EFFECT OF MANAGEMENT PROGRAM ON HEAD NURSES, PERFORMANCE OF CONTROL AND SAFEGUARD REGARDING RESOURCES AT EL-MENSHAWY GENERAL HOSPITAL

Abstract Resources control is to know how to act in a responsible and recognized way to add economic value to the hospital units. it includes nursing practices that reducing the utilization of non-beneficial care and use of medical resources appropriately, without compromising the quality of the nursing care provided to the patient. Aim: The aim of the study was to determine the effect of management program on head nurses, performance of control and safeguard regarding resources at El-Menshawy General Hospital. Method: Design: Quasi experimental research Setting: Study was conducted at El-Menshawy General hospital affiliated to Ministry of Health and Population. It divided into three main big buildings A, B, and C which include twenty inpatient and outpatient units. Subjects: All (N=60) head nurses working in inpatient units, divided into head nurses (40) and in-charge nurses (20). Data collection tools: Tool (I) head nurses’ knowledge about control and safeguard regarding resources questionnaire. Tool (II) head nurses, performance of control and safeguard regarding resources observational checklist. Results; Preprogram more than half of head nurses had low level of knowledge regarding control and safeguard resources, changed to be none had low but all had high level of knowledge post program. Beside preprogram seventy percent of head nurses at morning shift, but all of them at afternoon and evening shift had unsatisfactory level of performance regarding control and safeguard resources, changed post program to be all head nurses at morning shift, most and majority of them at afternoon and evening showed satisfactory performance levels. There was a strong and highly statistically significant positive correlation between total head nurses’ high knowledge and satisfactory performance level post program than pre. Conclusion; The designed and implemented management program significantly improve head nurses’ knowledge and performance regarding control and safeguard resources. Recommendation; Maintain periodical in-service training program to improve nursing staff’ knowledge and practice regarding control and safeguard resources

Laser and radiofrequency-induced hyperthermia treatment via gold-coated magnetic nanocomposites

Alsayed AM Elsherbini1, Mahmoud Saber2, Mohamed Aggag2, Ahmed El-Shahawy2, Hesham AA Shokier11National Institute of Laser Enhanced Science, 2Children's Cancer Hospital, Cairo, EgyptIntroduction: The current radiofrequency ablation technique requires invasive needle placement. On the other hand, most of the common photothermal therapeutic methods are limited by lack of accuracy of targeting. Gold and magnetic nanoparticles offer the potential to heat tumor tissue selectively at the cellular level by noninvasive interaction with laser and radiofrequency.Methods: Gold nanospheres and gold-coated magnetic nanocomposites were used for inducing hyperthermia to treat subcutaneous Ehrlich carcinoma implanted in female mice.Results: In mice treated with gold nanospheres, tumors continued to grow but at a slow rate. In contrast, more than 50% of the tumors treated with gold-coated magnetic nanocomposites completely disappeared.Conclusion: This simple and noninvasive method shows great promise as a technique for selective magnetic photothermal treatment.Keywords: laser, hyperthermia, gold magnetic nanocomposites, Ehrlich carcinom

Radiofrequency Catheter Ablation in Children with Supraventricular Tachycardias: Intermediate Term Follow Up Results

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Posterior segment indications of handheld spectral domain optical coherence tomography in pediatric age group in a tertiary eye center in Egypt

Objective The aim of this study was to detect the posterior segment indications for the use of handheld optical coherence tomography in the pediatric age group. Patients and methods This was a retrospective observational study that included patients who were candidates for handheld spectral domain optical coherence tomography (HH-OCT) imaging for retinal or optic nerve (ON) diseases in Abo Elreesh hospital during the period from June 2018 to June 2022. The image, demographic, and clinical database of the included patients were reviewed. Data were tabulated using Microsoft Excel. Appropriate statistical methods were used to analyze and correlate the obtained data. Results A total of 189 patients were included in this study, comprising 109 (57.7%) male patients. The mean age was 7.2±3.9 (range: 0.2–16 years) years. Overall, 46 (24.3%) patients were less than 5 years of age (i.e. infants and preschool age). Patients who underwent HH-OCT scanning due to retinal causes (i.e. nystagmus, unexplained poor vision, uveitis, Coat’s disease, trauma, and high myopia) were 130 (68.8%) patients, whereas 59 (31.2%) patients were indicated due to ON disease (i.e. primary congenital glaucoma and juvenile open angle glaucoma, optic disc hyperemia, swelling or pallor, and cases of large physiological cupping). Conclusion HH-OCT is a noninvasive feasible image modality for evaluation of retina and ON in infants and young children. The lack of a normative database for retinal nerve fiber layer thickness and ON head parameters in the pediatric age group in the device available in our service is considered a limitation in its use for proper evaluation of different pathologies involving the ON

Studies on prevalence, risk indicators and control options for tick infestation in ruminants

An epidemiological study was conducted at Benisuef district to determine the current situation and associated determinants of tick infestations in ruminants and to assess the efficacy of three different types of insecticides against tick infestation under field conditions. Total of (1082) animals of different species (540 cattle, 230 buffaloes, 108 of each sheep & goats and 96 camels) were selected randomly and examined carefully for tick infestation. About (30.1%) of total observed animals were found tick infested with highest rate in cattle (60.5%) followed by goats (25.9%), buffaloes (17.8%), sheep (14.8%) while no tick infestation recorded in camels. The most prevalent tick's species affecting ruminants was Boophilus annulatus (26.5%) followed by Hyalomma anatolicum (6.1%) then Rhipicephalus turanicus (3.4%). Regarding the associated risk factors, tick infestation was found statistically significant (P 3 years (78.8%) followed by at age, ≤2 months (57.8%) and during summer months were found highly significant (P < 0.01) in cattle ( 76.5%) followed by goats and sheep (33.3% & 22.9% resp.,) comparing with results in winter. The preferred sites of ticks' attachment to infested animals were udders and external genitalia (70.7% of each) then Neck & chest (63.0% of each), inner thighs (61.1%), perineum (41.7%), ears (14.6%), around eyes (11.7%). The obtained results revealed that poor husbandry practices of small holder farmers be a determinant making the animals more prone to tick infestation in this district. Improving the hygienic conditions associated with treatment of infested cattle with Ivermectin (0.2 mg/kg b.wt, S/C) and spraying of Deltamethrin (1%) for surrounding environment twice every 14 days are recommended for control of tick infestation under field condition

Spectacle measurements versus contact lens measurements of the angle of deviation in myopic patients with strabismus

Purpose To compare the measurements of the angle of deviation through spectacles versus contact lenses and with the theoretically calculated angle. Patients and methods A total of 20 patients with comitant strabismus, more than 20 PD with spectacles, associated with bilateral myopia (spherical equivalent >1 D in both eyes) were included. Angle of deviation was measured using prism and cover test with spectacles and with contact lenses fitted according to the cycloplegic refraction and refined by subjective refraction. Agreements between the measurements obtained with contact lenses and those obtained with spectacles as well as the theoretically calculated angle were analyzed. Results The mean age was 15.6±10.9 years. Average spherical equivalent was −9.1±4.2 D. Measurements obtained with contact lenses were significantly lower than those with spectacles (P<0.001) with coefficient of variation of 27.7%, indicating poor agreement of both measurements. Limits of agreement in Bland–Altman plots were more than 9 PD ([INLINE:1] ± 2 s, −8.8 to 6 PD). The agreement was lower with larger angles. Measurements obtained with contact lenses were significantly lower than theoretical angles (P=0.002) but coefficient of variation between both measurements was 8.8%, indicating good agreement of measurements. There was little systematic or proportionate bias between the contact lens measurements and the theoretical angle. Conclusions Contact lens measurements were significantly lower than spectacle measurements in myopic patients. The contact lens measurements were in good agreement with the theoretically calculated angle. This overestimation of the angle with spectacles might be responsible for overcorrection of myopic patients with exotropia after surgery