Effect of Lavender Oil Inhalation on Injection Pain Intensity Among Children Undergoing Vaccination

Background: Pain control and management are the most critical aspects of basic needs, human rights, and nursing care in children. Aim: to evaluate the effect of lavender oil inhalation on injection pain intensity among children undergoing vaccination Design: A quasi experimental research design was utilized to fit the aim of the study. Setting: the study was conducted in selected governmental, ministry of health and population pediatric primary health centers (health offices). Sample: A purposive sample of 100 child, who attended primary health care centers to receive vaccination injections were enrolled either in control (50) or intervention (50) group randomly. Data collection tools: 1) Structured interview questionnaire, related to the personal characteristics of vaccinated children and nurses who give the vaccine; 2) The Modified Behavioral Pain Scale (MBPS) developed by Taddio et al. (1995). 3) cry duration measured in seconds. Results: There was a highly significant difference between the total pain scores and cry duration of control and intervention group immediately and five minutes after injection with p.≤ 0.05. There was a highly significant positive correlation between total scores of MBPS immediately and five minutes after injection with cry duration in control group. While there was a highly significant correlation between total scores of MBPS five minutes after injection and cry duration in intervention group (P ≤ 0.001). Conclusion: children who were in the intervention group and received lavender oil inhalation after the injection showed lower pain scores using the MBPS scale and shorter cry duration after vaccination injection than those who were in the control group. Recommendation: pediatric nurses need to conduct more strict experimental randomized trials on larger representative samples to evaluate effect of lavender oil inhalation on injection pain reduction among children. Keywords: pain, vaccination, children, pediatric nurses, lavender oil inhalation DOI: 10.7176/JHMN/73-08 Publication date: April 30th 2020

COVID-19 Detection System: A Comparative Analysis of System Performance Based on Acoustic Features of Cough Audio Signals

A wide range of respiratory diseases, such as cold and flu, asthma, and COVID-19, affect people's daily lives worldwide. In medical practice, respiratory sounds are widely used in medical services to diagnose various respiratory illnesses and lung disorders. The traditional diagnosis of such sounds requires specialized knowledge, which can be costly and reliant on human expertise. Recently, cough audio recordings have been used to automate the process of detecting respiratory conditions. This research aims to examine various acoustic features that enhance the performance of machine learning (ML) models in detecting COVID-19 from cough signals. This study investigates the efficacy of three feature extraction techniques, including Mel Frequency Cepstral Coefficients (MFCC), Chroma, and Spectral Contrast features, on two ML algorithms, Support Vector Machine (SVM) and Multilayer Perceptron (MLP), and thus proposes an efficient COVID-19 detection system. The proposed system produces a practical solution and demonstrates higher state-of-the-art classification performance on COUGHVID and Virufy datasets for COVID-19 detection.Comment: 8 pages, 3 figure

Effect of Nursing Exercise Protocol on Hemodynamics and Functional Capacity among Patients after Cardiac Surgery

Context: Exercise interventions are the cornerstone of cardiac rehabilitation. The exercise program consists of respiratory physiotherapy, neck and shoulder exercises, walking, and cycling. The purpose is to prevent respiratory complications, neck and shoulder pain and increase the physical functional level.Aim: This study evaluates the effect of applying nursing exercise protocol on hemodynamics and functional capacity among post-cardiac surgery patients. Methods: Quasi-experimental research design utilized in the current study. A purposive sample, including 60 male and female patients, was classified equally into two equal groups; study group (n= 30) and control group (n= 30), collected through 14 months. This study was carried out in the inpatient cardiac surgery department and the outpatient cardiac clinic of Cardiothoracic Surgery Hospital in New Minia City. Four tools were utilized in collecting data; named Health Assessment Record; Six Minute Walk Distance Test; Modified Medical Research Council Scale (MMRC) for measuring dyspnea; and Nursing Educational Protocol Checklist. Results: Current study findings displayed an improvement of total distance walked among study groups compared to the control group. It also showed highly statistically significant differences between the groups related to total distance walked after 12th-week post-discharge documented by p-value (0.000).Conclusion: The current study findings concluded that the nursing educational protocol in the form of deep breathing, incentive spirometer; coughing, and early ambulation induces a significant improvement in hemodynamic variables and six-minute walk distance, recommending that hospitals should implement the nursing educational protocol as a routine hospital policy among all cardiac surgical patients in all age groups

Biological Evaluation and Theoretical Study of Bi-dentate Ligand for Amoxicillin Derivative with Some Metal Ions

       في هذا البحث  تم تحضير معقدات قواعد شف للمركب ميثيل 6- (2- (ثنائي فينيل ميثيلين) أمينو) -2- (4-هيدروكسي فينيل) أسيتاميدو) -2،2-ثنائي ميثيل -5-أوكسو -1-ثيا-4-أزاباي سايكلو(3،2،0)هبتانس -3-كاربوكسيلت مع ايونات كوبلت ،نيكل ،نحاس والزنك ثنائية التكافؤ.تم تشخيص المعقدات المحضرة بطرق مختلفة منها طيف الاشعة تحت الحمراء   (FT-IR)وطيف الاشعة فوق البنفسجية-المرئية (Uv-vis) ،الحساسية المغناطيسية ،التحليل الذري للعناصر (C.H.N.S) ،الامتصاص الذري والتوصيلية المولارية. الواضح من الدراسة الطيفية ان المعقدات تمتلك تركيب احادي النوية وان الليكاند المحضر متناسق مع الايونات الفلزية بشكل ثنائي السن مع شكل ثماني السطوح باستثناء معقد الكوبلت الثنائي فانة يمتلك شكل رباعي السطوح. استخدام برنامج  Hyper Chem-8.0.7لتوقع الشكل الهندسي للمركبات جنبًا إلى جنب مع حرارة التكوين (°ΔH f) ، طاقة الربط (ΔEb) ، عزم ثنائي القطب (µ) ، ترددات FT-IR في الحالة الغازية . تم فحص هذه المركبات ونشاطهاالحيوي كمضادات للجراثيم والفطريات.               In this paper, the complexes of Shiff base of Methyl -6-[2-(diphenylmethylene)amino)-2-(4-hydroxyphenyl)acetamido]-2,2-dimethyl-5-oxo-1-thia-4-azabicyclo[3.2.0]heptane-3-carboxylate (L) with Cobalt(II), Nickel(II), Cupper(II) and Zinc(II) have been prepared. The compounds have been characterized by different means such as FT-IR, UV-Vis, magnetic moment, elemental microanalyses (C.H.N), atomic absorption, and molar conductance. It is obvious when looking at the spectral study that the overall complexes obtained as monomeric structure as well as the metals center moieties are two-coordinated with octahedral geometry excepting Co complexes that existed as a tetrahedral geometry. Hyper Chem-8.0.7 program was employed, after calculating the heat of formation (ΔH°f), binding energy (ΔEb), dipole moment( µ ), and FT-IR frequencies are carried out in gas phase, the geometric shape is suggested. The compounds have been also screened for their bioactivity to antibacterial and antifungal.

Behavior of Structural Concrete Frames with Hybrid Reinforcement under Cyclic Loading

A substantial amount of work was carried out on the use of fiber-reinforced polymer (FRP) in reinforcing concrete structural elements, which demonstrated considerable inelasticity or deformity through monotonous and fatigue loads. Even so, the action of FRP bars in FRP-RC columns and frame structures has not yet been studied during reversed cyclic loading. In this research, reversed cyclic loading was conducted on three beam-column joint models using the finite element method with ANSYS software. The first model was for a joint designed with steel rebar for both the longitudinal reinforcement and stirrups. Glass fiber reinforced polymer (GFRP) rebar was used to reinforced the second joint model for both longitudinal reinforcement and steel stirrups, and the third joint model was designed with hybrid steel/GFRP reinforcement for the longitudinal reinforcement and steel stirrups. The performance of the three models under reversed cyclic loading, such as load vs. story drift and energy dissipation capacity, were compared. The GFRP-reinforced model displayed a predominantly elastic activity up to failure. Although its energy dissipation was weak, its performance in terms of total storey drift demand was satisfactory

Writer Identification Based on Arabic Handwriting Recognition by using Speed Up Robust Feature and K- Nearest Neighbor Classification

In a writer recognition system, the system performs a “one-to-many” search in a large database with handwriting samples of known authors and returns a possible candidate list. This paper proposes method for writer identification handwritten Arabic word without segmentation to sub letters based on feature extraction speed up robust feature transform (SURF) and K nearest neighbor classification (KNN) to enhance the writer's  identification accuracy. After feature extraction, it can be cluster by K-means algorithm to standardize the number of features. The feature extraction and feature clustering called to gather Bag of Word (BOW); it converts arbitrary number of image feature to uniform length feature vector. The proposed method experimented using (IFN/ENIT) database. The recognition rate of experiment result is (96.666)

Pilot Experimental Tests on Punching Shear Strength of Flat Plates Reinforced with Stirrups Punching Shear Reinforcement

Flat plates are favor structure systems usually used in parking garages and high-rise buildings due to its simplicity for construction. However, flat plates have some inherent structural problems, due to high shear stress surrounding the supporting columns which cause a catastrophic brittle type of failure called "Punching Shear Failure". Several solutions are used to avoid punching shear failure, including the use of drop panels or punching shear reinforcement. The latter is being a more sophisticated solution from the structural ductility, the architectural and the economical point of view. This study aims at investigating the effect of stirrups as shear reinforcement in enhancing the punching strength of interior slab-column connections. A total of four full-scale interior slab-column connections were tested up to failure. All slabs had a side length of 1700 mm and 160 mm thickness with 200 mm x 200 mm square column. The test parameters were the presence of shear reinforcement and stirrups concentration around the supporting column. The test results showed that the distribution of stirrups over the critical punching shear zone was an efficient solution to enhance not only the punching shear capacity but also the ductility of the connection. Furthermore, the concentrating of stirrups shear reinforcement in the vicinity of the column for the tested slabs increases the punching shear capacity by 13 % compared to the uniform distribution at same amount of shear reinforcement

Pilot Experimental Tests on Punching Shear Strength of Flat Plates Reinforced with Stirrups Punching Shear Reinforcement

Flat plates are favor structure systems usually used in parking garages and high-rise buildings due to its simplicity for construction. However, flat plates have some inherent structural problems, due to high shear stress surrounding the supporting columns which cause a catastrophic brittle type of failure called "Punching Shear Failure". Several solutions are used to avoid punching shear failure, including the use of drop panels or punching shear reinforcement. The latter is being a more sophisticated solution from the structural ductility, the architectural and the economical point of view. This study aims at investigating the effect of stirrups as shear reinforcement in enhancing the punching strength of interior slab-column connections. A total of four full-scale interior slab-column connections were tested up to failure. All slabs had a side length of 1700 mm and 160 mm thickness with 200 mm x 200 mm square column. The test parameters were the presence of shear reinforcement and stirrups concentration around the supporting column. The test results showed that the distribution of stirrups over the critical punching shear zone was an efficient solution to enhance not only the punching shear capacity but also the ductility of the connection. Furthermore, the concentrating of stirrups shear reinforcement in the vicinity of the column for the tested slabs increases the punching shear capacity by 13 % compared to the uniform distribution at same amount of shear reinforcement

The effect of food elimination and probiotic supplementation in asthmatic children with food allergy

Background: Both bronchial asthma and food allergy are comorbidities of increase prevalence and growing concern worldwide. Objectives: to detect the prevalence of food allergy in children with bronchial asthma, the effect of food elimination and probiotic supplementation on the clinical outcome of asthma and the quality of life (QOL). Methods: This randomized controlled trial included 226 children aged from 4 to 18, suffering from bronchial asthma, 88 of whom had associated food allergy. Patients who suffered food allergy as diagnosed by history, prick to prick test food elimination and oral food challenge test, were randomly divided into four groups, each comprised 22 children. Group (1): received pharmacological treatment only, group (2): received pharmacological treatment and probiotic supplementation, group (3): practiced food elimination and received pharmacotherapy, and Group (4): practiced food elimination and received probiotic supplementation and pharmacological therapy. For patients in all groups, grading of asthma severity, measurement of total IgE and Pediatric Asthma quality of life questionnaire (PAQLQ) were performed before and after 6 months at the end of the study. Results: There were significant statistical improvements of severity of asthma, total serum IgE level and QOL for all groups before and after intervention. The best outcome was achieved in children who practiced avoidance of food allergen(s) and took probiotic supplementation in addition to the pharmacological therapy (p <0.001). Conclusion: Diagnosis of food allergy in asthmatic children is mandatory and combining pharmacological therapy, avoidance of the offended food allergen and intake of probiotics are encourage

Using a Proposed Program Based on Johannes Itten’s Theory of Color in the Development of Color Culture among Faculty of Early-Childhood Education Students

The current study was prepared on the basis that color is one of the most important visual elements of the creativity of the artistic work due to its role in highlighting aesthetic and expressive values with the diversity of its color relations as well as its ability to show ideas and to increase attention, in addition to the use of color to show form and to increase motivation for learning. This study aimed to investigate the effectiveness of a proposed program based on Johannes Itten’s theory of color to teach color to the students of the Faculty of Early Childhood Education in the development of their color culture. The material and instruments of the study included a proposed program based only on watercolors, in addition to a performance scale for color culture. The sample of the study consisted of (30) students of the third year at the Faculty of Early Childhood Education. The study findings showed that there are statistically significant differences between the mean scores obtained by the study participants on the pre and post administrations of the performance scale of color culture in favor of the post-administration. Thus, the present study proved the effectiveness of the proposed program in the development of the color culture among the student-teacher at the Faculty of Early Childhood Education