis in all 15 patients. Alterations in chromosome 18 copy number were the most frequent abnormal finding (trisomy 18, n=8; monosomy 18, n=7). Nine patients were monosomic for chromosome 9. Isolated monosomy 8 and trisomy 8 were each found in one patient. The control specimens were all normal. An unusually high incidence of polysomic cells was found in the clam tumour specimen, reflecting the aggressive nature of this cancer. Chromosomal numerical abnormalities occur at the enterovesical anastomosis following a clam ileocystoplasty and chromosome 18 appears to be a particularly good marker of genetic instability. The results of this study indicate that morphologically normal tissue obtained from the enterovesical anastomosis displays evidence of chromosomal instability that may predispose to tumour formation. However, further prospective, blinded, longitudinal studies are required to establish whether predetermined FISH signal patterns in enterocystoplasty cells in urine or obtained by biopsy predict the presence or absence of tumour

Bicultural identity among economical migrants from three south European countries living in Switzerland. Adaptation and validation of a new psychometric instrument

<p>Abstract</p> <p>Background</p> <p>Acculturation is one of the determinants of mental health among immigrants. Evaluating adaptation to the host culture is insufficient, since immigrants will develop various degrees of bi- or multicultural identity. However, mental health professionals lack simple and easy to use instruments to guide them with bicultural identity evaluation in their practice. Our aim was to develop such an instrument to be used for clinical purposes among economical migrants from three South European countries living in Geneva, Switzerland.</p> <p>Methods</p> <p>We adapted from existing instruments a 24 item bi-dimensional scale to assess involvement in both culture of origin and host culture. The study included 93 immigrant adults from three south European countries (Italy, Portugal and Spain). Thirty-eight patients were recruited in an outpatient treatment program for alcohol-related problems and 55 participants were hospital employees.</p> <p>Results</p> <p>The questionnaire was rated as easy or rather easy by 97.8% of participants. Median time to complete it was 5 minutes. The instrument allowed discriminating between patients and healthy subjects, with scores for Swiss culture significantly higher among hospital workers. The subscales related to culture of origin and host culture displayed adequate internal consistency (Cronbach's alpha 0.77 and 0.73 respectively).</p> <p>Conclusion</p> <p>It is possible to assist clinicians' assessment of cultural identity of Italian, Portuguese and Spanish economical immigrants in Switzerland with a single and easy to use instrument.</p

The relationship between the systemic inflammatory response and survival in patients with transitional cell carcinoma of the urinary bladder

The relationship between tumour stage, grade, elevated C-reactive protein concentration (<10/>10 mg l−1), adjuvant therapy and survival was examined in patients with biopsy proven bladder cancer (n=105). On multivariate analysis stage (HR 3.37, 95% CI 1.37–8.29, P=0.008), grade (HR 2.01, 95% CI 1.14–3.57, P=0.017) and preoperative C-reactive protein (HR 3.31, 95% CI 1.09–10.09, P=0.035) were independently associated with cancer-specific survival

“Influence” In historical explanation: Mary morgan’s traveling facts and the context of influence

In my years as a student of Mary Morgan and later as her junior peer, I observed that one concept prompted her to react with caution and skepticism. That common notion was “influence.” In this chapter, I follow her cues to ask what are the legitimate grounds for claims of influence in historical explanation. Morgan’s writings have made us aware that the story of social science cannot be captured in simple reckonings of influence, and that long chains of actions are required to seat an idea in the mind, and longer still to set it to paper. My contribution to problematizing influence is to list the pitfalls of its uncritical use but also, once suitably redefined, its potential contribution to analysis. To illustrate my claims, I propose a test case, to study the “influence of Mary Morgan.