Impact of Designed Teaching Program for Pregnant Women with Gestational Diabetes on Maternal outcomes

Background: Gestational diabetes mellitus (GDM) was defined as any degree of glucose intolerance with an onset or first recognition during pregnancy. Aim of this research: was to examine the impact of designed teaching program for pregnant women with gestational diabetes on maternal outcomes. Subjects & Methods:- Design: quasi experimental pre-post one group design was utilized for the current study. Setting: The study was carried out at Antenatal outpatient clinic at El-Manial Obstetrics and Gynecology Hospital. Sample: A convenient sample of 100 gestational diabetic women was recruited for the study. Data collection: different tools were used to collect the data; (1) Structured Interviewing Schedule; (2) Physical assessment sheet; (3) Pretest for assessing knowledge; (4) Follow up tool to asses women's compliance to the given instructions; (5) Post test for assessing knowledge, and Post partum questionnaire. Results: revealed that, the mean post-test knowledge score (18.45) was significantly higher than the mean pre-test knowledge score, there was weak positive relationship between the mean post-test knowledge score and maternal compliance to the given instructions (r = 0.304), no statistically significant relationship were found in relation to post test knowledge score and blood glucose level in the current pregnancy (P=0.37), Moreover, there was high statistically significant relationship between the mean posttest knowledge score and mode of the current delivery (P =0.016). All over there was high statistically significant relationship between post-test knowledge score and maternal outcomes  (P < 0.001). In conclusion:  participating of designed teaching program for gestational diabetic women lead to increase knowledge score about the disease and increase women's awareness of how to decrease its complications. This research recommended that: Raise pregnant mother's awareness regarding Gestational Diabetes Mellitus, definition, diagnosis, symptoms and signs , frequency of antenatal visits, and ways to adopting healthy life style as follow dietary program and practice exercises. Keywords: Gestational Diabetes Mellitus, Women compliance, , Postpartum questionnair

Effectiveness of Structured Nursing Teaching Program on Outcomes of Chronic Low Back Pain Patients Undergoing Radiofrequency Ablation

Background: Chronic low back pain is a full disorder that considers an important health problem. Aim: To evaluate the effectiveness of structured teaching program on outcomes of chronic low back pain patients undergoing radiofrequency ablation. Methods: A quasi-experimental research design has been utilized. Setting: Anesthesia and pain management department at the main Assiut University Hospital. Sample: Sixty low back pain patients undergoing radiofrequency ablation. They were randomly assigned in two groups of 30 patients each. Tools: three tools were utilized: Tool I: Structured interview patients' questionnaire. Tool II: Visual analogue pain scale and Tool III: "Modified Oswestry low back pain disability questionnaire" in addition, structured nursing teaching program. Results: More than half (53.3%) of the case group their age was from 18 to < 55 years, and the rest of them (46.7%) were older adults aged 55 years and more. 80% of the case group had good knowledge post implementation of the program. (100%) of the case group had worst pain intensity level which decrease to (46.7%) post program. 40% of case group had sever disability, which decreased to 30% post implementation of the program. there were significant relation between pain analogue scale and Oswestry low back pain disability scale in pre and post structured nursing teaching program regarding to occupation Conclusion: Structured nursing teaching program had an effective strategy to improve the patients’ outcomes through increasing patients' knowledge, and decreasing both pain intensity and physical disability in the case group versus the control group. Recommendation: Supervised structured teaching program should be carried out for all patients undergoing radiofrequency ablation about pre-and post-procedure instructions and helpful hints for a healthy back when standing, walking, sitting, sleeping, and lifting. Keywords: Chronic low back pain, Radiofrequency ablation, structured nursing teaching program. DOI: 10.7176/JHMN/65-08 Publication date: August 31st 201

Anti-Saccharomyces cerevisiae antibodies and its relationship with radiological damage in ankylosing spondylitis

Aim The presence of anti-Saccharomyces cerevisiae antibodies (ASCA) is controversial in ankylosing spondylitis (AS). In this study, we aimed to investigate the prevalence of ASCA in AS and its relationship with disease activity and radiological damage in patients attending Sharkia governorate hospitals. Patients and methods Thirty AS patients and 30 apparently healthy volunteers were included in the present study. All patients were questioned for Bath Ankylosing Spondylitis Disease Activity Index, Bath Ankylosing Spondylitis metrology Index and Bath Ankylosing Functional Index (BASFI). Total Bath Ankylosing Spondylitis Radiology Index (BASRI-T) and ASCA levels were measured. Results ASCA IgA level was significantly higher in AS patients than in healthy controls (P < 0.001). The ASCA-positive group, although not significant, tended to have higher BASFI scores. ASCA IgA-positive patients had higher BASRI-T levels (P = 0.037). In AS patients, significant positive correlation was found between ASCA IgA level and BASRI-T and BASFI (r = 0.19 and 0.31, respectively, P < 0.05). Bath Ankylosing Spondylitis Disease Activity Index scores, BASFI and ASCA IgA positivity were significantly associated with increased BASRI-T (P= 0.01, 0.03 and 0.04, respectively). The most significant risk factor for increased BASRI-T is ASCA IgA positivity (P < 0.001). Conclusion ASCA IgA was detected more frequently in AS patients than in healthy controls. ASCA IgA could be considered a marker of severe radiological damage. Further studies are recommended to investigate ASCA level versus radiological damage and intestinal involvement in AS patients

The Effective Role of Nano-Silicon Application in Improving the Productivity and Quality of Grafted Tomato Grown under Salinity Stress

This study aims to determine the influence of grafting and nano-silicon fertilizer on the growth and production of tomatoes (Solanumlycopersicum L.) under salinity conditions. A commercial tomato hybrid (cv. Strain B) was used as a scion and two tomato phenotypes were used as rootstocks: S. pimpinellifolium and Edkawy. The rootstock effect was evaluated by growing plants at two NaCl concentrations plus the control (0, 4000, and 8000 ppm NaCl). Nano-silicon foliar application (0.5 ppm) after 20, 28, and 36 days from transplanting was also used to mitigate salinity stress. Antioxidants, hormones, and proline were evaluated for a better understanding of the physiological changes induced by salinity and grafting. The results showed that grafting either on S. pimpinellifolium or Edkawy combined with nano-silicon application enhanced shoot and root growth, fruit yield, and fruit quality. The Edkawy rootstock was more effective than the S. pimpinellifolium rootstock in terms of counteracting the negative effect of salinity. Higher levels of mineral contents, GA3, ABA, and proline were detected in shoots that were subjected to grafting and nano-silicon application compared to the control treatment. This study indicates that grafting and nano-silicon application hold potential as alternative techniques to mitigate salt stress in commercial tomato cultivars

The Effective Role of Nano-Silicon Application in Improving the Productivity and Quality of Grafted Tomato Grown under Salinity Stress

This study aims to determine the influence of grafting and nano-silicon fertilizer on the growth and production of tomatoes (Solanumlycopersicum L.) under salinity conditions. A commercial tomato hybrid (cv. Strain B) was used as a scion and two tomato phenotypes were used as rootstocks: S. pimpinellifolium and Edkawy. The rootstock effect was evaluated by growing plants at two NaCl concentrations plus the control (0, 4000, and 8000 ppm NaCl). Nano-silicon foliar application (0.5 ppm) after 20, 28, and 36 days from transplanting was also used to mitigate salinity stress. Antioxidants, hormones, and proline were evaluated for a better understanding of the physiological changes induced by salinity and grafting. The results showed that grafting either on S. pimpinellifolium or Edkawy combined with nano-silicon application enhanced shoot and root growth, fruit yield, and fruit quality. The Edkawy rootstock was more effective than the S.&nbsp;pimpinellifolium rootstock in terms of counteracting the negative effect of salinity. Higher levels of mineral contents, GA3, ABA, and proline were detected in shoots that were subjected to grafting and nano-silicon application compared to the control treatment. This study indicates that grafting and nano-silicon application hold potential as alternative techniques to mitigate salt stress in commercial tomato cultivars

Possible association of primary open-angle glaucoma with thyroid dysfunction and oxidative stress

Background Primary open-angle glaucoma (POAG) is a leading cause of blindness worldwide. Thyroid dysfunction and oxidative stress can be associated with POAG. Purpose The aim of this study was to determine whether thyroid dysfunction (hypothyroidism or hyperthyroidism) is associated with glaucoma in Egyptian patients and to evaluate the level of oxidative stress (OS) markers in the serum of POAG patients. It also aimed to investigate the relationship between the OS markers and thyroid hormones in those patients. Patients and methods The study included 60 patients with POAG who were compared with 20 normal controls. Serum samples from the POAG patients and controls were examined for thyroid hormones [triiodothyronine (T3), thyroxine (T4), and thyroid stimulating hormone (TSH)] using the ELISA technique. The OS markers [hydrogen peroxide (H2O2), nitric oxide (NO), malondialdehyde (MDA), and reduced glutathione (GSH)] were also determined using colorimetric methods. Results There were no significant differences in the levels of T4 and TSH in the patients (3.14±2.25 ng/dl and 2.43±1.37 u/l, respectively) compared with the controls (3.35±1.88 ng/dl and 1.76±0.99 u/l, respectively) (P=0.245 and 0.064, respectively). However, there was a significant decrease in the T3 level in the POAG patients (2.88±0.54 pg/ml) compared with the controls (3.35±0.6 pg/ml) (P=0.029). In addition, there was a significant increase in the levels of H2O2 (2.83±1.66 mM/l), NO (54.64±29.21 umol/l), and MDA (164.12±96.5 nmol/ml) in the patients compared with the controls (0.83±0.55 mMol/l, 22.49±6.37 umol/l, and 44.36±12.59 nmol/ml, respectively) (P<0.001). There was also a significant decrease in the level of GSH in patients (54.32±32.1 mg/dl) compared with controls (103.99±45.52 mg/dl), (P<0.001). A significant negative correlation was detected between TSH and T4 (r=−0.41, P= 0.001), TSH and MDA (r=−0.27, P=0.04), T3 and H2O2 (r=−0.05, P=0.05), and T4 and NO (r=−0.35, P=0.01). Conclusion There was no association between POAG and thyroid dysfunction. However, the POAG patients are susceptible to OS and damage, as they had elevated serum levels of H2O2, NO, and MDA and reduced levels of GSH. Since the thyroid hormone level was associated with the OS markers, antioxidant therapy may be beneficial and may help to regulate the intraocular pressure and protect the trabecular meshwork cells from OS in those patients

The value of intraocular pressure asymmetry in diagnosing glaucoma

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