Breast Engorgement among Women with Caesarean Section: Impact of Nursing Intervention

Background: Breast engorgement is defined as enlarged & filling of breast with milk. It is one of the most significant problems confronting nursing women, especially primiparous, in the first week of motherhood. The aim of the study was to investigate the impact of nursing intervention on relieve of breast engorgement among women with caesarean section. Design and setting an interventional study was conducted in postnatal unit of Beni-Suef University hospital. Sample was simple random sample comprised a total of 90 Primiparae’s cesarean section mothers; 45 in the interventional group & 45 in the control group. Tools of Data Collection were interview questionnaire sheet, knowledge assessment sheet and observational & Engorgement assessment scale. The study revealed that, the nursing intervention was more effective and contributed rapid recovery from breast engorgement especially among the older, educated, housewives, high social class's women and those who were rural dwellers. The study recommended that Prevention is a key element in reducing breast engorgement potentially among nursing mothers. So, primiparous mothers should learn about preventive measures for breast engorgement. Teaching mother how to express both breasts simultaneously to yield the most volume and to decrease time spend pumping each consecutively is the responsibility of health care providers

Breast Feeding Knowledge and Practices Among Primiparous Women with Caesarean Section: Impact on Breast Engorgement in Upper Egypt

Background: The benefits of breast milk are greatly enhanced if breastfeeding starts within one hour after birth. Hunan milk contains a host of dynamic and unique feeding properties. Breast engorgement is one of the most common minor discomforts confronting nursing women after delivery, especially Primiparous. The aim of the study was to investigate the breastfeeding knowledge and practices among primiparous women with a cesarean section and its impact on breast engorgement in Upper Egypt. The study was conducted in the postnatal unit of Beni-Suef University Hospital. The study design was a descriptive study. The type of sample was a simple random sample. The study comprised 90 Primiparous cesarean section mothers; suffer from breast engorgement. Tools of Data Collection were interview questionnaire sheet, knowledge assessment sheet, observational checklist, and engorgement assessment scale. The study revealed that the studied women’s knowledge and technique of breastfeeding were not adequate among the whole study sample. Breast engorgement was more prevalent among the younger, less educated, housewives, low social class's women and those who were rural dwellers. Recommendation: Providing the mother with guidance and support on positioning and latching and modification of hospital practices are effective in reducing breast problems

Estimation of post-harvest losses of Manfalouty pomegranate fruits

Weight loss considered one of the main causes of quality loss in pomegranate fruits during chain marketing. Therefore, this study was conducted on Manfalouty pomegranate (Punica granatum L.) in a private orchard in El Badary, Assiut Governorate, Egypt in 2017 and 2018 to define the various causes of losses during chain handing and estimate it. The fruits harvested at three periods early (September) mid (October) and late season (November). The total losses at harvest were 5.94%, 9.30% and 23.50% for early, mid and late season, respectively. The main cause of losses is due to cracked and infected pests. The total loss of fruits during chain marketing was highest in retail market in comparison with wholesale during early, mid and late season. The main causes of losses due to weight loss and shrinkage fruits. According to data dealing with storage pomegranate fruits at 5±1°C and relative humidity 85-90%, the highest fruit losses found in the third month and this losses due to fruit weight loss and internal chilling injury (brown discoloration) so the storage life of fruit should be two months. DOI: http://dx.doi.org/10.5281/zenodo.405122

Design of a modified natural egyptian solar house

The rate of increase in energy consumption and high costs in addition to the depletion of existing resources has a significant impact on our standard of living for next generations. In this case, the priority is to develop alternative cost-effective sources for powering the residential and non-residential buildings. This paper proposes and develops a design of a modified small two-story residential solar house for a medium-sized family located in Cairo, Egypt. This modified solar house meets almost all its energy demands including space heating by using solar air collector with a pebble storage unit in winter and a summer cooling system using wind catcher theory. Hot water is obtained throughout the day by using a steel sheltered water storage tank with a capacity of 1000 liter. Finally, the proposed heating system of the solar house is sized and modeled

Ischemia-modified albumin relation to glycemic state, neuropathy, and retinopathy in patients with type2 Diabetes mellitus

Background: The incidence of microvascular complications is rising although there is improvement in glycemic control, dyslipidemia, and hypertension treatment. Early identification of patients with a high risk of developing vascular complications helps in their prevention. There is a strong need for biomarkers for use in the early detection of microvascular complications. Ischemia-modified albumin (IMA) is formed when ischemia of the hypoxic tissue induces modification of circulating albumin. IMA is a sensitive marker of tissue hypoxia and oxidative stress. Objectives: to evaluate the relationship of IMA to glycemic state and its ability to predict microvascular complications of diabetic neuropathy (DN) and diabetic retinopathy (DR) in type 2 DM patients. Patients and methods:100 Participants were divided into three groups: Group A: (n=35) complicated type 2 diabetic patients (with neuropathy, retinopathy, or both). GroupB: (n=35) non-complicated type 2 diabetic patients, GroupC: (n=30) control group (healthy individuals). Results: Using the ROC curve of IMA in predicting diabetic neuropathy and retinopathy, showed high sensitivity, the area under the curve (AUC) is 0.948 (95% CI 0.885:0.983), p 95.7 U/ml (sensitivity =100%, specificity =95.7%, PPV =74.3%, and NPP =100%), ROC curve of IMA in predicting diabetic retinopathy the AUC is 0.960 (95% CI 0.900:0.989), p 110.5 U/ml (sensitivity =100%, specificity =94.4%, PPV =87.9%, and NPP=100%). Conclusion: Ischemia-modified albumin levels were significantly higher in patients with DN and DR

Impact of Some Ecological Factors on Fecal Contamination of Drinking Water by Diarrheagenic Antibiotic-Resistant Escherichia coli

Fecal contamination of drinking water is a major health problem which accounts for many cases of diarrhea mainly in infants and foreigners. This contamination is a complex interaction of many parameters. Antibiotic resistance among bacterial isolates complicates the problem. The study was done to identify fecal contamination of drinking water by Diarrheagenic Antibiotic-Resistant Escherichia coli in Zagazig city and to trace reasons for such contamination, three hundred potable water samples were investigated for E. coli existence. Locations of E. coli positive samples were investigated in relation to population density, water source, and type of water pipe. Sixteen E. coli strains were isolated. Antibiotic sensitivity was done and enterotoxigenic, enteropathogenic, and enterohaemorrhagic virulence genes were investigated by PCR. Probability of fecal contamination correlated with higher population density, with increased distance from Zagazig water plant, and with asbestos cement water pipes. Resistance to at least one antimicrobial drug was found in all isolates. Virulence genes were detected in a rate of 26.27%, 13.13%, 20%, 6.67%, and 33.33% for LT, ST, stx1, stx2, and eae genes, respectively. This relatively high frequency of fecal contamination points towards the high risk of developing diarrhea by antibiotic resistant DEC in low socioeconomic communities particularly with old fashion distribution systems

Impact of Tactile Stimulation on Neurobehavioral Development of Premature Infants in Assiut City

Objective: To assess impact of tactile stimulation on neurobehavioral development of premature infants in Assiut City. Design: Quasi-experimental research design. Setting: The study was conducted in the Neonatal Intensive Care Unit at Assiut University Children Hospital, Assiut General Hospital, Health Insurance Hospital (El-Mabarah Hospital) and El-Eyman for Gynecology and Obstetric Hospital. Subjects: The study subjects included a convenient sample of 50 premature infants divided into study or control groups and they were matched with gestational age and birth weight. Tool: Brazelton Neonatal Behavioral Assessment Scale is used to assess neurobehavioral development of infants from birth to two months of age. Method: Premature infants divided into two groups; (a) study group who receiving tactile stimulation (b) control group who receiving routine hospital care only. Neurobehavioral development using Brazelton’s Neonatal Behavior Assessment Scale (NBAS) was assessed at initial contact and after 5 days of intervention and on discharge. Results: showed that the premature infants of the study had better neurobehavioral development than those in the control group with statistical significant differences were found between the study and the control groups Conclusion: It was concluded from the findings of the current study that premature infants who received tactile stimulation had better neurobehavioral development than those who didn’t receive it and had only the hospital routine care. Keywords: Tactile stimulation, neurobehavioral development, premature infant

Primary School Teachers’ Perspectives on ADHD in Alkadrow, Khartoum, Sudan

Background: Attention deficit hyperactivity disorder, which is a prevalent neurodevelopmental condition, commonly manifests during early childhood and has the potential to adversely affect an individual’s social, academic, and occupational performance in multiple settings. Students with ADHD may struggle with attention, focus, listening, and completing schoolwork. Additionally, they may exhibit restless or disruptive behavior in class and may have learning disabilities that affect their academic performance. The aim of this study was to explore the perspectives of primary school teachers on ADHD in Alkadrow, Khartoum, Sudan. Methods: A descriptive cross-sectional study was conducted in Alkadrow-Bahri locality, Sudan, over a period of three to six months in 2022. The study population included primary school teachers who had taught for at least one year and encountered at least one student with ADHD. A convenience sampling technique was used to select a minimum of 59 participants, and data were collected using a self-administered questionnaire with closed-ended questions. SPSS version 23 was used to analyze the data, including descriptive statistics and inferential statistics such as chi-square tests and logistic regression analysis. Results: The study had 59 participants, with the majority being female and in the age group of 41–45 years. The participants were mostly married and had obtained psychology courses, with a bachelor’s degree being the most common level of education. Many participants had over 20 years of teaching experience. Regarding the attitude toward attention deficit hyperactivity, most participants strongly agreed that they did have a negative/positive attitude toward it, and a majority agreed or were neutral toward ADHD. However, in the case of attention deficit hyperactivity, a significant percentage of participants disagreed or strongly disagreed with the statement. Conclusion: The study found that most participants had a negative attitude toward student referrals for medical care and believed that most symptoms of ADHD can be lowered by aging. Additionally, more than half strongly disagreed that punishment has a positive effect on ADHD

Reliability analysis of the new exponential inverted topp–leone distribution with applications

The inverted Topp–Leone distribution is a new, appealing model for reliability analysis. In this paper, a new distribution, named new exponential inverted Topp–Leone (NEITL) is presented, which adds an extra shape parameter to the inverted Topp–Leone distribution. The graphical representations of its density, survival, and hazard rate functions are provided. The following properties are explored: quantile function, mixture representation, entropies, moments, and stress– strength reliability. We plotted the skewness and kurtosis measures of the proposed model based on the quantiles. Three different estimation procedures are suggested to estimate the distribution parameters, reliability, and hazard rate functions, along with their confidence intervals. Additionally, stress–strength reliability estimators for the NEITL model were obtained. To illustrate the findings of the paper, two real datasets on engineering and medical fields have been analyzed

The relation between of insulin like growth factor II and endometrial carcinoma

Background: Endometrial cancer is the most common gynecologic malignancy in the United States and the fourth most common cancer in women. The need of a soft marker that can be used with CA-125 tumor marker for early detection of endometrial cancer and to predict late stages and advanced histopathological grades and to specify the cases who will be managed by complete surgical staging including para aortic and pelvic lymphadenectomy is of great importance. The aim of the study was to evaluate the role of insulin like growth factor 2 in endometrial carcinoma and to correlate it with different histopathological grades of the disease.Methods: This study was applied on sixty patients with abnormal uterine bleeding and were divided into two groups, Group A included 30 cases of endometrial carcinoma, while Group B included 30 cases complaining of abnormal vaginal bleeding due to other causes as a control group. Serum samples were taken from all patients and estimation of IGF-2 serum levels using ElISA technique was done. Comparison of IGF-2 serum level between both groups and correlation of its levels with different histopathological grades of endometrial cancer group were done.Results: As regard comparison between both groups and ILGF2 serum level, study results demonstrated that ILGF2 levels ranged between 600.0-1440.0 ng/ml and 40.0-560.0 ng/ml with the mean of 781.33 ng/ml±196.45 and 336.0 ng/ml±212.86 for cases Group A and control Group B respectively. There was a statistically significant difference between the two studied groups regarding ILGF2 serum level (p<0.001). As regards correlation between histopathological grades and ILGF-2 serum level in cases Group A, the study revealed a strong positive correlation.Conclusions: ILGF-2 can be used as a serum marker for endometroid adenocarcinoma of the body of the uterus and to predict its higher histopathological grades